A randomized, double-blind, equivalence of the efficacy and tolerance of the ophthalmic insert (Mydriasert) versus recommended treatment (assocociated phenylephrine and tropicamide eyes drops) in the newborn requiring a mydriase for a bilateral diagnosis ophthalmoscopy
DEC-NET Serial number FR578
Published online12/10/2006 11.03.00
Last updated12/10/2006 11.02.49
Other protocol ID numberN/A
Current trial statusOpen (actively recruiting new participants)
Major Disease
(ICD9 class)
MYDRIASIS (PERSISTENT) NOT DUE TO MYDRIATICS
Experimental drug
TROPICAMIDE, COMBINATIONS
Control drug
TROPICAMIDE COMBINATIONS
GenderBoth
Age (range)Premature to newborn

Eligibility criteria
Inclusion criteria
-Premature and infants hospitalized in the Neonatology Unit of the Robert Debré hospital and being under cardiac monitoring -Presenting a retinopathy risk of prematurity or a risk of ocular abnormalities in the eyeground: chorio-retinal and/or papillary -Written consent of parent.
Exclusion criteria
-New-born baby of less 1000g and less than 30 weeks corrected age -Contraindication with the one of the evaluated drugs.

Trial design/methodology
Phase3
Kind of studyEfficacy
Bioequivalence
Safety
DesignControlled
Randomised
Blinded
Double blind
Purpose of study
Principal objective: -To compare the percentage of mydriase of quality allowing the realization of the eyeground obtained by mydriasert versus recommended treatment(tropicamide and phenylephrine). Secondary objectives: -To compare between the two groups of treatment: 1/frequency of intervention of the nurse to treat the patient until obtaining the mydriase. 2/respect of the time designed to obtain a mydriase allowing the reading of the eyeground 3/calcul of the dosage of active drug received 4/local clinical tolerance in particular cardiac 5/adverse effects 6/stability of the mydriase defined by a mydriase of good quality maintained at the time of measurement in T+180mn.
Primary outcomes
-obtaining a premium mydriasis (success)
Secondary outcomes
-The frequency of intervention to treat the patient until obtaining mydriasis -Time measured to have a satisfactory eyeground -received theoretical doses (mg) of tropicamide and phenylephrine -The local and systemic clinical tolerance (cardiac) -Appearance of side effects -Mydriasis stability
Summary of study design, objectives, and ongoing research findings
Equivalence, randomized and blinded study. Newborns requiring an eyeground examination are included. Primary objective is to compare the quality of the mydriasis obtained by Mydriasert versus the reference treatment(Phenylephrine and tropicamide).
Principal investigator
NameDr Dominique Bremond-Gignac
InstitutionService d'Ophtalmologie,Hôpital Robert Debré
Postal address48 Bd Serurier 75019
CityParis
CountryFRANCE
Phone00 (33)(0)1 40 03 57 63
Fax00(33)(0)1 40 03 24 32
E-maildominique.bremond@rdb.aphp.fr


Promoter
DRRC, AP-HP (Scientific organisation)

ISRCTN  EudraCT