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CTRI Number  CTRI/2024/06/069279 [Registered on: 20/06/2024] Trial Registered Prospectively
Last Modified On: 13/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing Two Methods of Corneal Treatment in Patients Aged 6-35 with Keratoconus 
Scientific Title of Study   Comparison of efficacy between accelerated epithelium-off and accelerated epithelium-on corneal collagen crosslinking in patients with keratoconus 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Parul Jain 
Designation  Associate Professor and Head of Unit 
Affiliation  Department of Ophthalmology Maulana Azad Medical College And associated G.N.E.C 
Address  Cornea services, Department of Opthalmology, Maulana Azad Medical College and Guru Nanak Eye Centre, New Delhi-110002

Central
DELHI
110002
India 
Phone  9971927902  
Fax    
Email  pjain811@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pushkar Rangari 
Designation  PG student  
Affiliation  Department of Ophthalmology Maulana Azad Medical College And associated G.N.E.C 
Address  Department of Opthalmology, Maulana Azad Medical College and Guru Nanak Eye Centre, New Delhi-110002

Central
DELHI
110002
India 
Phone  9820089224  
Fax    
Email  pushkarrangari@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pushkar Rangari 
Designation  PG student  
Affiliation  Department of Ophthalmology Maulana Azad Medical College And associated G.N.E.C 
Address  Department of Opthalmology, Maulana Azad Medical College and Guru Nanak Eye Centre, New Delhi-110002

Central
DELHI
110002
India 
Phone  9820089224  
Fax    
Email  pushkarrangari@gmail.com  
 
Source of Monetary or Material Support  
Department of Opthalmology Maulana Azad Medical College and Guru Nanak Eye Centre, New Delhi Pin-110002  
 
Primary Sponsor  
Name  Maulana Azad Medical College and associated Hospitals Guru nanak eye centre 
Address  Maulana Azad Medical College and associated hospitals Guru nanak eye centre, New Delhi, Pin-110002 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pushkar Rangari  Guru Nanak Eye Centre  Room 101, Department of Opthalmology, Cornea services, Maulana Azad Medical College and associated hospitals Guru Nanak Eye Centre, New Delhi PIN-110002
Central
DELHI 
9820089224

pushkarrangari@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Maulana Azad medical college Institutional ethics committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H186||Keratoconus, (2) ICD-10 Condition: H186||Keratoconus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  C3R using isotonic riboflavin dye  performing epi off C3R using isotonic riboflavin dye. Isotonic dye 1 drop every 3 minutes for 30 minutes followed by irradiation for 10 minutes with the dye in the same frequency of 1 drop every 3 minutes 
Intervention  C3R using Ribofast dye   performing epi on C3R using ribofast dye. dye application 1 drop every minute for 30 minutes followed UV irradiation for 10 minutes with ribofast dye 1 drop per minute during irradiation 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1)Central corneal thickness more than 400 microns at the thinnest point 
 
ExclusionCriteria 
Details  a)Patients with history of trauma and prior ocular surgery
b)Corneal scar or history of herpetic keratitis
c)Active vernal keratoconjunctivitis
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1)Change in maximum keratometry (Kmax) at 6 months   6 months  
 
Secondary Outcome  
Outcome  TimePoints 
1)Demarcation line on anterior segment OCT at 1 month
2)Change in best corrected visual acuity (BCVA) at 6months
3)Endothelial cell density at 6 months
 
1 month,6 months 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   29/06/2024 
Date of Study Completion (India) 31/08/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This  Prospective, randomized, comparative study compares the efficacy between accelerated epithelium-off and accelerated epithelium-on corneal collagen crosslinking in patients with keratoconus. It would be conducted at Guru Nanak Eye Centre, comprising 2 groups of 25 patients per group. The primary outcome is to observe the change in maximum keratometry (Kmax) at 6 months and the secondary objective is to observe the demarcation line on anterior segment OCT at 1 month, change in best corrected visual acuity (BCVA) at 6 months and endothelial cell density at 6 months 
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