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CTRI Number  CTRI/2018/10/016227 [Registered on: 31/10/2018] Trial Registered Prospectively
Last Modified On: 30/11/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing efficacy of two drops in patients undergoing a laser for closed angles 
Scientific Title of Study   0.1% Nepafenac vs 0.09% Bromfenac Eye Drops in Post Laser Peripheral Iridotomy Inflammation- A Randomised Controlled Study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Lavanya G S 
Designation  Senior Resident 
Affiliation  Aravind Eye Hospital 
Address  Room no-21, Department of Glaucoma, Aravind Eye Hospital , Thavvalakuppam , Pondicherry
ARAVIND EYE HOSPITAL, Thavalakuppam , Pondichherry -605007
Pondicherry
PONDICHERRY
605007
India 
Phone  0413-2619100  
Fax    
Email  lavanya.shanker@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr R Venkatesh 
Designation  Chief Medical Officer 
Affiliation  Aravind eye hospital 
Address  Room no-21, Department of Glaucoma, Aravind Eye Hospital , Thavvalakuppam , Pondicherry

Pondicherry
PONDICHERRY
605007
India 
Phone    
Fax    
Email  venkatesh@pondy.aravind.org  
 
Details of Contact Person
Public Query
 
Name  Lavanya G S 
Designation  DNB Senior Resident 
Affiliation  Aravind eye hospital 
Address  Room no-21, Department of Glaucoma, Aravind Eye Hospital , Thavvalakuppam , Pondicherry

Pondicherry
PONDICHERRY
605007
India 
Phone    
Fax    
Email  lavanya.shanker@gmail.com  
 
Source of Monetary or Material Support  
self for thesis Lavanya G S Senior Resident Aravind Eye Hospital , Thavalakuppam , Pondicherry -605007  
 
Primary Sponsor  
Name  Aravind Eye Hospital 
Address  Thavalakuppam, Pondicherry- 605007 
Type of Sponsor  Research institution and hospital 
 
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 Lavanya G S  Room No-21, Department of Glaucoma , Aravind Eye Hospital  Thavalakuppam, Pondicherry -605007
Pondicherry
PONDICHERRY 
0413-2619100

lavanya.shanker@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Comittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  Primary Angle Closure Suspects Primary Angle Closure not started on anti glaucoma medications 
Patients  (1) ICD-10 Condition: H400||Glaucoma suspect,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  0.09% Bromfenac eye drops , one drop 2 times a day for 14 days  Non steroidal anti-inflammatory drug 
Comparator Agent  0.1% Nepafenac eye drops , one drop 3 times a day for 14 days  Non steroidal anti-inflammatory drug 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1)Primary angle closure suspects
2)Primary angle closure not started in anti-glaucoma medications post laser peripheral iridotomy
3)Best corrected visual acuity of 6/12 or better 
 
ExclusionCriteria 
Details  1) Corneal pathology like dry eyes
2) Significant cataract which is obscuring undilated disc evaluation
3) PAC patients who are started on glaucoma medication before or immediately after LPI
4) PACG and Secondary angle closure glaucoma
5) History of any topical therapy including NSAID’s within the past 30 days prior to LPI
6) Patient on systemic steroids or non-steroidal anti-inflammatory drugs
7) Any History of Laser or intraocular surgery
8) Pregnant or nursing mothers
9) Monocular patients
10) Any evidence of uveitis (old or new)
11) Patients with bleeding in the eye after the LPI
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   On-site computer system 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the anterior chamber inflammation control between 0.1% Nepafenac eye drops and 0.09% Bromfenac eye drops  2 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1)To compare the comfort level of patients between the 0.1% Nepafenac and 0.09% Bromfenac groups by questionnaire (Glaucoma symptom scale questionnaire)
2) To assess any adverse reaction to the two drops in prescribed dosage 
2 weeks 
 
Target Sample Size   Total Sample Size="158"
Sample Size from India="158" 
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)   08/11/2018 
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="2"
Days="2" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
none yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study is a Randomised , single blind , parallel group trial comparing the safety and efficacy between the two Non-steroidal anti-inflammatory eye drops -0.1% Nepafenac and 0.09% Bromfenac eye drops in patients undergoing Nd-YAG peripheral iridotomy conducted at a centre in India.
Patients will be randomised into 2 groups following YAG Peripheral iridotomy by computer generated random number to either 0.1% Nepafenac group using drops 3 times/day for 2 weeks or 0.09% Bromfenac group using drops twice daily for 2 weeks. 
At 2 weeks review, anterior chamber inflammation is graded using Standardised uveitis nomenclature grading group and comfort levels assessed using Glaucoma symptom scale questionnaire. 
The primary outcome measure is to compare the inflammation control between the two groups at 2 weeks 
The secondary outcome measure is to compare the comfort level of the patients of the two groups by using questionnaire .
Expected outcome- 
- The study will help us to find out the best NSAID drop in terms of inflammation control
- This will help us to give the best possible treatment to the patients following laser iridotomy

 
 
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