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Trial registered on ANZCTR
Registration number
ACTRN12610000336088
Ethics application status
Approved
Date submitted
19/03/2010
Date registered
28/04/2010
Date last updated
22/03/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of daily cleaning of contact lenses on adverse event rates in new and experienced lens wearers
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Scientific title
A prospective, open label, bilateral, clinical trial to investigate daily, morning cleaning of silicone hydrogel contact lenses worn during three months extended wear as a strategy for reducing adverse events associated with contact lens wear in neophyte and experienced lens wearers
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Secondary ID [1]
251645
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NIL
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Universal Trial Number (UTN)
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Trial acronym
R&R study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
The purpose of this study is to investigate the efficacy of regular morning cleaning of lenses with a multipurpose disinfection solution as a means of reducing microbial keratitis and other contact lens related ocular inflammatory adverse events.
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Condition category
Condition code
Eye
257100
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0
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Normal eye development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Prospective, open label, bilateral, clinical trial to investigate daily, morning cleaning of silicone hydrogel contact lenses worn during three months extended wear as a strategy for reducing adverse events associated with contact lens wear in neophyte and experienced lens wearers. Lenses will be worn for one month extended wear (i.e. during the day and night). Each morning, following waking, the lenses will be removed, several drops of COMPLETE multipurpose solution easy-rub formula (PHMB/polyhexamethylene biguanide 0.0001%; Abbott Medical Optics, USA) applied to the lens. The lenses are then cleaned by rubbing and then rinsing with the same solution and then reinserting on eye.
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Intervention code [1]
256134
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Treatment: Devices
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Intervention code [2]
256359
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Prevention
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Comparator / control treatment
The proposed study will be compared to a historical control conducted in 2008-09 at L V Prasad Eye Institute (LVPEI), Hyderabad.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Reduction of contact lens related ocular adverse events compared to adverse event rates in a historical control trial and previously conducted similar trials conducted at the LV Prasad Eye Institute. Examples of contact lens related ocular adverse events include infiltrative keratitis, peripheral and non-infectious corneal ulcer, acute red-eye responses and microbial keratitis. The primary tool used to assess these adverse events is the slit-lamp biomicroscopy.
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Assessment method [1]
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Timepoint [1]
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Baseline, 1 week, 1 month, 3 months
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
-Able to read, comprehend English and give informed consent as demonstrated by signing a record of informed consent;
-Be at least 18 years old;
-Be willing to comply with the wearing and clinical trial visit schedule as directed by the investigator;
-Have ocular health findings considered to be ‘normal’ and which would not prevent the participant from safely wearing contact lenses;
-Have vision that is correctable to at least 6/12 (20/40) or better in each eye with contact lenses;
-Be experienced or may be inexperienced at wearing contact lenses;
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
-Have previously experienced a severe or significant contact lens related ocular adverse event including microbial keratitis (MK), infiltrative keratitis (IK), contact lens acute red eye (CLARE) and/or contact lens peripherial ulcer (CLPU).
-Any pre-existing ocular irritation, injury or condition (including keratoconus and herpes keratitis) of the cornea, conjunctiva or eyelids that would preclude contact lens fitting and safe wearing of contact lenses;
-Any systemic disease that adversely affects ocular health e.g. diabetes, Graves disease, and auto-immune diseases such as ankylosing spondylitis, multiple sclerosis, Sjogrens syndrome and systemic lupus erythematosis. Conditions such as systemic hypertension and arthritis do not automatically exclude prospective participants;
-An active corneal infection or any active ocular disease that would affect wearing of contact lenses;
-Use of or a need for concurrent category S3 and above ocular medication up to 12 weeks prior to and during the trial;
-Use of or a need for any systemic medication or topical medications which may alter normal ocular findings/are known to affect a participant’s ocular health/physiology or contact lens performance either in an adverse manner or risk providing a false positive.
N.B. Systemic antihistamines are allowed on an ‘as needed basis’, provided they are not used prophylactically during the trial;
-Eye surgery within 12 weeks immediately prior to enrolment for this trial;
-Previous corneal refractive surgery;
-Any rigid gas permeable (RGP) or orthokeratology lens wear within the previous 2 weeks;
-Contraindications to contact lens wear;
-Currently enrolled in a clinical trial
-Participated in another clinical trial that may have affected vision or ocular physiology within the previous 2 weeks;
-Be pregnant
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participant numbering will occur sequentially commencing with ‘001’. Replacement participants will not assume an already allocated number (i.e. of the dropout) but will be allocated the next sequential study number available.
There will be no randomisation of participants in this study.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Nil
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
16/06/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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India
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State/province [1]
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Hyderabad
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Brien Holden Vision Institute
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Address [1]
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Level 5, North Wing, Rupert Myers Building, Barker St, University of New South Wales, Sydney, NSW, 2052
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Brien Holden Vision Institute
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Address
Level 5, North Wing, Rupert Myers Building, Barker St, University of New South Wales, Sydney, NSW, 2052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
256138
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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L V Prasad Ethics Committee
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Ethics committee address [1]
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L V Prasad Marg, Banjara Hills, Hyderabad, 500-034
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Ethics committee country [1]
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India
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Date submitted for ethics approval [1]
258699
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25/03/2010
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Approval date [1]
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29/03/2010
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Ethics approval number [1]
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LEC08155
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Summary
Brief summary
The hypothesis for this study is that regular lens cleaning (using a rub and rinse technique) with a multipurpose disinfection solution during extended wear exposes the eye to a clean lens surface thereby reducing bacterial build-up on the lens surface resulting in less bacterially driven ocular adverse events.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jerome Ozkan
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Address
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Level 5, Rupert Myers Building, Gate 14, Barker St, University of New South Wales, Sydney, 2052
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Country
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Australia
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Phone
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61293857516
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Mark Willcox
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Address
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Level 5, Rupert Myers Building, Gate 14, Barker St, University of New South Wales, Sydney, 2052
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Country
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Australia
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Phone
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61293857516
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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