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CataractPhase 3NCT04685538

Chloroprocaine 3% Gel Eye Drop as Topical Anestheticsin Phacoemulsification.

A Phase 3 study testing Chloroprocaine 3% and Tetracaine 0.5% in people with Cataract, run by Sintetica SA at 27 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Randomized clinical trial, multicenter, two-armed, to investigate and compare the clinical efficacy of chloroprocaine 3% gel and tetracaine 0.5% eye drop as topical anestheticsin phacoemulsification. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cataract
What is being tested?
Chloroprocaine 3% and Tetracaine 0.5%
Could I receive a placebo?
No, everyone receives an active treatment
How many people
338 participants
Where
27 sitesin 3 countries
Study dates
9 Sep 2020to 9 Mar 2021
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed and dated informed consent
  • Male or female aged≥ 18 years
  • Senile or pre-senile cataract
  • Scheduled to undergo cataract surgery in a single eyeat a time (clear corneal self-sealing incisions - phacoemulsification - foldable intra-ocular lens surgery with injector)

Who cannot join

  • Combined surgery
  • Previous intraocular surgery
  • Previous corneal refractive surgeries less than 6 months before screening
  • Non Senile or non pre-senilecataract (e.g.: traumatic, pathological or congenital cataract)
  • Pupillary abnormalities (irregular, etc.)
  • Iris synechiae
Show all 32Show fewer
  • Eye movement disorder (nystagmus, etc.)
  • Dacryocystitis and all other pathologies of tears drainage system
  • History of Inflammatory ocular disease (Iritis, uveitis, herpetic keratitis)
  • Corneal, epithelial, stromal or endothelial, residual or evolutionary disease (including corneal ulceration and superficial punctuate keratitis)
  • History of ocular traumatism, infection or inflammation within the last 3 months
  • Pseudo-exfoliation, exfoliative syndrome
  • Prior intravitreal injections within 7 days of the surgery
  • IOP over 25mmHg under treatment
  • Best corrected visual acuity < 1/10
  • Patient already included in the study for phakoexeresis
  • History of ophthalmic surgical complication (cystoid macular oedema, etc.)
  • Diabetes mellitus
  • Surdity
  • Pakinsondisease
  • Excessive anxiety
  • Any other medical or surgical history, disorder or disease such as acute or chronic severe organic disease: hepatic, endocrine neoplasic, hematological diseases, severe psychiatric illness, relevant cardiovascular abnormalities (such as unstable angina, bradycardia, atrial fibrillation,uncontrolled hypertension: systolic blood pressure over 140 mm Hg, diastolic blood pressure over 90 mmHg) and/or any complicating factor or structural abnormality judged by the investigator to be incompatible with the study.
  • Known hypersensitivity to sulfonamides products or any of the components of the study medications or to test products Specific exclusion criteria for women
  • Pregnancy (positive pregnancy test), lactation
  • Women of childbearing potential without an acceptable effective method of contraception (oral contraceptive, intra-uterine device, subcutaneous contraceptive implant) until end of the study participation OR
  • Women not hysterectomized, not menopaused nor surgically sterilized. Exclusion criteria related to general conditions
  • Inability of patient and/or relatives to understand the study procedures and thus inability to give informed consent
  • Non-compliant patient and/or relatives (e.g. not willing to attend the follow-up visits, way of life interfering with compliance)
  • Participation in anotherclinicalstudy
  • Already included once in this study
  • Ward of court
  • Patient not covered by the Social Security

Trial locations and contacts

27 sites in 3 countries.

