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Clinical Trials/NCT04911361
NCT04911361CompletedPhase 4

The DEPOT Study (Dry Eye Prescription Options for Therapy): A Randomized Controlled Clinical Trial Assessing the Efficacy and Safety of DEXTENZA, Sustained Release Dexamethasone 0.4 mg Insert, When Placed Within the Lower Eye Eyelid Canaliculus in Comparison to Topical Loteprednol Suspension for the Treatment of Episodic Dry Eye

Research Insight LLC3 sites in 1 country50 target enrollmentStarted: August 10, 2021Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Phase 4
Status
Completed
Enrollment
50
Locations
3
Primary Endpoint
To determine effect of dexamethasone insert

Study Overview

Brief Summary

Assessing DEXTENZA efficacy and safety when placed within the lower eyelid canaliculus for dry eye flares in comparison to topical loteprednol suspension.

Detailed Description

The DEPOT Study (Dry Eye Prescription Options for Therapy): A randomized controlled clinical trial assessing the efficacy and safety of DEXTENZA, sustained release dexamethasone 0.4 mg insert, when placed within the lower eye eyelid canaliculus in comparison to topical loteprednol suspension for the treatment of episodic dry eye.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Patients 18 years and older
  • Patients willing to take an electronic survey about their tolerability of either study medication.
  • Patients with a recent exacerbation of dry eye characterized by ocular surface discomfort.

Exclusion Criteria

  • Active, systemic or local disease condition other than DES that causes clinically significant ocular surface irritation that could interfere with the evaluation and treatment of dry eye.
  • Any of the following ocular (eye or eyelid) conditions in either eye within 1 Months prior to the enrollment visit:
  • Ocular surgery (e.g., intraocular, oculoplastic, corneal or refractive surgery procedure)
  • Clinically significant ocular trauma.
  • Active ocular Herpes simplex or Herpes zoster (eye or eyelid) infection.
  • Ocular inflammation (uveitis, iritis, scleritis, episcleritis, keratitis, conjunctivitis)
  • Ocular infection (e.g., viral, bacterial, mycobacterial, protozoan or fungal infection of the cornea, conjunctiva, lacrimal gland, lacrimal sac or eyelids including hordeolum/stye)
  • Moderate to severe (Grade 2-4) allergic, vernal or giant papillary conjunctivitis
  • Eyelid abnormalities that significantly affect lid function (e.g., entropion, ectropion, tumor, edema, blepharospasm, lagophthalmos, severe trichiasis, severe ptosis)
  • Ocular surface abnormality that may compromise corneal integrity (e.g., prior chemical burn, recurrent corneal erosion, corneal epithelial defect, Grade 3 corneal fluorescein staining, or map dot fingerprint dystrophy)
  • Participation in another ophthalmic clinical trial involving a therapeutic drug or device within 30 days prior to the distribution of the survey
  • Participation in this trial in the same patient's fellow eye.
  • Patients who are pregnant or breastfeeding or who may become pregnant during participation in the study.

Arms & Interventions

Topical loteprednol suspension in both eyes

Active Comparator

25 subjects will be randomized to receive treatment loteprednol etabonate 0.5% suspension QID for 2 weeks.

Intervention: Dexamethasone (Drug)

Lower eyelid canaliculi DEXTENZA insertion (study group)

Experimental

25 subjects will be randomized to receive treatment of OTX-DED

Intervention: Dexamethasone (Drug)

Outcomes

Primary Outcomes

To determine effect of dexamethasone insert

Time Frame: 2 Weeks

SPEED score at Baseline and Week 2

Secondary Outcomes

  • The difference in tear break up time (TBUT) before and after treatment(4 Weeks)
  • The difference in corneal staining before and after treament(4 Weeks)
  • The difference in conjunctival hyperemia(4 weeks)
  • To determine the effect of dexamethasone insert(4 Weeks)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (3)

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