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Trial registered on ANZCTR
Registration number
ACTRN12613001102763
Ethics application status
Not yet submitted
Date submitted
1/10/2013
Date registered
2/10/2013
Date last updated
23/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
STARflo Glaucoma Implant for Open Angle Glaucoma
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Scientific title
A Prospective Single Centre Phase 4 Trial to Evaluate the Safety and Efficacy of the STARflo Glaucoma Implant in Patients with Open Angle Glaucoma
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Secondary ID [1]
283335
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None
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Universal Trial Number (UTN)
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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:
Open-Angle Glaucoma
290227
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Condition category
Condition code
Eye
290621
290621
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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
Implantation of STARflo glaucoma implant into the anterior chamber and suprachoroidal space. The STARflo glaucoma implant (v2.0) is a 5mm x 8mm silicone device made using a patented porous biomatrix designed to facilitate the flow of aqueous fluid through it and enhance compatibility with surrounding tissues. Implantation is performed via an external approach under local anaesthesia and is anticipated to take 45 - 60 minutes.
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Intervention code [1]
288057
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Treatment: Surgery
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Intervention code [2]
288062
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Treatment: Devices
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Comparator / control treatment
Glaucoma control prior to surgery
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Intraocular Pressure using Goldmann applanation tonometry
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Assessment method [1]
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Timepoint [1]
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12 months
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Secondary outcome [1]
304936
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Visual Acuity using snellen acuity charts
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Assessment method [1]
304936
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Timepoint [1]
304936
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12 months
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Secondary outcome [2]
304937
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Visual Field using automated perimetry
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Assessment method [2]
304937
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Timepoint [2]
304937
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12 months
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Secondary outcome [3]
304938
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Number of glaucoma medications (patient self report and documented by treating doctor)
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Assessment method [3]
304938
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Timepoint [3]
304938
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12 months
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Secondary outcome [4]
304939
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Quality of Life (GQL-15 Quality of Life Questionnaire)
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Assessment method [4]
304939
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Timepoint [4]
304939
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12 months
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Eligibility
Key inclusion criteria
1. Males or females 18 years of age or greater.
2. Diagnosis of open angle glaucoma in the study eye.
3. Concurrent treatment with ocular hypotensive medications in the study eye and/or oral acetazolamide.
4. Documented IOP > or = 21 mmHg in the study eye on medical therapy at two visits at least 48 hours apart, within six weeks prior to study entry and at day 0.
5. Glaucoma progression despite current medical and/or laser trabeculoplasty treatment OR intolerance of current medical and/or laser trabeculoplasty treatment OR inadequate IOP reduction with medical and/or laser trabeculoplasty treatment.
6. Patient willing and able to undergo implantation of the STARflo in the study eye and return for scheduled study-related examinations.
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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?
No
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Key exclusion criteria
1. Diagnosis of secondary open angle glaucoma where STARflo implant is considered contraindicated (e.g., traumatic, uveitic, or neovascular glaucoma).
2. Diagnosis of angle-closure glaucoma or angle-closure suspect
Clinically significant corneal disease (e.g., corneal dystrophy, corneal graft)
3. Any previous ophthalmic surgery in the same eye quadrant other than trabeculectomy, trabeculoplasty, and cataract surgery within 3 months prior to study entry.
4. Laser trabeculoplasty within three months prior to study.
Active vascular or inflammatory retinopathy (diabetes, hypertension, uveitis)
5. Intra-ocular inflammation or infection within six months prior to study
6. Evidence of crystalline lens subluxation or luxation
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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)
All patients identified by participating specialists deemed to require surgery for glaucoma management and meeting inclusion/exclusion criteria will be offered participation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
1/03/2014
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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
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
1571
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Sydney Hospital and Sydney Eye Hospital - Sydney
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Recruitment postcode(s) [1]
7405
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2000 - Sydney
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Funding & Sponsors
Funding source category [1]
288068
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Self funded/Unfunded
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Name [1]
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Address [1]
288068
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Country [1]
288068
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Primary sponsor type
Hospital
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Name
South East Sydney Illawarra Area Health Service
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Address
Edmund Blacket Building
Prince of Wales Hospital
Cnr High Street and Avoca Street
Randwick NSW 2031
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Country
Australia
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Secondary sponsor category [1]
286789
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None
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Name [1]
286789
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Address [1]
286789
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Country [1]
286789
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
289994
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SESLHD Human Research Ethics Committee
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Ethics committee address [1]
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Research Support Office G71, East Wing Edmund Blacket Building Prince of Wales Hospital Cnr High Street and Avoca Street Randwick NSW 2031
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Ethics committee country [1]
289994
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Australia
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Date submitted for ethics approval [1]
289994
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08/10/2013
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Approval date [1]
289994
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Ethics approval number [1]
289994
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13/253
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Summary
Brief summary
Assess the intraocular pressure (IOP) reduction induced by the STARflo glaucoma implant in eyes with open angle glaucoma. Absolute success is defined as an IOP < 21mmHg and > 5mmHg with a minimum 20% IOP reduction from baseline without the need for glaucoma medication. Qualified success is defined as an IOP < 21mmHg and > 5mmHg with a minimum 20% IOP reduction from baseline with the concomitant use of glaucoma medication. This is a prospective, single centre study of the CE marked and TGA approved STARflo glaucoma implant. Patients with open angle glaucoma requiring surgical reduction of IOP will be screened for suitability for inclusion in the study. Following implantation of the STARflo, participants will be followed for a minimum 12-months.
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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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Dr Colin Clement
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Address
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Glaucoma Unit
Sydney Eye Hospital
8 Macquarie Street
Sydney NSW 2000
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Country
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Australia
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Phone
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+612 9382 7111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
43399
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Colin Clement
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Address
43399
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Glaucoma Unit
Sydney Eye Hospital
8 Macquarie Street
Sydney NSW 2000
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Country
43399
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Australia
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Phone
43399
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+612 9382 7111
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Fax
43399
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Email
43399
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[email protected]
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Contact person for scientific queries
Name
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Colin Clement
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Address
43400
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Glaucoma Unit
Sydney Eye Hospital
8 Macquarie Street
Sydney NSW 2000
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Country
43400
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Australia
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Phone
43400
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+612 9382 7111
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Fax
43400
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Email
43400
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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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