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Efficacy of Moxifloxacin/Prednisolone in Prevention of Post Surgery Inflammation

Primary Purpose

Eye Infection/Inflammation Other

Status
Unknown status
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
moxifloxacin 0,5% + prednisolone 1%
moxifloxacin/prednisolone combination
Sponsored by
Adapt Produtos Oftalmológicos Ltda.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Eye Infection/Inflammation Other focused on measuring Moxifloxacin, Prednisolone, LASIK

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Men or women of any race, between 18 and 50 years of age up to 8 degrees of myopia or hyperopia of up to 04 degrees or up to 3 degrees without astigmatism and other eye problems associated.
  • Able to understand and provide informed consent,
  • Willingness to complete all required study visits,
  • Willingness to undergo surgery to correct grade (myopia, astigmatism, hyperopia) by LASIK in both eyes (at the same surgical or surgical procedures separated) or in only one eye.
  • Examination of normal fundus by direct ophthalmoscopy or indirect;
  • Measurements of intraocular pressure (IOP), treated or untreated, less than or equal to 20 mmHg. Individuals with glaucoma / ocular hypertension are eligible if their blood pressure is controlled by a single ocular hypotensive agent with the exception noted in criterion of exclusion. 16.
  • Women who may become pregnant (those that are not surgically sterile or postmenopausal) may participate in the study if they meet all the following conditions: a)not breastfeeding; b)have a negative pregnancy test at screening prior to recruitment; c)agree to submit to a urine test for pregnancy at the time of its withdrawal from the study; d)not to conceive during the study period; e)are using birth control methods appropriate and agrees to continue to use birth control methods appropriate for the duration of the study (the methods of birth control are adequate: hormonal contraceptives - oral, implantable or injectable; mechanics - spermicide associated with a barrier method like a condom or diaphragm, IUD, or sterilization of the partner).

Exclusion Criteria:

  • Glaucoma or intraocular hypertension not controlled;
  • Use of nonsteroidal antiinflammatory drugs (NSAIDs) ocular topical or systemic drugs (NSAIDs) during the study and the 14 days prior to study entry, except for an allowed daily dose of aspirin low-dose (100 mg);
  • Ocular anti-infective drug use during the study and within 30 days prior to study entry or any other eye medicines with the exception noted in criterion Insertion 6.
  • Topical steroids, inhaled or systemic ocular during the study and the 14 days prior to study entry;
  • Ocular trauma in the eye prior to operate (including intraocular surgery in the previous twelve months due to trauma or cataract in the past);
  • History of chronic ocular inflammatory disease or recurrent (ie, iritis, scleritis, uveitis, iridocyclitis, rubeosis iridis) in the eye to be operated;
  • Any intraocular inflammation (score of cells than Grade 0) to be present during the examination of slit lamp or ocular pain increased in the Grade 1 -2 Day in the study eye (eye operation);
  • Proliferative diabetic retinopathy (eye operation) non-proliferative diabetic retinopathy, moderate to severe (eye operation);
  • Uncontrolled diabetes mellitus;
  • Patients with vision in one eye or vision not correctable to LogMAR 1.0 or better in each eye using the ETDRS framework;
  • Participation in any other clinical study within 12 months prior to surgery, pregnant women, lactating or under conditions of breeding methods that are not using adequate birth control (as defined in the criteria for inclusion, above);
  • Known or suspected allergy or hypersensitivity to moxifloxacin, steroids, topical anesthetics or any other component of the study medication;
  • History or other evidence of severe illness, or other systemic conditions that may cause the patient, in the opinion of the Investigator, the study is inadequate;
  • Patients with epithelial herpes simplex (dendritic keratitis), vaccinia, varicella, or other viral disease of the cornea or conjunctiva, tuberculosis of the eye, fungal diseases of ocular structures;
  • Patients who use a topical ophthalmic prostaglandin, such as ,Travatan® (travoprost),Xalatan®(latanoprost),Lumigan®(bimatoprost)and Rescula®(unoprostone) should discontinue their use starting four days before surgery until their departure from study.

