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Trial registered on ANZCTR
Registration number
ACTRN12616001565437
Ethics application status
Approved
Date submitted
25/10/2016
Date registered
11/11/2016
Date last updated
11/11/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Improved near visual acuity in presbyopes using carbachol and brimonidine eye drops.
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Scientific title
Clinical outcomes of combined versus separate carbachol and brimonidine drops in correcting presbyopia
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Secondary ID [1]
290380
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nil
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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:
presbyopia
300689
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Condition category
Condition code
Eye
300535
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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
One drop was administrated per application to the on-dominant eye by the primary investigator who is an ophthalmologist. Each participant received three treatments to the non-dominant eye - 3% carbachol and 0.2% brimonidine in both combined and separate forms, carbachol only, and brimonidine only. It is a cross-over trial, so that, the washout period was one week.
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Intervention code [1]
296207
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Treatment: Drugs
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Comparator / control treatment
brimonidine 0.2% is an alpha-2 agonist
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Control group
Active
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Outcomes
Primary outcome [1]
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Near visual acuity (NVA) was assessed at 40 cm using a hand-held Rosenbaum chart with Jaeger notation, always employing the same luminosity of 160 cd/m2.
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Assessment method [1]
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Timepoint [1]
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1,2,4 and 8 hours post drug administration
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Secondary outcome [1]
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Pupil size (PS) was measured using Colvard handheld Infrared pupillometer (Oasis Medical, Glendora, CA, USA).
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Assessment method [1]
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Timepoint [1]
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1,2,4 and 8 hours post drug administration.
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Eligibility
Key inclusion criteria
Inclusion criteria were as follows: age between 42 and 58 years, emmetropia [cycloplegic spherical equivalent (SE), +/-0.25 D; astigmatism "equal to" or less than 0.25 D] and binocular uncorrected distance visual acuity "equal to" or greater than 20/20
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Minimum age
42
Years
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Maximum age
58
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
Exclusion criteria concerned patients with myopia, hyperopia and astigmatism higher than 0.25 diopter as well as those with corneal, lens and vitreous opacities, pupil irregularities, anisocoria, amblyopia, chronic general pathologies and medications that would interact unfavorably with carbachol and brimonidine
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Study design
Purpose of the study
Treatment
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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)
central randomisation by phone/fax/computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2 / Phase 3
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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
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Actual
10/02/2016
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Date of last participant enrolment
Anticipated
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Actual
17/02/2016
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Date of last data collection
Anticipated
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Actual
26/02/2016
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment outside Australia
Country [1]
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Saudi Arabia
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State/province [1]
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ASEER
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Almamoun Abdelkader is funding the study from his own personal funds
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Address [1]
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Saudi German Hospital, King Fahad Road, Khamis Mushait, Aseer, Kingdom of Saudi Arabia, P.O Box 2355.
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Country [1]
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Egypt
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Primary sponsor type
Individual
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Name
Almamoun Abdelkader
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Address
Saudi German Hospital, King Fahad Road, Khamis Mushait, Aseer, Kingdom of Saudi Arabia, P.O Box 2355.
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Country
Egypt
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Secondary sponsor category [1]
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None
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Name [1]
293629
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Address [1]
293629
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Country [1]
293629
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The RCRC Independent Review Board, LLC
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Ethics committee address [1]
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2111 West Baker Lane, Suite 400 Austin, Texas 78758
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Ethics committee country [1]
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United States of America
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Date submitted for ethics approval [1]
296189
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Approval date [1]
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09/06/2009
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Ethics approval number [1]
296189
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Ethics committee name [2]
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Abha ethics committee eye centre and research
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Ethics committee address [2]
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Immam Ibn Saud , Abha, Aseer, KSA
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Ethics committee country [2]
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Saudi Arabia
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Date submitted for ethics approval [2]
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11/01/2016
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Approval date [2]
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19/01/2016
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Ethics approval number [2]
296190
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Summary
Brief summary
Background: To test and compare in a masked fashion the efficacy of using a parasympathomimetic drug (3 % Carbachol) and an alpha-2 agonist (0.2 % brimonidine) in both combined and separate forms to create optically beneficial miosis to pharmacologically improve vision in presbyopia. Methods: A prospective, double-masked, randomized, controlled clinical trial. Ten naturally emmetropic and presbyopic subjects between 42 years and 58 years old with an uncorrected distance visual acuity of at least 20/20 in both eyes without additional ocular pathology are eligible for inclusion. All subjects received 3 % carbachol and 0.2 % brimonidine in both combined and separate forms, 3% carbachol alone and 0.2% brimonidine (control) alone in their non-dominant eye in a crossover manner with one week washout between tests. The subjects’ pupil size and both near and distance visual acuities will be evaluated pre- and posttreatment at 1, 2, 4, and 8 hours, by a masked examiner at the same room illumination. Results: Statistically significant improvement in mean near visual acuity (NVA) was achieved in all subjects who received combined 3 % Carbachol and brimonidine in the same formula compared to those received separate forms or Carbachol alone or brimonidine alone (P< 0.0001). Conclusion: Based on the data, the combined solution demonstrated greater efficacy than the other solutions that were tested. Improving the depth of focus by making the pupil small caused statistically significant improvement in near visual acuity, with no change in binocular distance vision.
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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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A/Prof Almamoun Abdelkader
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Address
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Saudi German Hospital, King Fahad Road, Khamis Mushait, Aseer, Kingdom of Saudi Arabia, P.O Box 2355.
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Country
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Saudi Arabia
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Phone
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+966557797107
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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
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Almamoun Abdelkader
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Address
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Saudi German Hospital, King Fahad Road, Khamis Mushait, Aseer, Kingdom of Saudi Arabia, P.O Box 2355.
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Country
69879
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Saudi Arabia
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Phone
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+966557797107
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Fax
69879
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Email
69879
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[email protected]
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Contact person for scientific queries
Name
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Almamoun Abdelkader
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Address
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Saudi German Hospital, King Fahad Road, Khamis Mushait, Aseer, Kingdom of Saudi Arabia, P.O Box 2355.
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Country
69880
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Saudi Arabia
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Phone
69880
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+966557797107
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Clinical outcomes of combined versus separate carbachol and brimonidine drops in correcting presbyopia
2016
https://doi.org/10.1186/s40662-016-0065-3
N.B. These documents automatically identified may not have been verified by the study sponsor.
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