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CTRI Number  CTRI/2025/02/080364 [Registered on: 12/02/2025] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   Topical Ripasudil in patients with corneal edema post-cataract surgery 
Scientific Title of Study   Role of Ripasudil in faster resolution of corneal edema in patients post cataract surgery  
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. Shubashree Karat 
Designation  Assistant professor 
Affiliation  St Johns Medical College and Hospital 
Address  Department of OPhthalmology, Room No 20, St Johns medical college and hospital, Sarjapur main road Kormangala
sarjapur main road, Koramangla , Bangalore 560034
Bangalore
KARNATAKA
560034
India 
Phone  9900325184  
Fax    
Email  shubashree.karat@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shubashree Karat 
Designation  Assistant professor 
Affiliation  St Johns Medical College and Hospital 
Address  Department of OPhthalmology, Room No 20, St Johns medical college and hospital, Sarjapur main road Kormangala
sarjapur main road, Koramangla , Bangalore 560034
Bangalore
KARNATAKA
560034
India 
Phone  09900325184  
Fax    
Email  shubashree.karat@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shubashree Karat 
Designation  Assistant professor 
Affiliation  St Johns Medical College and Hospital 
Address  Department of OPhthalmology, Room No 20, St Johns medical college and hospital, Sarjapur main road Kormangala
sarjapur main road, Koramangla , Bangalore 560034
Bangalore
KARNATAKA
560034
India 
Phone  09900325184  
Fax    
Email  shubashree.karat@gmail.com  
 
Source of Monetary or Material Support  
St Johns medical college and hospital, Sarjapur main Road Koramangala Bangalore- 560034 
 
Primary Sponsor  
Name  St Johns Medical College 
Address  Sarjapur main road Koramangla, Bangalore 560034 
Type of Sponsor  Private 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 Shubashree  st johns medical college hospital  Department of Ophthalmology, Room No 20, St Johns medical college and hospital, Sarjapur main road Koramangla, Bangalore 560034
Bangalore
KARNATAKA 
9900325184

shubashree.karat@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, St. Johns Medical College Hospital, Bangalore 560034, India.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H181||Bullous keratopathy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  hypertonic saline 5%  instilled twice a day for 2 weeks.  
Intervention  ripasudil eyedrops 0.4%  Ripasudil eyedrops will be instilled twice a day for 2weeks 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  All patients undergoing cataract surgery- Phacoemulsification and small incision cataract surgery with any grade of corneal edema on post-operative Day 1 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the potential of Ripasudil 0.4% in resolution of corneal edema postoperatively, to obtain corneal transparency.  every subject is followed up at the end of 1st week, 2nd week and 6th week 
 
Secondary Outcome  
Outcome  TimePoints 
Compare the efficacy of ripasudil versus standard of care in treatment of postoperative corneal edema  all participants of the trial are followed up over 6 weeks 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   25/02/2025 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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  

Research indicates that ripasudil may improve the healing of corneal endothelial wounds in rabbit models(4), highlighting its potential for safeguarding the corneal endothelium during eye surgeries. Despite this, there is still no clear agreement on using ripasudil in human subjects to protect the cornea following intraocular surgeries. Recent findings (5) suggest that ripasudil could help maintain the functional integrity of the corneal endothelium and reduce cell loss after cataract surgery in patients with low endothelial cell density (ECD). These observations point to the possibility of employing ripasudil more broadly to protect the corneal endothelium after such procedures. The purpose of this study is to assess the effectiveness of ripasudil in preserving corneal ECD after standard cataract surgery.


 
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