UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014964
Receipt number R000017420
Scientific Title Clinical study on the effect of antibacterial eye drops during administration of anti-VEGF drugs
Date of disclosure of the study information 2014/08/27
Last modified on 2024/05/28 17:56:20

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Basic information

Public title

Clinical study on the effect of antibacterial eye drops during administration of anti-VEGF drugs

Acronym

Study on the Effectiveness of Antimicrobial Eye Drops During Anti-VEGF Drug Administration

Scientific Title

Clinical study on the effect of antibacterial eye drops during administration of anti-VEGF drugs

Scientific Title:Acronym

Study on the Effectiveness of Antimicrobial Eye Drops During Anti-VEGF Drug Administration

Region

Japan


Condition

Condition

AMD and RVO

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the effects of topical antibiotics for disinfection after intravitreal injection

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Disinfection rate and drug sensitivity (0 month, 2 month, 3 month and 6 month)
Changes in disinfection rate and drug sensitivity (0 month, 2 month, 3 month and 6 month)
Incidence of postoperative endophthalmitis

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Levofloxacin eye drop 1.5%

Interventions/Control_2

Levofloxacin eye drop 1.5% and Cefmenoxime hydrochloride eye drop 0.5% in turn

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1)Patients scheduled for intravitreal injection consecutive 3 times every 1 month
2)20 years of age or more

Key exclusion criteria

1)Patients with history of hypersensitivity or severe side effects on drugs using this study
2)Patients with history of intravitreal injection
3)Patients with history of antibiotics treatment within 3 months
4)Patients with history of ocular surgery within 6 months
5)Patients with heavy immune deficiency, atopic dermatitis, and diabetes
6)Patients with lacrimal duct obstruction
7)Patients whom investigators estimate are not eligible

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Yoshihiro
Middle name
Last name Wakabayashi

Organization

Tokyo medical university hospital

Division name

Department of ophthalmology

Zip code

160-0023

Address

6-7-1 Nishishinjuku, Shinjuku, Tokyo

TEL

03-3342-6111

Email

wbaki@tokyo-med.ac.jp


Public contact

Name of contact person

1st name Yoshihiro
Middle name
Last name Wakabayashi

Organization

Tokyo medical university hospital

Division name

Department of ophthalmology

Zip code

160-0023

Address

6-7-1 Nishishinjuku, Shinjuku, Tokyo

TEL

03-3342-6111

Homepage URL


Email

wbaki@tokyo-med.ac.jp


Sponsor or person

Institute

Department of ophthalmology,Tokyo medical university hospital

Institute

Department

Personal name



Funding Source

Organization

Santen pharmaceutical company

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Medical University Medical Ethics Committee

Address

6-1-1 Shinjuku, Shinjuku, Tokyo

Tel

03-3351-6141

Email

d-somu@tokyo-med.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

東京医科大学病院(東京都)


Other administrative information

Date of disclosure of the study information

2014 Year 08 Month 27 Day


Related information

URL releasing protocol

None

Publication of results

Published


Result

URL related to results and publications

http://journal.nichigan.or.jp/Disp?style=abst&vol=123&year=2019&mag=0&number=4&start=395

Number of participants that the trial has enrolled

38

Results

The reduction rates of bacteria after eye drops before the first injection and after the third injection were 75.0% and 53.8% in the LVFX alone group, and 72.7% and 72.7% in the cycling therapy group, respectively, but there was no statistically significant difference between the two groups. The mean MIC of LVFX against Staphylococcus epidermidis before the first injection and at the next visit after the third injection during the induction period increased significantly in both groups.

Results date posted

2024 Year 05 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2022 Year 11 Month 01 Day

Baseline Characteristics

Refer to paper

Participant flow

Refer to paper

Adverse events

(Right eye) Ischemic optic neuropathy
Serious (disability)
Causal relationship to the study: Possibly related (since there have been several reports of ischemic side effects of Eylea Intravitreal Injection 40 mg/mL).
(Since there are several reports of ischemic side effects of Eylea Intravitreal Injection 40 mg/mL, the direct cause of this event may have been caused by Eylea used for the treatment of CRVO. The event was not considered to be associated with the use of Cravit ophthalmic solution 1.5%, and no causal relationship with this drug was determined.)

Cerebral infarction
Serious (cases requiring hospitalization for treatment or prolonged hospitalization)
Causal relationship with the study: May be relevant (causal relationship between cerebral infarction and Eylea Intravitreal Injection Solution 40 mg/mL)
The study concluded that a causal relationship between cerebral infarction and Eylea Intravitreal Injection 40 mg/mL could not be ruled out because the patient developed the disease after the injection. The event was not considered to be associated with the use of Cravit ophthalmic solution 1.5%, and no causal relationship with this drug was determined.)

Outcome measures

Trends in the rate of sterilization, drug sensitivity, sterilization rate and drug sensitivity at 0, 2, 3, and 6 months will be examined, and the incidence of endophthalmitis will also be evaluated.

Plan to share IPD

The dataset is not publicly available.

IPD sharing Plan description

The dataset is not publicly available.


Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 06 Month 17 Day

Date of IRB

2014 Year 06 Month 17 Day

Anticipated trial start date

2014 Year 08 Month 27 Day

Last follow-up date

2016 Year 12 Month 26 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 08 Month 27 Day

Last modified on

2024 Year 05 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017420