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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12624001457538
Ethics application status
Approved
Date submitted
3/10/2024
Date registered
16/12/2024
Date last updated
4/06/2025
Date data sharing statement initially provided
16/12/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy and safety of intracameral dexamethasone plus moxifloxacin versus moxifloxacin alone after phacoemulsification in patients with age-related cataracts: A single-blinded randomized clinical trial
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Scientific title
Efficacy and safety of intracameral dexamethasone plus moxifloxacin versus moxifloxacin alone after phacoemulsification in patients with age-related cataracts: A single-blinded randomized clinical trial
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Secondary ID [1]
313011
0
NIL
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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:
Age related cataract
335673
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Phacoemulsification
335674
0
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Condition category
Condition code
Eye
331945
331945
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0
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Diseases / disorders of the eye
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Surgery
332232
332232
0
0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
After establishing the standard anesthesia, Phacoemulsification with foldable posterior chamber intraocular lens will be performed by a single Ophthalmic surgeon. At the end of surgery after securing a stable and formed Anterior Chamber (AC), intracameral injection of Dexamethasone Sodium Phosphate (Decadron, Searle) at 0.4mg/0.1ml mixed with 0.5mg/0.1ml in of 0.5% preservative free moxifloxacin (Vigamox, Alcon Laboratories) through 1cc syringe with viscoelastic cannula will be injected through the side port, with in less than a minute. The eyelid retractor will be removed and 1 drop of (0.05ml of 5% same Moxifloxacin will be instilled in conjunctival cul-de- sac. After surgery ,the record of intervention will be secured with the ID of the patients in Hospital Management Information System(HMIS) for follow up on 1st ,10th and 40th post operative day.
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Intervention code [1]
329680
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Treatment: Drugs
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Comparator / control treatment
After establishing the standard anesthesia, Phacoemulsification with foldable posterior chamber intraocular lens will be performed. At the end of surgery after securing a stable and formed AC, intracameral injection of 0.5mg/0.1ml in of 0.5% preservative free moxifloxacin (Vigamox, Alcon Laboratories) through 1cc syringe with viscoelastic cannula will be injected through the side port. The eyelid retractor will be removed and 1 drop of (0.05ml of 5%) same Moxifloxacin will be instilled in conjunctival cul -de- sac.
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Control group
Active
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Outcomes
Primary outcome [1]
339551
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Change in the severity of postoperative inflammation
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Assessment method [1]
339551
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Inflammation will be graded on a standardized scale (0 to +4) based on the number of anterior chamber cells (0 = no cells, 1 = 1–5 cells, 2 = 6–15 cells, 3 = 16–30 cells, 4 = >30 cells) and flare, whether present or not based on slit lamp examination at postoperative days 1, 10, and 40.
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Timepoint [1]
339551
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1st Postoperative day,10th and 40th postoperative day.
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Primary outcome [2]
339552
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presence of Endophthalmitis
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Assessment method [2]
339552
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Assessment of Anterior Chamber reaction and B Scan (ocular ultrasound) for vitreous opacities
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Timepoint [2]
339552
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1st ,10th and 40th postoperative day
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Secondary outcome [1]
440408
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Status of intra ocular pressure
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Assessment method [1]
440408
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Goldman Tonometer ,in mm of Mercury
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Timepoint [1]
440408
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1st,10th and 40th post operative day
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Eligibility
Key inclusion criteria
All those patients of both gender, ethnicities and geographical location ,with age related cataracts who have undergone Phacoemulsification with out any per operative complications and with posterior chamber intraocular lens will be included in this study.
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Minimum age
50
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?
No
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Key exclusion criteria
Patients with traumatic and complicated cataracts, previous intraocular surgeries will be excluded from the study. Those patients with history of steroid responsive glaucoma will also be excluded from the study.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The group assignments will be based on sequentially generated numbered in closed envelopes distributed by the PGR after enrollment the participants and assigning them to intervention and control groups.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
There will be two groups of patients based on sample size, randomly allocated, using random sequence generator.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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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
Completed
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Date of first participant enrolment
Anticipated
30/12/2024
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Actual
30/12/2024
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Date of last participant enrolment
Anticipated
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Actual
19/03/2025
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Date of last data collection
Anticipated
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Actual
7/05/2025
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Sample size
Target
46
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Accrual to date
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Final
46
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Recruitment outside Australia
Country [1]
26612
0
Pakistan
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State/province [1]
26612
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Khyber Pukhtoon Khowa
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Funding & Sponsors
Funding source category [1]
317450
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Hospital
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Name [1]
317450
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medical Teaching Institute ,Lady Reading Hospital
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Address [1]
317450
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Country [1]
317450
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Pakistan
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Primary sponsor type
Hospital
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Name
Sihat Sahulat Card ,Lady Reading Hospital
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Address
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Country
Pakistan
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Secondary sponsor category [1]
319740
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None
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Name [1]
319740
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Address [1]
319740
0
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Country [1]
319740
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316166
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Lady Reading Hospital,Medical Teaching Institututional review board (IRB)
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Ethics committee address [1]
316166
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Research center New Med Surg building 4th floor,Soikarno choak ,Lady Reading Hospital .Peshawar Cantt.KPK.
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Ethics committee country [1]
316166
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Pakistan
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Date submitted for ethics approval [1]
316166
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07/10/2024
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Approval date [1]
316166
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06/11/2024
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Ethics approval number [1]
316166
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Summary
Brief summary
The Phacoemulsification rate is on the rise, and post operative inflammation and infection is a devastating condition. Although Intracameral Moxifloxacin is effective in preventing the post operative endophthalmitis. The combination of dexamethasone and moxifloxacin intracameral offers a dual benefit. While moxifloxacin provides potent prophylaxis against infections, dexamethasone significantly reduces postoperative inflammation.
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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
137002
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Dr Nuzhat Rahil
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Address
137002
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Lady Reading Hospital ,Soekarna Road ,PTCL Colony ,Peshawar .Khyber Pukhtoon Khowa.25000
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Country
137002
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Pakistan
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Phone
137002
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+92919211430
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Fax
137002
0
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Email
137002
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[email protected]
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Contact person for public queries
Name
137003
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Nuzhat Rahil
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Address
137003
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Lady Reading Hospital ,Soekarna Road ,PTCL Colony ,Peshawar .Khyber Pukhtoon Khowa.25000
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Country
137003
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Pakistan
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Phone
137003
0
+92919211430
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Fax
137003
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Email
137003
0
[email protected]
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Contact person for scientific queries
Name
137004
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Nuzhat Rahil
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Address
137004
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Lady Reading Hospital ,Soekarna Road ,PTCL Colony ,Peshawar .Khyber Pukhtoon Khowa.25000
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Country
137004
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Pakistan
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Phone
137004
0
+92919211430
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Fax
137004
0
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Email
137004
0
[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Informed consent form
Consent _1 (1).pdf
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.
Download to PDF