ClinicalTrials.gg
CompletedNCT05627947Updated Oct 17, 2023

Comparison Between Topical Mitomycin C and Cyclosporine

A Phase 1 interventional study of Mitomycin c in Pterygium, sponsored by Egymedicalpedia. Completed at 1 site in Egypt. Open to participants aged 45 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-10-17.

Sponsored by Egymedicalpedia · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Jan 2021, registered Nov 2022).
Phase
Phase 1
Study type
Interventional
Enrollment
57
Allocation
Randomized
Ages
45 Years to 65 Years
Sex
All
01

Study summary

Pterygium is a disease associated with proliferation of the fibrovascular tissues of the conjunctiva into the cornea and is related to factors such as ultraviolet light exposure, chronic stimulation, inflammation, climate, and genetics.

Read the detailed description

The first line of treatment for primary pterygium is surgical excision, and despite postoperative adjuvant therapy using mitomycin C, cyclosporine, β-irradiation, argon laser, and bevacizumab, recurrence rates remain high .

Mitomycin C is a metabolic inhibitor extracted from Streptomyces caespitosus that inhibits DNA synthesis .

Cyclosporine is an immunosuppressant that selectively suppresses T-helper cells, controls interleukin synthesis and secretion, and inhibits vascular endothelial growth factor (VEGF)

Bevacizumab is an anti-VEGF antibody that inhibits angiogenesis. Each agent has been studied as an adjuvant therapy to inhibit post-surgery pterygium recurrence.

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Conditions studied

  • Pterygium

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03

In context

Pterygium

109 studies on the registry are indexed under Pterygium; 9 are open to participants now.

This study's enrollment of 57 is close to the median of 60 across 93 interventional studies indexed under Pterygium.

Browse Pterygium studies →

Lead sponsor

Egymedicalpedia is the lead sponsor of 58 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 65 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

  • Diagnosis of primary pterygium
  • Pterygium size > or equal 2mm (the horizontal length of the tissue from limbus to cornea will be measured by slit lamp biomicroscopy).
  • Ocular discomfort to medical treatment.
  • Visual loss induced by pterygium.
  • Adult Egyptian population

Exclusion criteria

Exclusion Criteria:

  • Patients who had recurrent pterygium or allergy to topical Cyclosporine.
  • Patients who had allergy from Mitomycin C.
  • Pregnant women.
  • Patients with uncontrollable systemic diseases such as hypertension, diabetes, or cardiovascular diseases.
  • Patients with diseases of the eye surface such as conjunctivitis and keratitis.
  • Patients with a history of eye surgery within the previous six months.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
57 participants (actual)

Study arms

  • Active comparator
    mitomycine-C Group

    This is the First Group and consists of !9 Patients and received 0.02% topical mitomycine C , 4 times per day for five days after the surgery.

    Drug: Mitomycin c

  • Active comparator
    Cyclosporine Group

    This is the Second Group and consists of !9 Patients and received topical 0.05% Cyclosporine, 4 times per day for three months after the surgery.

    Drug: Mitomycin c

  • Active comparator
    artificial eye drops Group

    This is the Third Group and consists of !9 Patients and received artificial eye drops, 4 times per day for three months after the surgery.

    Drug: Mitomycin c

Interventions

  • Comparing the effect of Mitomycin C versus Cyclosporine after primary pterygium surgery

    Also known as: Cyclosporine

06

What researchers measure

Primary outcomes

  1. Post Operative recurrence of pterygium

    According to the anterior segment slit lamp examination, grade 0 will be defined as no recurrence; grade 1 will be defined as thin episcleral blood vessels, not accompanied by fibrosis, observed around the excised area; grade 2 will be defined as fibrovascular proliferation limited to the sclera in the area will be excised; grade 3 will be defined as fibrovascular proliferation crossing the corneal limbus. Grades 2 and 3 will be defined as recurrence.

    Time frame: from baseline to 3 months after primary pterygium surgery.

07

Study locations

1 site
  • Faculty of Medicine, Menoufia University
    Shibīn Al Kawm, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2021 to primary completion in Jun 2022, 17 months.

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

Registered
Nov 16, 2022
First posted
Nov 28, 2022
StartActual
Jan 1, 2021
Primary completionActual
Jun 15, 2022
CompletionActual
Jun 30, 2022
Last update
Oct 17, 2023
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 Oct 17, 2023, 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
NCT05627947
Lead sponsor
Egymedicalpedia
Responsible party
Sponsor
First posted
Nov 28, 2022
Start date
Jan 1, 2021
Primary completion
Jun 15, 2022
Completion
Jun 30, 2022
Last update
Oct 17, 2023

Study contacts

Marwa Zaki, Assist.Prof.
study chair · Department of ophthalmology Faculty of Medicine, Menoufia University

Oversight

Data monitoring committee
Yes
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 Oct 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Mitomycin

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