NCT06212830

Brief Summary

Keratoconus is a progressive corneal ectasia that can lead to significant visual impairment and decreased quality of life. The introduction of corneal cross-linking (CXL) with riboflavin and ultraviolet-A (UVA) light has revolutionized the treatment of keratoconus by increasing corneal rigidity and arresting disease progression. The epithelium-off protocol, which induces heightened post-surgical discomfort, is the prevailing approach. Despite the success of CXL, postoperative pain is a common side effect that can negatively impact patients' quality of life and impede recovery. Pain management after CXL is essential for optimizing patient outcomes and satisfaction. Systemic painkillers, though not researched enough, may potentially aid in healing and recovery, minimizing complications and discomfort for the patient. In this study we will provide evidence-based recommendations for clinicians to optimize pain control after CXL in collaboration with pain specialists.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
51

participants targeted

Target at P50-P75 for early_phase_1

Timeline
Completed

Started Feb 2024

Geographic Reach
1 country

1 active site

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

January 9, 2024

Completed
10 days until next milestone

First Posted

Study publicly available on registry

January 19, 2024

Completed
13 days until next milestone

Study Start

First participant enrolled

February 1, 2024

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2025

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
Last Updated

January 19, 2024

Status Verified

January 1, 2024

Enrollment Period

1 year

First QC Date

January 9, 2024

Last Update Submit

January 9, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Pain questionnaires

    The questionnaire will be asked 2, 6, 24 48 and 72 hours after surgery.

Study Arms (3)

Gabapentin

ACTIVE COMPARATOR

This group will receive a combination of drugs including: Gabapentin, NSAIDS and Paracetamol.

Drug: GabapentinDrug: NSAIDDrug: Paracetamol

Targin

ACTIVE COMPARATOR

This group will receive a combination of drugs including: Targin, NSAIDS and Paracetamol.

Drug: TarginDrug: NSAIDDrug: Paracetamol

Control

ACTIVE COMPARATOR

This group will receive a combination of drugs including: NSAIDS and Paracetamol.

Drug: NSAIDDrug: Paracetamol

Interventions

Gabapentin 200 mg twice a day, starting from the night prior to the procedure and continue 48 hours after

Gabapentin
TarginDRUG

Targin 5 mg twice a day after the procedure for 48 hours

Targin
NSAIDDRUG

Nurofen (NSAID) 200 mg twice a day after the procedure for 48 hours

ControlGabapentinTargin

Paracetamol 500 mg every 4 hours during waking hours after the procedure for 48 hours

ControlGabapentinTargin

Eligibility Criteria

Age15 Years - 100 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Patients above the age of 15 years
  • Patients who are undergoing CXL treatment

You may not qualify if:

  • Renal and/or hepatic failure
  • Patients under the age of 15

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Shamir Medical Center (Assaf Harofeh)

Be’er Ya‘aqov, 7033001, Israel

Location

MeSH Terms

Interventions

GabapentinAnti-Inflammatory Agents, Non-SteroidalAcetaminophen

Intervention Hierarchy (Ancestors)

AminesOrganic Chemicalsgamma-Aminobutyric AcidAminobutyratesButyratesAcids, AcyclicCarboxylic AcidsCyclohexanecarboxylic AcidsAcids, CarbocyclicCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsAmino AcidsAmino Acids, Peptides, and ProteinsAnalgesics, Non-NarcoticAnalgesicsSensory System AgentsPeripheral Nervous System AgentsPhysiological Effects of DrugsPharmacologic ActionsChemical Actions and UsesAnti-Inflammatory AgentsTherapeutic UsesAntirheumatic AgentsAcetanilidesAnilidesAmidesAniline Compounds

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

January 9, 2024

First Posted

January 19, 2024

Study Start

February 1, 2024

Primary Completion

February 1, 2025

Study Completion

August 1, 2025

Last Updated

January 19, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will not share

Locations