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RecruitingNCT06264024Updated Feb 16, 2024

Simultaneous pHototherapeutic Keratectomy and corneAl Collagen cRosslinking in Eyes With Keratoconus: a Randomized Trial (SHARK)

An interventional study of Corneal collagen cross linking (CXL) and Transepithelial phototherapeutic keratectomy (t-PTK) in Keratoconus, sponsored by Oslo University Hospital. Recruiting at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-16.

Sponsored by Oslo University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 6 months ago, but the record still lists the study as recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
81
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to compare CXL with combined treatment with CXL and t-PTK.

The main questions it aims to answer are whether combined treatment can give better visual acuity and if the treatments are equally safe.

02

Conditions studied

  • Keratoconus

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03

In context

Keratoconus

313 studies on the registry are indexed under Keratoconus; 56 are open to participants now.

This study's planned enrollment of 81 is above the median of 40 across 205 interventional studies indexed under Keratoconus.

Browse Keratoconus studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 834 studies on the registry; 149 are 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
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

  • Patients must be 18 years or older at the time of signing the form. There is no upper age limit.
  • Progressive keratoconus with indication for CXL
  • Corneal thickness ≥ 420 μm

Exclusion criteria

Exclusion Criteria:

  • Other eye disease causing visual impairment
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
81 participants (estimated)

Study arms

  • Active comparator
    CXL

    Treatment with CXL alone

    Procedure: Corneal collagen cross linking (CXL)

  • Experimental
    CXL and t-PTK

    Treatment with t-PTK combined with CXL

    Procedure: Corneal collagen cross linking (CXL) · Procedure: Transepithelial phototherapeutic keratectomy (t-PTK)

Interventions

  • ProcedureCorneal collagen cross linking (CXL)

    Use of Avedro Inc. KXL 1 system to stop progression of keratoconus

  • ProcedureTransepithelial phototherapeutic keratectomy (t-PTK)

    Use Alcon Wavelight 500, excimer laser to remove the epithelium and some of the stroma over apex

06

What researchers measure

Primary outcomes

  1. Visual acuity

    Uncorrected and corrected distance visual acuity in logMAR

    Time frame: 1 month after surgery

  2. Risk of progression

    Change in keratometric values

    Time frame: 1 year after surgery

Secondary outcomes

  1. Visual acuity

    Uncorrected and corrected distance visual acuity in logMAR

    Time frame: 3 month after surgery

  2. Visual acuity

    Uncorrected and corrected distance visual acuity in logMAR

    Time frame: 6 month after surgery

  3. Visual acuity

    Uncorrected and corrected distance visual acuity in logMAR

    Time frame: 1 year after surgery

  4. Visual acuity

    Uncorrected and corrected distance visual acuity in logMAR

    Time frame: 2 years after surgery

  5. Visual acuity

    Uncorrected and corrected distance visual acuity in logMAR

    Time frame: 5 years after surgery

  6. Risk of progression

    Change in keratometric values

    Time frame: 1 month after surgery

  7. Risk of progression

    Change in keratometric values

    Time frame: 3 months after surgery

  8. Risk of progression

    Change in keratometric values

    Time frame: 6 months after surgery

  9. Risk of progression

    Change in keratometric values

    Time frame: 2 years after surgery

  10. Risk of progression

    Change in keratometric values

    Time frame: 5 years after surgery

  11. Depth of demarcation line (OCT)

    Measured with corneal optical coherence tomography (OCT)

    Time frame: 1 month after surgery

  12. Depth of demarcation line (confocal microscopy)

    Measured with confocal microscopy

    Time frame: 1 month after surgery

  13. Patient reported outcome measure (PROMs)

    National eye institute Visual Function Questionnaire 25

    Time frame: 1 month after surgery

  14. Patient reported outcome measure (PROMs)

    National eye institute Visual Function Questionnaire 25

    Time frame: 6 months after surgery

  15. Patient reported outcome measure (PROMs)

    National eye institute Visual Function Questionnaire 25

    Time frame: 2 years after surgery

  16. Patient reported pain after surgery

    Pain the first 48 hours after the surgery graded on visual analogue scale (VAS); 0 to 10 cm.

    Time frame: 48 hours after surgery

07

Study locations

1 of 1 sites recruiting
  • Department of Ophhtalmology, University of Oslo
    Oslo, Norway
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Feb 2024; primary completion for May 2025, 14 months later.

Of 59 non-industry interventional studies with no phase under Keratoconus, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 54. This study's planned 14 months is below that.

Counting every sponsor, half of 68 studies reached it within 34 months; a quarter within 12 and three quarters within 59.

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

Registered
Jan 29, 2024
First posted
Feb 16, 2024
StartEst.
Feb 12, 2024
Primary completionEst.
May 1, 2025
CompletionEst.
Feb 1, 2034
Last update
Feb 16, 2024
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 Feb 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06264024
Responsible party
Olav Kristianslund (MD, PhD, Oslo University Hospital) — Principal investigator
First posted
Feb 16, 2024
Start date
Feb 12, 2024 (estimated)
Primary completion
May 1, 2025 (estimated)
Completion
Feb 1, 2034 (estimated)
Last update
Feb 16, 2024

Study contacts

Olav Kristianslund, MD, PhD
Contact
olakri@ous-hf.no
+4722118545

Oversight

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

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