Efficacy of NSAID vs. Steroid-NSAID Combo Post-Selective Laser Trabeculoplasty: Phase 4, Single-Center RCT
NCT06498440 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 126
Last updated 2024-07-12
Summary
This clinical trial, led by Dr. Enitan A. Sogbesan at the Hamilton Regional Eye Clinic, St. Joseph's Healthcare Hamilton, aims to compare the efficacy and safety of non-steroidal anti-inflammatory drug (NSAID) ketorolac alone versus a combination of ketorolac and the corticosteroid fluorometholone, and a control group receiving no postoperative treatment. The trial will evaluate these treatment strategies following Selective Laser Trabeculoplasty (SLT) in patients with open-angle glaucoma. The primary objective is to determine the most effective postoperative management strategy to reduce inflammation, improve patient comfort, and control intraocular pressure (IOP). Participants will be randomly assigned to one of the three groups, with follow-up visits scheduled at 1 hour, 1 week, 1 month, 3 months, 6 months, and 1 year post-SLT. The study's findings aim to guide clinicians in optimizing postoperative care for better patient outcomes.
Conditions
- Open Angle Glaucoma
- Ocular Hypertension
- Postoperative Inflammation
Interventions
- DRUG
-
Ketorolac 0.5% Eye Drops
Participants in this arm will receive ketorolac 0.5% eye drops, administered twice daily for one week following Selective Laser Trabeculoplasty (SLT). Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) that works by inhibiting cyclooxygenase (COX) enzymes, which play a key role in the inflammatory process. This intervention aims to reduce postoperative inflammation and pain, promoting patient comfort and potentially improving outcomes following SLT.
- DRUG
-
Ketorolac 0.5% and Fluorometholone 0.1% Eye Drops
Participants in this arm will receive a combination of ketorolac 0.5% eye drops and fluorometholone 0.1% eye drops. Ketorolac will be administered twice daily and fluorometholone four times daily for one week following SLT. Fluorometholone is a corticosteroid that reduces inflammation by stabilizing capillary permeability and inhibiting inflammatory cell activation. The combination aims to maximize anti-inflammatory effects and enhance patient comfort, potentially leading to better postoperative outcomes compared to ketorolac alone or no treatment.
Sponsors & Collaborators
-
St. Joseph's Healthcare Hamilton
lead OTHER
Principal Investigators
-
Enitan A Sogbesan, MD · St. Joseph's Healthcare Hamilton
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-09-01
- Primary Completion
- 2025-07-01
- Completion
- 2025-07-01
- FDA Drug
- Yes
Countries
- Canada
Study Locations
More Related Trials
-
Prophylactic Nepafenac and Ketorolac Versus Placebo in Patients Undergoing Cataract Surgery
NCT01395069 ·Status: COMPLETED ·Phase: PHASE4
-
Study of Complication Rates in Cataract Surgery Patients Treated With Combined Pre-operative NSAID, OMIDRIA, and Subconjunctival Triamcinolone Acetonide Compared With Peri-operative SOC
NCT06681688 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Effect of Prophylactic Ketorolac on CME After Cataract Surgery
NCT00335439 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Ketorolac 0.4% in Prostaglandin Suppression
NCT00791323 ·Status: COMPLETED ·Phase: PHASE4
-
Prophylactic Ketorolac Post Epiretinal Membrane Surgery
NCT00974753 ·Status: COMPLETED ·Phase: NA
-
Effect of Anti-inflammatory Topical Prednisolone, Nepafenac and Ketorolac in Intra-operative Mydriasis in Facetectomies
NCT00865540 ·Status: UNKNOWN ·Phase: PHASE4
-
A Study of Ketorolac for the Treatment of Inflammation and Pain Associated With Cataract Surgery
NCT00521456 ·Status: COMPLETED ·Phase: PHASE3
-
A Comparison of Post Phacoemulsification Aqueous Flare in Patients Using Ketorolac 0.45% 2 Times Daily (BID) and Bromfenac 0.09% 2 Times Daily (BID)
NCT01023724 ·Status: COMPLETED ·Phase: PHASE4
-
Aqueous Concentrations and PGE2 Inhibition of Ketorolac 0.4% vs. Bromfenac 0.09% in Cataract Patients
NCT00347503 ·Status: COMPLETED ·Phase: PHASE4
-
A Study of Ketorolac for the Treatment of Inflammation and Pain Associated With Cataract Surgery
NCT00524264 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Topical Ketorolac 0,4% Versus Placebo in Cataract Surgery
NCT01542190 ·Status: COMPLETED ·Phase: PHASE4
-
Aqueous Concentrations and PGE2 Inhibition of Ketorolac 0.4% vs. Bromfenac 0.09% in Cataract Patients: Trough Drug Effects
NCT00469690 ·Status: COMPLETED ·Phase: PHASE4
-
Ketorolac Levels in Vitreous and Aqueous Samples From Patients Undergoing Combined Cataract and Pars Plana Vitrectomy Surgeries With and Without Intracameral Phenylephrine 1.0% / Ketorolac 0.3%
NCT06539637 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Effect of Preoperative Topical Ketorolac on Aqueous Cytokine Levels and Macular Thickness in Cataract Surgery Patients
NCT02646072 ·Status: COMPLETED ·Phase: PHASE4
-
Nepafenac 0.1% Eye Drops, Suspension Compared to Ketorolac Trometamol 0.5% Eye Drops, Solution and Placebo
NCT00405730 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of APP13007 to Treat Inflammation and Pain After Cataract Surgery
NCT04089735 ·Status: COMPLETED ·Phase: PHASE2
-
Nepafenac Versus Ketorolac Eye Drops in Prevention of Intraoperative Miosis During Cataract Surgery
NCT03851172 ·Status: UNKNOWN ·Phase: PHASE2
-
Prednisolone Acetate Eye Drops for Pain Intervention in Second Eye Cataract Surgery
NCT06614348 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Safety and Efficacy of iDose® TR With Cataract Surgery vs. Cataract Surgery Alone
NCT06848946 ·Status: RECRUITING ·Phase: PHASE4
-
Ketorolac vs. Steroid in the Prevention of CME
NCT00348244 ·Status: COMPLETED ·Phase: PHASE4
-
Study for Optimizing Anti-inflammatory Prophylaxis
NCT03383328 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Effectiveness of Drop-free Small Incision Cataract Surgery
NCT05248139 ·Status: UNKNOWN ·Phase: NA
-
Comparison of the Effectiveness of Povidone-iodine in Reducing Conjunctival Bacterial Load Prior to Cataract Surgery in Patients Treated With a Lidocaine Gel Dilating Formulation Versus Eye Drops: A Randomized Controlled Trial
NCT01898728 ·Status: COMPLETED ·Phase: NA
-
Usefulness of Topical Non-Steroidal Anti-Inflammatory Drugs or Steroids Before Trabeculectomy and Clinical Outcomes
NCT00707421 ·Status: COMPLETED ·Phase: PHASE3
-
Clobetasol Propionate Ophthalmic Nanoemulsion, 0.05% in the Treatment of Inflammation After Cataract Surgery in Pediatric Population
NCT05724446 ·Status: RECRUITING ·Phase: PHASE3