Comparative Study of Ologen Collagen Matrix Versus Mitomycin-C in Glaucoma Filtering Surgery (MCToCM)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01440751
Recruitment Status : Completed
First Posted : September 27, 2011
Last Update Posted : November 1, 2017
The New York Eye & Ear Infirmary
Glaucoma Associates of New York
Information provided by (Responsible Party):
Aeon Astron Europe B.V.

September 14, 2011
September 27, 2011
November 1, 2017
September 2011
December 2013   (Final data collection date for primary outcome measure)
Intraocular pressure(IOP) reduction [ Time Frame: At postoperative up to 24 months. ]

"Complete success" is consider for IOP less than 21mmHg(inclusive) with no glaucoma medications and with more than 20% reduction(inclusive) from baseline IOP.

Definition of success rate is calculated in percentage by the number of complete success patients over the total sample size.

"Qualified success" that meets the postoperative IOP requirements with postoperative glaucoma medicaitons and "Failure" of meeting the IOP requirements are the other efficacy parameters.

In the specified time frame, patients will also visit for record at day 1, 7, 14, 30, 90, 180 days, 12, 18, and 24 months.

Same as current
Complete list of historical versions of study NCT01440751 on Archive Site
Postoperative complications and appearances [ Time Frame: At postoperative up to 24 months. ]

Inspections of hyphema, severe anterior chamber reaction, hypotony, supercholoidal hemorrhage, flat anterior chamber, endophthalmitis, choroidal detachment, wound or bleb leak.

Visual acuity, bleb appearance, and anterior chamber inflammation.

Same as current
Not Provided
Not Provided
Comparative Study of Ologen Collagen Matrix Versus Mitomycin-C in Glaucoma Filtering Surgery
Comparative Study of the Safety and Effectiveness of Ologen Collagen Matrix Versus Mitomycin-C in Glaucoma Filtering Surgery
The objective of this prospective randomised study is to compare the efficacy and safety of ologen CM (Collagen matrix) and Mitomycin-C (MMC) as adjuncts to filtration surgery in uncontrolled treated glaucoma cases, the efficacy being the primary objective and the safety being the secondary.

"ologen ® CM" is a biodegradable collagen matrix. To prevent episcleral fibrosis and subconjunctival scarring thay may result in the surgical failure in trabeculectomy, its sporous matrix modulates the migrations and proliferations of fibroblasts to create a vascular and long-lasting bleb without the adverse effects, such as avascular thin bleb wall, bleb leak, hypotony, and inflammations, potentially caused by the regeneration suppression effects upon the use of cytotoxic agents as anti-fibrotic agents, such as MMC (Mitomycin-C)in the study.

Results of ologen CM studies have been published at conferences and published in peer-reviewed journals; ologen CM is approved in Europe as an aid for tissue repair, and by the FDA in the US as an adjunct in wound management(K080868). In general, over 6,000 ologen CM have been implanted worldwide during the past two years with good results and excellent safety profile.

The clinical trial is a phase-IV post-marketing FDA approved device study designed as open-label, randomised, parallel, and comparative. 128 patients at 8 sites are anticipated to be recruited according to the enrollment criteria, while randomisation will be assigned by a sealed envelope system after the patient has signed consent. Trabeculectomy is performed thereafter with either MMC or ologen CM applications as described in the protocol with postoperative parameters to be measured and analysed with non-parametric tests(Chi-square, Fisher's exact, Wilcoxon, and Mann-Whitney tests) as well as Kaplan-Meier survival models.

Phase 4
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
  • Device: Use of ologen Collagen Matrix in trabeculectomy (ologen)
    Place ologen CM on the top of the loosely-sutured scleral flap under conjunctiva before suturing. It is recommended to suture the scleral flap with 1 or 2 stiches loosely for the convenience of future suture lysis and to coordinate with the tamponading effect of ologen CM to create a fluctuating scleral flap that prevents bleb wound adhesion and modulates aqueous humor outflow for ideal IOP control without leakage.
  • Drug: Use of Mitomycin-C (MMC) in trabeculectomy
    After outlining and creating a superficial scleral flap, a cellulose sponge soaked with MMC(0.4mg/mL) is applied for up to 3 mins according to physician's routine method of application. The area treated is copiously irrigated with balanced isotonic solution. Alternatively, 15mcg of MMC may be injected intra-Tenon's at the end of the procedure. Patients receiving mitomycin will be billed as per operating room practice.
  • Experimental: ologen Collagen Matrix
    When performing glaucoma surgery, a trabeculectomy, use ologen Collagen Matrix instead of MMC before closing the conjunctiva
    Intervention: Device: Use of ologen Collagen Matrix in trabeculectomy (ologen)
  • Active Comparator: Mitomycin-C (MMC)
    When performing glaucoma surgery, a trabeculectomy, use MMC as antifibrotic agent before closing the conjunctiva
    Intervention: Drug: Use of Mitomycin-C (MMC) in trabeculectomy
Tanna AP, Rademaker AW, de Moraes CG, Godfrey DG, Sarkisian SR Jr, Vold SD, Ritch R. Collagen matrix vs mitomycin-C in trabeculectomy and combined phacoemulsification and trabeculectomy: a randomized controlled trial. BMC Ophthalmol. 2016 Dec 29;16(1):217. doi: 10.1186/s12886-016-0393-z.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
December 2015
December 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age > 30 years (inclusive)
  • Uncontrolled treated glaucoma requiring trabeculectomy
  • Subject must be able and willing to cooperate with investigation plan
  • Subject must be able and willing to complete postoperative follow-up requirements
  • subject must be willing to sign informed consent form

Exclusion Criteria:

  • Known allergic reaction to MMC or porcine collagen
  • Neovascular, uveitic, aphakic glaucoma, previous incisional glaucoma surgery
  • Prior cataract unless clear corneal incision
  • Previous conjunctival or strabismus surgery
  • Participation in an investigational study during 30 days prior to trabeculectomy
  • Ocular infection within 14 days prior to trabeculectomy
  • Pregnant or breast-feeding women
Sexes Eligible for Study: All
30 Years and older   (Adult, Older Adult)
Contact information is only displayed when the study is recruiting subjects
United States
Not Provided
Plan to Share IPD: No
Aeon Astron Europe B.V.
Aeon Astron Europe B.V.
  • The New York Eye & Ear Infirmary
  • Glaucoma Associates of New York
Principal Investigator: Robert Ritch, MD Glaucoma Associates of New York
Study Director: Steven Sarkisian, MD Dean McGee Eye Institute
Study Director: Robert Fechtner, MD Institute of Ophthalmology and Visual Science
Study Director: Michael Pro, MD Wills Eye Institue
Study Director: Steven Vold, MD Boozman-Hof Eye Clinic
Study Director: Angelo Tanna, MD Northwestern Memorial Hospital
Study Director: David Godfrey, MD Glaucoma Associates of Texas
Study Director: Paul Sidoti, MD New York Eye and Ear Infirmiry
Aeon Astron Europe B.V.
October 2017

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP