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Recruiting

NCT Number: NCT06077253

Danish Angle Closure Prevention Trial

To determine whether primary angle closure suspects (PACS) in a Caucasian population benefit from prophylactic laser iridotomy.

Recruiting

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Key information

Age range

40 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Aalborg University Hospital, Aalborg, Denmark

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About this study

Prospective, randomised paired-eye design clinical trial comparing peripheral laser iridotomy in one eye with observation in the other over 5-years follow-up.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Primary angle closure suspect: ≥180 degrees (cumulative) irido-trabecular contact on darkroom gonioscopy, IOP<21mmHg, no peripheral anterior synechiae, no glaucomatous optic neuropathy
  • Best-corrected visual acuity (BCVA) >0.8 on both eyes
  • Caucasian

Exclusion criteria

  • Pseudophakia
  • Previous iridotomy
  • Clinically significant cataract with indication for surgery,
  • Gaucoma
  • Uveitis
  • Unstable retinal conditions
  • Ocular malignancies
  • PEX
  • PDS
  • Systemic or ocular corticosteroid treatment

Treatment and study plan

Iridotomy

Procedure

Peripheral iridotomy (size >200µm)

Primary outcomes

  1. Intraocular pressure

    Time frame: 5 year

    GAT: ≥24mmHg or ≥22mmHg on two separate occasions

  2. Glaucoma

    Time frame: 5 year

    The presence of glaucomatous optic neuropathy with visual field loss compatible with glaucoma. Glaucomatous optic neuropathy defined as loss of neuroretinal rim (notch or erosion), a vertical cup-to-disc ratio of more than 0.7, nerve fiber layer defect attributable to glaucoma, or both.

  3. Acute Primary Angle Closure

    Time frame: 5 year

    Presence of at least 2 of the following symptoms: ocular or periocular pain; nausea, vomiting, or both; an antecedent history of intermittent blurring of vision with haloes and IOP of more than 30 mmHg and presence of at least 3 of the following signs: conjunctival injection, corneal epithelial edema, mid-dilated unreactive pupil, glaukomflecken, and shallow anterior chamber;

Study contacts

Contact information is provided by the study sponsor or research team.

Niklas Telinius, PhD, DMSc

CONTACT

[email protected]

+4530238533

Sponsors and collaborators

Lead sponsor

University of Aarhus

Other

Registry information

Acronym: DAP

Important dates

Study start
2023
Primary completion
2029
Study completion
2029
First posted
Oct 11, 2023
Registry last updated
Nov 13, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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