UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031737
Receipt number R000036237
Scientific Title Evaluating the efficiency of Custom-made Scleral Contact lens for severe limbal stem cell deficiency.
Date of disclosure of the study information 2018/03/15
Last modified on 2023/03/21 12:15:50

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Basic information

Public title

Evaluating the efficiency of Custom-made Scleral Contact lens for severe limbal stem cell deficiency.

Acronym

Evaluating the efficiency of Custom-made Scleral Contact lens

Scientific Title

Evaluating the efficiency of Custom-made Scleral Contact lens for severe limbal stem cell deficiency.

Scientific Title:Acronym

Evaluating the efficiency of Custom-made Scleral Contact lens

Region

Japan


Condition

Condition

Severe limbal stem cell deficiency.

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In patients with severe stem cell deficiency,the long-term prognosis of penetrating keratoplasty,lamelar keratoplasty,and limbal transplantation is for,and the severe corneal opacity leads to severe visual dysfunction.
To date,there is no standardized treatment to obtain visual improvement in case soft every stem cell deficiency,
We developed a gimbal supported scleral contact lens used non-surgical method.
The aim of this study was to evaluate the efficacy of custom-maid scleral lens for severe limbal stem cell deficiency.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

The best corrective visual acuity with scleral lens.

Key secondary outcomes

The pollution of contact lens.
The time and frequency of contact lens -wearing
The change of anterior and posterior curve of cornea with scleral lens wearing.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Device,equipment

Interventions/Control_1

We check the corrective visual acuity with scleral lens in every 3-6 month.
We ask the condition about the use of of lens with in every 3-6 month.
We measured the curve of cornea by corneal topography in every 3-6 month.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The patient who can continue using the scleral lens for severe stem cell deficiency includingSteven-Jhonsons=syndrome.
Over 16 years old.

Key exclusion criteria

Under 15 years old
the patient who judged as inappropriate for this study.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Chie
Middle name
Last name Sotozono

Organization

Kyoto prefectural university of medicine

Division name

Ophthalmology

Zip code

602-8566

Address

465 kajiicho kamigyoku kyoto japan

TEL

075-251-5578

Email

csotozon@koto.kpu-m.ac.jp


Public contact

Name of contact person

1st name Chie
Middle name
Last name Sotozono

Organization

Kyoto peprfectual university of medicine

Division name

Ophthalmology

Zip code

602-8566

Address

465 kajiicho kamigyoku kyoto japan

TEL

075-251-5578

Homepage URL


Email

csotozon@koto.kpu-m.ac.jp


Sponsor or person

Institute

Kyoto peprfectual university of medicine

Institute

Department

Personal name



Funding Source

Organization

SUN CONTACT Co

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto Prefectural University of Medicine, Clinical Research Review Board

Address

465 Kajiicho Kamigyo-ku Kyoto

Tel

075-251-5337

Email

rinri@koto.kpu-m.ac.jp


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



Other administrative information

Date of disclosure of the study information

2018 Year 03 Month 15 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/32513522/

Publication of results

Partially published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/32513522/

Number of participants that the trial has enrolled

59

Results

Reported on 10 cases during the process.
The results are shown below

After 3 months of CL use, BCVA improved significantly (LogMAR: 0.76-0.15) compared to baseline (P=0.0039), all NEI VFQ-25 scores improved, and eye pain and mental status also improved significantly (P=0.0078 and 0.0039). No serious adverse events were observed during the follow-up period.

Results date posted

2022 Year 09 Month 18 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Chronic SJS/TEN eyes that were fitted with a limbal-supported CL.

Participant flow

After prescribing scleral lenses, the effectiveness and long-term follow-up of the lenses were verified.

Adverse events

There were 2 adverse events involving conjunctival epithelial erosion. In those 2 eyes, the small conjunctival epithelial erosion was healed within several days after the removal of the CL. No other complications or infections occurred as a result of the CL wear.

Outcome measures

The main outcome measure was BCVA at baseline (i.e. obtained via the use of spectacles prior to the fitting of the CL) and at post 3-months use of the CL (i.e. with the fitted CL being worn). The 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) score was defined as the secondary outcome.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2017 Year 10 Month 25 Day

Date of IRB

2010 Year 01 Month 15 Day

Anticipated trial start date

2017 Year 10 Month 25 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 03 Month 15 Day

Last modified on

2023 Year 03 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036237


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name