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CompletedNCT04396301Updated May 20, 2020

Effect of Intracameral Injection of Mydriatic Plus Anaesthetic Combination on Corneal Endothelial Count in Phaco

A Phase 3 interventional study of Fydrane®: (Manufacturer DELPHARM TOURS, FRANCE). in Corneal Endothelial Cell Loss, Mydriasis and Cataract, sponsored by Cairo University. Completed at 1 site in Egypt. Open to participants aged 60 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-05-20.

Sponsored by Cairo University · Phase 3, Interventional, and Other

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Feb 2019, registered May 2020).
Phase
Phase 3
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
60 Years to 75 Years
Sex
All
01

Study summary

Study evaluates safety of intracameral injection of Fydrane (tropicamide 0.02%, phenylephrine 0.31% and lidocaine 1%) on corneal endothelium, and efficiency in maintaining pupillary dilatation during phacoemulsification surgery.

Read the detailed description

in this prospective randomized controlled study, 30 eyes of 30 patients undergoing phacoemulsification with intraocular lens (IOL) implantation, were assigned into 2 groups. 15 eyes (Fydrane group) received 0.2ml of Fydrane just after the first incision. While 15 eyes (Reference group) received a topical regimen of one drop of each of cyclopentolate hydrochloride 1% and tropicamide 1 %, every 15 min for 1 hour preoperatively. The main outcome measures were safety on corneal endothelium, by comparing the preoperative and 3 weeks postoperative corneal endothelium cell count in the two groups. Efficacy was also evaluated by measuring pupil size using surgical caliper at certain timings during surgery: before capsulorhexis and before intraocular lens (IOL) implantation, in both groups.

02

Conditions studied

  • Corneal Endothelial Cell Loss
  • Mydriasis
  • Cataract

Keywords

  • corneal endothelial cell count
  • Fydrane
  • mixed mydriatic and anaesthetic combination
  • intracameral mydriatic
  • mydriasis
  • phacoemulsification
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In context

Corneal Endothelial Cell Loss

28 studies on the registry are indexed under Corneal Endothelial Cell Loss; 6 are open to participants now.

This study's enrollment of 30 is below the median of 50 across 16 interventional studies indexed under Corneal Endothelial Cell Loss.

Browse Corneal Endothelial Cell Loss studies →

Lead sponsor

Cairo University is the lead sponsor of 4,941 studies on the registry; 1,458 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

04

Who can participate

Ages eligible
60 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • medium density cataract (nuclear II to III)

Exclusion criteria

Exclusion Criteria:

  • soft or hard density cataract (nuclear I or IV)
  • history of ocular trauma or previous intraocular surgery
  • iatrogenic, congenital or traumatic cataract
  • associated eye disease e.g. pseudoexofoliation syndrome
  • associated pre-existing corneal endothelial disease e.g. Fuchs dystrophy
  • associated systemic disease that can affect endothelium,
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Study design

Phase
Phase 3
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    Fydrane group

    Fydrane is injected intracamerally at the beginning of cataract surgery after the first incision, at a dose of 0.2 ml of solution, in only one injection. Fydrane®: (Manufacturer DELPHARM TOURS, FRANCE). No preoperative topical eye drops are used.

    Drug: Fydrane®: (Manufacturer DELPHARM TOURS, FRANCE).

  • No intervention
    Reference group:

    not injected with intracameral Fydrane. Pupillary dilatation in this group is achieved using preoperative topical eye drops: cyclopentolate hydrochloride 1% and tropicamide 1 % one drop every 15 min for 1 hour preoperatively.

Interventions

  • DrugFydrane®: (Manufacturer DELPHARM TOURS, FRANCE).

    Fydrane®. The active substances in Fydrane are: tropicamide 0.04 mg (anticholinergic), phenylephrine hydrochloride 0.62 mg (alpha sympathomimetic) and Lidocaine hydrochloride 2 mg (amide type local anaesthetics) for each 0.2 ml dose, equivalent to 0.2 mg of tropicamide, 3.1 mg of phenylephrine hydrochloride and 10 mg of lidocaine hydrochloride for 1 ml.

    Also known as: Mydrane

06

What researchers measure

Primary outcomes

  1. safety of intracameral Fydrane on endothelial cell count

    evaluates safety of Fydrane on corneal endothelium, assessed by calculating percentage of endothelial cell loss at 3 weeks postoperative

    Time frame: 3 weeks postoperative

Secondary outcomes

  1. effect of Fydrane on pupil diameter during phacoemulsification

    Fydrane Efficacy in achieving and maintaining mydiasis, is evaluated by measuring pupil diameter using surgical caliper at certain timings during surgery (before capsulorhexis and before IOL implantation)

    Time frame: pupil diameter is measured using surgical caliper at certain timings during surgery (before capsulorhexis and before IOL implantation)

07

Study locations

1 site
  • Cairo University - Kasr Alainy hospital
    Cairo, Egypt
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2019 to primary completion in Aug 2019, 6 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 15, 2020
First posted
May 20, 2020
StartActual
Feb 1, 2019
Primary completionActual
Aug 30, 2019
CompletionActual
Sep 30, 2019
Last update
May 20, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 20, 2020, 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
NCT04396301
Lead sponsor
Cairo University
Responsible party
Ahmed Elshewy (Dr, Cairo University) — Principal investigator
First posted
May 20, 2020
Start date
Feb 1, 2019
Primary completion
Aug 30, 2019
Completion
Sep 30, 2019
Last update
May 20, 2020

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.

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