In Vivo Confocal Microscopic Analysis of Corneal Nerve Changes After ProKera Slim® for Dry Eye
1 other identifier
interventional
20
1 country
1
Brief Summary
Prospective controlled pilot study to compare the outcome of ProKera® (PK) and conventional treatment in patients with moderate to severe Dry Eye Disease (DED)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2015
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
July 1, 2015
CompletedFirst Submitted
Initial submission to the registry
April 25, 2016
CompletedFirst Posted
Study publicly available on registry
May 6, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedNovember 22, 2016
August 1, 2016
1.2 years
April 25, 2016
November 21, 2016
Conditions
Outcome Measures
Primary Outcomes (4)
Short-term efficacy in terms of corneal nerve regeneration
Assessed by corneal topography
Change from Baseline to 1 month
Short-term efficacy in terms of ocular surface integrity
Assessed by in vivo confocal microscopy
Change from Baseline to 1 month
Short-term efficacy in terms of corneal sensitivity
Change from Baseline to 1 month
Short-term efficacy in terms of ocular clinical symptoms
Assessed by SPEED questionnaire, pain score, and dry eye workshop grading
Change from Baseline to 1 month
Secondary Outcomes (4)
Long-term efficacy in terms of corneal nerve regeneration
Change from Baseline to 3 month
Long-term efficacy in terms of ocular surface integrity
Change from Baseline to 3 month
Long-term efficacy in terms of corneal sensitivity
Change from Baseline to 3 month
Long-term efficacy in terms of ocular clinical symptoms
Change from Baseline to 3 month
Study Arms (2)
Treatment
ACTIVE COMPARATORsubjects receiving cryopreserved amniotic membrane
Control
NO INTERVENTIONno intervention
Interventions
subjects will receive cryopreserved amniotic membrane
Eligibility Criteria
You may qualify if:
- Subjects with moderate to severe DED (Grade 2-4 DEWS)
- Age range: 21 years and older.
- Both genders and all ethnic groups comparable with the local community.
- Subjects able to understand and willing to sign a written informed consent.
- Subjects able and willing to cooperate with investigational plan.
- Subjects able and willing to complete postoperative follow-up.
You may not qualify if:
- Symblepharon or lid abnormality preventing ProKera placement.
- Ocular infection within 14 days prior to study entry.
- Active ocular allergies.
- Previous ocular surgery or injury within 3 months before enrollment.
- Previous brain surgery, or Trigeminal nerve damage.
- Other conditions that may affect corneal nerves such as diabetes, thyroid disorders.
- Contact lens wearers.
- Pregnancy or subject expecting to be pregnant.
- Inability or unwillingness of subject to give written informed consent.
- Subjects with known intolerance to PK.
- Subjects use concomitant therapy that affects tear functions or ocular surface integrity.
- Subjects currently engaged in another clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Thomas John Vision Institute, P.C.
Tinley Park, Illinois, 60477, United States
Related Publications (1)
John T, Tighe S, Sheha H, Hamrah P, Salem ZM, Cheng AMS, Wang MX, Rock ND. Corneal Nerve Regeneration after Self-Retained Cryopreserved Amniotic Membrane in Dry Eye Disease. J Ophthalmol. 2017;2017:6404918. doi: 10.1155/2017/6404918. Epub 2017 Aug 15.
PMID: 28894606DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas John, MD
Thomas John Vision Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 25, 2016
First Posted
May 6, 2016
Study Start
July 1, 2015
Primary Completion
September 1, 2016
Study Completion
November 1, 2016
Last Updated
November 22, 2016
Record last verified: 2016-08
Data Sharing
- IPD Sharing
- Will not share