The Effect Of Tropical Fruits In Patients With Primary Glaucoma
A Randomized Controlled Trial Of The Effect Of Tropical Fruits On Intraocular Pressure And Retinal Nerve Fibre Layer Thickness In Patients With Primary Glaucoma
1 other identifier
interventional
104
1 country
1
Brief Summary
To evaluate the effect of regular tropical fruits intake in primary glaucoma patients. Methodology : Research Design Randomized controlled trial Study Duration February 2024-June 2025 Study Location 1\. Ophthalmology Clinic, Hospital Universiti Sains Malaysia, Kelantan Source Reference Population Adults with primary glaucoma in Peninsular Malaysia Study Source Population Adults with primary glaucoma attending Ophthalmology clinic, Hospital Universiti Sains Malaysia during study duration.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2024
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
First Submitted
Initial submission to the registry
October 1, 2023
CompletedFirst Posted
Study publicly available on registry
October 6, 2023
CompletedStudy Start
First participant enrolled
February 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2025
CompletedJuly 17, 2025
July 1, 2025
11 months
October 1, 2023
July 14, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
intraocular pressure
tonometer
baseline, at 1 month , at 3 months and 6 months
retinal nerve fibre layer
Spectral domain Cirrus HD-OCT
baseline, at 1 month , at 3 months and 6 months
Study Arms (2)
Tropical Fruits
EXPERIMENTALpatient will be consuming the chosen fruits, according to the size of the serving following Malaysian Dietary Guideline 2020
Normal diet
NO INTERVENTIONpatient will consume normal diet as usual
Interventions
Eligibility Criteria
You may qualify if:
- Patient with confirmed diagnosis of POAG and PACG
- Patient on medical treatment and achieved target IOP in last 6 months
- Good compliance with pressure lowering agents
You may not qualify if:
- Poorly controlled diabetes mellitus, hypertension and hyperlipidaemia
- Active smoker
- Mentally challenge based on diagnosis
- History of previous intraocular surgery other than uncomplicated cataract surgery within past 6 months
- Poor signal strength OCT RNFL
- Patient with media opacities that affect the reliability of OCT measurements , such as Cornea opacity, dense cataract with LOCS III of more than grade 2, vitreous haemorrhage
- Other optic neuropathy apart from glaucoma
- History of taking antioxidant supplement 3 months prior to recruitment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Univerisiti Sains Malaysia
Kubang Kerian, Kota Bharu, 16150, Malaysia
Related Publications (4)
Weinreb RN, Khaw PT. Primary open-angle glaucoma. Lancet. 2004 May 22;363(9422):1711-20. doi: 10.1016/S0140-6736(04)16257-0.
PMID: 15158634BACKGROUNDBraakhuis A, Raman R, Vaghefi E. The Association between Dietary Intake of Antioxidants and Ocular Disease. Diseases. 2017 Jan 30;5(1):3. doi: 10.3390/diseases5010003.
PMID: 28933356BACKGROUNDKang JH, Willett WC, Rosner BA, Buys E, Wiggs JL, Pasquale LR. Association of Dietary Nitrate Intake With Primary Open-Angle Glaucoma: A Prospective Analysis From the Nurses' Health Study and Health Professionals Follow-up Study. JAMA Ophthalmol. 2016 Mar;134(3):294-303. doi: 10.1001/jamaophthalmol.2015.5601.
PMID: 26767881BACKGROUNDNeufeld AH, Sawada A, Becker B. Inhibition of nitric-oxide synthase 2 by aminoguanidine provides neuroprotection of retinal ganglion cells in a rat model of chronic glaucoma. Proc Natl Acad Sci U S A. 1999 Aug 17;96(17):9944-8. doi: 10.1073/pnas.96.17.9944.
PMID: 10449799BACKGROUND
Related Links
- Primary open-angle glaucoma
- The Association between Dietary Intake of Antioxidants and Ocular Disease. Diseases
- Association of Dietary Nitrate Intake With Primary Open-Angle Glaucoma: A Prospective Analysis From the Nurses' Health Study and Health Professionals Follow-up Study
- Inhibition of nitric-oxide synthase 2 by aminoguanidine provides neuroprotection of retinal ganglion cells in a rat model of chronic glaucoma
Study Officials
- PRINCIPAL INVESTIGATOR
Nurul Munirah Mohamad, Dr
Department of Ophthalmology School of Medical Sciences Universiti Sains Malaysia,Health Campus.
- STUDY CHAIR
Liza Sharmini Ahmad Tajudin, Prof. Dr.
Department of Ophthalmology School of Medical Sciences Universiti Sains Malaysia,Health Campus.
- STUDY DIRECTOR
Rohana Abd Jalil, Ass. Prof.
Department of Ophthalmology School of Medical Sciences Universiti Sains Malaysia,Health Campus.
- STUDY DIRECTOR
Fatimah Suhaila Sukaimy, Dr
Department of Ophthalmology Hospital Tengku Ampuan Afzan, Ministry of Health, Malaysia
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principle Investigator
Study Record Dates
First Submitted
October 1, 2023
First Posted
October 6, 2023
Study Start
February 1, 2024
Primary Completion
January 1, 2025
Study Completion
May 1, 2025
Last Updated
July 17, 2025
Record last verified: 2025-07
Data Sharing
- IPD Sharing
- Will not share