- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03714503
Head Positioning After Retina Detachment Repair
Head Positioning Duration After Retinal Detachment Repair With Vitrectomy and Gas
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
A. Study Objectives: To determine if one day post-operative prone head positioning can be as good as seven days post-operative prone head positioning in patients with retinal detachments with inferior retinal breaks after PPV using C3F8 gas as a tamponade.
- Primary outcome: retina anatomical success at 3 months post-operatively
- Secondary outcome: retina anatomical success at 1 year post-operatively
B. Study Type and Design: Single arm phase II study to assess its effectiveness and warrant interest in further development. A Simon's two-stage design will be used to test the following hypotheses: null hypothesis (HO): P<=0.6 versus alternative hypothesis (HI): p >= 0.85.
C. Sample size, statistical methods, and power calculation
1. The sample size calculations are based on a Simon's two-stage minimax design. The Investigators plan to recruit 20 patients (20 eyes) with one day post-operative head positioning. This trial will run as a single-arm study in two stages. In the first stage, the Investigators will define a futility rate of 60%. Thus, 11 patients will be enrolled in this stage and if seven or less than seven patients are not declared a "success", the Investigators will terminate this trial after the first stage. If eight or more successes are found in the first stage, the Investigators will continue to the second stage where the Investigators will enroll an additional 9 patients taking the total sample size to 20 patients. The treatment will be considered as promising for future research if the results find that 16 or more than 16 of the 20 patients are declared a 'success' (based on the literature review and a retrospective study, a success rate of 85% is chosen). This minimax design has an expected sample size of 14 patients and a probability of early termination (PET) of 70%. An analogous calculation for the Optimal Simon's design gives a total sample size of 28 but with the same expected sample size of 14, and so the Investigators have decided to adopt the minimax design.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ashley Small, MPH
- Phone Number: 913-588-0105
- Email: asmall2@kumc.edu
Study Locations
-
-
Kansas
-
Prairie Village, Kansas, United States, 66208
- Recruiting
- University of Kansas Medical Center
-
Contact:
- Ashley Small
- Phone Number: 913-588-0105
- Email: asmall2@kumc.edu
-
Principal Investigator:
- Radwan S Ajlan, MBBCh
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Ability to understand and the willingness to sign a written informed consent
- Subjects must be diagnosed with primary rhegmatogenous retinal detachment with inferior breaks
- Subjects must be 18 years and older.
- Women of child-bearing potential must agree to take rapid urine pregnancy test before surgical procedure and have negative result.
Exclusion Criteria:
- pediatric population
- pregnant women
- a previous retinal detachment repair in the study eye
- history of scleral buckling in the study eye
- trauma as a cause of the retinal detachment
- asymptomatic longstanding retinal detachments
- non-compliance with post-operative treatment
- phakic retinal detachment
- exudative retinal detachment
- retinoschisis related retinal detachment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: One day post-operative head positioning
patients will be assigned to remain a one-day post operative head positioning following retina re-attachment surgery
|
Assigning a one day post-operative head positioning
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Retina attachment on clinical exam using the indirect ophthalmoscope
Time Frame: 3 months
|
Retina remained attached on indirect ophthalmoscopy exam with scleral depression 360 degrees
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Retina attachment on clinical exam using the indirect ophthalmoscope
Time Frame: 1 year
|
Retina remained attached on indirect ophthalmoscopy exam with scleral depression 360 degrees
|
1 year
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY00142574
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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