- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03857685
LEC Proliferation in Vivo and In-vitro
Bilateral and Age-dependent Differences in Posterior Capsule Opacification in Vivo Compared to an In-vitro Mode
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Cataract, the clouding of the eye's lens, is still the leading cause of blindness worldwide. Until now surgery is the only therapy available for the disease. Cataract surgery is nowadays considered a safe and efficient therapy. However, one of the most frequent complications of cataract surgery is posterior capsule opacification (PCO), which results in diminished postoperative visual acuity. PCO occurs due to a robust wound-healing response, where remaining lens epithelial cells in the capsular bag start to migrate and proliferate.
The lens capsule is divided into an anterior, an equatorial, and a posterior region. The anterior and the equatorial region consist of a single layer of cuboidal epithelial cells, whilst the posterior region is formed of fibers. In the adult lens proliferation occurs almost exclusively in the equatorial region and although the central part of the lens epithelium exhibits very low mitotic activity, it was shown in experiments that cell in this area are also stem cells. There are three possible reasons for the generation of PCO: intraoperative factors (dependening on the amount of remaining cells in the capsular bag), intraocular lens factors, and interpersonal factor (patient-specific factors).
Aim of this study is the generation of an in-vitro model of posterior capsule opacification. Therefore, the investigators will analyse the proliferative capacity of lens epithelial cells on the lens capsule, which is removed during cataract surgery, in a cell culture model. The investigators then compare the proliferative capacity between young and old patients, between both eyes of the same patient, and in different forms of cataract.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Andreea Fisus, MD
- Phone Number: 01 91021-57564
- Email: office@viros.at
Study Contact Backup
- Name: Manuel Ruiss, MSc.
- Phone Number: 01 91021-57564
- Email: office@viros.at
Study Locations
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-
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Vienna, Austria, 1140
- Recruiting
- Vienna Institute for Research in Ocular Surgery (VIROS)
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Contact:
- Andreea Fisus, MD
- Phone Number: 01 91021-57564
- Email: office@viros.at
-
Contact:
- Manuel Ruiss, MSc.
- Phone Number: 01 91021-57564
- Email: office@viros.at
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age-related cataract.
- Patients in the age group of 21 years and older.
- Patients with uncomplicated cataract.
- Patients without any relevant systemic or ocular morbidity.
- Patients with well dilating pupils.
- Written informed consent prior to any study specific action.
Exclusion Criteria:
- Patients with complicated cataract.
- Patients with big differences in LOCS scale between the two eyes.
- Patients having corneal pathology.
- Patients with any form of ocular inflammation.
- Patients with glaucoma, retinal pathologies.
- Patients with traumatic cataracts, subluxated and dislocated lens, prior h/o ocular surgery, pseudoexfoliation.
- Any intraoperative complications like posterior capsule rupture.
- In case of pregnancy (pregnancy test will be taken preoperatively in women of reproductive age).
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Proliferation in an in-vitro model
An in-vitro model is used to study lens epithelial cell proliferation
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In-vitro model of posterior capsule opacification by culturing the lens capsule
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Amount of proliferation of lens epithelial cells (LECs) in-vitro compared to in vivo in the same patient
Time Frame: 24 months
|
Proliferation of LECs in-vitro will be measured as area/mm2 and correlated with ratings of posterior capsular opacification in vivo using a scale from 0 to 10
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24 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Amount of proliferation of LECs in-vitro in young and older patients
Time Frame: 24 months
|
Proliferation of LECs in-vitro will be measured as area/mm2 and compared between older and younger individuals
|
24 months
|
Amount of proliferation of LECs in-vitro between different forms of cataract
Time Frame: 24 months
|
Proliferation of LECs in-vitro will be measured as area/mm2 and compared between the different forms of cataract (cortical, nuclear, posterior subcapsular)
|
24 months
|
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Proliferation
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
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.
Clinical Trials on Posterior Capsule Opacification
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Zhongshan Ophthalmic Center, Sun Yat-sen UniversityUnknownCataract | Posterior Capsule OpacificationChina
-
Hanita LensesRecruitingPosterior Capsule OpacificationIsrael
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Sohag UniversityRecruitingPosterior Capsule OpacificationEgypt
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Prim. Prof. Dr. Oliver Findl, MBAUnknownPosterior Capsule OpacificationAustria
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Minia UniversityCompletedPosterior Capsule OpacificationSaudi Arabia
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Sun Yat-sen UniversityUnknownPosterior Capsule OpacificationChina
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Sun Yat-sen UniversityUnknownCataract | Posterior Capsule OpacificationChina
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Medical University of ViennaCompletedCataract | Posterior Capsule OpacificationAustria
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Medical University of ViennaCompletedPosterior Capsule Opacification
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University of Sao PauloCompletedPosterior Capsule OpacificationBrazil
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