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Combined Pre-operative Treatment for Cataracts
Phase 1 & 2
Recruiting
Led By Paul Singh, MD
Research Sponsored by Inder Paul Singh, M.D.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Adult participants over 18 years of age undergoing bilateral cataract surgery
Be older than 18 years old
Must not have
Glaucoma patients or known steroid responders
Cataract surgery combined with any other procedure
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 30 days
Awards & highlights
No Placebo-Only Group
Summary
This trial is studying patients who need cataract surgery in both eyes. One eye will be in a group that receives the new treatment (Study Arm), and the other eye will be in a group
Who is the study for?
This trial is for patients scheduled for cataract surgery in both eyes. It's not clear what the specific inclusion or exclusion criteria are, but typically participants would need to be adults with a diagnosis of cataracts and no other major eye diseases.
What is being tested?
The study compares complication rates between two treatments during cataract surgery. One eye gets NSAID, OMIDRIA, and triamcinolone (Study Arm), while the other eye receives standard care (Control Arm). The assignment of each treatment to an eye is random.
What are the potential side effects?
Possible side effects may include irritation at the injection site, increased pressure inside the eye, blurred vision, or allergic reactions. Specific side effects will depend on individual patient responses to the medications used.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am over 18 and scheduled for cataract surgery in both eyes.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have glaucoma or react strongly to steroids.
Select...
I have had cataract surgery with another procedure.
Select...
I have not had an eye injection in the last 6 months.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 30 days
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~30 days
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
inflammation
Secondary study objectives
SPEED Questionnaire
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Study ArmExperimental Treatment1 Intervention
* Pre-op, 1 drop ketorolac (0.5%) {Toradol}, 1 drop moxifloxacin (0.5%) {Avelox}
* Prior to surgery: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%)
* Concl. of surgery while still in the OR: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%), 1 drop prednisolone acetate (1%) {Pred Forte}
* Post-op recovery: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%), 1 drop prednisolone acetate (1%).
Intraoperative interventions: intracameral phenylephrine {Sudafed} 1.0%/ketorolac 0.3%, {OMIDRIA} intracameral moxifloxacin (0.5%), and subconjunctival triamcinolone acetonide (0.4 mL, 10 mg/mL) {Kenalog}.
In-office drops administered by study staff at the end of the 1-day visit: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%), 1 drop prednisolone acetate (1%).
Rescue therapy will be allowed, if necessary, at the discretion of the evaluating physician and will consist of prednisolone acetate (1%) QID (taper also at the discretion of the evaluating physician).
Group II: Control ArmActive Control1 Intervention
Self-administration of:
Ketorolac (0.5%) {Toradol} four times daily (QID) x 1 day and moxifloxacin (0.5%) {Avelox} drops three times daily (TID) x 1 day before SX.
On the Day of SX, eyes will receive in-office drops administered by study staff according to the following:
* In pre-operative holding: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%)
* Immediately prior to SX: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%)
* At the conclusion of SX while still in the operating room: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%), 1 drop prednisolone acetate (1%) Pred Forte}
* Any time in post-op recovery: 1 drop ketorolac (0.5%), 1 drop moxifloxacin (0.5%), 1 drop prednisolone acetate (1%).
Eyes will then self-administer the following postoperative interventions: ketorolac drops QID x 1 month. Prednisolone acetate tapering QID x1 week, TID x 1 week, twice daily (BID) x 1 week, and once daily (QD) x 1 week; and moxifloxacin drops TID x 1 week.
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Who is running the clinical trial?
Inder Paul Singh, M.D.Lead Sponsor
The Eye AssociatesOTHER
2 Previous Clinical Trials
282 Total Patients Enrolled
Paul Singh, MDPrincipal InvestigatorThe Eye Centers of Racine & Kenosha
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