- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04812951
Cyclosporine 0.1% Eye Drops as Prophylactic Treatment In Cataract Surgery (CSA2020)
February 13, 2023 updated by: Antonio Di Zazzo, Campus Bio-Medico University
Cyclosporine 0.1% Eye Drops as Prophylactic Treatment in Post Surgical Ocular Surface System Failure Within The Age
Use of Cyclosporine 0.1% Eye Drops as Prophylactic Treatment in cataract Surgery
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
To asses ocular discomfort symptoms and signs and inflammatory biomarkers after preoperative topical cyclosporine 0.1% eye drops therapy in high risk elder population after a specific insult such as cataract surgery.
Study Type
Interventional
Enrollment (Actual)
101
Phase
- Early Phase 1
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
-
-
-
Rome, Italy, 00128
- University Campus Bio Medico
-
-
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
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- >18 years old
- Postmenopausal women for whom cataract surgery has been scheduled
- Stage N2-3; C1-2 according (Lens Opacities classification System) LOCS
- Willing to sign informed consent and fully participate to all length of the study
- Patients without any previous medical history of ocular and/or systemic inflammatory, autoimmune or auto inflammatory disease
- Patient with no history of ocular surgery
- Patients without any previous or concomitant ocular diseases
Exclusion Criteria:
- Patients under topical or systemic anti- inflammatory drugs Patients with a concomitant diagnosis of glaucoma, or on therapy with antiglaucoma drugs
- Patients on systemic or local therapy with drugs that alter the secretion of the tear film (beta blockers, antidepressants and psychotropics)
- Patients with a history of allergic, congenital, autoimmune systemic diseases
- Patients who have undergone previous eye surgery
- Ocular or peri-ocular malignancies or premalignant conditions
- Active or suspected ocular or peri-ocular infection.
- Complicated Cataract Surgery
- Patients with a positive pregnancy testAllergy or reaction history to study drug
- Patients who participated in a clinical trial in which an investigational drug was administered within 30 days or 5 half-lives of the study drug
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: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: young control
25 patients < 65 years old without any prophylactic anti-inflammatory preoperative treatment
|
|
NO_INTERVENTION: control
25 patients > 75 years old without any prophylactic anti-inflammatory preoperative treatment
|
|
EXPERIMENTAL: Study group
25 patients > 75 years old with prophylactic anti-inflammatory preoperative treatment
|
one cyclosporine 0.1% eye drop twice a day for 30 preoperative days
Other Names:
|
ACTIVE_COMPARATOR: Vehicle group
25 patients > 75 years old with vehicle preoperative treatment
|
one cationorm eye drop twice a day for 30 preoperative days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Symptoms Assessment Questionnaire iN Dry Eye
Time Frame: 4 months
|
SANDE (frequency and severity scores; 0-100)
|
4 months
|
National Eye Institute grading scale
Time Frame: 4 months
|
NEI corneal staining ( n/15 score; 0-15)
|
4 months
|
Rate of tears' production
Time Frame: 4 months
|
Schirmer test (mm/5min)
|
4 months
|
Tears Break Up Time
Time Frame: 4 months
|
T-BUT (Seconds)
|
4 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biomarkers' expression in conjunctival epithelial cells
Time Frame: 4 months
|
HLA DR (molecular expression)
|
4 months
|
Biomarkers' expression in conjunctival epithelial cells
Time Frame: 4 months
|
ICAM-1 (molecular expression)
|
4 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Gupta PK, Drinkwater OJ, VanDusen KW, Brissette AR, Starr CE. Prevalence of ocular surface dysfunction in patients presenting for cataract surgery evaluation. J Cataract Refract Surg. 2018 Sep;44(9):1090-1096. doi: 10.1016/j.jcrs.2018.06.026. Epub 2018 Aug 2.
- Kim JS, Lee H, Choi S, Kim EK, Seo KY, Kim TI. Assessment of the Tear Film Lipid Layer Thickness after Cataract Surgery. Semin Ophthalmol. 2018;33(2):231-236. doi: 10.1080/08820538.2016.1208764. Epub 2016 Sep 14.
- Trattler WB, Majmudar PA, Donnenfeld ED, McDonald MB, Stonecipher KG, Goldberg DF. The Prospective Health Assessment of Cataract Patients' Ocular Surface (PHACO) study: the effect of dry eye. Clin Ophthalmol. 2017 Aug 7;11:1423-1430. doi: 10.2147/OPTH.S120159. eCollection 2017.
- Iglesias E, Sajnani R, Levitt RC, Sarantopoulos CD, Galor A. Epidemiology of Persistent Dry Eye-Like Symptoms After Cataract Surgery. Cornea. 2018 Jul;37(7):893-898. doi: 10.1097/ICO.0000000000001491.
- Kohli P, Arya SK, Raj A, Handa U. Changes in ocular surface status after phacoemulsification in patients with senile cataract. Int Ophthalmol. 2019 Jun;39(6):1345-1353. doi: 10.1007/s10792-018-0953-8. Epub 2018 Jun 20.
- Kasetsuwan N, Satitpitakul V, Changul T, Jariyakosol S. Incidence and pattern of dry eye after cataract surgery. PLoS One. 2013 Nov 12;8(11):e78657. doi: 10.1371/journal.pone.0078657. eCollection 2013.
