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Trial registered on ANZCTR
Registration number
ACTRN12616001554459p
Ethics application status
Not yet submitted
Date submitted
7/11/2016
Date registered
10/11/2016
Date last updated
10/11/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy of ProKera (Registered Trademark) in the management of persistent epithelial defects.
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Scientific title
Efficacy of ProKera (Registered Trademark) in the management of persistent epithelial defects.
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Secondary ID [1]
290473
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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:
corneal ulcer
300842
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Condition category
Condition code
Eye
300667
300667
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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
Use of ProKera (investigational device). ProKera is a self retaining biological corneal bandage, comprised of a cryopreserved amniotic membrane fastened to an ophthalmic conformer.
It will be applied to participants in the cornea clinic by an experienced ophthalmologist or fellow. The participant will then attend clinic 3-4 days later, and then after 7-10 days.. Once the amniotic membrane has dissolved (usually between 3-10 days), the outer ProKera conformer/ring will be removed during a clinic appointment. It is a once only intervention.
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Intervention code [1]
296327
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Treatment: Devices
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Time to epithelial healing as assessed by slit lamp examination and fluorescein staining.
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Assessment method [1]
300091
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Timepoint [1]
300091
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Time to epithelial healing (this will be determined by ulcer size assessed at the clinic visits at both 3-4 days and 7-10 days)
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Secondary outcome [1]
328998
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Visual acuity using LogMAR chart and converted to Snellen visual acuity with and without pinhole or glasses
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Assessment method [1]
328998
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Timepoint [1]
328998
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3-4 days, 7-10 days and 14 days after application
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Secondary outcome [2]
329101
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complication - corneal perforation as determined by slit lamp examination and fluorescein staining
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Assessment method [2]
329101
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Timepoint [2]
329101
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3-4 days, 7-10 days and 14 days
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Secondary outcome [3]
329102
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complication - microbial keratitis as assessed by slit lamp examination
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Assessment method [3]
329102
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Timepoint [3]
329102
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3-4 days, 7-10 days and 14 days
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Eligibility
Key inclusion criteria
18 years old or older
Persistent epithelial defect > 2 weeks
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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
Patients who are not able to provide informed consent
Presence of active microbial keratitis
Pregnant or nursing mothers
Patients unable to attend follow-up at the clinic
Patients with glaucoma drainage devices or filtering blebs
Patients with known allergies to ciprofloxacin or amphotericin B
Exposure keratopathy
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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
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/01/2017
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Actual
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Date of last participant enrolment
Anticipated
1/01/2018
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Actual
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Date of last data collection
Anticipated
1/04/2018
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
294889
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Commercial sector/Industry
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Name [1]
294889
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Designs for Vision (providing the device only)
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Address [1]
294889
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26 Waterloo Road, Collingwood, VIC 3066
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Country [1]
294889
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Australia
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Primary sponsor type
Hospital
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Name
Royal Victorian Eye and Ear Hospital
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Address
32 Gisborne St, East Melbourne, VIC 3002
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Country
Australia
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Secondary sponsor category [1]
293726
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None
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Name [1]
293726
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None
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Address [1]
293726
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None
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Country [1]
293726
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
296268
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Royal Victorian Eye and Ear Hospital
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Ethics committee address [1]
296268
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32 Gisborne St, East Melbourne, VIC 3002
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Ethics committee country [1]
296268
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Australia
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Date submitted for ethics approval [1]
296268
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10/11/2016
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Approval date [1]
296268
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Ethics approval number [1]
296268
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Summary
Brief summary
The aim of this project is to assess the effectiveness of ProKera (registered trademark) in the treatment of corneal ulcers. The current treatment for non-healing corneal ulcers include lubricating eye drops/ointments, extended wear contact lenses, tarsorrhaphy and botulinum-induced ptosis. Amniotic membrane has also been shown to promote the healing of the corneal surface. However, it is not commercially available in Australia. This project will assess ProKera (registered trademark), which is a commercially available amniotic membrane. It is currently approved by the US Food and Drug Administration but not the Australian Therapeutic Goods Administration. Patients above the age of 18 who are attending the cornea clinic with severe chemical injuries or poorly healing corneal ulcers will be invited to participate. Information to be collected include ulcer size and time to healing, and any complications from using ProKera (registered trademark).
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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
70202
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Dr Elsie Chan
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Address
70202
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Royal Victorian Eye and Ear Hospital
32 Gisborne St
East Melbourne, VIC 3002
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Country
70202
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Australia
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Phone
70202
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+61 3 9929 8666
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Fax
70202
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Email
70202
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[email protected]
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Contact person for public queries
Name
70203
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Elsie Chan
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Address
70203
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Royal Victorian Eye and Ear Hospital
32 Gisborne St
East Melbourne, VIC 3002
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Country
70203
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Australia
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Phone
70203
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+61 3 9929 8666
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Fax
70203
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Email
70203
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[email protected]
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Contact person for scientific queries
Name
70204
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Elsie Chan
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Address
70204
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Royal Victorian Eye and Ear Hospital
32 Gisborne St
East Melbourne, VIC 3002
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Country
70204
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Australia
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Phone
70204
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+61 3 9929 8666
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Fax
70204
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Email
70204
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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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