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CTRI Number  CTRI/2012/08/002878 [Registered on: 13/08/2012] Trial Registered Retrospectively
Last Modified On: 22/04/2012
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   It is a study of two modes of treatment; which are called Laser Photocoagulation alone and with drug Triamcinolone, in the patients which are suffering from eye disease caused by Diabetes Mellitus. 
Scientific Title of Study   A randomized, parallel group, open label, Comparative study of laser photocoagulation with and without intravitreal triamcinolone acetonide in clinically significant macular edema (CSME) in diabetic retinopathy. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Hetal J Patel 
Designation  second year resident 
Affiliation  Govt. medical college bhavnagar 
Address  Dhanvantri PG hostel-2 ,Room no. 504, Sir Takhatsinhji general Hospital campus, Bhavnagar-364001 ,Gujarat , India
Dhanvantri PG hostel-2 ,Room no. 504, Sir Takhatsinhji general Hospital campus, Bhavnagar-364001 ,Gujarat , India
Bhavnagar
GUJARAT
364 001
India 
Phone  09099987070  
Fax    
Email  drhetalpatel@ymail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neepa R Gohil 
Designation  Assistant Professor 
Affiliation  Govt. medical college bhavnagar 
Address  Department of Ophthalmology,1 st floor, New O.P.D. Building, Sir Takhatsinhji general Hospital ,Jail road, Bhavnagar-364001 ,Gujarat , India
YASHANSHU Plot no:83-A Vidyanagar,Chitranjan chowk , Bhavnagar-364001 ,Gujarat , India
Bhavnagar
GUJARAT
364 001
India 
Phone  09909978072  
Fax    
Email  neepasolanki@indiatimes.com  
 
Details of Contact Person
Public Query
 
Name  Dr Hetal J Patel 
Designation  second year resident 
Affiliation  Govt. medical college bhavnagar 
Address  Dhanvantri PG hostel-2 ,Room no. 504, Sir Takhatsinhji general Hospital campus, Bhavnagar-364001 ,Gujarat , India
Dhanvantri PG hostel-2 ,Room no. 504, Sir Takhatsinhji general Hospital campus, Bhavnagar-364001 ,Gujarat , India
Bhavnagar
GUJARAT
364 001
India 
Phone  09099987070  
Fax    
Email  drhetalpatel@ymail.com  
 
Source of Monetary or Material Support  
Sir Takhatsinhji general Hospital , Bhavnagar 364 001 ,Gujarat 
 
Primary Sponsor  
Name  Govt medical college and Sir Takhatsinhji General Hospital Bhavnagar 
Address  Sir Takhatsinhji general Hospital ,Jail road, Bhavnagar-364001 ,Gujarat , India  
Type of Sponsor  Government 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 Hetal Patel  Department of Ophthalmology, Sir Takhatsinhji general Hospital , Bhavnagar   Department of Ophthalmology,5 th floor, New O.P.D. building, Sir Takhatsinhji general Hospital campus,Jail road, Bhavnagar , 364 001 , Gujarat , India
Bhavnagar
GUJARAT 
9099987070

drhetalpatel@ymail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Review Board ( Human Ethics Committee ),Govt. Medical College Bhavnagar 364 001  Approved 
Institutional Review Board (Human Ethics Committee ),Govt. Medical College Bhavnagar 364 001   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Diabetic Macular Edema in Diabetic Retinopathy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Triamcinolone Acetonide   Injection Triamcinolone Acetonide 4mg / 0.1ml ,single dose, Intravitreally through pars plana route  
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1) Diagnosis of diabetes mellitus ( type or type 2).
2) Age ≥ 18 years.
3) Able and willing to provide informed consent.
4) Definite retinal thicking due to diabetic macular edema based on clinical examination involving the centre of the macula.
5) Media clarity, papillary dilatation, and patient cooperation sufficient
For adequate fundus photographs.
6) IOP < 25 mmHg

 
 
ExclusionCriteria 
Details  1) History of chronic renal failure requiring dialysis or kidney transplant.
2) Known allergy to any corticosteroid or any component of the delivery vehicle.
3) History of systemic (e.g. oral, IV, IM, epidural, bursal) corticosteroids within 4 ) months prior to randomization or topical, rectal or inhaled corticosteroids in current use more than 2 times per week.

5) Proliferative diabetic retinopathy.
6) Aphakia.
7) Intraocular pressure ≥ 25 mmHg.
8) History of open angle glaucoma.
9) History of steroid-induced intraocular pressure elevation that required IOP lowering agents.
10) History of prior treatment with intravitreal corticosteroids within 6 months prior to randomization.
11) History of focal/grid macular photocoagulation within 15 weeks (3.5 months) prior to randomization.
12) History of panretinal scatter photocoagulation (PRP) within prior 4 months or anticipated within the next 6 months following randomization.
13) History of major ocular surgery ( including cataract extraction, scleral buckle, any intraocular surgery etc.) within prior 6 months or anticipated within the next 6 months following randomization.
14) History of prior herpetic ocular infection.
15) An ocular condition is present such that visual acuity would not improve from resolution of macular edema (e.g. foveal atrophy, pigmentary changes, nonretinal conditions).
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Bestcorrecterd Visual Acuity and
Intraocular pressure 
Day 1, Day 7, Weeks 3, Weeks 6, Weeks 12, Weeks 24 
 
Secondary Outcome  
Outcome  TimePoints 
any Adverse events  Day 1, Day 7, Weeks 3, Weeks 6, Weeks 12, Weeks 24 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   01/09/2010 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is a randomized, parallel group, open label, comparative study comparing safety and efficacy of Laser Photocoagulation with and without  intravitreal injection Triamcinolone Acetonide in patients with clinically significant macular edema in diabetic retinopathy that will be conducted at single centre in India. The primary outcome measures will be best corrected visual acuity and intraocular pressure measurement. 

 
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