UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014680
Receipt number R000017070
Scientific Title A randomized controlled trial to determine the long-term influence of clear intra ocular lens (IOL) and yellow IOL with cataract surgery on circadian biological rhythm and related health outcomes
Date of disclosure of the study information 2014/07/28
Last modified on 2014/07/29 12:37:25

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Basic information

Public title

A randomized controlled trial to determine
the long-term influence of clear intra ocular lens (IOL) and yellow IOL with cataract surgery on circadian biological rhythm and related health outcomes

Acronym

The CLOCK-IOL Color Study
Cataract Surgery and Circadian Biological
Rhythm among Japanese Older People with
Cataract in Nara, Kansai Region: Influence of Intra Ocular Lens Implantation

Scientific Title

A randomized controlled trial to determine
the long-term influence of clear intra ocular lens (IOL) and yellow IOL with cataract surgery on circadian biological rhythm and related health outcomes

Scientific Title:Acronym

The CLOCK-IOL Color Study
Cataract Surgery and Circadian Biological
Rhythm among Japanese Older People with
Cataract in Nara, Kansai Region: Influence of Intra Ocular Lens Implantation

Region

Japan


Condition

Condition

Cataract

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to determine whether cataract surgery with clear IOL improve circadian rhythm misalignment and decrease incidence or mortality rate of its related diseases such as sleep disturbance, depression, obesity, dyslipidemia, diabetes, cancer, stroke, and ischemic heart disease, and age related macular degeneration compared with cataract surgery with yellow IOL.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

All-cause mortality rate
Incidence rate of age related macular degeneration

Key secondary outcomes

1 Frequency of Diseases
1) Prevalence of depression insomnia obesity dyslipidemia and diabetes
2) Incidence rate of cancer, stroke and ischemic heart disease

2 Ophthalmic outcomes
1) Retinal and Choroidal thickness(OCT: optical coherence tomography)
2) Macular pigment density
3) Aberrations(spherical and coma)
4) Contrast sensitivity
5) Accommodation
6) Subjective visual function (The National Eye Institute Visual Function Questionnaire: NEI VFQ-25)
7) Post Illumination Pupil Response (PIPR)

3 Glucose-lipid metabolism outcomes
1) FPG HbA1c
2) TG T-chol LDL chol and HDL chol BMI(Body Mass Index) Abdominal circumference

4 Depression Sleep Outcomes
1) Depressive symptoms
(Geriatric Depression Scale:GDS)
2) Objective sleep quality(measured using actigrapgh)
3) Subjective sleep quality(Pittsburgh Sleep Quality Index:PSQI)
4) Sleepiness(Epworth Sleepiness Scale:ESS)

5 Circadian rhythm outcomes
1) 6-sulfatoxymelatonin(aMT6-s)in a morning spot urine sample
2) Circadian activity rhythm(actigraph)
3) Distal- proximal gradient of skin temperatures (wrist-abdominal)
4) Morningness-Eveningness Questionnaire (MEQ)
5) Munich ChronoType Questionniare


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Yellow IOL group
Phacoemulsification and yellow IOL implantation(SN60AT,SN60WF(Alcon)).

Interventions/Control_2

Clear IOL group
Phacoemulsification and clear IOL implantation (SA60AT(Alcon)).

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

60 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)patients scheduled for the first cataract
surgery
2)age <=60 years
3)cataract with <=grade 2 nuclear
opacification according to LOCS III

Key exclusion criteria

1)severe mental illness and dementia
2)severe corneal opacity
3)glaucoma with visual field deficit of at least
MD>14dB (Humphrey Perimeter)
4)vitreous haemorrhage
5)proliferative diabetic retinopathy
6)macular edema
7)age-related macular degeneration
8)patients needing emergent cataract surgery
9)patients needing combined cataract and
glaucoma surgery or combined cataract
surgery and vitrectomy

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Nahoko Ogata

Organization

Nara Medical University School of Medicine

Division name

Department of Ophthalmology

Zip code


Address

840 Shijo-cho, Kashiharashi, Nara, Japan, 634-8521

TEL

0744-29-8884

Email

ogata@naramed-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tomo Nishi

Organization

Nara Medical University School of Medicine

Division name

Department of Ophthalmology

Zip code


Address

840 Shijo-cho, Kashiharashi, Nara, Japan, 634-8521

TEL

0744-29-8884

Homepage URL


Email

tomon@naramed-u.ac.jp


Sponsor or person

Institute

Department of Ophthalmology
Nara Medical University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Nara Medical University School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

奈良県立医科大学付属病院
Nara Medical University Hospital


Other administrative information

Date of disclosure of the study information

2014 Year 07 Month 28 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

Open public recruiting

Date of protocol fixation

2014 Year 07 Month 15 Day

Date of IRB


Anticipated trial start date

2014 Year 07 Month 28 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 07 Month 28 Day

Last modified on

2014 Year 07 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017070