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Trial registered on ANZCTR
Registration number
ACTRN12610000089033
Ethics application status
Approved
Date submitted
20/01/2010
Date registered
27/01/2010
Date last updated
27/01/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
comparing the use of the patients own anterior capsule to the topical application of Mitomycin C to enhance success rate of glaucoma filtering surgery in patients undergoing simaltenous cataract and glaucoma surgery
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Scientific title
Anterior lens capsule versus Mitomycin-C as an adjunct to Trabeculectomy in combined Phacotrabeculectomy in patients with glaucoma and cataract to enhance the results of filtering surgery
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Secondary ID [1]
1315
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none
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Universal Trial Number (UTN)
U1111-1113-4297
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Glaucoma
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Cataract
256623
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Condition category
Condition code
Eye
256791
256791
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Two site Phacotrabeculectomy; one site is the phaco incision the other site is the trabeculectomy inision, and at the end of the surgery, the removed anterior lens capsule was placed under the scleral flap in Group I, and Mitomycin C in Group II is applied under the scleral flap intra operatively in order to reduce the fibrosis and thus enhancing success rate of filteration surgery. the surgical procedure is about one hour duration
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Intervention code [1]
255874
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Treatment: Drugs
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Intervention code [2]
255906
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Treatment: Surgery
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Comparator / control treatment
Group II is the comparator in which they receive Mitomycin C (MMC) (an antimitotic drug). Mitomycin C (MMC) is applied topicaly during surgery under the scleral flap to reduce fibrosis of the filtering bleb. the appliction was done as following 5 sponges soaked with MMC 0.4% were applied, under the conjunctiva nasal, temporal as well as posterior to the intended filtration site, under and above the sclera flap. The sponges were left in place for 3 minutes and removed on a first in, first out order. The site of sponges was then irrigated with 50 ml of Ringers lactate from the irrigating bottle attached to the phaco machine.
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Control group
Active
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Outcomes
Primary outcome [1]
257658
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Intra ocular pressur reduction IOP. this measured by the aplanation tonometer
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Assessment method [1]
257658
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Timepoint [1]
257658
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one months after surgery
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Secondary outcome [1]
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saftey. this is assesed by the clinical examination at the regular follow-up visits
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Assessment method [1]
262938
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Timepoint [1]
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one year after surgery
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Eligibility
Key inclusion criteria
Galucoma not controlled by maximum tioical medications.
cataract
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Minimum age
45
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
patients without cataract.
Controlled intra ocular pressure by topical medications
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Study design
Purpose of the study
Treatment
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/01/2008
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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
41
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2382
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Egypt
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State/province [1]
2382
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cairo
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Funding & Sponsors
Funding source category [1]
256234
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Hospital
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Name [1]
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Al Nour eye hospital
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Address [1]
256234
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93 Mostafa El Nahas Street, Nasr city, Cairo, Egypt 11371
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Country [1]
256234
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Egypt
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Primary sponsor type
Individual
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Name
Ahmed Emarah
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Address
6 El-Hegaz St, Cairo, Egypt Post code 11341
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Country
Egypt
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Secondary sponsor category [1]
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Individual
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Name [1]
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Mostafa EL-Helw
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Address [1]
251676
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52 manyal street, 11451,Cairo Egypt
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Country [1]
251676
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Egypt
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Al Nour eye hospital ethical committe
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Ethics committee address [1]
258433
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93 Mostafa EL-Nahas street, 11371, nasr city,cairo egypt
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Ethics committee country [1]
258433
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Egypt
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Date submitted for ethics approval [1]
258433
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Approval date [1]
258433
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22/12/2007
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Ethics approval number [1]
258433
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Summary
Brief summary
Aim: Efficacy of using the anterior lens capsule removed during combined Phacotrabeculectomy. Methods: Two site Phacotrabeculectomy and at the end of the surgery, the removed anterior lens was placed under the scleral flap in Group I, and Mitomycin C in Group II. Results: No significant difference between the IOP, anti glaucoma medications or visual acuity. No complications were related to anterior lens capsule. Conclusion: Anterior lens capsule is effective in phacotrabeculectomies
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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
30655
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Phone
30655
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Fax
30655
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Email
30655
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Contact person for public queries
Name
13902
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Ahmed M Emarah
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Address
13902
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6 El-Hegaz St, Cairo, Egypt Post code 11341
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Country
13902
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Egypt
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Phone
13902
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+202 2455 0300
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Fax
13902
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Email
13902
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[email protected]
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Contact person for scientific queries
Name
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Ahmed M Emarah
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Address
4830
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6 El-Hegaz St, Cairo, Egypt Post code 11341
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Country
4830
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Egypt
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Phone
4830
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+202 2455 0300
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Fax
4830
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Email
4830
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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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