Will the Use of Triesence During Glaucoma Surgery Provide Lower Eye Pressure and Improve the Results of the Surgery?
The Effect of Intracameral Triesence (Triamcinolone Acetonide Injectable Suspension) on Ocular Inflammation After Trabeculectomy, Tube Shunt Implantation or Combined Trabeculectomy With Cataract Surgery
1 other identifier
interventional
77
1 country
1
Brief Summary
The investigators hypothesize that intracameral Triesence during glaucoma surgery will provide lower intraocular pressure through better control of ocular inflammation, thus leading to a more successful filtering procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Feb 2009
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2009
CompletedFirst Submitted
Initial submission to the registry
February 27, 2009
CompletedFirst Posted
Study publicly available on registry
March 2, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2012
CompletedResults Posted
Study results publicly available
March 21, 2016
CompletedJuly 10, 2018
June 1, 2018
2.8 years
February 27, 2009
February 12, 2015
June 11, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Intraocular Pressure (IOP)
Intraocular pressure (IOP) was measured by applanation tonometry in millimeters of mercury (mmHg). Surgical success was determined if IOP was \<21mmHg and 20% less than baseline IOP. Failure was defined as inability to meet criteria for success or IOP was less than 5mmHg.
1 day, 1week, 1 month, 3 month and 6 month post-op visits
Secondary Outcomes (4)
Anterior Chamber Inflammation (Flare)
1 month, 3 month and 6 month post-op visits
Bleb Appearance
1 day, 1 week, 1 month, 3 month and 6 month post-op visits
Patient Comfort
1 day, 1 week, 1 month, 3 month and 6 month post-op visits
Ocular Hypotensive Medications
1 week, 1 month, 3 month, and or 6 month post-op visits
Study Arms (2)
Treatment 1(Triesence)
EXPERIMENTALglaucoma surgery with 0.2cc Triesence adjunct.
Treatment 2 (balanced salt solution BSS)
ACTIVE COMPARATORglaucoma surgery with balanced salt solution, the standard technique.
Interventions
At end of standard glaucoma surgery and the anterior chamber is reformed with balanced salt solution or viscoelastic to an adequate intraocular pressure, 0.2cc of Triesence will be delivered into the anterior chamber through the previously created paracentesis wound.
At end of standard glaucoma surgery, the anterior chamber is reformed with balanced salt solution or viscoelastic to an adequate intraocular pressure.
Eligibility Criteria
You may qualify if:
- glaucoma patients requiring surgery (Trabeculectomy or Express Shunt; Trabeculectomy plus Phacoemulsification and Interocular Lens Implant; Baerveldt Tube; Ahmed Tube; Molteno Tube)
- primary open angle glaucoma
- primary angle-closure glaucoma
- pseudoexfoliation glaucoma
- pigmentary glaucoma
- traumatic glaucoma
- neovascular glaucoma
You may not qualify if:
- patients that are pregnant, nursing, or not using adequate contraception
- any other eye surgery except cataract surgery
- an infection, inflammation, or any abnormality preventing measurement of eye pressure
- enrolled in another investigational study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Wills Eyelead
- Alcon Researchcollaborator
Study Sites (1)
Wills Eye Institute
Philadelphia, Pennsylvania, 19107, United States
Related Publications (1)
Koval MS, Moster MR, Freidl KB, Waisbourd M, Jain SG, Ichhpujani P, Myers JS, Pro MJ. Intracameral triamcinolone acetonide in glaucoma surgery: a prospective randomized controlled trial. Am J Ophthalmol. 2014 Aug;158(2):395-401.e2. doi: 10.1016/j.ajo.2014.04.027. Epub 2014 May 2.
PMID: 24794283RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Marlene Moster MD
- Organization
- Wills Eye Hospital Glaucoma Research Center
Study Officials
- PRINCIPAL INVESTIGATOR
Marlene R Moster, MD
Wills Eye Institute
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Attending Surgeon Wills Eye Institute; Professor Jefferson Medical College
Study Record Dates
First Submitted
February 27, 2009
First Posted
March 2, 2009
Study Start
February 1, 2009
Primary Completion
December 1, 2011
Study Completion
January 1, 2012
Last Updated
July 10, 2018
Results First Posted
March 21, 2016
Record last verified: 2018-06
Data Sharing
- IPD Sharing
- Will not share