MedPath

Ologen (OculusGen)-Glaucoma MMC Control in Pakistan

Phase 3
Completed
Conditions
Glaucoma
Trabeculectomy
Interventions
Device: ologen collagen matrix in glaucoma filtering surgery
Registration Number
NCT00472810
Lead Sponsor
Pro Top & Mediking Company Limited
Brief Summary

The purpose of this study is to compare the safety and effectiveness of the ologen (OculusGen) Biodegradable Collagen Matrix Implant and the MMC group in filtration surgery.

Detailed Description

1. Study Objective: To compare the safety and effectiveness of the ologen (OculusGen) Biodegradable Collagen Matrix Implant and the MMC group in filtration surgery. The primary endpoint is to prove the effectiveness via the reduction of IOP, and the secondary endpoint is to prove the safety via the incidence of complications and adverse events.

2. Study Design: The study is designed as an open-label, randomized, parallel, comparative study. Patients who meet the inclusion/exclusion criteria and sign informed consent will be included. After enrollment, patients will be randomized into two groups: trabeculectomy with OculusGen implant or trabeculectomy with mitomycin-C.

3. Follow-Up: There will be 7 post-operative and follow-up visits within 6 months of surgery: postoperative days 1, 7, 14, 30, 60, 90 and 180. A window of ± 7 days is allowed for the 30, 60, 90 day visits and ± 14 days for the 180 day visits. Further follow-up of subjects after the trial will be the responsibility of the investigator.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Age 18 years or over.
  • Uncontrolled glaucoma, with failed medical and laser treatment, requiring trabeculectomy.
  • Subject able and willing to cooperate with investigation plan.
  • Subject able and willing to complete postoperative follow-up requirements.
  • Subject willing to sign informed consent form.
Exclusion Criteria
  • Known allergic reaction to mitomycin-C or Bovine collagen.
  • Subject is on warfarin and discontinuation is not recommended.
  • Normal tension glaucoma.
  • Participation in an investigational study during the 30 days preceding trabeculectomy.
  • Ocular infection within 14 days prior to trabeculectomy.
  • Pregnant or breast-feeding women.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2MMC in glaucoma filtering surgeryFollowing ethics committee approval, 20 patients with uncontrolled glaucoma will be randomised to trabeculectomy with mitomycin -C. Randomisation is performed. Then, trabeculectomy is performed
1ologen collagen matrix in glaucoma filtering surgery20 patients will be recruited according to the enrollment acceptance criteria.Randomisation is performed using a sealed envelope system, where 40 shuffled envelopes designating the surgery to either trabeculectomy with mitomycin-C (MMC) and trabeculectomy with ologen™ Collagen matrix must be open before surgery. Then, patients are allocated and trabeculectomy is performed.If ologen™ treatment is used, the collagen matrix will be placed on top of the scleral flap under the conjunctiva after the trabeculectomy.
Primary Outcome Measures
NameTimeMethod
the effectiveness via the reduction of IOP180 day
Secondary Outcome Measures
NameTimeMethod
the safety via the incidence of complications and adverse events.180 day

Trial Locations

Locations (1)

RMC & Allied Hospital

🇵🇰

Rawalpindi, Punjab, Pakistan

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