27 sites in 3 countries

Italy16 sites
  • Policlinico S. Orsola-Malpighi - Dipartimento testa collo, U.O. Oftalmologia Ciardella

    Bologna, 40138

  • A.O. Mater Domini di Catanzaro - U.O. Oculistica

    Catanzaro, 88100

  • A.O.U. Careggi di Firenze - Dipartimento neuromuscoloscheletrico e organi di senso, reparto di oculistica

    Florence, 50134

  • "IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano" - Dipartimento di chirurgia, U.O. Oculistica

    Milan, 20122

  • Gruppo Multimedica Ospedale San Giuseppe di Milano - Clinica oculistica

    Milan, 20123

  • Ospedale San Raffaele IRCCS - Clinica oculistica

    Milan, 20123

  • ASST Santi Paolo e Carlo - Presidio Ospedale San Paolo - Dipartimento testa collo, reparto di oculistica

    Milan, 20142

  • Fondazione IRCCS Policlinico S. Matteo - Dipartimento di scienze chirurgiche, U.O. Oculistica

    Pavia, 27100

  • A.O. di Perugia - Ospedale S. Maria della Misericordia di Perugia - Clinica oculistica

    Perugia, 06129

  • A.O.U. Pisana - Cisanello - D.A.I. Specialità chirurgiche, U.O. Oculistica

    Pisa, 56126

  • Policlinico Universitario Campus Bio-medico di Roma - U.O.C. Oftalmologia

    Roma, 00128

  • Fondazione PTV Policlinico Tor Vergata - Dipartimento benessere della salute mentale e neurologica, dentale e degli organi di senso, U.O.S.D. Oculistica

    Roma, 00133

  • Ospedale Oftalmico di Roma (ASL Roma 1) - Dipartimento di oculistica e rete oftalmologica

    Roma, 00136

  • IRCCS Fondazione G.B. Bietti di Roma - U.O.S. Segmento anteriore con annessi oculari

    Roma, 00198

  • A.O.U. Senese - Università degli Studi di Siena - Dipartimento della salute mentale e degli organi di senso, U.O.C. Oculistica

    Siena, 53100

  • Az. Sanitaria Universitaria Integrata di Udine - P.O. Universitario "Santa Maria della Misericordia" - Dipartimento di chirurgia specialistica, clinica oculistica

    Udine, 33100

Other trials in Italy

Slovakia8 sites
  • Izak Vision Center s.r.o.

    Banská Bystrica, 974 01

  • FNsP F. D. Roosevelta Banská Bystrica II. Očná klinika SZU

    Banská Bystrica, 975 17

  • ROBIN LOOK spol. s r.o., Centrum mikrochirurgie oka

    Bratislava, 821 03

  • Vesely Očná Klinika, s.r.o.

    Bratislava, 821 08

  • 3F s.r.o. Očná ambulancia a optika

    Košice, 040 11

  • UVEA KLINIKA, s.r.o.

    Martin, 036 01

  • VIDISSIMO s. r. o. Očná klinika

    Trenčín, 911 08

  • Fakultná nemocnica s poliklinikou Žilina Očné oddelenie

    Žilina, 012 07

Other trials in Slovakia

Spain3 sites
  • Vissum alicante

    Alicante, 03016

  • Instituto Oftalmológico Integral Servicio de Oftalmología Admiravisión en Clínica Corachan

    Barcelona, 08017

  • Oftalvist Cio Jerez Clinic

    Jerez de la Frontera, Cadiz, 11408

Other trials in Spain

About this study

Official title: A Prospective, Observer-masked, Randomized Clinical Trial to Investigate and Compare the Clinical Efficacy of Chloroprocaine 3% Gel and Tetracaine 0.5% Eye Drop as Topical Anestheticsin Phacoemulsification.

Randomized clinical trial, multicenter, two-armed, to investigate and compare the clinical efficacy of chloroprocaine 3% gel and tetracaine 0.5% eye drop as topical anestheticsin phacoemulsification. This prospective, observer masked, randomised, controlled, equivalence phase 3 study will be conducted in approximately 4 European Countries. Sintetica intends to perform a phase 3 study on patients undergoing cataract surgery to assess the safety and efficacy of topical anaesthesia using chloroprocaine gel.

