UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061678
Receipt number R000070572
Scientific Title Prospective paired-eye non-inferiority study evaluating the effects of 0.1% Brilliant Blue G anterior capsule staining on corneal endothelial cell loss and aqueous flare after low-stress Eight-Chop cataract surgery
Date of disclosure of the study information 2026/06/01
Last modified on 2026/06/01 06:33:17

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Basic information

Public title

Prospective paired-eye study evaluating the effects of 0.1% Brilliant Blue G anterior capsule staining on corneal endothelial cell loss and aqueous flare after low-stress Eight-Chop cataract surgery

Acronym

BBG Paired-Eye Study

Scientific Title

Prospective paired-eye non-inferiority study evaluating the effects of 0.1% Brilliant Blue G anterior capsule staining on corneal endothelial cell loss and aqueous flare after low-stress Eight-Chop cataract surgery

Scientific Title:Acronym

BBG-EIGHT Study

Region

Japan


Condition

Condition

age-related cataract

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate whether 0.1% Brilliant Blue G (BBG) anterior capsule staining is non-inferior to no staining with respect to corneal endothelial cell loss and anterior chamber flare in patients undergoing low-stress cataract surgery using the Eight-Chop technique in a prospective paired-eye design.

In this study, both eyes of patients scheduled for bilateral cataract surgery will be operated on using a standardized low-stress Eight-Chop phacoemulsification protocol. One eye will receive 0.1% BBG anterior capsule staining, whereas the fellow eye will undergo cataract surgery without anterior capsule staining.

By comparing percentage endothelial cell loss, central corneal thickness, and aqueous flare values between BBG-stained and non-stained fellow eyes at predefined time points, the study aims to clarify the safety and utility of 0.1% BBG anterior capsule staining in routine cataract surgery.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Difference in percentage corneal endothelial cell loss between BBG-stained and non-stained fellow eyes at 19 weeks postoperatively.

Key secondary outcomes

1.Difference in percentage endothelial cell loss between fellow eyes at 7 weeks postoperatively
2.Changes in central corneal thickness (CCT) in each eye at 1 day, 7 days, 7 weeks, and 19 weeks
3.Aqueous flare values in each eye at preoperative baseline, 1 day, 7 days, 7 weeks, and 19 weeks


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Cataract surgery is performed using the low-stress Eight-Chop phacoemulsification technique combined with 0.1% brilliant blue G (BBG) anterior capsule staining. The fellow eye without BBG staining in the same patient is used as an internal control for within-patient paired comparison.

Interventions/Control_2


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

50 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients scheduled to undergo cataract surgery at Sato Eye Clinic
Patients with visually significant lens opacity in one or both eyes in whom cataract surgery is expected to improve visual function as judged by the investigator
Patients aged 50 to 90 years at the time of informed consent
Patients with corneal endothelial cell counts considered sufficient to tolerate routine cataract surgery as judged by the investigator
Patients in whom standard phacoemulsification and intraocular lens implantation are considered feasible based on anterior chamber depth, pupil size, and other anterior segment findings
Patients who have received both written and verbal information about the study and have provided written informed consent of their own free will

Key exclusion criteria

Patients with a low corneal endothelial cell count in whom cataract surgery is considered to carry a high risk of severe endothelial damage by the investigator

Patients with corneal opacity or corneal scarring that markedly reduces intraoperative visibility of the anterior capsule or lens nucleus

Eyes with markedly altered anterior segment anatomy, such as after glaucoma surgery or corneal transplantation

Patients with clinical findings strongly suggesting zonular weakness or lens subluxation in whom standard phacoemulsification cataract surgery is considered difficult by the investigator

Patients with uveitis or active intraocular inflammation

Patients with severe retinal diseases, such as proliferative diabetic retinopathy, in whom visual improvement after cataract surgery cannot be reliably evaluated

Patients who have previously undergone intraocular surgery, including cataract surgery, in the study eye

Patients who are pregnant or may be pregnant

Patients who are unable to understand the explanation of the study or who cannot provide written informed consent

Any other patients whom the investigator judges to be inappropriate for participation in this study

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Tsuyoshi
Middle name
Last name Sato

Organization

Sato Eye Clinic

Division name

Director

Zip code

2710077

Address

3-3 Nemoto, Matsudoshi, Chiba, Jpan

TEL

0477029822

Email

perfect-eightchop@sato-ganka.com


Public contact

Name of contact person

1st name Tsuyoshi
Middle name
Last name Sato

Organization

Sato Eye Clinic

Division name

Director

Zip code

2710077

Address

3-3 Nemoto, Matsudoshi, Chiba, Jpan

TEL

047029822

Homepage URL


Email

perfect-eightchop@sato-ganka.com


Sponsor or person

Institute

Sato Eye Clinic

Institute

Department

Personal name



Funding Source

Organization

Sato Eye Clinic

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

Sato Eye Clinic

Address

3-3 Nemoto, Matsudoshi, Chiba, Jpan

Tel

0477029822

Email

perfect-eightchop@sato-ganka.com


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



Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 01 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

2026 Year 05 Month 25 Day

Date of IRB

2026 Year 05 Month 25 Day

Anticipated trial start date

2026 Year 06 Month 01 Day

Last follow-up date

2028 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 05 Month 25 Day

Last modified on

2026 Year 06 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070572