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Trial registered on ANZCTR
Registration number
ACTRN12622000771752
Ethics application status
Approved
Date submitted
27/04/2022
Date registered
30/05/2022
Date last updated
28/07/2024
Date data sharing statement initially provided
30/05/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of the performance (accuracy, precision) of a non-contact and non-invasive optical coherence tomography device in imaging and measuring normal eyes and eyes with diseases.
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Scientific title
Evaluation of Measurement Agreement and Precision and Fundus Visualization Using Hyperparallel Optical Coherence Tomography (HP-OCT) in Normal Eyes and Eyes With Diseases.
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Secondary ID [1]
306757
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HCT-CL-SOP-002
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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:
Normal eyes
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Cataracts
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Refractive errors
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Retinal diseases
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Condition category
Condition code
Eye
323103
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
In this study, subjects (eyes) will be recruited and divided into 4 groups, i.e. normal, cataract, significant refractive errors and retinal diseases. The study includes two sub-studies. For sub-study 1, each subject of the normal, cataract or significant refractive errors group will be scanned by HP-OCT and 3 comparative ophthalmic diagnostic devices (Carl Zeiss IOLMaster 700, Ocuclus Pentacam HR, Carl Zeiss Cirrus HD-OCT 5000) for 3 acceptable biometric scans/measurements in a maximum of 7 attempts on each device. The precision of HP-OCT measurement will be characterised for each of the 4 groups. The HP-OCT measurements will also be compared with the comparator devices for agreement of accuracy within each of the 4 groups. In sub-study 2, each subject of the normal and retinal diseases group will be scanned by HP-OCT and 1 comparative ophthalmic diagnostic device (Carl Zeiss Cirrus HD-OCT 5000) for 1 acceptable retinal image in a maximum of 3 attempts on each device. The image quality of HP-OCT will be graded and compared with the comparative device within each of the 2 groups. All scans are non-contact and non-invasive. The scans will be performed and assessed by qualified ophthalmologists, optometrists and/or orthoptists at three ophthalmic clinics. All scans on a subject will take place in one subject visit. Each scan attempt is not expected to take more than 1 minute. The total scan time on a subject is expected to be less than 1 hour.
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Intervention code [1]
323207
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Diagnosis / Prognosis
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Comparator / control treatment
No control group - No comparison between subject groups will be studied.
Biometric measurements taken using the HP-OCT device will be compared to measurements taken using the IOLMaster 700, Pentacam HR and Cirrus HD-OCT 5000 devices. Retinal images obtained by HP-OCT device will be graded and compared to those taken by Cirrus HD-OCT 5000 device.
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Control group
Active
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Outcomes
Primary outcome [1]
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Investigate the accuracy of HP-OCT in biometric measurements (e.g. axial length, anterior chamber depth) via assessing the agreement between HP-OCT and IOLMaster 700.
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Assessment method [1]
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Timepoint [1]
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Measurements obtained at each scan; agreement calculated at the statistical analysis stage.
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Primary outcome [2]
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Investigate the accuracy of HP-OCT in biometric measurements (e.g. corneal topographic maps) via assessing the agreement between HP-OCT and Pentacam HR.
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Assessment method [2]
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Timepoint [2]
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Measurements obtained at each scan; agreement calculated at statistical analysis stage.
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Primary outcome [3]
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Investigate the accuracy of HP-OCT in biometric measurements (e.g. epithelial thickness) via assessing the agreement between HP-OCT and Cirrus HD-OCT 5000.
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Assessment method [3]
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Timepoint [3]
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Measurements obtained at each scan; agreement calculated at statistical analysis stage.
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Secondary outcome [1]
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Additional primary outcome - Determine the precision (repeatability and reproducibility) of the biometric measurements of HP-OCT (e.g. axial length, anterior chamber depth).
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Assessment method [1]
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Timepoint [1]
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Measurements obtained at each scan; precision calculated at statistical analysis stage.
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Secondary outcome [2]
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Additional primary outcome - Investigate the reliability of HP-OCT in generating retinal images to aid qualitative diagnosis, via image grading between HP-OCT and Cirrus HD-OCT 5000.
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Assessment method [2]
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Timepoint [2]
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Retinal images obtained at each retina scan; images graded at image reading center.
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Eligibility
Key inclusion criteria
1. Eligible for at least one of the Eye Populations as described below.
Normal: Phakic eyes without cataracts, corneal, retinal disease, or prior laser vision correction (LVC); with best corrected visual acuity (BCDVA) 20/20 or better, but not meeting Subject Group C myopia/hyperopia criteria.