Sites / Locations

  • Universidade Federal de São Paulo - Hospital São Paulo - UNIFESP

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

moxifloxacin/prednisolone combination

moxifloxacin 0,5% + Prednisolone 1%

Arm Description

1 gtt, 4x/day, 15 days

1 drop of each bottle, BID, 15 days

Outcomes

Primary Outcome Measures

Day 15 Evaluation of Anterior Chamber
The primary efficacy variable of this study is the percentage of patients with a score of zero postoperative inflammation (anterior chamber inflammation, ie, presence of cells in the anterior chamber (0-4) in the study on Day 15. The absence of bacterial infection on Day 15 ± 1 will be assumed to demonstrate that the antibacterial agents in the association of moxifloxacin / acetate Prednisolona1% and moxifloxacin + acetate Prednisolona1% Eye drops are equal in antimicrobial effectiveness, and that they acted in a prophylactic manner to prevent of bacterial infection.

Secondary Outcome Measures

day 15 physician´s follow-up impression of inflammatory reaction score
the clinical evaluation will be based on the following variables: IOP, assessment of visual acuity, slit lamp examination (lids, conjunctiva, cornea), and examination of the fundus (retina / macula / choroid, vitreous and optic nerve).

Full Information

First Posted
March 22, 2011
Last Updated
May 21, 2012
Sponsor
Adapt Produtos Oftalmológicos Ltda.
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1. Study Identification

Unique Protocol Identification Number
NCT01603030
Brief Title
Efficacy of Moxifloxacin/Prednisolone in Prevention of Post Surgery Inflammation
Official Title
Efficacy of Moxifloxacin 0.5%/Prednisolone 1% Fixed Combination Compared With Individual Administration of Moxifloxacin 0.5% and Prednisolone 1% in the Prevention of Post Operative Inflammation in Patients Having Lasik Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Unknown status
Study Start Date
June 2012 (undefined)
Primary Completion Date
August 2012 (Anticipated)
Study Completion Date
September 2012 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Adapt Produtos Oftalmológicos Ltda.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Unicentric, double-blind, randomized, two-arm, parallel-group study to demonstrate the efficacy of moxifloxacin/prednisolone acetate fixed combination compared with individual administration of moxifloxacin + acetate Prednisolone Eye drops in Prevention of Post Operative Inflammation and Infection in LASIK surgery.
Detailed Description
antibiotic/steroid combination compared to individuals components 15 days of treatment

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Eye Infection/Inflammation Other
Keywords
Moxifloxacin, Prednisolone, LASIK

