Comparative Study of Ologen Collagen Matrix Versus Mitomycin-C in Trabeculectomy: A Study in Germany
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Purpose
The aim of this prospective randomized study is to investigate the efficacy and safety of trabeculectomy with ologen Collagen Matrix versus trabeculectomy using mitomycin C (MMC) in patients with medically uncontrolled open angle glaucoma.
| Condition | Intervention |
|---|---|
|
Open-angle Glaucoma |
Device: Use of ologen Collagen Matrix in trabeculectomy Drug: Use of Mitomycin-C in trabeculectomy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Prospective Randomized Comparative Study of the Safety and Effectiveness of Ologen Collagen Matrix Versus Mitomycin-C in Trabeculectomy |
- Intraocular pressure (IOP) reduction [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Incidence of complications [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 40 |
| Study Start Date: | November 2009 |
| Estimated Study Completion Date: | November 2011 |
| Estimated Primary Completion Date: | November 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: ologen Collagen Matrix |
Device: Use of ologen Collagen Matrix in trabeculectomy
After trabeculectomy, place ologen Collagen Matrix on the top of the scleral flap under the conjunctiva before suturing
|
| Active Comparator: Mitomycin-C (MMC) |
Drug: Use of Mitomycin-C in trabeculectomy
After creating a scleral flap, a sponge with Mitomycin-C (0.02%) is applied on the scleral surface for 3 minutes. Afterwards, Mitomycin-C was rinsed out with balanced salt solution.
|
Detailed Description:
ologen® Collagen Matrix (CM) is an artificial extracellular matrix (ECM) specifically configured to support repair in connective and epithelial ocular tissue. The device is constructed so as to minimize random growth of fibroblasts and instead to allow them to grow through the pores in the matrix. ologen® CM is a biodegradable scaffold matrix, inducing a regenerative non-scarring wound healing process without using anti-fibrotic agents. For application in glaucoma filtration surgery, ologen® CM is designed to prevent scar formation (subconjunctival and scleral flap scarring is the major risk factor for failure of trabeculectomy). After implanting the ologen® CM on top of the scleral flap in the subconjunctival space, a functional bleb can be created.
The aim of the present study is to determine the effectiveness of the ologen® CM and reduce wound scarring, thereby increasing success of trabeculectomy without side effects of MMC. A means of producing better success rate and reduced complications is the purpose of ologen® Collagen Matrix for the aid of glaucoma surgery.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 18 years or over
- Uncontrolled open-angle glaucoma
- Subject is willing to sign informed consent
- Subject is able and willing to complete post-operative follow-up requirements
Exclusion Criteria:
- Inflammatory eye diseases
- Angle-closure glaucoma
- Secondary glaucoma with anatomical malformations of the eye
- Subjects having single functional eye
- Previous conjunctival surgery
- Known allergic reactions to ingredients of ologen Collagen Matrix
- Excessive myopia (axial length (AL)> 27 mm or more than -10 diopters)
- Previous vitrectomy eye surgery
- Subjects do not consent to participate
Contacts and Locations| Contact: Thomas Dietlein, MD | +49-221-478-5862 ext 4300 | thomas.dietlein@uk-koeln.de |
| Germany | |
| The University Hospital of Cologne | Recruiting |
| Cologne, Germany, 50937 | |
| Contact: Thomas Dietlein, MD +49-221-478-5862 ext 4300 thomas.dietlein@uk-koeln.de | |
| Principal Investigator: Thomas Dietlein, MD | |
| Principal Investigator: | Thomas Dietlein, MD | Department of Ophthalmology, University of Cologne, Germany |
More Information
No publications provided
| Responsible Party: | Thomas Dietlein, Department of Ophthalmology, University of Cologne, Germany |
| ClinicalTrials.gov Identifier: | NCT01174420 History of Changes |
| Other Study ID Numbers: | AAE-CT-DEU-2009-01 |
| Study First Received: | August 2, 2010 |
| Last Updated: | May 5, 2011 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Aeon Astron Europe B.V.:
|
ologen Mitomycin-C Collagen Matrix |
trabeculectomy glaucoma filtering surgery |
Additional relevant MeSH terms:
|
Glaucoma Glaucoma, Open-Angle Ocular Hypertension Eye Diseases Mitomycins Mitomycin Antibiotics, Antineoplastic |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Alkylating Agents |
ClinicalTrials.gov processed this record on June 13, 2013