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Trial registered on ANZCTR
Registration number
ACTRN12608000036314
Ethics application status
Approved
Date submitted
21/01/2008
Date registered
23/01/2008
Date last updated
23/07/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Daily replacement of contact lenses during extended wear.
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Scientific title
Evaluation of the effectiveness of daily contact lens replacement during extended wear as a means of reducing contact lens related ocular adverse events.
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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:
contact lens wear
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Condition category
Condition code
Eye
2832
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0
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Normal eye development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
To determine if daily replacement of lenses during continuous (or extended) wear reduces contact lens related ocular adverse events compareed to adverse event rates in historical control trial. Worn lenses are to be removed and discarded each day prior to sleep and new lenses inserted immediately afterwards. Participants will then sleep in their lenses.
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Intervention code [1]
2446
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Prevention
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Comparator / control treatment
Historical control trial (conducted in 2005/2006). Participants wore lenses on a 30 night, 31 day continuous wear schedule. At the end of this schedule lenses were disposed (i.e. monthly disposal) and new lenses inserted. The duration of the study was for 6 months. Only the ocular adverse events that arose in the first 3 months of the historic control trial will be used for comparative purposes.
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Control group
Historical
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Outcomes
Primary outcome [1]
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To determine if daily replacement of lenses during continuous (or extended) wear reduces contact lens related ocular adverse events compareed to adverse event rates in historical control trial. Examples of CL-related ocular AE's include infectious (microbial keratitis [MK]), inflammation of the cornea (contact lens induced peripheral and non-infection corneal ulcer [CLPU], contact lens induced acute red eye [CLARE], infiltrative keratitis [IK]), inflammation of the conjunctiva (contact lens induced papillary conjunctivitis [CLPC]), corneal erosion, superior epithelial arcuate lesion (SEAL). Adverse events will be assessed with a slit lamp biomicroscope (including corneal and conjunctival staining with fluorescein).
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Assessment method [1]
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Timepoint [1]
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The duration of the study is 3 months. Participants may be assessed for adverse events at scheduled visits (1 week daily lens weart [neophytes only], 1 week extended wear (EW), 1 month EW and 3 months extended wear) and at unscheduled visits.
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Secondary outcome [1]
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N/A
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Assessment method [1]
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Timepoint [1]
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N/A
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Eligibility
Key inclusion criteria
Be able to read and comprehend English and give informed consent as demonstrated by signing a record of informed consent.
Be at least 18 years old;
Be willing to comply with the wearing and clinical trial visit schedule as directed by the investigator;
Have ocular health findings considered to be ‘normal’ and which would not prevent the participant from safely wearing contact lenses;
Have vision correctable to at least 6/12 (20/40) or better in each eye with contact lenses;
Be experienced or may be inexperienced at wearing contact lenses
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Minimum age
18
Years
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Maximum age
Not stated
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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
Pre-existing ocular irritation that would preclude contact lens fitting;
Had eye surgery within 12 weeks immediately prior to enrollment for this trial;
Undergone corneal refractive surgery;
Worn RGP’s or orthokeratology lenses within the previous two weeks
Contraindications to soft contact lens wear;
Contraindication / allergy to in-eye solutions
Be currently enrolled in another clinical trial or have participated in a clinical trial within the previous two weeks.
Pregnant or lactating women not able to complete the study (Investigator discretion)
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Study design
Purpose of the study
Prevention
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Bilateral lens wear, lenses to be discarded daily
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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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
27/02/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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India
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State/province [1]
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Hyderabad, Andhra Pradesh
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Institute for Eye Research
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Address [1]
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Rupert Myers Building, Gate 14 Barker St, UNSW, Kensington, NSW, 2052
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Institute for Eye Research
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Address
Rupert Myers Building, Gate 14 Barker St, UNSW, Kensington, NSW, 2052
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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]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Vision CRC and Institute for Eye Research Human Ethics Committee
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Ethics committee address [1]
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Level 4, Rupert Myers Building, Gate 14 Barker St, UNSW, Kensington, NSW, 2052
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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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19/12/2008
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Ethics approval number [1]
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07/35
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Summary
Brief summary
The objective of the trial is to reduce the incidence of microbial keratitis and other ocular adverse responses related to extended contact lens wear. The hypothesis is that regular renewal of the lens surface during extended wear exposes the eye to a clean lens surface thereby reducing bacterial build-up on the lens surface resulting in less bacterially driven ocular adverse events.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jerome Ozkan
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Address
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Level 5, Rupert Myers Building, Gate 14 Barker St, UNSW, Kensington, NSW, 2052
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Country
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Australia
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Phone
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0293857516
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Fax
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0293857401
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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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Mark Willcox
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Address
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Level 4, Rupert Myers Building, Gate 14 Barker St, UNSW, Kensington, NSW, 2052
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Country
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Australia
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Phone
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0293857516
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Fax
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0293857401
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Email
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[email protected]
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No information has been provided regarding IPD availability
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
Source
Title
Year of Publication
DOI
Dimensions AI
The Effect of Daily Lens Replacement During Overnight Wear on Ocular Adverse Events
2012
https://doi.org/10.1097/opx.0b013e31827731ac
Embase
Comparative Analysis of Adverse Events from a Series of Proof-of-Principle Extended Wear Studies.
2019
https://dx.doi.org/10.1097/ICL.0000000000000546
N.B. These documents automatically identified may not have been verified by the study sponsor.
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