Read the detailed description

Prospective,randomized, multi-center, active-controlled, masked-observer, parallel-group, competitive equivalence study. The study has been designed to assess the equivalence of chloroprocaine 3% gel (Test) with respect to tetracaine 0.5% solution (Reference) in surface anesthesia. Patients in both groups will receive three drops of study products before surgery. The study will include a Selection visit (Day -90/Day -1), an Inclusion visit (Day 1/surgery day), a Follow-up visit (Day 2, phone visit), a Final visit (Day 8), and a Follow-up phone call - Optional (Day 28, phone visit).

Selection visit (Visit 1, Day -90/Day -1):

Patients scheduled to undergo cataract surgery in a single eye will be informed about the aims, procedures and possible risks of the study and will be asked to sign the informed consent form for the inclusion in the trial.

Inclusion visit/Surgery (Visit 2, Day 1):

Before the anesthesia, patients will be questioned about previous and concomitant ocular and non-ocular treatments. Inclusion /exclusion criteria and patient status will be verified. Patients will be randomized to either chloroprocaine 3% gel (Test) or tetracaine 0.5% eye drop (Reference) treatment group.

Follow-up visit/phone visit (Visit 3, Day 2):

Concomitant ocular and non-ocular treatments, AEs, and patient global satisfaction will be assessed.

Final visit (Visit 4, Day 8 ± 1 day):

Concomitant ocular and non-ocular treatments, ocular symptoms, best far corrected visual acuity in both eyes, endothelial cell count, corneal thickness, blood pressure and heart rate, and AEs will be assessed. Slit lamp examination and fluorescein test, IOP in both eyes, and fundoscopy will be performed.

Optional visit/phone visit (Visit 5, Day 28 ± 3 days):

Concomitant ocular and non-ocular treatments and AEs resolution will be assessed.

Conditions
Cataract
Being tested
Chloroprocaine 3%, Tetracaine 0.5%
Keywords
Cataract, Eye, Chloroprocaine
Medical subject headings
Cataract

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Chloroprocaine 3%Drug

    Also called Arm 1

    Administration: three IMP drops instillation as follow:

    • 1st Drop instillation, then wait for 5 minutes
    • Eye Disinfection, then wait for 2 minutes
    • 2nd Drop instillation, then wait for 1 minute
    • 3rdDrop instillation, then wait for 1 minute
    • Start of Surgery.
  • Tetracaine 0.5%Drug

    Also called Arm 2

    Administration: three IMP drops instillation as follow:

    • 1st Drop instillation, then wait for 5 minutes
    • Eye Disinfection, then wait for 2 minutes
    • 2nd Drop instillation, then wait for 1 minute
    • 3rdDrop instillation, then wait for 1 minute
    • Start of Surgery.
Study groups in NCT04685538
Study groupRoleWhat they receive
Chloroprocaine 3%ExperimentalAll the eligible patients will be administrated by Chloroprocaine 3 % according to the randomization criteria.
Receives: Drug: Chloroprocaine 3%
Tetracaine 0.5%Active comparatorAll the eligible patients will be administrated by Tetracaine 0.5% according to the randomization criteria.
Receives: Drug: Tetracaine 0.5%

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants in Each Treatment Group With a Successful Surface Anesthesia

    Τhe primary endpoint is the number of partecipants in each treatment group with a successful surface anesthesia, without any supplementation at the time point T4 (1 minute after the 3rd drop installation)

    Measured: Before Intra Ocular Lens (IOL) implantation surgery.

Secondary outcomes (10)
  1. Changes in Ocular Symptoms

    Changes in ocular symptoms (pain, irritation/burning/stinging, foreign body sensation) will be graded by the patients according to the following scale (0 is the minimum value and 3 is tha maximum value) (0 = absent, 1 = mild, 2 = moderate, 3 = severe) during the study on Visit 1-selection and on visit 4-final

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  2. Objective Ocular Signs

    • Objective ocular signs assessed by slit lamp examination, flare, and other objective ocular signs will be graded according to the following scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe. The minimum value is 0 and maximum value is 3

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  3. Fluoresceine

    Modification of the basal status evaluated with fluorescein test Approximately 2-3 minutes following fluorescein instillation, corneal staining was to be evaluated in both eyes, using a slit lamp, based on the Oxford scale (grades of 0-5: 0 is normal, 5 is severe abnormal).

