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Trial registered on ANZCTR
Registration number
ACTRN12609000220268
Ethics application status
Approved
Date submitted
8/04/2009
Date registered
1/05/2009
Date last updated
22/03/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Daily morning replacement of contact lenses during extended wear by inexperienced contact lens wearers as a means of reducing contact lens related adverse events.
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Scientific title
Evaluation of the effectiveness of daily morning contact lens replacement during extended wear as a means of reducing contact lens related ocular adverse events.
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Secondary ID [1]
259838
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New secondary ID. Please modify.
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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
4863
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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 (morning) replacement of contact lenses during extended wear reduces contact lens related adverse events compared to adverse event rates in historical control trials. Worn lenses are to be removed and discarded within 1 hour of waking each day and new lenses inserted immediately afterwards, for the duration of the study (i.e. 1 month).
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Intervention code [1]
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Prevention
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Comparator / control treatment
Historical control trials. 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 6 months. Only the ocular adverse events that arose in the first 1 month of the study 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 (morning) replacement of contact lenses during extended wear reduces contact lens related adverse events compared to adverse event rates in historical control trials. Examples of contact lens (CL) related ocular adverse events (AE) include infections (microbial keratitis [MK]), inflammation of the cornea (contact lens induced peripheral and non-infectious 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 will be 1 month. Participants may be assessed for adverse events at both scheduled and unscheduled visits. Scheduled visits refer to the following visits - Baseline [BL], 1 week of daily wear [DW] (i.e. 1 week after BL), 1 week of extended wear [EW] (i.e. 2 weeks after BL) and 1 month of EW (i.e. 5 weeks afte BL). Unscheduled visits refer to all other visits during the study (e.g unexpected or follow-up visits for adverse events). EW means lenses are worn during waking and sleeping hours. DW means lenses are worn during waking hours only.
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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 inexperienced at wearing contact lenses
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Minimum age
18
Years
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Maximum age
No limit
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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;
Contraindications to soft contact lens wear;
Be currently enrolled in another clinical tria; 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
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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
1/05/2009
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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
40
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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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Ruper Myers Building, Gate 14 Barker St, The University of New South Wales (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
Ruper Myers Building, Gate 14 Barker St, The University of New South Wales (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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N/A
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Address [1]
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N/A
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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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Ethics committee address [1]
6801
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Ethics committee country [1]
6801
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Date submitted for ethics approval [1]
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13/04/2009
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Approval date [1]
6801
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Ethics approval number [1]
6801
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Ethics committee name [2]
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L.V. Prasad Eye Institute Ethics Committee
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Ethics committee address [2]
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Hyderabad Eye Research Foundation, L.V. Prasad Marg, Banjara Hills, Hyderabad, 500 034
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Ethics committee country [2]
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India
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Date submitted for ethics approval [2]
6813
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13/04/2009
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Approval date [2]
6813
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Ethics approval number [2]
6813
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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 lens replacement 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, Ruper Myers Building, Gate 14 Barker St, The University of New South Wales (UNSW), Kensington, NSW, 2052
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Country
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Australia
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Phone
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+61 2 9385 7516
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Fax
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+61 2 9385 7401
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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, Ruper Myers Building, Gate 14 Barker St, The University of New South Wales (UNSW), Kensington, NSW, 2052
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Country
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Australia
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Phone
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+61 2 9385 7516
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Fax
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+61 2 9385 7401
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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
N.B. These documents automatically identified may not have been verified by the study sponsor.
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