UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027544
Receipt number R000031571
Scientific Title Anterior Chamber Angle Measurement with Swept-source Optical Coherence Tomography - A Pilot Normative Database Collection Study
Date of disclosure of the study information 2017/06/01
Last modified on 2018/11/30 21:31:39

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Basic information

Public title

Anterior Chamber Angle Measurement with Swept-source Optical Coherence Tomography - A Pilot Normative Database Collection Study

Acronym

Anterior Chamber Angle Measurement with SS-OCT

Scientific Title

Anterior Chamber Angle Measurement with Swept-source Optical Coherence Tomography - A Pilot Normative Database Collection Study

Scientific Title:Acronym

Anterior Chamber Angle Measurement with SS-OCT

Region

Japan Asia(except Japan) North America


Condition

Condition

healthy subjects, primary angle-closure suspect, primary angle-closure and primary angle-closure glaucoma

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Primary angle-closure glaucoma (PACG) is a leading cause of irreversible blindness in Asia. It has been estimated that there will be more than 15million people with PACG worldwide by 2020 among which 84.8% are in Asia. As glaucoma is by large asymptomatic, identifying and treating patients at risk of disease progression is fundamental to prevent glaucoma blindness. From primary angle-closure suspect (PACS) (i.e. appositional contact between the peripheral iris and posterior trabecular meshwork for >180 degrees), to primary angle-closure (PAC) (i.e. iridotrabecular contact for >180 degrees together with elevated intraocular pressure (IOP) and / or development of peripheral anterior synechiae(PAS)) and then PACG, primary angle closure diseases forma continuum of progressive disorders of the anterior chamber angle and the optic nerve that would lead to visual impairment and blindness if left undetected. Although the diagnosis of angle-closure has been based on gonioscopic evaluation of iridotrabecular contact, reliable quantification of the anterior chamber angle width is difficult with gonioscopy. With the availability of swept-source optical coherence tomography (SS-OCT), it is feasible to measure the anterior chamber angle dimensions with high reproducibility for 360 degrees. This study aims to collect anterior chamber angle measurements from normal subjects and patients with primary angle closure diseases using the SS-OCT, and develop a normative database for discrimination between primary angle closure eyes and eyes with open angle. The normative database will provide an important clinical tool for clinicians to detect primary angle closure diseases for prevention of disease progression and blindness.

Basic objectives2

Others

Basic objectives -Others

To collect anterior chamber angle measurements from normal
subjects and patients with primary angle closure diseases using the SS-OCT.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The scan protocols comprise (1) custom 'Lens biometry' which includes 18 radial B-scans (800 A-scans/B-scan), each with 16 mm in length and 14 mm in depth and (2) 'Anterior segment' which includes 16 radial B-scans (800 A-scans/B-scan), each with 16 mm in length and 11 mm in depth. Eyes will be imaged in the dark (<1.0 lux) for three times with custom 'Lens Biometry' and once with 'Anterior segment'; and then in room light (needs to standardize the room light illumination) for three times with custom 'Lens Biometry' and once with 'Anterior segment'.

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Japanese healthy subjects and/or patients with primary angle closure glaucoma (PACG)
1. over 40 years
2. eyes not performing cataract surgery
3. maximum visual acuity more than 0.5
4. spherical equivalent (refraction) more than -1.0 diopters

Normal eyes always show normal intraocular pressure (from 10 to 21 mmHg), have an open angle, and have no glaucomatous optic neuropathy

Glaucoma is an eye with characteristic morphological changes of the optic disc or retinal nerve fiber and corresponding visual field defects

PACG is classified as follows according to angular examination and intraocular pressure
.primary angle closure suspect(PACS)
.primary angle closure (PAC)
.primary angle closure glaucoma (PACG)

Key exclusion criteria

Those who do not meet inclusion criteria from 1 to 4

Secondary glaucoma, eyes after intraocular surgery including laser treatment, eyes with strong cataract, those who can not conduct reliable examination

Target sample size

90


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Makoto Aihara

Organization

The University of Tokyo hospital

Division name

Department of ophthalmology

Zip code


Address

7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan

TEL

03-3815-5411

Email

aihara-tky@umin.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Rei Sakata

Organization

The University of Tokyo hospital

Division name

Department of ophthalmology

Zip code


Address

7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan

TEL

03-3815-5411

Homepage URL


Email

reisakata-tky@umin.ac.jp


Sponsor or person

Institute

The Chinese University of Hong Kong

Institute

Department

Personal name



Funding Source

Organization

Tomey Corporation Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

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Other related organizations

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IRB Contact (For public release)

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Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京大学医学部附属病院(東京都)


Other administrative information

Date of disclosure of the study information

2017 Year 06 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 05 Month 30 Day

Date of IRB


Anticipated trial start date

2017 Year 06 Month 05 Day

Last follow-up date

2018 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective study


Management information

Registered date

2017 Year 05 Month 30 Day

Last modified on

2018 Year 11 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031571


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name