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CTRI Number  CTRI/2024/03/064395 [Registered on: 19/03/2024] Trial Registered Prospectively
Last Modified On: 16/03/2024
Post Graduate Thesis  Yes 
Type of Trial  PMS 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical study to find if there any difference in the outcomes between the SINGLE VS TWO STEP t- PRK with respect to visual outcomes. And to study rate of corneal wound healing with different lubricating eye drops. 
Scientific Title of Study   Transepithelial photorefractive keratectomy : A randomized comparative study between two-step and one-step techniques of transepithelial PRK and the rate of wound healing with different lubricating eye drops. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ganthi Chetana Lakshmi 
Designation  Post MBBS Primary DNB 1 st year 
Affiliation  Sankara eye hospital, Pedakakani, Guntur 
Address  Sankara eye hospital, Guntur- Vijayawada express highway,Pedakakani,Guntur, Andhra Pradesh, 522509

Guntur
ANDHRA PRADESH
522509
India 
Phone  9494069928  
Fax    
Email  chetanambbs14@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Sudhakar Potti 
Designation  Chief Medical Officer, Head of Department, Cornea 
Affiliation  Sankara eye hospital, Pedakakani, Guntur 
Address  Sankara Eye Hospital, Guntur- Vijayawada express highway, Pedakakani, Guntur, Andhra Pradesh, 522509

Guntur
ANDHRA PRADESH
522509
India 
Phone  9705190929  
Fax    
Email  sudhakar@sankaraeye.com  
 
Details of Contact Person
Public Query
 
Name  Ganthi Chetana Lakshmi 
Designation  Post MBBS Primary DNB 1 st year 
Affiliation  Sankara eye hospital, Pedakakani, Guntur 
Address  Sankara eye Hospital, Guntur- Vijayawada express highway, Pedakakani, Guntur, Andhra Pradesh, 522509

Guntur
ANDHRA PRADESH
522509
India 
Phone  9494069928  
Fax    
Email  chetanambbs14@gmail.com  
 
Source of Monetary or Material Support  
Management of Sankara Eye Hospital, Guntur-Vijayawada express highway, Pedakakani, Guntur, Andhra Pradesh,522509 
 
Primary Sponsor  
Name  Ganthi Chetana Lakshmi 
Address  Sankara Eye Hospital, Guntur- Vijayawada express highway, Pedakakani, Guntur, Andhra Pradesh , India,522509 
Type of Sponsor  Other [Principal investigator] 
 
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 Ganthi Chetana Lakshmi  Sankara Eye Hospital  Department of cornea, Roon number: 118 , Guntur- Vijayawada express highway, Pedakakani, Guntur, Andhra Pradesh , 522509
Guntur
ANDHRA PRADESH 
9494069928

chetanambbs14@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sankara eye hospital, Guntur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H521||Myopia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  1) Transepithelial Photorefractive Keratectomy.   Each person recruited into the study will undergo the single step photorefractive keratectomy (stream light PRK) in the other eye for the treatment of myopic astigmatism.( Active control) 
Intervention  1)Transepithelial photorefractive keratectomy.  Each person recruited into the study will undergo the two- step transepithelial phototherapeutic keratectomy- photorefractive keratectomy (PTK-PRK) in one eye for the treatment of myopic astigmatism. 
Comparator Agent  2) Lubricating eye drops  The total participants will be divided into 3 groups and each group gets one of the three lubricating eye drops we are studying. Dosage : single drop in each eye( same type of eye drop in both eyes) administered 8 times a day for a duration of 1 month. This group will receive eye drops whose constituents are Sodium Hyaluronate 0.15% w/v, Polyethylene glycol 0.3% w/v, Propylene Glycol 0.3 % w/v, Hydroxypropyl guar 
Intervention  2) Lubricating eye drops  The total participants will be divided into 3 groups and each group gets one of the three lubricating eye drops we are studying. Dosage : single drop in each eye( same type of eye drop in both eyes) administered 8 times a day for a duration of 1 month.This group will receive eye drops whose constituents are Polyethlene Glycol 0.4% w/v, Propylene Glycol 0.4% w/v, Sodium Perborate BP 0.028%, Hydroxypropyl guar gum. 
Intervention  2) Lubricating eye drops  The total participants will be divided into 3 groups and each group gets one of the three lubricating eye drops we are studying. Dosage : single drop in each eye( same type of eye drop in both eyes) administered 8 times a day for a duration of 1 month. This group will receive eye drops whose constituent is plain Sodium Hyaluronate 0.1%.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1)People who have myopic astigmatism with a spherical error between -1 to -6 diopters and a cylindrical error between -0.5 to -4 diopters.
2)People who have a stable refractive error at least for the past 1 year.
3)People who can come for a followup duration of at least 1 month.
4)Normal corneal tomography.
5)Minimum pachymetry of 470 micrometers. 
 
ExclusionCriteria 
Details  1)History of any previous corneal surgery.
2)Family history of keratoconus.
3)History of keloid tendency.
4)Pregnant,lactating women( upto 6 months of delivery).
5)If the person has keratitis or corneal scar.
6)Any corneal dystrophies.
7)Hyperopia. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
visual acuity
rate of corneal epithelial wound healing 
visual acuity on 1 and 3 months
rate of corneal epithelial wound healing on days 1,3,5 and 1 month 
 
Secondary Outcome  
Outcome  TimePoints 
Pain & discomfort in eyes after surgery( t- PRK).
 
Pain & discomfort in eyes after surgery( t- PRK) on days 1, 3, 5 & at 1 month. 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   29/03/2024 
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="6"
Days="28" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. 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.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [chetanambbs14@gmail.com].

  6. For how long will this data be available start date provided 08-07-2025 and end date provided 09-02-2040?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
To find if there is any difference in the 1 month post -op visual outcome between the eyes which have undergone two step t-PRK vs single step t-PRK.
Rate of corneal epithelial wound( created by the t-PRK) healing using 3 different lubricating eye drops with varying composition
1) PLAIN SODIUM HYALURONATE 0.1%
2) POLYETHYLENE GLYCOL 0.4% w/v, PROPYLENE GLYCOL 0.3% w/v, SODIUM PERBORATE 0.028% w/v, HYDROXYPROPYL GUAR GUM
3) SODIUM HYALURONATE 0.15% w/v, POLYETHYLENE GLYCOL 0.3% w/v, PROPYLENE GLYCOL 0.3% w/v, HYDROXYPROPYL GUAR
    Area will be calculated using an app called SketchAndCalc.
 
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