| CTRI Number |
CTRI/2021/11/037724 [Registered on: 01/11/2021] Trial Registered Prospectively |
| Last Modified On: |
30/10/2021 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Surgical/Anesthesia |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Efficacy of Limbal stem cell Transplantation in the management of severe chemical eye injury. |
|
Scientific Title of Study
|
Autologous Simple Limbal Epithelial Transplantation in the management of Unilateral Total Limbal Stem Cell Deficiency due to severe chemical burn. |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
shefali Mazumdar |
| Designation |
Assistant Professor |
| Affiliation |
S.N.Medical College Agra |
| Address |
Department of Ophthalmology, S.N.Medical College, Moti Katra ,Mantola Agra Department of Ophthalmology, S.N.Medical College, Moti Katra ,Mantola Agra Agra UTTAR PRADESH 282003 India |
| Phone |
9457288925 |
| Fax |
|
| Email |
shefalimazumdar@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
shefali Mazumdar |
| Designation |
Assistant Professor |
| Affiliation |
S.N.Medical College Agra |
| Address |
Department of Ophthalmology,
S.N.Medical College, Moti Katra ,Mantola Agra Department of Ophthalmology,
S.N.Medical College, Moti Katra ,Mantola Agra Agra UTTAR PRADESH 282003 India |
| Phone |
9457288925 |
| Fax |
|
| Email |
shefalimazumdar@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Oshin Malhotra |
| Designation |
junior resident |
| Affiliation |
S.N.Medical College Agra |
| Address |
Department of Ophthalmology,
S.N.Medical College, Moti Katra ,Mantola Agra Department of Ophthalmology,
S.N.Medical College, Moti Katra ,Mantola Agra Agra UTTAR PRADESH 282003 India |
| Phone |
8191879395 |
| Fax |
|
| Email |
oshin010@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
SNMedical College Agra |
| Address |
S.N.Medical College ,Moti Katra,Mantola Agra |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Shefali mazumdar |
S.N.Medical College ,Agra |
Cornea Unit,
Department of Ophthalmology,
S.N.Medical College Agra Agra UTTAR PRADESH |
9457288925
shefalimazumdar@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: H183||Changes of corneal membranes, (2) ICD-10 Condition: H598||Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Autologous Simple Limbal Epithelial Transplantation (SLET) |
In this Surgical intervention trial, we will take 2 mm of limbal tissue( which harbours limbal stem cells ) from patients healthy eye and will be cut into several tiny pieces .These pieces are then transplanted to patients diseased eyes Cornea ,which is damaged due to unilateral chemical injury.
|
| Comparator Agent |
none |
none |
|
|
Inclusion Criteria
|
| Age From |
10.00 Year(s) |
| Age To |
75.00 Year(s) |
| Gender |
Both |
| Details |
Documented history of chemical burn
Unilateral cases of chemical Burn |
|
| ExclusionCriteria |
| Details |
Unknown cases of LSCD
B/L cases of LSCD
Recurrent Pterygium and ocular surface tumor
Active infection
Disorganised Anterior Segment
PL absent
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Ocular surface stability(completely epithealized and avascular corneal surface)
Post operative uncorrected visual acuity |
F/U on day1,day 7 ,day 15 post op day respectively and then monthly till the completion of study |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| intra operative and post operative complications |
F/U on day1,day 7 ,day 15 post op day respectively and then monthly till the completion of study |
|
|
Target Sample Size
|
Total Sample Size="25" Sample Size from India="25"
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
|
N/A |
|
Date of First Enrollment (India)
|
08/11/2021 |
| 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)
|
Open to Recruitment |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
NIL |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response - Proposals should be directed to [shefalimazumdar@gmail.com].
- For how long will this data be available start date provided 02-01-1970 and end date provided 02-01-1970?
Response - Beginning 9 months and ending 36 months following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Limbal stem cells are located at corner scleral limbus in the palisade of Vogt.They represent the proliferative reserve.So if the limbus is intact ,all epithelial defects will heal promptly.Damage to limbal stem cells due to injury or disease can lead to limbal stem cell deficiency.One of the important causes of LSCD is chemical injury.Chemical injury accounts for 11.5-20% of ocular Trauma.Depending upon the severity of damage caused to limbus and conjunctiva, the extent of cifichemical burns may be graded by Dua’s classification.According to literature ,In severe unilateral chemical burn ,where limbal stem cells are damaged 360 degree, SLET has helped to restore the ocular surface integrity. of c Keeping this in view ,at our centre we want to offer this service of SLET to our patients of severe unilateral chemical injury. So this study aims to study the surgical outcome of Autologous Simple Limbal Epithelial Transplantation in the management of unilateral limbal stem cell deficiency due to severe chemical burn in terms of ocular surface stability(completely epithelialized,avascular corneal surface),Post operative uncorrected visual acuity . |