Status:
ACTIVE_NOT_RECRUITING
Descemet Endothelial Thickness Comparison Trial I
Lead Sponsor:
Stanford University
Collaborating Sponsors:
Oregon Health and Science University
University of California, San Francisco
Conditions:
Fuchs
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
Descemet Endothelial Thickness Comparison Trial (DETECT) I is a multi-center, outcome assessor-masked, placebo-controlled clinical trial randomizing 160 patients in a 2x2 factorial design. The purpose...
Eligibility Criteria
Inclusion
- Dysfunctional endothelium from Fuchs Endothelial Corneal Dystrophy (FECD) with guttata extending beyond 4.5 mm of the central cornea or severe edema without visualization of guttata
- Dysfunctional endothelium from Pseudophakic Corneal Edema (PCE) or Iridocorneal Endothelial Syndrome (ICE) or other primary endothelial dysfunction such as Posterior Polymorphous Corneal Dystrophy (PPMD)
- Dysfunctional endothelium from prior graft failure after PKP or EK
- Controlled uveitis (defined as quiet for \> 3 months off of topical steroids with or without systemic immunosuppression) or no uveitis
- Controlled glaucoma with topical medications and/or prior trabeculectomy or tube shunt without ongoing hypotony (IOP \< 5 mmHg) or no glaucoma
- Good candidate for corneal transplantation for either DMEK or UT-DSAEK
- Willingness to participate
- Age greater than 18 years
Exclusion
- Aphakia, or anterior chamber IOL or scleral fixated IOL in study eye prior to or anticipated during EK
- Pre-operative central sub-epithelial or stromal scarring that the investigator believes is visually significant and could impact post-operative stromal clarity assessment
- Peripheral anterior synechiae (iris to angle) in the angle greater than a total of three clock hours
- Visually significant optic nerve (ok to have small visual field defects) or macular severe pathology
- Pregnancy
Key Trial Info
Start Date :
July 15 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 30 2027
Estimated Enrollment :
160 Patients enrolled
Trial Details
Trial ID
NCT05289661
Start Date
July 15 2022
End Date
November 30 2027
Last Update
December 17 2025
Active Locations (7)
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1
Stanford University
Palo Alto, California, United States, 94303
2
University of California Davis
Sacramento, California, United States, 95817
3
University of Miami
Palm Beach Gardens, Florida, United States, 33418
4
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States, 03766