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CTRI Number  CTRI/2024/04/064956 [Registered on: 01/04/2024] Trial Registered Prospectively
Last Modified On: 28/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparative study in which participants will receive NSAIDs eye drops at different intervals after cataract surgery and the visual outcome and post operative complications will be compared. 
Scientific Title of Study   To compare visual outcome, post-operative inflammation and Cystoid macular edema in Early v/s late initiation of NSAIDs 
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.Mithila Pravin Joshi 
Designation  Primary DNB Resident 
Affiliation  Aravind Eye Hospitals , Chennai 
Address  Aravind Eye Hospital,IOL department,Room no 111, Poonamalle High Road ,Noombal, Opposite Saveetha Dental college, Chennai -600077
Aravind Eye Hospitals , Poonamallee High road , Opposite Saveetha Dental College , Noombal , Chennai -600077
Chennai
TAMIL NADU
600077
India 
Phone  9834757320  
Fax    
Email  joshi.mithila@aravind.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Haripriya Aravind 
Designation  Chief -IOL and Cataract department, Room no.111 ,Aravind Eye hospital, Chennai  
Affiliation  Aravind Eye Hospital, Chennai 
Address  Aravind Eye Hospital, Poonamalle High Road ,Noombal ,Opposite Saveetha dental college, Chennai -600077

Chennai
TAMIL NADU
600077
India 
Phone  9442643561  
Fax    
Email  haripriya@aravind.org  
 
Details of Contact Person
Public Query
 
Name  Dr. Haripriya Aravind 
Designation  Chief -IOL and Cataract Services,Room no. 111, Aravind Eye hospital, Chennai  
Affiliation  Aravind Eye Hospital, Chennai 
Address  Aravind Eye Hospital, Poonamalle High Road ,Noombal ,Opposite Saveetha dental college, Chennai -600077

Chennai
TAMIL NADU
600077
India 
Phone  9442643561  
Fax    
Email  haripriya@aravind.org  
 
Source of Monetary or Material Support  
Aravind Eye Hospital,Poonamalle high road, Noombal, Opposite Saveetha dental college , Chennai-600077, Tamil Nadu , India 
 
Primary Sponsor  
Name  Mithila Pravin Joshi 
Address  Aravind Eye Hospital , Poonamalle high road , Noombal , Chennai - 600077 
Type of Sponsor  Other [Self] 
 
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 Mithila Pravin Joshi  Aravind Eye Hospital , Chennai  Aravind Eye Hospital , IOL and Cataract department, Room no 111,Poonamallee high road , Noombal, Chennai-600077,India
Chennai
TAMIL NADU 
9834757320

joshi.mithila@aravind.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Commitee , Aravind Eye Hospital , Chennai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H598||Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nepafenac  Topical Nepafenac 0.1% thrice daily for 1 month from postoperative day 1.  
Intervention  Nepafenac  Topical Nepafenac 0.1% thrice daily for 1 month starting at post operative day 21. 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Visually significant cataract
Uneventful phacoemulsification with IOL implantation 
 
ExclusionCriteria 
Details  1)Diabetic retinopathy and other retinal pathologies
2)History of uveitis.
3)Mature, hyper mature, traumatic, complicated cataract.
4) Known or suspected hypersensitivity to Non-Steroidal Anti-Inflammatory Drugs (NSAIDS)
5) Cystoid macular edema in the fellow eye.
6) Vascular occlusive disorders.
7) Associated Macular pathologies
8)Pregnant and lactating women
9) Patients with mental illness
10)Non visualization of fundus
11) H/O steroid responsiveness
12) H/O Prostaglandin analog usage
13) Dry eye
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Improvement in visual acuity  1 year 
 
Secondary Outcome  
Outcome  TimePoints 
1)Reduced incidence of post operative inflammation.
2)Reduced incidence of CME on late initiation of prophylactic NSAID therapy.
 
1 year 
 
Target Sample Size   Total Sample Size="220"
Sample Size from India="220" 
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   Phase 4 
Date of First Enrollment (India)   08/04/2024 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  
Post operative inflammation and Cystoid Macular Edema
(CME) are common complications following cataract surgery. Corticosteroids and Non-Steroidal
Anti-Inflammatory Drugs (NSAIDs) are commonly used to treat them. This study aims to compare
these complications after surgery with administration of the above mentioned two drugs. Patients
will be divided in two groups- Group 1 will receive topical Nepafenac 0.1% thrice daily for 1 month from
postoperative day 1. Group 2 will receive topical Nepafenac 0.1% thrice daily for 1 month starting 3 weeks
postoperatively. All participants will receive topical Dexamethasone 0.1% 6 times a day for 1 week, 4 times a
day for the next week, and then tapered 1 drop per week over the next 3 weeks from post operative day 1.
Both groups will be compared to look for post operative inflammation, CME and visual acuity after the
surgery.

 
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