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CTRI Number  CTRI/2013/06/003764 [Registered on: 18/06/2013] Trial Registered Retrospectively
Last Modified On: 04/05/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Clinical trial to study the effects of two techniques-using patients own blood and fibrin glue-for conjunctival graft adherence in pterygium surgery 
Scientific Title of Study   A Prospective Randomised Controlled Trial to compare the efficacy and outcome of Autologous blood and Fibrin glue for conjunctival autograft adherence in Sutureless Pterygium surgery 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1140-6572  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Abraham Kurian 
Designation  Senior Consultant  
Affiliation  Chaithanya Eye Hospital and Research Institute 
Address  Kesavadasapuram, Thiruvananthapuram

Thiruvananthapuram
KERALA
695004
India 
Phone  919847094478  
Fax  04712443985  
Email  abrahamkurian55@yahoo.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Iodine Reghunadhan 
Designation  Consultant 
Affiliation  Chaithanya Eye Hospital and Research Institute 
Address  Kesavadasapuram, Thiruvananthapuram

Thiruvananthapuram
KERALA
695004
India 
Phone  919847104830  
Fax  04712443985  
Email  iodine_b@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Iodine Reghunadhan 
Designation  Consultant 
Affiliation  Chaithanya Eye Hospital and Research Institute 
Address  Kesavadasapuram, Thiruvananthapuram

Thiruvananthapuram
KERALA
695004
India 
Phone  919847104830  
Fax  04712443985  
Email  iodine_b@yahoo.com  
 
Source of Monetary or Material Support  
Chaithanya Eye Hospital and Research Institute, Kesavadasapuram,Thiruvananthapuram 
 
Primary Sponsor  
Name  Dr Abraham Kurian 
Address  Senior Consultant, Chaithanya Eye Hospital and Research Institute, Kesavadasapuram, Thiruvananthapuram 
Type of Sponsor  Other [Principal Investigator] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Iodine Reghunadhan  Consultant, Chaithanya Eye Hospital and Research Institute, Kesavadasapuram, Thiruvananthapuram 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Abraham Kurian  Chaithanya Eye Hospital and Research Institute  Kesavadasapuram, Thiruvananthapuram
Thiruvananthapuram
KERALA 
919847094478
04712443985
abrahamkurian55@yahoo.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ETHICAL COMMITTEE, CHAITHANYA EYE HOSPITAL AND RESEARCH INSTITUTE, Kesavadasapuram,Thiruvananthapuram  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Clinically Significant Primary Pterygium, (1) ICD-10 Condition: H110||Pterygium of eye,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Excision Pterygium with Free Conjunctival Autograft with Autologous blood  Patients own blood at the surgical site is used for adherence of the conjunctival autograft to the bare scleral bed 
Comparator Agent  Excision Pterygium with Free Conjunctival Autograft with Fibrin glue  Commercially available fibrin glue is used for adherence of the conjunctival autograft to the bare scleral bed 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Clinically significant primary pterygia 
 
ExclusionCriteria 
Details  1)Recurrent Pterygium
2)Patients with significant ocular surface disease
3)Patients with known hypersensitivity to fibrin glue or any of its components
4)Patients on Anticoagulants or antirheological agents (as these are thought to have an adverse effect on the adherence of the graft with autologous blood) 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
1)Graft adherence
2)Recurrence 
1)1 day,1 week
2)1 year 
 
Secondary Outcome  
Outcome  TimePoints 
Complications like Graft retraction,Subconjunctival haemorrhage  1 day,1 week,1month 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/01/2012 
Date of Study Completion (India) 24/03/2015 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Closed to recruitment of participants: Follow- up continuing 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
This study is a randomised controlled,parallel group interventional single centre trial to compare the efficacy and outcome of Autologous blood and fibrin glue for conjunctival graft adherence in sutureless pterygium surgery, in 200 patients with primary pterygia. The patients are randomly assigned to two groups-Group I - using autologous blood and Group II - using fibrin glue.The primary outcome measures will be the graft adherence assessed at 1 day and 1 week and recurrence at 1 year postoperatively. Secondary outcome measures will be incidence of graft related complications at 1 day, 1 week and 1 month postoperatively. 
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