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  4. Endothelial Cell Counts

    Modification of the basal status of the Endothelial cell counts evaluated with the specular microscopy

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  5. Corneal Thickness

    Modification of the basal status of the assesment (Corneal thickness). Measurement of the central corneal thickness was to be performed with a pachymeter

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  6. Best Far Corrected Visual Acuity

    Modification of the basal status of the assesment evaluated by LogMAR (Logarithm of the Minimum Angle of Resolution). When using a LogMAR chart, visual acuity is scored with reference to the logarithm of the minimum angle of resolution, as the chart's name suggests. An observer who can resolve details as small as 1 minute of visual angle scores LogMAR 0, since the base-10 logarithm of 1 is 0; an observer who can resolve details as small as 2 minutes of visual angle (i.e., reduced acuity) scores LogMAR 0.3, since the base-10 logarithm of 2 is near-approximately 0.3; and so on.

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  7. Number of Participants With Abnormalities of the Retina, Macula, or Optic Nerve by Fundoscopy

    Modification of the basal status of the assesment. Dilated fundus examination on retina, macula, optic nerve.

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  8. Intra-ocular Pressure

    Modification of the basal status of the assesment. Intraocular pressure (in mmHg) was assessed according to site current practice (air puff or applanation tonometer).

    Measured: Visit 1 (Day -90/Day -1) and Visit 4 (Day 8 ± 1 day), up to approximately 102 days

  9. Surgeon Satisfaction

    Evaluation of surgeon satisfaction. Surgeon satisfaction was assessed through the question "How do you consider the study product global tolerance?", at a scale (a score of 0 is the minimum value with the best outcome and 3 is the maximum value with the worst outcome): (0) Very satisfactory, (1) Satisfactory, (2) Not very satisfactory, (3) Unsatisfactory. It is recorded at V2 and filled in by the surgeon who had performed the study. It is measured at Visit 2.

    Measured: day 1 - visit2 (Inclusion visit/Surgery)

  10. Patient Global Satisfaction

    Patient global satisfaction at D1 based on a 5-question questionnaire read by a masked observer.

    A question read by a masked observer assessed the patient satisfaction about the overall anesthesia during the surgery: "Overall, how satisfied are you with the topical study product used for your local anesthesia during your cataract surgery?" It was measured with 5 possible answers (Likert satisfaction scale): Very satisfied (0), Globally satisfied (1), Neither satisfied nor Unsatisfied (2), Globally unsatisfied (3), Very unsatisfied (4). It was measured at Visit 3.

    Measured: day 1 - visit2 (Inclusion visit/Surgery) after the treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Dec 2020
  2. Study start9 Sep 2020
  3. Primary completion1 Mar 2021
  4. Study completion9 Mar 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
338 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04685538
Sponsor's protocol ID
CHL.3/01-2019/M
Status last verified
Apr 2021
First submitted
15 Dec 2020
Last updated
18 Jan 2023
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Figus M, Giansanti F, Villani E, Alio JL, Janco L, Mercuri S, Camnasio S, Cagini C. Chloroprocaine 3% Gel as a Novel Ocular Topical Anesthetic: Results from a Multicenter, Randomized Clinical Trial in Patients Undergoing Cataract Surgery. J Ocul Pharmacol Ther. 2024 Mar;40(2):117-125. doi: 10.1089/jop.2023.0096.

    PubMed 38489057

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Chloroprocaine 3% and Tetracaine 0.5% in people with Cataract, run by Sintetica SA at 27 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in Italy, Slovakia, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Oct 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants in Each Treatment Group With a Successful Surface Anesthesia (time frame: Before Intra Ocular Lens (IOL) implantation surgery.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04685538, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jan 2023.

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