UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051049
Receipt number R000058207
Scientific Title A prospective observational study to explore the effect of adherence to CPAP therapy on the progression of glaucoma
Date of disclosure of the study information 2023/05/12
Last modified on 2023/05/12 17:57:30

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

A prospective observational study to explore the effect of adherence to continuous positive airway pressure (CPAP) therapy on the progression of glaucoma

Acronym

A prospective observational study to explore the effect of adherence to CPAP therapy on the progression of glaucoma

Scientific Title

A prospective observational study to explore the effect of adherence to CPAP therapy on the progression of glaucoma

Scientific Title:Acronym

A prospective observational study to explore the effect of adherence to CPAP therapy on the progression of glaucoma

Region

Japan


Condition

Condition

Glaucoma

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To prospectively evaluate the effect of adherence to CPAP therapy on inhibition of glaucoma progression in patients diagnosed with sleep apnea syndrome (SAS) as the primary outcome of this study.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The rate of change of glaucoma progression associated with CPAP therapy (Mean Deviation slope (MD slope) using Humphrey Field Analyzer (HFA) 24-2)

Key secondary outcomes

1. Severity of sleep SAS at diagnosis

2. Apnea Hypopnea Index (AHI) before CPAP therapy

3. AHI during CPAP therapy

4. Number of hours CPAP therapy used /Number of days CPAP therapy used

5. Biomarkers of oxidative stress (e.g. diacron reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP))

6. Ophthalmological examination (Refraction, corneal curvature radius, axial length, corneal thickness, corneal elasticity, visual acuity, intraocular pressure, ophthalmoscopy, three-dimensional image analysis of ocular fundus, visual field test, optical coherence tomography angiography, laser speckle flowgraphy)

7. Vital signs (Blood pressure, pulse rate, peripheral oxygen saturation (SpO2))


Base

Study type

Observational


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


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

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients with normal tension glaucoma (Intraocular pressure of 16 mmHg or below)

2. Individuals who are suspected to be affected by progressive visual field defect as indicated in Humphrey visual field test despite pharmaceutical treatment

3. Individuals who are diagnosed with SAS as a result of scoring 20 or more in AHI and are considered patients that need CPAP therapy

4. Glaucoma patients of all disease stages

Key exclusion criteria

1. Outpatients periodically attending ophthalmology check-up due to severe eye condition

2. Individuals who plan to undergo surgery for glaucoma during observation period

3. Individuals with high myopia (Axial length of 26.5 mm or above and spherical equivalent of -8D or above)

4. Individuals who have undergone LASIK

5. Individuals who have undergone ophthalmologic surgery in the last three months

6. Individuals suffering from cancer

7. Individuals suffering from hormonal disorder (e.g. autoimmune disease, hyperthyroidism)

8. Individuals who are taking oral contraceptive pill

9. Individuals who are pregnant, or planning pregnancy or breastfeeding during study period

10. Individuals who are deemed ineligible for participation by the principal investigator or co-investigator due to other reasons

11. Individuals who are currently receiving CPAP therapy

12. Individuals who did not give informed consent or decline disclosure of research information

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Toru
Middle name
Last name Nakazawa

Organization

Tohoku University Graduate School of Medicine

Division name

Department of Ophthalmology

Zip code

980-8574

Address

1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, Japan

TEL

022-717-7294

Email

ntoru@oph.med.tohoku.ac.jp


Public contact

Name of contact person

1st name Noriko
Middle name
Last name Himori

Organization

Tohoku University Graduate School of Medicine

Division name

Department of Ophthalmology

Zip code

980-8574

Address

1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, Japan

TEL

022-717-7294

Homepage URL


Email

n-himori@oph.med.tohoku.ac.jp


Sponsor or person

Institute

Tohoku University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

TEIJIN PHARMA LIMITED.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

Seiryo Eye Clinic

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee Tohoku University Graduate School of Medicine

Address

2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan

Tel

022-717-8007

Email

med-kenkyo@grp.tohoku.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

星陵眼科 緑内障クリニック (宮城県)
Seiryo Eye Clinic (Miyagi, Japan)


Other administrative information

Date of disclosure of the study information

2023 Year 05 Month 12 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

Enrolling by invitation

Date of protocol fixation

2022 Year 07 Month 27 Day

Date of IRB

2022 Year 07 Month 27 Day

Anticipated trial start date

2023 Year 05 Month 12 Day

Last follow-up date

2025 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study design: A prospective longitudinal study
Objective: To prospectively evaluate the effect of adherence to CPAP therapy on inhibition of glaucoma progression in patients diagnosed with SAS as the primary outcome of this study
Recruitment method: Outpatients attending Seiryo Eye Clinic who have given informed consent will be enrolled
Recruitment period (scheduled): Until April, 2024
Evaluation items: The rate of change of glaucoma progression associated with CPAP therapy, the severity of SAS at diagnosis, AHI before CPAP therapy, AHI during CPAP therapy, number of hours CPAP therapy used/number of days CPAP therapy used, biomarkers of oxidative stress, ophthalmological examination, and vital signs
Results: Unpublished


Management information

Registered date

2023 Year 05 Month 12 Day

Last modified on

2023 Year 05 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058207


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name