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Trial registered on ANZCTR
Registration number
ACTRN12618000278235
Ethics application status
Approved
Date submitted
15/02/2018
Date registered
22/02/2018
Date last updated
16/07/2021
Date data sharing statement initially provided
5/02/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of orthokeratology contact lens wear on anterior eye stem cells in young healthy myopic adults
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Scientific title
The effect of orthokeratology contact lens wear on limbal stem cells in young healthy myopic adults
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Secondary ID [1]
294062
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
myopia
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Condition category
Condition code
Eye
305721
305721
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Medical device: TGA approved Paragon CRT orthokeratology contact lenses (ARTG no.299388). These lenses will be made from Paragon HDS100 material which has high oxygen permeability (101 Dk units ISO/Fatt).
Exposure: 2 weeks of overnight lens wear during sleep (for minimum 7-8 hours) with no daytime lens wear.
Delivery: The research team will initially insert the lens on the subject's eye at the School of Optometry and Vision Science, UNSW, Sydney. Reseach participants will then be taught one-on-one face-to-face how to insert, remove, clean and maintain the orthokeratology lenses so that they can safely wear contact lenses during the trial period.
Compliance: Text-message reminders will be sent to monitor adherence to the intervention.
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Intervention code [1]
300337
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Treatment: Devices
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Comparator / control treatment
NA
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Limbal stem cell changes measured with a confocal microscope (Heidelberg Retina Tomography III Rodenstock corneal module)
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Assessment method [1]
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Timepoint [1]
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Measurements will be taken at baseline before any lens wear, then after 1, 7 and 14 (primary time point) nights of orthokeratology lens wear.
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Secondary outcome [1]
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Anterior eye shape changes will be measured using the Medmont E300 corneal topographer and Tomey Casia SS-1000 anterior eye optical coherence tomographer.
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Assessment method [1]
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Timepoint [1]
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Measurements will be taken at baseline before any lens wear, then after 1, 7 and 14 nights of orthokeratology lens wear.
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Eligibility
Key inclusion criteria
1. Healthy individuals aged between 18-40
2. Have short-sightedness (myopia) between -1.ooD and -6.ooD and less than -1.50D of corneal astigmatism
3. No previous soft or rigid contact lens wear
4. Have good ocular health and general health
5. No contraindications to rigid contact lens wear
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Systemic or ocular conditions that may affect tear quality or contact lens wear
2. Previous history of ocular surgery, trauma, or chronic ocular disease
3. Ocular or systemic medication use that may interfere with contact lens wear or ocular surface
4. Previous reactions or allergies to any ocular medications
5. Not willing to comply with the allocated treatment and follow-up schedule
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
5/03/2018
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Actual
14/05/2018
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Date of last participant enrolment
Anticipated
1/12/2022
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Actual
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Date of last data collection
Anticipated
1/12/2022
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Actual
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Sample size
Target
15
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Accrual to date
12
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
298707
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Commercial sector/Industry
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Name [1]
298707
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Paragon Vision Sciences
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Address [1]
298707
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947 E Impala Avenue
Mesa, AZ, 85204
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Country [1]
298707
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United States of America
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Primary sponsor type
University
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Name
University of New South Wales
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Address
School of Optometry and Vision Science
University of New South Wales
Gate 14, Barker St
Rupert Myers Building (North wing)
Kensington, NSW, 2033
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
297877
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Country [1]
297877
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299641
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UNSW Human Research Ethics Committee
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Ethics committee address [1]
299641
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UNSW Research Ethics & Compliance Support University of New South Wales Gate 14, Barker St Rupert Myers Building (South Wing) Kensington, NSW, 2033
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Ethics committee country [1]
299641
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Australia
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Date submitted for ethics approval [1]
299641
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20/02/2018
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Approval date [1]
299641
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31/03/2018
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Ethics approval number [1]
299641
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HC180087
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Summary
Brief summary
Orthokeratology contact lenses are specialised rigid contact lenses are worn overnight and are removed in the morning. During overnight wear, orthokeratology lenses temporarily change the shape of the front surface of the eye, or cornea, which acts to correct mild to moderate degrees of myopia, providing wearers clear unaided vision throughout the day. The renewal and regeneration of corneal cells are important for maintaining transparency of the cornea which is crucial for clear vision. Surrounding the clear cornea is the limbus or limbal region which contains the stem cells that are responsible for maintaining renewal and regeneration of corneal cells and thus it's clarity. Previous studies have demonstrated changes to the limbal stem cells associated with soft contact lens wear. A deficiency in limbal cells can lead to decreased vision. Although orthokeratology lenses have a smaller overall diameter than soft contact lenses, its proximity to the limbus and rigid nature of the lens raises the question of whether there are any mechanical impacts on the limbal region associated with lens movement which may lead to changes in limbal stem cells. This study aims to investigate if there are any associated limbal changes with orthokeratology lens wear.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Pauline Kang
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Address
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School of Optometry and Vision Science
University of New South Wales
Gate 14, Barker St
Rupert Myers Building (North Wing)
Kensington, NSW, 2033
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Country
81138
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Australia
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Phone
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+61 2 9385 9816
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Fax
81138
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Email
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[email protected]
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Contact person for public queries
Name
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Pauline Kang
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Address
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School of Optometry and Vision Science
University of New South Wales
Gate 14, Barker St
Rupert Myers Building (North Wing)
Kensington, NSW, 2033
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Country
81139
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Australia
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Phone
81139
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+61 2 9385 9816
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Fax
81139
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Email
81139
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[email protected]
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Contact person for scientific queries
Name
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Pauline Kang
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Address
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School of Optometry and Vision Science
University of New South Wales
Gate 14, Barker St
Rupert Myers Building (North Wing)
Kensington, NSW, 2033
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Country
81140
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Australia
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Phone
81140
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+61 2 9385 9816
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Fax
81140
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Email
81140
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Due to confidentiality reasons, IPD will not be available.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
6770
Informed consent form
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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