Unique ID issued by UMIN | UMIN000042864 |
---|---|
Receipt number | R000048143 |
Scientific Title | Prospective comparative study between rispadil and brinzolamide in glaucoma for intraocular pressure elevation after trabeculotomy ab interno |
Date of disclosure of the study information | 2021/01/04 |
Last modified on | 2025/01/07 15:31:56 |
Study for intraocular pressure elevation after glaucoma surgery
Study for intraocular pressure elevation after glaucoma surgery
Prospective comparative study between rispadil and brinzolamide in glaucoma for intraocular pressure elevation after trabeculotomy ab interno
RB study
Japan |
Primary open angle glaucoma and exfoliative glaucoma
Ophthalmology |
Others
NO
MIGS (minimally invasive glaucoma surgery) is less invasive than conventional glaucoma surgeries and getting popular these days. A Kahook dual blade (KDB) is a MIGS device, especially for trabeculotomy ab interno. One of the complications after trabeculotomy including trabeculotomy ab interno with KDB (KDB-trabeculotomy) is a transient intraocular pressure (IOP) increase (IOP spike). The frequency is about 5% and IOP spike is a risk factor for the progression of visual field impairment. Therefore, suppressing postoperative intraocular pressure spikes is important. IOP-lowering drugs are administered against the IOP elevation after surgery, however, anti-biotics and anti-inflammation drops are essential after surgery, so it is required to minimize drops to control the IOP.The purpose of this study is to compare two medications which have different mechanisms of action on aqueous humor outflow pathway, Ripasudil (a specific Rho-kinase inhibitor) and Brinzolamide (a carbonic anhydrase inhibitor), and assess their efficacy and safety.
Safety,Efficacy
Level of IOP at 1 day, 1 week, 1 month, and 3 months after surgery
Visual acuity, number and thickness of corneal endothelium, visual field, gonioscopy, doing condition and safety
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
Pseudo-randomization
2
Treatment
Medicine |
Ripasudil eye drop is administrated twice daily until 3 months after surgery.
Brinzolamide eye drop is administrated twice daily until 3 months after surgery.
20 | years-old | <= |
Not applicable |
Male and Female
Subjects are adult patients with primary open angle glaucoma or exfoliative glaucoma who approved as an indication for KDB-trabeculotomy at a preoperative conference and obtained the consent for this study in the document at the Kumamoto University Hospital and whose IOP after surgery is 12 mmHg or higher.
Exclusion criteria are cases who have difficulty obtaining consent for this study due to mental diseases, or reliable inspection data e.g. due to corneal diseases, who have a contraindication for Ripasuril and Brimonidine, and whose IOP is 20 mmHg or more at 1 day after surgery.
172
1st name | Toshihiro |
Middle name | |
Last name | Inoue |
Faculty of Life Sciences, Kumamoto University
Department of Ophthalmology
860-8556
1-1-1 Honjo, Chuo-ku, Kumamoto-city
+81963735247
noel@da2.so-net.ne.jp
1st name | Eri |
Middle name | |
Last name | Takahashi |
Faculty of Life Sciences, Kumamoto University
Department of Ophthalmology
860-8556
1-1-1 Honjo, Chuo-ku, Kumamoto-city
+81963735247
eritakahashi@kumamoto-u.ac.jp
Faculty of Life Sciences, Kumamoto University
N/A
Other
Kumamoto University
1-1-1, Honjo, Chuo-ku, Kumamoto city
+81963735966
byi-senshin@jimu.kumamoto-u.ac.jp
NO
2021 | Year | 01 | Month | 04 | Day |
Unpublished
Open public recruiting
2020 | Year | 11 | Month | 30 | Day |
2020 | Year | 11 | Month | 30 | Day |
2021 | Year | 10 | Month | 16 | Day |
2026 | Year | 03 | Month | 31 | Day |
2020 | Year | 12 | Month | 27 | Day |
2025 | Year | 01 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048143