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Trial registered on ANZCTR
Registration number
ACTRN12612001098820
Ethics application status
Approved
Date submitted
11/10/2012
Date registered
16/10/2012
Date last updated
25/03/2014
Type of registration
Retrospectively 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
Prospective, controlled, open label, bilateral, clinical trial to investigate daily, morning cleaning of silicone hydrogel contact lenses worn during 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]
281375
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NIL
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Universal Trial Number (UTN)
NIL
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Trial acronym
R&R Efficacy study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
The study purpose is to investigate the efficacy of daily morning cleaning of lenses with a multipurpose disinfection solution as a means of reducing contact lens related ocular adverse events.
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Condition category
Condition code
Eye
287934
287934
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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, controlled, 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). For the test group, each morning following waking, the lenses will be removed, several drops of Biotrue multipurpose solution applied to the lens. The lenses are then cleaned by rubbing and then rinsing with the same solution and then reinserted on eye.
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Intervention code [1]
285843
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Treatment: Devices
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Intervention code [2]
285844
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Prevention
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Comparator / control treatment
The control group will wear the same lens type for the same duration but will not remove the lenses daily for cleaning (i.e. standard extended wear)
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Control group
Active
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Outcomes
Primary outcome [1]
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To determine if daily cleaning of contact lenses during continuous wear of silicone hydrogel contact lenses reduces the incidence of contact lens related ocular adverse events, including infiltrative keratitis, contact lens induced peripheral ulcer and acute red eye. Assessment will be conducted using a slit lamp biomicroscope.
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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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To determine if daily cleaning of contact lenses during continuous wear of silicone hydrogel contact lenses reduces the contamination rate of contact lenses. Worn lenses will be removed aseptically by the clinician at monthly scheduled visits, placed in phosphate buffered saline and sent for microbiological analysis.
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Assessment method [1]
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Timepoint [1]
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Baseline, 1 month, 3 months
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Eligibility
Key inclusion criteria
-Able to read and comprehend English and give informed consent as demonstrated by signing a record of informed consent.
-Be at least 18 years old, male or female.
-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/spectacles.
-Be experienced or 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
-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, Sjögrens 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 any therapeutic ocular medication up to 4 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.
-Eye surgery within 12 weeks immediately prior to enrolment for this trial.
-Previous corneal refractive surgery.
-Contraindications to contact lens wear.
-Known allergy or intolerance to ingredients in any of the clinical trial products.
-Currently enrolled in another clinical trial.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be randomly allocated into either the test group (lenses to be cleaned each morning) or control group (standard continuous wear, i.e. no daily cleaning required). Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation plan will be generated generated from http://www.randomization.com/. A randomisation list will be generated by the biostatistician and based on an independent group design.
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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
Parallel
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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
15/10/2012
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Actual
11/10/2012
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Date of last participant enrolment
Anticipated
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Actual
31/01/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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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, 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, 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]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hyderabad Eye Research Foundation Ethics Committee
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Ethics committee address [1]
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L V Prasad Eye Institute, 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]
288177
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Approval date [1]
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31/07/2012
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Ethics approval number [1]
288177
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LEC 11-192
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Summary
Brief summary
The hypothesis for this study is that regular lens cleaning with a contact lens disinfection solution during extended wear exposes the eye to a clean lens surface thereby reducing bacterial build-up on the lens surface, compared to standard extended wear, resulting in less bacterially driven ocular adverse events.
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Trial website
NA
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Trial related presentations / publications
NA
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Public notes
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Contacts
Principal investigator
Name
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Dr Varsha Rathi
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Address
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L V Prasad Eye Institute, Banjara Hills, Hyderabad, 500-034
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Country
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India
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Phone
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+91 40 3061 2345
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Fax
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+91 40 2345 8271
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Email
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[email protected]
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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, Barker St, University of New South Wales, Sydney, NSW, 2052
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Country
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Australia
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Phone
18062
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61293857516
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Fax
18062
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Nil
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Email
18062
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[email protected]
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Contact person for scientific queries
Name
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Jerome Ozkan
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Address
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Level 5, Rupert Myers Building, Barker St, University of New South Wales, Sydney, NSW, 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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Nil
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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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