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Direct Selective Laser Trabeculoplasty in Ethnic Chinese Population The Zhuiguang Trial
1 other identifier
interventional
N/A
0 countries
N/A
Brief Summary
The objective of this study is to evaluate the effectiveness (Intra-Ocular Pressure lowering) and safety of Direct Selective Laser Trabeculoplasty (DSLT) in ethnic Chinese subjects with Primary Open Angle Glaucoma or Ocular Hypertension.
Trial Health
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Started Oct 2021
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 30, 2021
CompletedFirst Posted
Study publicly available on registry
September 14, 2021
CompletedStudy Start
First participant enrolled
October 15, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
April 15, 2023
CompletedMay 12, 2023
August 1, 2021
1.3 years
August 30, 2021
May 11, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
IOP reduction from baseline to 6 months
The primary effectiveness endpoint is the difference between the two treatment groups' change-from-baseline IOP, where change-from-baseline is defined as the difference between baseline (washed out for medicated patients) IOP and (washed out for medicated patients) IOP measured at 6 months for each subject.
6 months
Secondary Outcomes (5)
Mean percentage IOP reduction
3, 6, 12 months
Subjects with at least 20% IOP reduction
6 months
Change in medications
12 months
Treatment failures
r months
Adverse events
6, 12 months
Study Arms (2)
Direct Selective Laser Trabeculoplasty (DSLT)
EXPERIMENTALSubjects will be treated with DSLT
Selective Laser Trabeculoplasty (SLT)
ACTIVE COMPARATORSubjects will be treated with SLT
Interventions
Direct-SLT is applied via the limbus to the trabecular meshwork
Eligibility Criteria
You may qualify if:
- Age 40 years or older, any gender, of Chinese Han ethnicity, with corrected visual acuity \> 6/60 in both eyes
- Open angle glaucoma including exfoliative or pigmentary glaucoma or ocular hypertension.
- IOP ≥ 22mmHg to ≤35mmHg (after washout of any IOP-lowering medications) for participants.
- Gonioscopically visible scleral spur for 360 degrees without indentation
- Ability to visualize the peri-limbal sclera for 360 degrees (using a lid speculum)
- Willing and able to participate in the 12-month study, to comply with the study procedures and to adhere to the follow-up schedule.
- Participant capable of giving informed consent
You may not qualify if:
- Contraindications to conventional laser trabeculoplasty (e.g., corneal abnormalities, etc.)
- Angle Closure Glaucoma
- Congenital or developmental glaucoma
- Secondary glaucoma except exfoliative or pigmentary glaucoma
- Presence of any Peripheral Anterior Synechiae (PAS) in the study eye
- Inability to conduct a reliable visual field (defined as fixation losses, false positives or false negatives greater than 33%)
- Any of the following visual field findings using the Humphrey visual field analyzer the SITA-standard 24-2 program:
- A visual field MD of worse than -12dB
- Greater than or equal to 75% of points depressed below the 5% level and greater than or equal to 50% of points depressed below the 1% level on the PD plot.
- At least 50% of points (i.e 2 or more) within the central 5 degrees with a sensitivity ≤0dB on the decibel plot
- Points within the central 5 degrees of fixation with a sensitivity \<15 dB in both hemifields on the decibel plot
- A visual field MD of worse than -12dB in the fellow eye
- Cup:Disc Ratio of more than 0.8
- More than three hypotensive medications required (combination drops are considered as 2 medications)
- Prior incisional or laser glaucoma surgery (including previous SLT or LPI) in the study eye.
- +11 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- BelkinVisionlead
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sun Xinghuai, Prof.
Fundan University, Shanghai, China
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Outcome assessor is not aware if subject is treated with SLT or DSLT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 30, 2021
First Posted
September 14, 2021
Study Start
October 15, 2021
Primary Completion
January 15, 2023
Study Completion
April 15, 2023
Last Updated
May 12, 2023
Record last verified: 2021-08
Data Sharing
- IPD Sharing
- Will not share
Study did not enrol