Cataract: Cataract with an Age-Related Eye Disease Study (AREDS) grade of 1 to 4 or a Lens Opacity Classification System III (LOCS III) grade of 2 to 6, excluding those with significant refractive error defined as myopia greater than or equal to -6 D, hyperopia greater than or equal to +5.25 D, and/or prior LVC (laser-assisted in situ keratomileusis (LASIK), small-incision lenticule extraction (SMILE) or photorefractive keratectomy (PRK)) that corrected for the aforementioned refractive error. Eyes with other anterior segment abnormalities, retina disease, or glaucoma can be included.
Significant Refractive Errors Severe myopia (greater than or equal to -6 D), severe hyperopia (greater than or equal to +5.25 D), or prior LVC (LASIK, SMILE or PRK) that corrected for the aforementioned refractive error, excluding those with an AREDS grade of 1 to 4 or a LOCS III grade of 2 to 6. Eyes with other anterior segment abnormalities, retina disease or glaucoma can be included.
Retinal Disease Eyes diagnosed with retinal diseases as confirmed at the study visit or prior visits including but not limited to, age-related macular degeneration, diabetic retinopathy, diabetic macular edema, macular hole, epiretinal membrane. Subjects who have abnormal anterior segment or glaucoma, or had prior Ophthalmic surgery, such as cataract removal and intraocular lens implant can be included.
2. Aged between 18 and 85 years.
3. No history of rigid contact lens wear for at least 2 weeks. Soft lenses, if worn, should be removed at least one hour prior to the measurement.
4. Able and willing to give consent and follow study instructions.
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Enrolled in previous HP-OCT clinical studies
2. Rigid contact lens wear during past two weeks
3. Active ocular infection or inflammation
4. Pregnant women
5. Unsuitable for the study due to other medical condition as per Principal Investigator's determination (e.g. patient is unable to place their chin on the chinrest of any device)
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/06/2022
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Actual
8/07/2022
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Date of last participant enrolment
Anticipated
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Actual
10/02/2023
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Date of last data collection
Anticipated
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Actual
28/02/2023
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Sample size
Target
170
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Accrual to date
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Final
164
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Cylite Pty Ltd
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Address [1]
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7/45 Normanby Rd, Notting Hill, VIC 3168
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Cylite Pty Ltd
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Address
7/45 Normanby Rd, Notting Hill, VIC 3168
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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]
312429
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Country [1]
312429
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Human Research Ethics Committee
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Ethics committee address [1]
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123 Glen Osmond Road, Eastwood, South Australia 5063.
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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25/01/2022
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Ethics approval number [1]
310630
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Summary
Brief summary
This clinical investigation is targeted at collecting further clinical effectiveness and safety evidence of HP-OCT (Hyperparallel OCT®) in visualising and measuring anterior and posterior ocular structures/parameters. It is hypothesised that the HP-OCT is not inferior to, or less safe than the current standard devices utilised to measure anterior and posterior ocular structures/parameters. This investigation is composed of two sub-studies. The objective of Sub-study 1 is to (1) determine the precision (repeatability and reproducibility) of HP-OCT in biometric measurements, and (2) investigate the agreement of biometric measurements between the HP-OCT instrument and 3 state-of-the-art comparative devices. Sub-study 2 aims on investigating the reliability of the HP-OCT in generating retinal images to aid qualitative diagnosis. This investigation is a three-site study based on nested design, involving one unit of each of the 4 instruments (HP-OCT and 3 comparative devices) at each of the three sites (12 devices in total). The target enrolment is approximately 150 participants who will be divided into 4 subject/pathological eye populations and go through the non-contact non-invasive ocular scans using the HP-OCT and the comparative devices in a single site visit. All the information, data and images collected are de-identified for communication, analysis, and report. The retinal images obtained for Sub-study 2 will be sent to an image reading centre for qualitative image grading by three independent and masked image graders. The biometric measurements (Sub-study 1) and the retinal image grading results (Sub-study 2) will then be analysed statistically following the pre-specified protocol before the conclusion is drawn and reported in the clinical study report.
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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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Prof John Grigg
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Address
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Gordon Eye Surgery, 2/741 Pacific Hwy, Gordon, NSW 2072
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Country
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Australia
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Phone
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+61 2 9932 6308
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Fax
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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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Donna Glenn
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Address
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Gordon Eye Surgery, 2/741 Pacific Hwy, Gordon, NSW 2072
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Country
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Australia
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Phone
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+61 2 9418 1488
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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John Grigg
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Address
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Gordon Eye Surgery, 2/741 Pacific Hwy, Gordon, NSW 2072
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Country
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Australia
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Phone
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+61 2 9932 6308
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Fax
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Email
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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
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What supporting documents are/will be available?
No Supporting Document Provided
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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