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Gamma-Irradiated Corneal Inlay for Keratoconus

Primary Purpose

Keratoconus

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Gamma-irradiated corneal tissue inlay
Sponsored by
Cornea and Laser Eye Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Keratoconus

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • At least 18 years of age, male or female, of any race
  • Provide written consent and sign a HIPAA form
  • Willingness and ability to follow all instructions and comply with schedule for follow-up visits
  • For females: must not be pregnant
  • Having topographic evidence of keratoconus which is graded as moderate or severe keratoconus defined as the following:

    • Moderate Keratoconus: Axial topography consistent with keratoconus, Maximum keratometry on Pentacam greater than or equal to 51.01 D
    • Severe Keratoconus: Axial topography consistent with keratoconus with marked areas of steepening, Maximum keratometry on Pentacam greater than or equal to 56.01 D
  • Presence of central or inferior steepening on the Pentacam map
  • BSCVA less than or equal to 20/25
  • Contact lens wearers only: remove contact lenses one week prior to the screening refraction

Exclusion Criteria:

  • Contraindications, sensitivity or known allergy to the use of the test article(s) or their components
  • If female, be pregnant
  • Eyes classified as either normal, atypical normal, keratoconus suspect or mild keratoconus on the severity grading scheme
  • Previous ocular condition (other than refractive error) in the eye to be treated that may predispose the eye for future complications. For example:

    a) History of corneal disease (e.g., herpes simplex, herpes zoster keratitis, corneal melt, corneal dystrophy, etc.)

  • A history of delayed epithelial healing in the eye to be treated
  • Have used an investigational drug or device within 30 days of the study or be concurrently enrolled in another investigational drug or device study within 30 days of the study

Sites / Locations

  • Cornea and Laser Eye Institute, Hersh Vision Group

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Corneal tissue inlay

Arm Description

The treated cornea will be implanted with a thin disc of gamma-irradiated preserved corneal tissue

Outcomes

Primary Outcome Measures

Gamma-Irradiated Preserved Corneal Tissue Inlay
Change in mean keratometry on corneal topography

Secondary Outcome Measures

Gamma Irradiated Preserved Corneal Tissue Inlay
Inferior-Superior (I-S) ratio
Gamma Irradiated Preserved Corneal Tissue Inlay
Manifest refraction
Gamma Irradiated Preserved Corneal Tissue Inlay
Uncorrected distance visual acuity
Gamma Irradiated Preserved Corneal Tissue Inlay
Best spectacle corrected distance visual acuity

Full Information

First Posted
May 17, 2021
Last Updated
November 9, 2022
Sponsor
Cornea and Laser Eye Institute
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1. Study Identification

Unique Protocol Identification Number
NCT04895514
Brief Title
Gamma-Irradiated Corneal Inlay for Keratoconus
Official Title
Use of Gamma-Irradiated Preserved Corneal Tissue to Treat Keratoconus
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 1, 2021 (Actual)
Primary Completion Date
June 1, 2023 (Anticipated)
Study Completion Date
November 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cornea and Laser Eye Institute

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study objective is to evaluate the outcomes of placing gamma-irradiated corneal tissue (VisionGraft, CorneaGen, USA) within the cornea of patients with keratoconus, a procedure called Corneal Tissue Addition for Keratoconus (CTAK).
Detailed Description
Using E gamma irradiated sterilized preserved corneal tissue, shaped corneal tissue inlays are placed in a keratoconic cornea. Preserved corneal tissue is currently available commercially from CorneaGen (VisionGraft,1200 6th Ave., STe.300, Seattle, WA 98101). Such tissue is currently used in a number of eye surgical procedures. It is considered suitable for corneal surgical procedures that do not require viable corneal endothelium, as is the case for a tissue enhancement procedure in keratoconus. The goal of the current protocol to evaluate the outcomes of placing gamma-irradiated preserved tissue within the keratoconic cornea in order to enhance corneal thickness, stability, and optical conformation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Keratoconus

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Corneal tissue inlay
Arm Type
Experimental
Arm Description
The treated cornea will be implanted with a thin disc of gamma-irradiated preserved corneal tissue
Intervention Type
Procedure
Intervention Name(s)
Gamma-irradiated corneal tissue inlay
Intervention Description
A mid-stomal pocket will be made into the cornea with a femtosecond laser (Intralase). A small disc of gamma-irradiated preserved corneal tissue will then be placed into the pocket
Primary Outcome Measure Information:
Title
Gamma-Irradiated Preserved Corneal Tissue Inlay
Description
Change in mean keratometry on corneal topography
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Gamma Irradiated Preserved Corneal Tissue Inlay
Description
Inferior-Superior (I-S) ratio
Time Frame
6 months
Title
Gamma Irradiated Preserved Corneal Tissue Inlay
Description
Manifest refraction
Time Frame
6 months
Title
Gamma Irradiated Preserved Corneal Tissue Inlay
Description
Uncorrected distance visual acuity
Time Frame
6 months
Title
Gamma Irradiated Preserved Corneal Tissue Inlay
Description
Best spectacle corrected distance visual acuity
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: At least 18 years of age, male or female, of any race Provide written consent and sign a HIPAA form Willingness and ability to follow all instructions and comply with schedule for follow-up visits For females: must not be pregnant Having topographic evidence of keratoconus which is graded as moderate or severe keratoconus defined as the following: Moderate Keratoconus: Axial topography consistent with keratoconus, Maximum keratometry on Pentacam greater than or equal to 51.01 D Severe Keratoconus: Axial topography consistent with keratoconus with marked areas of steepening, Maximum keratometry on Pentacam greater than or equal to 56.01 D Presence of central or inferior steepening on the Pentacam map BSCVA less than or equal to 20/25 Contact lens wearers only: remove contact lenses one week prior to the screening refraction Exclusion Criteria: Contraindications, sensitivity or known allergy to the use of the test article(s) or their components If female, be pregnant Eyes classified as either normal, atypical normal, keratoconus suspect or mild keratoconus on the severity grading scheme Previous ocular condition (other than refractive error) in the eye to be treated that may predispose the eye for future complications. For example: a) History of corneal disease (e.g., herpes simplex, herpes zoster keratitis, corneal melt, corneal dystrophy, etc.) A history of delayed epithelial healing in the eye to be treated Have used an investigational drug or device within 30 days of the study or be concurrently enrolled in another investigational drug or device study within 30 days of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter S Hersh, MD
Organizational Affiliation
Cornea and Laser Eye Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Steven A Greenstein, MD
Organizational Affiliation
Cornea and Laser Eye Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cornea and Laser Eye Institute, Hersh Vision Group
City
Teaneck
State/Province
New Jersey
ZIP/Postal Code
07666
Country
United States

12. IPD Sharing Statement

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Gamma-Irradiated Corneal Inlay for Keratoconus

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