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CompletedNCT01021761Updated Aug 31, 2011Results posted

A Comparison of Prostaglandin E2 (PGE2) Inhibition of Acuvail(Ketorolac 0.45%), Xibrom (Bromfenac 0.09%)and Nevanac (Nepafenac)in Patients Undergoing Phacoemulsification

A Phase 4 interventional study of Ketorolac Tromethamine and Bromfenac in Cataracts, sponsored by Frank A. Bucci, Jr., M.D.. Completed. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2011-08-31.

Sponsored by Frank A. Bucci, Jr., M.D. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
126
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Approximately 126 subjects scheduled to undergo cataract surgery by phacoemulsification, will be randomized in an even allocation (1:1:1) to either Acuvail, Xibrom or Nevanac. Subjects will be instructed to begin dosing the study medication in the operative eye the day before surgery and continue dosing on the day of surgery. Beginning one hour before surgery 1 drop of study medication will be instilled by operating room staff approximately every 15 minutes for a total of 3 doses. At the designated time a paracentesis will be performed at the start of the cataract procedure and at least 0.15cc of aqueous humor will be collected. The sample will be immediately stored on dry ice and shipped to a laboratory for analysis.

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Conditions studied

  • Cataracts

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03

In context

Cataract

1,701 studies on the registry are indexed under Cataract; 230 are open to participants now.

This study's enrollment of 126 is above the median of 80 across 1,155 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

Frank A. Bucci, Jr., M.D. is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Subjects must be 18 years of age or older
  • Scheduled for cataract surgery by phacoemulsification
  • Subjects must be willing to comply with all study requirements and be willing to give informed consent

Exclusion criteria

Exclusion Criteria:

  • Any subject that has a history of uveitis or active iritis
  • Subject can have o previous eye surgery with the exception of refractive surgery but not within 6 month
  • No ocular use of prostaglandins within 2 weeks of surgery
  • Use of oral, injectable or topical ophthalmic steroids, NSAIDs of immunosuppressants within 14 days prior to surgery
  • Contraindications to nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Active ocular infection
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
126 participants (actual)

Study arms

  • Active comparator
    Xibrom

    Xibrom to be given 1 drop 2 times (BID) the day before surgery and 3 doses pre op the day of surgery prior to surgery

    Drug: Bromfenac

  • Active comparator
    Nevanac

    Nevanac to be given 1 drop 2 times (BID) the day before surgery and 3 doses pre op the day of surgery prior to surgery

    Drug: nepafenac

  • Active comparator
    Acuvail

    Acuvail to be given preoperatively. One drop 2 times (BID), 1 day pre op and day of surgery 3 doses prior to surgery.

    Drug: Ketorolac Tromethamine

Interventions

  • DrugKetorolac Tromethamine

    ketorolac to be given 1 drop BID the day before surgery and 3 doses pre op the day of surgery prior to surgery

    Also known as: Acuvail

  • DrugBromfenac

    Drug to be given 1 drop BID the day before surgery and 3 doses pre op the day of surgery prior to surgery

    Also known as: Xibrom

  • Drugnepafenac

    drug to be given 1 drop BID the day before surgery and 3 doses pre op the day of surgery prior to surgery

    Also known as: Nevanac

06

What researchers measure

Primary outcomes

  1. Aqueous PGE2 Inhibition

    A spectroscopic quantification of PGE2 was performed on the aqueous humor samples collected with the results measured in pg/ml. PGE2 levels below 50 pg/ml were considered below the level of detection.

    Time frame: Day 4 of treatment

07

Results

Posted Aug 26, 2011

Participant flow

Participant flow — Overall Study
MilestoneXibromNevanacAcuvail
Started424242
Completed413842
Not completed140

Outcome measures

PrimaryAqueous PGE2 Inhibition

A spectroscopic quantification of PGE2 was performed on the aqueous humor samples collected with the results measured in pg/ml. PGE2 levels below 50 pg/ml were considered below the level of detection.

Time frame:
Day 4 of treatment
Reported as:
Mean · pg/ml
Aqueous PGE2 Inhibition
pg/mlXibromNevanacAcuvail
Aqueous PGE2 Inhibition288.7 ± 226.05320.4 ± 205.6224.8 ± 164.87

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Xibrom—0/42 (0%)0/42 (0%)
Nevanac—0/42 (0%)0/42 (0%)
Acuvail—0/42 (0%)0/42 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)XibromNevanacAcuvailTotal
<=18 years0000
Between 18 and 65 years18152154
>=65 years24272172
Age Continuous
Age Continuous(years)XibromNevanacAcuvailTotal
Mean72 ± 3174 ± 2975 ± 3074 ± 29
Sex: Female, Male
Sex: Female, Male(Participants)XibromNevanacAcuvailTotal
Female26292681
Male16131645
Region of Enrollment
Region of Enrollment(participants)XibromNevanacAcuvailTotal
United States424242126
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01021761
Lead sponsor
Frank A. Bucci, Jr., M.D.
Collaborators
Allergan
Responsible party
Frank A. Bucci, Jr., M.D. (Medical Director, Bucci Laser Vision Institute) — Sponsor-investigator
First posted
Nov 30, 2009
Start date
Oct 2009
Primary completion
Dec 2009
Completion
Jan 2010
Results posted
Aug 26, 2011
Last update
Aug 31, 2011

Study contacts

Frank A Bucci, Jr., MD
principal investigator · Bucci Laser Vision

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2011. You cannot join it, but the record below documents what was studied.

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