NCT02974387

Brief Summary

STUDY OBJECTIVE: To evaluate and compare the safety and efficacy of (corneal Wound Healing and Intraocular Pressure) Fluorometholone and Loteprednol after photorefractive keratectomy (PRK) surgery. OVERALL STUDY DESIGN: Structure: Single-center, randomized, single blinded, contralateral (one eye receives FML, one eye Lotemax) Treatment Group: Patients will be randomized to the eye and will receive FML in one eye, Lotemax in contralateral eye Duration: 3 months Dosage/Dose Regimen: All patients will receive each one of the steroid agents 4 x a day for one month, 3 x a day for one month and 2 x a day for one month Study medication will be administered to the randomized eye through post op days according to mention protocol. Visit Schedule: baseline-screening, postop days 1, 7, 30 and then month 3th (through corneal re-epithelialization).

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Apr 2017

Shorter than P25 for phase_4

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 16, 2016

Completed
12 days until next milestone

First Posted

Study publicly available on registry

November 28, 2016

Completed
4 months until next milestone

Study Start

First participant enrolled

April 1, 2017

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2017

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2017

Completed
Last Updated

November 28, 2016

Status Verified

November 1, 2016

Enrollment Period

4 months

First QC Date

November 16, 2016

Last Update Submit

November 22, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • Time to re-epithelialization

    Amount of days it takes for the cornea to re-epithelialize after PRK surgery, will be documented for each eye separately.

    3-7 days

Secondary Outcomes (3)

  • Time to zero pain

    3-7 days

  • Occurrence of enhancements

    3 months post operative

  • Incidence of adverse events

    Day 1 up to day 90

Study Arms (2)

Fluorometholone(FMl)

ACTIVE COMPARATOR

Patients will be randomized to the eye and will receive FML in one eye.

Drug: Fluorometholone(FML)

Loteprednol (Lotemax)

ACTIVE COMPARATOR

Patients will be randomized to the eye and will receive Lotemax in contralateral eye.

Drug: Loteprednol (Lotemax)

Interventions

Fluorometholone(FMl)
Loteprednol (Lotemax)

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Male or female patients, 18-45 yrs of age, in good general health
  • PRK candidate(Subjects willing and able to undergo bilateral PRK for the correction of their myopia. )
  • Refractive error -1 to -8 diopters (spherical equivalent) at baseline
  • Females of childbearing age must have a negative pregnancy test result at baseline. A female considered to be of non-childbearing potential is she is postmenopausal (no menses for 12 consecutive months) or is without a uterus.
  • Ability to follow study instructions and likely to complete the entire course of the study(Subjects who are able to comply with all study procedures, including wearing a soft bandage contact lens in the immediate postoperative period. )
  • Written informed consent will be obtained
  • Written HIPPA authorization will be obtained
  • Subjects with MRSE \<6.0 D, with less than 2.0 D of astigmatism.
  • Stable prescription in both eyes as defined by \<0.25 D change over the preceding 2 years.

You may not qualify if:

  • Uncontrolled systemic disease you mean if someone has controlled DM or rheumatic disease can be included
  • Any active ocular disease, corneal abnormalities, lid abnormalities, or any ocular pathologies
  • History of serious eye disease, trauma, or previous ocular surgery
  • History of unstable myopia
  • History of herpes keratitis
  • Known allergy or hypersensitivity to the study medication
  • Anticipated wearing of contact lenses in addition to the required bandage contact lens post-PRK. Patients who wear soft contact lenses should discontinue wearing them at least 7 days prior to baseline visit. Patients wearing RGP or hard contact lenses should discontinue wearing them at least 3 weeks prior to baseline visit.
  • Females who are pregnant, breastfeeding, or trying to conceive.
  • Keratoconus or keratoconus suspect
  • Any condition or situation which, in the investigator's opinion, may put patient at significant risk or may confound the study results
  • Subjects who have a past or present disease, which as judged by the investigator may affect the safety of the subject or the outcome of the study.
  • Subjects who have previously had corneal surgery.
  • Subjects with any ocular disease or corneal abnormality, including but not limited to:
  • Decreased corneal sensation / neurotrophic cornea;
  • Corneal vascularization;
  • +11 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

FluorometholoneLoteprednol Etabonate

Intervention Hierarchy (Ancestors)

PregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, FluorinatedAndrostadienesAndrostenesAndrostanes

Central Study Contacts

Payam Peymani, Pharm.D, PhD

CONTACT

Mohammadreza Razeghinejad, M.D., Ophthalmologist

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 16, 2016

First Posted

November 28, 2016

Study Start

April 1, 2017

Primary Completion

August 1, 2017

Study Completion

November 1, 2017

Last Updated

November 28, 2016

Record last verified: 2016-11

Data Sharing

IPD Sharing
Will not share