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RECRUITING
NCT05870566
NA

Pretreatment to Promote Graft Survival After Subsequent High-risk Corneal Transplantation [CrossCornealVision]

Sponsor: Claus Cursiefen

View on ClinicalTrials.gov

Summary

The trial evaluates the effect of corneal crosslinking as pre-treatment before corneal transplantation. The goal is to improve graft survival by reducing pathological vessels through pre-treatment.

Official title: UV Light-mediated Corneal Crosslinking as (Lymph)Angioregressive Pretreatment to Promote Graft Survival After Subsequent High-risk Corneal Transplantation [CrossCornealVision]

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

110

Start Date

2023-11-20

Completion Date

2028-09-30

Last Updated

2024-10-21

Healthy Volunteers

No

Interventions

DEVICE

Corneal Crosslinking

Riboflavin isotonic, 0,1 % Vitamin B2, with Dextran 20,0%, for epi-off procedure or Riboflavin isotonic 0,1% (Vitamin B2), 1,1% HPMC without Dextran for epi-off) 0.1% riboflavin-5-phosphate and 20% dextran T-500) will be applied to the cornea after epithelial debridement every 2 min for 10 minutes before irradiation and every 2 minutes during the course of a 10 minute exposure to 365 nm UV-A with an irradiance rate of 9 mW/cm2. This dose, mode and scheme of the intervention follows the internationally recognized "accelerated CXL protocol" (Elbaz et al. 2014). The data existing shows equivalent outcome regarding efficacy and safety compared to the standard protocol. To avoid any damage to the limbal stem cells, the limbus will not be irradiated during the procedure, as a CXL device (with maximal diameter of 11 mm) will be used. Furthermore, the limbal area will additionally be protected by a custom-cut LSC protection shield. (Protocol V04\_0 Page 45-46)

Locations (7)

Augenklinik des Klinikums der Universität München

München, Bavaria, Germany

University Hospital of Cologne, Centre for Ophthalmology

Cologne, North Rhine-Westphalia, Germany

Universitätsklinikum Düsseldorf, Klinik für Augenheilkunde

Düsseldorf, North Rhine-Westphalia, Germany

Universitätsklinikum des Saarlandes, Klinik für Augenheilkunde

Homburg, Saarland, Germany

Charité - Universitätsmedizin Berlin, Klinik für Augenheilkunde

Berlin, Germany

Universitätsklinikum Freiburg, Klinik für Augenheilkunde

Freiburg im Breisgau, Germany

Klinik und Poliklinik für Augenheilkunde - Universitätsmedizin Rostock

Rostock, Germany