- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04562402
Phaco-ECP vs Phaco Alone in Primary Angle Closure (PHEPHA)
September 18, 2020 updated by: Adi Al Owaifeer, MBBS, King Khaled Eye Specialist Hospital
Phacoemulsification With Endoscopic Cyclophotocoagulation vs Phacoemulsification Alone in Primary Angle Closure (PHEPHA): A Randomized Clinical Trial
Comparison between phacoemulsification with endoscopic cyclophotocoagulation versus phacoemulsification alone in patients with either primary angle closure or primary angle closure glaucoma presenting with cataract or a clear lens.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
The purpose of our current randomized clinical trial is to compare phacoemulsification with endoscopic cyclophotocoagulation (PHE) versus phacoemulsification alone (PHA) in patients with either primary angle closure (PAC) or primary angle closure glaucoma (PACG) presenting with cataract or a clear lens.
Study Type
Interventional
Enrollment (Anticipated)
104
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 Contact
- Name: Muneera AlFutais
- Phone Number: 1374 +966114849700
- Email: mfutais@kkesh.med.sa
Study Locations
-
-
-
Riyadh, Saudi Arabia, 11462
- Recruiting
- King Khaled Eye Specialist Hospital
-
Contact:
- Muneera AlFutais
- Phone Number: 1374 +966114849700
- Email: mfutais@kkesh.med.sa
-
Principal Investigator:
- Adi Al Owaifeer, MBBS
-
Principal Investigator:
- Ibrahim Alobaida, MD
-
-
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
38 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age is above 40 years old.
- A diagnosis of either PAC or PACG. PAC will be defined as the presence of irido-trabecular contact on gonioscopy, either appositional or in the presence of peripheral anterior synechiae (PAS), without indentation (or prior documentation before a LPI has been performed) without any evidence of glaucomatous optic neuropathy. PACG will be defined as PAC along with an evidence of glaucomatous optic neuropathy. An optic neuropathy secondary to glaucoma will be defined as evidence of structural and functional damage suggestive of glaucoma as demonstrated by clinical examination, optical coherence tomography, and visual field testing.
- IOP measurement that is more than 21 mmHg (not exceeding 35 mmHg) without the use of glaucoma medications or less than 21 mmHg with medications.
- Patient is able to give an informed consent and tolerate a period of medication washout.
Exclusion Criteria:
- Previous intraocular surgery (including CPC). Glaucoma laser procedures are allowed (e.g. LPI, iridoplasty, and laser trabeculoplasty).
- Previous ocular trauma.
- A central corneal thickness that does not lie between 500 and 600 microns.
- A diagnosis of nanophthalmos (defined as an axial length that is less than 20 mm).
- Presence of pseudoexfoliation.
- Presence of secondary causes of angle closure such as neovascular glaucoma and uveitic glaucoma.
- Presence of diabetic retinopathy (active PDR or active DME) or agerelated macular degeneration. PHEPHA Protocol Version 2 September 3, 2020
- Advanced glaucoma as defined by the Glaucoma Severity Staging System12 (mean deviation worse than -12.01 dB and at least one of the following: 1. On pattern deviation plot, greater than or equal to 50% but fewer than 75% of points depressed below the 5% level and greater than or equal to 25% but fewer than 50% of points depressed below 1% level 2. Any point within central 5 degrees with sensitivity < 0db 3. Both hemifields containing a point(s) with sensitivity < 15 dB within 5 degrees of fixation).
- Any ocular or systemic condition that is presumed to prevent reliable clinical examination and/or visual field testing.
- Pregnancy.
- Inability to attend postoperative follow ups for a period of 12 months after surgery.
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: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Phacoemulsification with endoscopic cyclophotocoagulation
Cataract extraction via phacoemulsification along with endoscopic cyclophotocoagulation of the ciliary body.
|
cataract surgery via phacoemulsification
Endoscopic ablation of the ciliary body
|
Active Comparator: Phacoemulsification alone
Cataract extraction via phacoemulsification.
|
cataract surgery via phacoemulsification
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intraocular Pressure (IOP)
Time Frame: 12 months
|
Change in IOP between baseline (pre-intervention) and the last follow-up visit
|
12 months
|
Number of glaucoma medications
Time Frame: 12 months
|
Change in the number of glaucoma medications between baseline (pre-intervention) and the last follow-up visit
|
12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Adi Al Owaifeer, MBBS, King Khaled Eye Specialist Hospital
- Principal Investigator: Ibrahim Alobaida, MD, King Khaled Eye Specialist Hospital
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)
August 16, 2020
Primary Completion (Anticipated)
February 15, 2022
Study Completion (Anticipated)
February 15, 2022
Study Registration Dates
First Submitted
September 18, 2020
First Submitted That Met QC Criteria
September 18, 2020
First Posted (Actual)
September 24, 2020
Study Record Updates
Last Update Posted (Actual)
September 24, 2020
Last Update Submitted That Met QC Criteria
September 18, 2020
Last Verified
September 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1956-P
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
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.
Clinical Trials on Glaucoma, Angle-Closure
-
National University Hospital, SingaporeCompletedChronic Angle Closure Glaucoma | Primary Angle Closure | Primary Angle Closure Suspect | Fellow Eyes of Acute Angle Closure GlaucomaSingapore
-
Chunyan Qiao_2021RecruitingAngle-Closure GlaucomaChina
-
Khoo Teck Puat HospitalCompletedPrimary Angle-Closure Glaucoma | Primary Angle Closure Without Glaucoma DamageSingapore
-
Zhongshan Ophthalmic Center, Sun Yat-sen UniversityNot yet recruitingPrimary Angle-Closure Glaucoma
-
Alcon ResearchCompletedAngle-closure GlaucomaUnited States
-
Omar SaidCompletedGlaucoma,Primary Open-Angle ,Primary Angle ClosureEgypt
-
Guangfu DangCompletedPrimary Angle Closure GlaucomaChina
-
AllerganCompletedGlaucoma | Angle-ClosureAustralia, Canada, Korea, Republic of, Singapore, Taiwan, United Kingdom
-
New York Glaucoma Research InstituteUnknownChronic Angle-closure GlaucomaUnited States
-
Assaf-Harofeh Medical CenterUnknown
Clinical Trials on Phacoemulsification
-
University Tunis El ManarCompletedEffect of Cataract Surgery on Corneal Endothelium; About 2 TechniquesTunisia
-
State University of New York at BuffaloActive, not recruitingGlaucomaUnited States
-
University of California, San FranciscoTerminated
-
Iladevi Cataract and IOL Research CenterCompleted
-
University of Turin, ItalyCompleted
-
Centre Hospitalier Régional Metz-ThionvilleCompleted
-
Democritus University of ThraceCompleted
-
Ophthalmic Consultants, Corneal and Refractive...Unknown
-
Iladevi Cataract and IOL Research CenterCompletedPosterior Capsule OpacificationIndia