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CTRI Number  CTRI/2009/091/001078 [Registered on: 08/03/2010]
Last Modified On:
Post Graduate Thesis   
Type of Trial   
Type of Study    
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical trial to study the efficacy of Acular LS eyedrops in preventing thickening of the retina due to edema after cataract surgery. "Acular LS CME Study (ALCS)"  
Scientific Title of Study   Randomised , triple blinded, placebo controlled, clinical trial to compare the effect of Ketorolac tromethamine 0.4% in prophylactically preventing Cystoid Macula Edema following Cataract Surgery  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Abhishek Hoshing 
Designation   
Affiliation   
Address  Dept. of Ophthalmology
Schell Eye Hospital, Arni Road
Vellore
TAMIL NADU
632001
India 
Phone  0416-2281201  
Fax    
Email  abhishekhoshing@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Pushpa Jacob 
Designation   
Affiliation   
Address  Dept. of Ophthalmology
Schell Eye Hospital, Arni Road
Vellore
TAMIL NADU
632001
India 
Phone  0416-2281201  
Fax    
Email  pushpa_jacob@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Abhishek Hoshing 
Designation   
Affiliation   
Address  Dept. of Ophthalmology
Schell Eye Hospital, Arni Road
Vellore
TAMIL NADU
632001
India 
Phone  0416-2281201  
Fax    
Email  abhishekhoshing@gmail.com  
 
Source of Monetary or Material Support  
Allergan India limited will provide the unmarked bottles of Acular LS and Placebo 
The FLUID Research Grant Committee of Christian Medical College and Hospital, Vellore, Tamil Nadu  
 
Primary Sponsor  
Name  NIL 
Address   
Type of Sponsor   
 
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. Abhishek Hoshing  Department of Ophthalmolog  Schell Eye Hospital,Arni Road-632001
Vellore
TAMIL NADU 
0416-2281201

ahoshing@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee and Institutional Review Board of Christian Medical College And Hospital, Vellore, Tamil Nadu   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Post Small Incision Cataract Surgery (Pseudophakic) Acute Cystoid Macular Edema,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ketorolac tromethamine eye drops 0.4%  one drop 4 times in a day for 2 months 
Comparator Agent  Polyvinyl Alcohol 14mg/ml (Tear Substitute)  One drop 4 times a day for 2 months 
 
Inclusion Criteria  
Age From   
Age To   
Gender   
Details  Adult males and females 50-70 years of age coming for cataract surgery to our hospital. Staying within 40 kms of Vellore town.  
 
ExclusionCriteria 
Details  Inabiltity to visualise the macula preoperatively in the eye to be operated. Ocular disease that can affect macular function. Uncontrolled Diabetics defined by RBS/PP Sugars > 200mg/dl. Diabetic Maculopathy with Edema in eye to be operated. Past History of intraocular surgery in the eye under consideration. History of use of Topical steroid drops or NSAID drops within the past 30 days prior to enrolment. Current use of Oral steroids. Known NSAIDs Allergy.  
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Acute Pseudophakic Cystoid Macular Edema  2 months 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="704"
Sample Size from India="" 
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 3 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  08/02/2010 
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)   Open to Recruitment 
Recruitment Status of Trial (India)   
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is a Randomised , triple blinded, parallel group, placebo controlled trial to assess the efficacy of Ketorolac Tromethamine 0.4% eye drops (1 drop 4 times a day for 2 months) in prophylactically preventing Acute Pseudophakic Cystoid Macular Edema as compared to a placebo. The study will be conducted at 1 site only in the Department of Ophthalmology of a Tertiary care level hospital and will randomise 704 patients to the two protocols (352 in each arm). The primary outcome will be occurrence of Cystoid Macular Edema in post cataract surgery patients measured clinically with visual acuity and fundus examination with Slit Lamp Biomicroscopy and also with Optical Coherence Tomography (Fast Macula scan)  
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