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CTRI Number  CTRI/2024/08/072314 [Registered on: 12/08/2024] Trial Registered Prospectively
Last Modified On: 09/08/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   A cross sectional study on the Variation in GCC thickness in Indian Patients taking Hydroxychloroquine and its correlation with vessel density  
Scientific Title of Study   Ganglion Cell Complex thickness in Indian Patients on Hydroxychloroquine and its Correlation with Vessel Density on OCTA – A comparative cross-sectional study  
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 Minija CK 
Designation  Senior Consultant, Medical Retina and Uvea services, Sankara Eye Hospital, Bangalore 
Affiliation  Sankara Eye Hospital, Bengaluru  
Address  Room number 26, Department of Medical Retina and uvea services, Sankara Eye Hospital, Varthur Main Road, Kundalahalli Gate, Bengaluru 560037

Bangalore
KARNATAKA
560037
India 
Phone  9480587018  
Fax    
Email  minija_ck@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Kelini Nitin Saolapurkar 
Designation  Fellow, Medical Retina and Uvea  
Affiliation  Sankara Eye Hospital, bengaluru 
Address  Room No 26, Department of Medical Retina and Uvea services, Sankara Eye Hospital, Varthur main Road, Kundalahalli Gate, Bengaluru - 560037

Bangalore
KARNATAKA
560037
India 
Phone  7760503707  
Fax    
Email  dockelini@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Kelini Nitin Saolapurkar 
Designation  Fellow, Medical Retina and Uvea  
Affiliation  Sankara Eye Hospital, bengaluru 
Address  Room No 26, Department of Medical Retina and Uvea services, Sankara Eye Hospital, Varthur main road, Kundalahalli Gate, Bengaluru

Bangalore
KARNATAKA
560037
India 
Phone  7760503707  
Fax    
Email  dockelini@gmail.com  
 
Source of Monetary or Material Support  
Sankara Eye Hospital, Varthur main Raod, Kundalahalli Gate, Bengaluru 560037 
 
Primary Sponsor  
Name  Sankara Eye Hospital, Bengaluru  
Address  Sankara Eye hospital, varthur main road, kundalahalli Gate, bengaluru 560037 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
not applicable   not applicable 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kelini Saolapurkar  Sankara Eye Hospital, Bengaluru   Room No 26, Department of Medical Retina and Uvea services, Varthur Main Road, Kundalahalli Gate, Bengaluru 560037
Bangalore
KARNATAKA 
7760503707

dockelini@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sankara Eye Hospital, Bangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M049||Autoinflammatory syndrome, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL   NIL  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  patients on HCQ treatment for any rheumatological or dermatological disorder with refractive error less than or equal to +/- 4D and cylinder of less than or equal to -3D with an intraocular pressure measurement of less than 21 mmHg  
 
ExclusionCriteria 
Details  patients diagnosed to have HCQ retinopathy or having systemic diseases like Hypertension, kidney disorder or diabetes mellitus . patients having retinal pigment epithelial abnormalities , or media opacities, glaucoma, preexisting retinal pathology or paracentral scotomas on visual field testing and patients having colour vision defects  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the thickness of Ganglion cell complex at the macula in patients taking HCQ

 
at baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation of GCC Thickness with vessel density changes in SCP & DCP layer in OCTA.
To study correlation of GCC thickness with cumulative dose of HCQ.
 
at baseline 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="10"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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  

Hydroxychloroquine (HCQ) retinopathy is a known side effect of long term administration of HCQ. Predisposing risk factors area daily dose more than 6.5 mg/kg, cumulative dose more than 1000 g, duration of use over 5 years

In the initial phase, toxicity is reversible after drug discontinuation

However, with current Objective Imaging techniques, irreversible RPE changes have occurred and some degree of visual loss is evident.

Therefore, early detection is critical. 

 

 

Increasing evidence exists, of signs of HCQ toxicity in RGC before visual loss occurs before morphological changes occur in the outer retinal layers which are irreversible.  GCL complex not studied in Asian patients. While effect of HCQ on vessel density on OCT angiography (OCTA) has been studied, its correlation with GCL thickness has not been studied before. Our study aims to observe the thinning of ganglion cell complex in Asian patients taking HCQ as an early objective sign of toxicity before retinopathy develops. 

 
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