Validation Study on Eye Rubbing Questionnaire in Patients With or Suspected of Having a Keratoconus (KC) (QFK)
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ClinicalTrials.gov Identifier: NCT04517903 |
Recruitment Status :
Recruiting
First Posted : August 19, 2020
Last Update Posted : December 28, 2022
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KC is a degenerative disorder of the cornea. Keratoconus etiopathogenesis remains unclear and may rely on environmental and genetic factors. Usually considered as a rare disease (<1/2000), but the prevalence is nowadays growing worldwide up to 1/500. In that pathology, cornea progressively gets thinner, and there is a deformation of the corneal surface which can induce high order optical aberrations and visual impairment.
Eye rubbing is certainly the main factor in the progression or development of keratoconus (KC), yet it is only very partially evaluated and quantified in current management. Environmental and clinical factors will be collected and associated with a eye rubbing Questionnaire, specifically pointing out eye rubbing.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Keratoconus | Other: eye rubbing questionnaire | Not Applicable |
CNRK center is working on an eye rubbing questionnaire since 2017 in order to quantify that pejorative factor. Patient education can limit in a certain amount the Keratoconus progression. Thus, our objective will be to evaluate the therapeutic impact on Keratoconus progression of patient's education against eye rubbing according to an eye rubbing Questionnaire.
The validation of a dedicated questionnaire is an important act that will allow the scientific evaluation of this factor with both environmental and behavioral traits. It can thus be integrated into our care activity for its intrinsic educational and therapeutic virtues and for its decision-making aid for certain treatments. It will be useful first of all for the refinement of the correct prescription of corneal collagen crosslinking for evolving KC or KC with a high risk of progression.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 470 participants |
Allocation: | Non-Randomized |
Intervention Model: | Sequential Assignment |
Intervention Model Description: | eye rubbing questionnaire at baseline and 15 days later for exploratory phase; at baseline and at 6 month follow-up for confirmatory phase and at home |
Masking: | None (Open Label) |
Primary Purpose: | Prevention |
Official Title: | Validation Study on Eye Rubbing Questionnaire in Patients With or Suspected of Having a Keratoconus (KC) |
Actual Study Start Date : | March 16, 2021 |
Estimated Primary Completion Date : | December 15, 2023 |
Estimated Study Completion Date : | December 15, 2023 |

Arm | Intervention/treatment |
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Experimental: exploratory phase
eye rubbing questionnaire at baseline and 15 days later
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Other: eye rubbing questionnaire
eye rubbing questionnaire |
Experimental: Confirmatory phase
eye rubbing questionnaire at baseline and at 6 month follow-up
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Other: eye rubbing questionnaire
eye rubbing questionnaire |
- validation of our eye rubbing questionnaire [ Time Frame: Baseline and 15 days after (Day 15) ]validation of our eye rubbing questionnaire will be made through the evaluation of its Suitability (Appearance validity, Content validity), Reliability (Consistency and homogeneity, Reproducibility), Applicability (Feasibility and acceptability), Validity (Construct validity), Sensitivity (Sensitivity to change, Discriminative validity)
- impact of the questionnaire on the reduction or cessation of eye rubbing [ Time Frame: Baseline and 6 months after (Month 6) ]
The evolution of the answers to the questionnaire and of the disease between the visit to M0 and the visit at 6 months will be defined by:
- A decrease of at least one level in the intensity, or duration, or frequency of eye rubbing
- Stopping eye rubbing
- Monitoring the scability of the KC from clinical data [ Time Frame: Baseline and Month 6 ]
The clinical course being determined as follows:
- Increase in maximum anterior or posterior keratometry (corneal curvature) of more than 1 diopter (D), or
- Corneal thinning at the thinnest point of the cornea (CTP) of more than 10 microns
- Estimate the scalability of the KC at 6 months [ Time Frame: Baseline and Month 6 ]Estimate the scalability of the KC at 6 months for each of the rubbing categories (reduction of rubbing or not, cessation of rubbing or not)

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Ages Eligible for Study: | 13 Years and older (Child, Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Coming for the first time for expert advice on KC
- Having a suspected or known KC
- Being over 13 years old (or from 13 years old)
- Possess computer connection equipment (computer, tablet or smartphone) and access to the network, for the completion of the questionnaire at home.
- Being affiliated to or beneficiary of health insurance
- Have signed the informed consent form from the patient and from legal representatives for minor patient
Exclusion Criteria:
- Being incapacitated or unable to follow study procedures
- Patient under legal protection

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04517903
Contact: David Touboul, MD-PhD | +335 56 79 55 30 | david.touboul@chu-bordeaux.fr |
France | |
CHU Bordeaux | Recruiting |
Bordeaux, France | |
Contact: David Touboul, MD, PhD +335 56 79 55 30 david.touboul@chu-bordeaux.fr | |
CHU Brest | Not yet recruiting |
Brest, France | |
Contact: Beatrice Cochener, MD, PhD +332 98 22 34 40 beatrice.cochener@ophtalmologie-chu29.fr | |
CHU de Clermont-Ferrad | Not yet recruiting |
Clermont-Ferrand, France | |
Contact: Frederic chiambaretta, MD, PhD +334 73 75 14 67 fchiambaretta@chu-clermontferrand.fr | |
Hospices Civils de Lyon | Not yet recruiting |
Lyon, France | |
Contact: Caroline Burillon, MD, PhD +334 78 86 14 00 carole.burillon@chu-lyon.fr | |
CHU de Montpellier | Not yet recruiting |
Montpellier, France | |
Contact: Vincent Daien, MD, PhD +334 67 33 69 66 v.daien@chu-montpellier.fr | |
Centre National Ophtalmologique des Quinze Vingt | Not yet recruiting |
Paris, France | |
Contact: Vincent Borderie, MD, PhD +331 40 02 15 11 vborderie@15-20.fr | |
CHU de Rouen | Not yet recruiting |
Rouen, France | |
Contact: Marc Muraine, Md, PhD +332 32 88 89 90 marc.muraine@chu-rouen.fr | |
CHU de Toulouse | Not yet recruiting |
Toulouse, France | |
Contact: Pierre Fournié, MD, PhD +335 61 77 20 57 fournie.p@chu-toulouse.fr |
Responsible Party: | University Hospital, Bordeaux |
ClinicalTrials.gov Identifier: | NCT04517903 |
Other Study ID Numbers: |
CHUBX 2019/53 |
First Posted: | August 19, 2020 Key Record Dates |
Last Update Posted: | December 28, 2022 |
Last Verified: | December 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Keratoconus Eye rubbing |
Keratoconus Corneal Diseases Eye Diseases |