- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03421769
Corneal Epithelial Autograft With Middle Lamellar Keratoplasty for Severe Ocular Burns
February 27, 2020 updated by: Yingfeng Zheng
A Clinical Trial of Corneal Epithelial Autograft Combined With Allogeneic Middle Lamellar Keratoplasty for Patients With Severe Ocular Burns
The purpose of this pilot study is to explore whether corneal epithelial autograft (EA) combined with allogeneic middle lamellar keratoplasty (AMLK) is more effective than limbal autograft (LA) with AMLK for ocular surface reconstruction in patients with severe ocular burns.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Guangdong
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Guangzhou, Guangdong, China, 510000
- Zhognshan Ophthalmic Center, Sun Yat-sen University
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
4 years to 80 years (Child, Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Unilateral severe ocular burns with more than half limbal stem cells deficiency (LSCD). The history of the disease is at least 12 months at the time of screening visit.
- Presence of superficial neo-vascularization affecting at least 2 cornea quadrants and involving central cornea.
- Informed consent signed by a patient or legal guardian, or having the ability to comply with study assessments for the full duration of the study.
Exclusion Criteria:
- LSCD of mild degree, with less than 2 quadrants of neo-vessel invasion and without central cornea involvement.
- LSCD by ocular surface disorders other than ocular burns.
- Eyelids malposition.
- The center corneal thickness<450µm, the depth of corneal opacity<150µm or the full corneal lamellar opacity.
- High myopia with a spherical equivalent of -15.0 D or less.
- Corneal or ocular surface infection within 30 days prior to study entry.
- Ocular surface malignancy.
- Uncontrolled diabetes with most recent HgA1c greater than 8.5%.
- Renal failure with creatinine clearance ≤ 25mL/min per 1.73 m2.
- Alanine aminotransferase > 40IU/L, or aspartate aminotransferase > 40IU/L.
- Platelet levels < 150,000 or > 450,000 per microliter.
- Hemoglobin < 12.0 g/dL (male) or < 11.0 g/dL (female);
- Prothrombin time > 16s and activated partial thrombin time > 35s in patients not accepting anticoagulant therapy; An international normalized ratio greater than 3 in patients accepting anticoagulant therapy.
- Pregnancy (positive test) or lactation.
- Participation in another simultaneous medical investigation or clinical trial.
- Severe cicatricial eye disease; Conjunctival scarring with fornix shortening.
- Ocular comorbidities that affect the prognosis of transplantation, such as advanced glaucoma or retinal diseases.
- Severe dry eye disease as determined by Schirmer's test < 2mm at least in one eye.
- Any medical or social condition that in the judgment of the investigator would interfere with or serve as a contraindication to adherence to the study protocol or ability to give informed consent.
- Signs of current infection, including fever and treatment with antibiotics.
- Active immunological diseases.
- History of anti-glaucoma surgeries.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: EA and AMLK
Corneal epithelial autograft (EA) combined with allogeneic middle lamellar keratoplasty (AMLK) is used for the treatment of patients with severe ocular burns.
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A 7-9mm diameter corneal epithelial tissue will be obtained from the fellow eye using femtosecond laser technology.
This epithelial autograft (EA) is then ready for transplantation on the disease eye, following the procedure of allogeneic middle lamellar keratoplasty (AMLK).
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Active Comparator: LA and AMLK
Limbal autograft (LA) combined with AMLK is used for the treatment of patients with severe ocular burns.
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A 3-clock-hour limbal autograft (LA) will be obtained from the fellow eye.
This is then ready for transplantation on the disease eye following the procedure of AMLK.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Success rate of corneal reepithelialization in disease eyes.
Time Frame: 12 months
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The percentage of patients with completely epithelized and avascular corneal surface in disease eyes.
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12 months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 9, 2018
Primary Completion (Actual)
December 30, 2019
Study Completion (Actual)
December 30, 2019
Study Registration Dates
First Submitted
January 20, 2018
First Submitted That Met QC Criteria
February 1, 2018
First Posted (Actual)
February 5, 2018
Study Record Updates
Last Update Posted (Actual)
February 28, 2020
Last Update Submitted That Met QC Criteria
February 27, 2020
Last Verified
February 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018KYPJ003
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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