Evaluating Medium-chain Triglycerides as a Temporary Intraocular Tamponading Agent for Retinal Detachment
MCT
Evaluating Efficacy and Safety of Medium-chain Triglycerides Used as a Temporary Intraocular Tamponading Agent for Retinal Detachment Treated by Endocular Surgery
1 other identifier
interventional
10
1 country
2
Brief Summary
Background : Surgery is needed in order to flatten and position a detached retina onto the choroid, to allow sealing of the tears and to prevent or reverse vision loss. In case of complex retinal detachment vitrectomies followed by ocular endotamponade - non-solid implants used in ophthalmology - is the most common treatment. Despite several options used by surgeons were not entirely satisfactory, no innovation were marketed in the ocular endotamponade field since decades. Purpose : Regarding comparative physico-chemical properties of medium-chain triglycerides (MCT) with current tamponading agents (silicone oil or gases), it will be proposed to evaluate the MCT as an ocular endotamponade product.
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 Dec 2018
Longer than P75 for not_applicable
2 active sites
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
First Submitted
Initial submission to the registry
December 5, 2018
CompletedStudy Start
First participant enrolled
December 17, 2018
CompletedFirst Posted
Study publicly available on registry
February 26, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 25, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
January 25, 2023
CompletedAugust 29, 2023
August 1, 2023
4.1 years
December 5, 2018
August 28, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Efficacy (tamponment efficacy supported by a flatten retina observation)
Flatten retina observation by fundus exam
6 month
Secondary Outcomes (9)
Efficacy (injection facility of MCT oïl)
Inclusion day : Day 0
Efficacy (ablation facility of MCT oïl)
6 weeks
Safety (MCT emulsification)
6 month
presence of micro-bubbles after post MCT ablation assessed according to a 5-point scale
6 month
Presence of hypertonia (intraocular pressure)
6 month
- +4 more secondary outcomes
Study Arms (1)
MCT oil injection
EXPERIMENTALThe patient treatment is the classical surgical procedure which is used for retinal detachment with silicon oil medium-chain triglycerides (MCT) as tamponade agent : * Vitrectomy, then flattened retina, and finally MCT injection in place of the vitreous. * MCT ablation after 4 to 6 weeks (after effective retinopexy)
Interventions
The patient treatment is the classical surgical procedure which is used for retinal detachment with MCT oil : * Vitrectomy, then flattened retina, and finally MCT injection in place of the vitreous. * MCT ablation after 4 to 6 weeks (after effective retinopexy) * after MCT ablation, total follow-up duration by patient is 6 months.
Eligibility Criteria
You may qualify if:
- Each patient with retinal detachment which requires a classical surgical procedure with silicone oil.
- Proliferative vitreoretinopathy over C2 regarding Retina Society classification
- Retinal detachment due to trauma to the eye
- Retinal detachment due to equatorial wound dehiscence which requires a classical surgical procedure with silicone oil.
- Retinal detachment due to complex proliferative diabetic retinopathy
- Recurrence of retinal detachment after ophthalmic gaz treatment
- Retinal detachment due to giant tear (\>90°C independently of the location into the eye.
You may not qualify if:
- monophthalmic patient
- Eye with corneal dystrophy
- Intraocular pressure \> 25 mmHg under treatment
- Patient with travel difficulty or living place far away from the clinic
- Patient participating to another clinical study.
- Pregnant women or breastfeeding women
- Patient under tutors or curators
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Polyclinique Saint Roch
Montpellier, France
University Hospital Toulouse (Hospital Pierre Paul Riquet)
Toulouse, 31059, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Veronique Pagot-Mathis, MD
CHU of Toulouse, FRANCE
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 5, 2018
First Posted
February 26, 2019
Study Start
December 17, 2018
Primary Completion
January 25, 2023
Study Completion
January 25, 2023
Last Updated
August 29, 2023
Record last verified: 2023-08
Data Sharing
- IPD Sharing
- Will not share