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
66 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
moxifloxacin/prednisolone combination
Arm Type
Experimental
Arm Description
1 gtt, 4x/day, 15 days
Arm Title
moxifloxacin 0,5% + Prednisolone 1%
Arm Type
Active Comparator
Arm Description
1 drop of each bottle, BID, 15 days
Intervention Type
Drug
Intervention Name(s)
moxifloxacin 0,5% + prednisolone 1%
Other Intervention Name(s)
moxifloxacin 0,5%, prednisolone 1%
Intervention Description
1 gtt, 4x/day, 15 days
Intervention Type
Drug
Intervention Name(s)
moxifloxacin/prednisolone combination
Other Intervention Name(s)
moxifloxacin 0,5%; predfort
Intervention Description
1 gtt, 4x/day, 15 days
Primary Outcome Measure Information:
Title
Day 15 Evaluation of Anterior Chamber
Description
The primary efficacy variable of this study is the percentage of patients with a score of zero postoperative inflammation (anterior chamber inflammation, ie, presence of cells in the anterior chamber (0-4) in the study on Day 15. The absence of bacterial infection on Day 15 ± 1 will be assumed to demonstrate that the antibacterial agents in the association of moxifloxacin / acetate Prednisolona1% and moxifloxacin + acetate Prednisolona1% Eye drops are equal in antimicrobial effectiveness, and that they acted in a prophylactic manner to prevent of bacterial infection.
Time Frame
15 days
Secondary Outcome Measure Information:
Title
day 15 physician´s follow-up impression of inflammatory reaction score
Description
the clinical evaluation will be based on the following variables: IOP, assessment of visual acuity, slit lamp examination (lids, conjunctiva, cornea), and examination of the fundus (retina / macula / choroid, vitreous and optic nerve).
Time Frame
15 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men or women of any race, between 18 and 50 years of age up to 8 degrees of myopia or hyperopia of up to 04 degrees or up to 3 degrees without astigmatism and other eye problems associated. Able to understand and provide informed consent, Willingness to complete all required study visits, Willingness to undergo surgery to correct grade (myopia, astigmatism, hyperopia) by LASIK in both eyes (at the same surgical or surgical procedures separated) or in only one eye. Examination of normal fundus by direct ophthalmoscopy or indirect; Measurements of intraocular pressure (IOP), treated or untreated, less than or equal to 20 mmHg. Individuals with glaucoma / ocular hypertension are eligible if their blood pressure is controlled by a single ocular hypotensive agent with the exception noted in criterion of exclusion. 16. Women who may become pregnant (those that are not surgically sterile or postmenopausal) may participate in the study if they meet all the following conditions: a)not breastfeeding; b)have a negative pregnancy test at screening prior to recruitment; c)agree to submit to a urine test for pregnancy at the time of its withdrawal from the study; d)not to conceive during the study period; e)are using birth control methods appropriate and agrees to continue to use birth control methods appropriate for the duration of the study (the methods of birth control are adequate: hormonal contraceptives - oral, implantable or injectable; mechanics - spermicide associated with a barrier method like a condom or diaphragm, IUD, or sterilization of the partner). Exclusion Criteria: Glaucoma or intraocular hypertension not controlled; Use of nonsteroidal antiinflammatory drugs (NSAIDs) ocular topical or systemic drugs (NSAIDs) during the study and the 14 days prior to study entry, except for an allowed daily dose of aspirin low-dose (100 mg); Ocular anti-infective drug use during the study and within 30 days prior to study entry or any other eye medicines with the exception noted in criterion Insertion 6. Topical steroids, inhaled or systemic ocular during the study and the 14 days prior to study entry; Ocular trauma in the eye prior to operate (including intraocular surgery in the previous twelve months due to trauma or cataract in the past); History of chronic ocular inflammatory disease or recurrent (ie, iritis, scleritis, uveitis, iridocyclitis, rubeosis iridis) in the eye to be operated; Any intraocular inflammation (score of cells than Grade 0) to be present during the examination of slit lamp or ocular pain increased in the Grade 1 -2 Day in the study eye (eye operation); Proliferative diabetic retinopathy (eye operation) non-proliferative diabetic retinopathy, moderate to severe (eye operation); Uncontrolled diabetes mellitus; Patients with vision in one eye or vision not correctable to LogMAR 1.0 or better in each eye using the ETDRS framework; Participation in any other clinical study within 12 months prior to surgery, pregnant women, lactating or under conditions of breeding methods that are not using adequate birth control (as defined in the criteria for inclusion, above); Known or suspected allergy or hypersensitivity to moxifloxacin, steroids, topical anesthetics or any other component of the study medication; History or other evidence of severe illness, or other systemic conditions that may cause the patient, in the opinion of the Investigator, the study is inadequate; Patients with epithelial herpes simplex (dendritic keratitis), vaccinia, varicella, or other viral disease of the cornea or conjunctiva, tuberculosis of the eye, fungal diseases of ocular structures; Patients who use a topical ophthalmic prostaglandin, such as ,Travatan® (travoprost),Xalatan®(latanoprost),Lumigan®(bimatoprost)and Rescula®(unoprostone) should discontinue their use starting four days before surgery until their departure from study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Rubens Belfort, investigator
Phone
5511 5572-6443
Email
prof.belfort@clinicabelfort.com.br
First Name & Middle Initial & Last Name or Official Title & Degree
Cristina Mucioli, coordinator
Phone
55115572-6443
Email
crissmucci@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cristina Mucioli, Dra.
Organizational Affiliation
Universidade Federal de São Paulo - Hospital São Paulo - UNIFESP
Official's Role
Study Chair
Facility Information:
Facility Name
Universidade Federal de São Paulo - Hospital São Paulo - UNIFESP
City
São Paulo
State/Province
SP/Brazil
ZIP/Postal Code
4562-020
Country
Brazil
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rubens Belfort, investigator
Phone
55115572-6443
Email
prof.belfort@clinicabelfort.com.br
First Name & Middle Initial & Last Name & Degree
Luci Silva, coordinator
Phone
55115572-6443
Email
luci@oftalmo.epm.br
First Name & Middle Initial & Last Name & Degree
Rubens Belfort, MD

12. IPD Sharing Statement

Learn more about this trial

Efficacy of Moxifloxacin/Prednisolone in Prevention of Post Surgery Inflammation

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