- Micera A, Di Zazzo A, Esposito G, Longo R, Foulsham W, Sacco R, Sgrulletta R, Bonini S. Age-Related Changes to Human Tear Composition. Invest Ophthalmol Vis Sci. 2018 Apr 1;59(5):2024-2031. doi: 10.1167/iovs.17-23358.
- Di Zazzo A, Micera A, De Piano M, Cortes M, Bonini S. Tears and ocular surface disorders: Usefulness of biomarkers. J Cell Physiol. 2019 Jul;234(7):9982-9993. doi: 10.1002/jcp.27895. Epub 2018 Dec 4.
- Olivieri F, Prattichizzo F, Grillari J, Balistreri CR. Cellular Senescence and Inflammaging in Age-Related Diseases. Mediators Inflamm. 2018 Apr 17;2018:9076485. doi: 10.1155/2018/9076485. eCollection 2018. No abstract available.
- Baker JR, Vuppusetty C, Colley T, Hassibi S, Fenwick PS, Donnelly LE, Ito K, Barnes PJ. MicroRNA-570 is a novel regulator of cellular senescence and inflammaging. FASEB J. 2019 Feb;33(2):1605-1616. doi: 10.1096/fj.201800965R. Epub 2018 Aug 29.
- Ventura MT, Casciaro M, Gangemi S, Buquicchio R. Immunosenescence in aging: between immune cells depletion and cytokines up-regulation. Clin Mol Allergy. 2017 Dec 14;15:21. doi: 10.1186/s12948-017-0077-0. eCollection 2017.
- Torricelli AA, Santhiago MR, Wilson SE. Topical cyclosporine a treatment in corneal refractive surgery and patients with dry eye. J Refract Surg. 2014 Aug;30(8):558-64. doi: 10.3928/1081597X-20140711-09.
- Di Zazzo A, Micera A, Coassin M, Varacalli G, Foulsham W, De Piano M, Bonini S. InflammAging at Ocular Surface: Clinical and Biomolecular Analyses in Healthy Volunteers. Invest Ophthalmol Vis Sci. 2019 Apr 1;60(5):1769-1775. doi: 10.1167/iovs.18-25822.
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 17, 2021
Primary Completion (ACTUAL)
June 18, 2021
Study Completion (ACTUAL)
February 23, 2022
Study Registration Dates
First Submitted
March 15, 2021
First Submitted That Met QC Criteria
March 19, 2021
First Posted (ACTUAL)
March 24, 2021
Study Record Updates
Last Update Posted (ESTIMATE)
February 14, 2023
Last Update Submitted That Met QC Criteria
February 13, 2023
Last Verified
February 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Inflammation
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antirheumatic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Dermatologic Agents
- Antifungal Agents
- Pharmaceutical Solutions
- Calcineurin Inhibitors
- Ophthalmic Solutions
- Cyclosporine
- Cyclosporins
Other Study ID Numbers
- CSA2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
- Screening visit (-30 days)
- Cataract surgery
- visit 1 ( 7 days after surgery)
- visit 2 (15 days after surgery)
- visit 3 (45 days after surgery),
- last follow up (90 days after surgery)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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 Ocular Inflammation
-
AgnesDirection Générale de l'Offre de Soins; Laboratoires TheaRecruitingOcular Inflammation | Ocular ProsthesesFrance
-
Laboratorios Sophia S.A de C.V.CompletedOcular Inflammation | Ocular Pain | Pterygium | Post-surgical InflammationMexico
-
Sligo General HospitalCompletedOcular InflammationIreland
-
Surface Ophthalmics, Inc.CompletedPost-surgical Ocular Inflammation | Post-surgical Ocular PainUnited States
-
Kerry Assil, MDUnknownPost-Surgical Ocular Pain | Post-Surgical Ocular InflammationUnited States
-
Tarsier PharmaCompletedPost Surgical Ocular InflammationUnited States
-
University of TriesteCompleted
-
Federal University of São PauloAllerganCompletedOcular Infection and InflammationBrazil
-
Alcon ResearchCompletedOcular Inflammation Associated With BlepharaconjunctivitisUnited States
-
Ocular Therapeutix, Inc.CompletedPost-Surgical Ocular Pain | Post-Surgical Ocular Inflammation
Clinical Trials on CycloSPORINE Ophthalmic 0.1% Ophthalmic Emulsion
-
AllerganCompletedDry Eye SyndromesUnited States
-
AllerganCompletedArthritis, Rheumatoid | Lupus Erythematosus, Systemic | Scleroderma, Systemic | Keratoconjunctivitis Sicca | Sjogren's SyndromeUnited States
-
Skye Bioscience, Inc.CompletedPrimary Open Angle Glaucoma | Ocular HypertensionUnited States
-
Topivert Pharma LtdCompleted
-
Aldeyra Therapeutics, Inc.Completed
-
Santen Inc.Completed
-
Santen Inc.ActualEyes Inc.RecruitingFuchs Endothelial Corneal DystrophyUnited States
-
Silk Technologies, Ltd.Completed
-
Claris Biotherapeutics, Inc.RecruitingCorneal ScarUnited States
-
Hospital Universitario Dr. Jose E. GonzalezRecruitingOcular Graft-versus-host DiseaseMexico