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Study to Evaluate the Safety for the Treatment of Inflammation Associated With Cataract Surgery

Phase 3
Completed
Conditions
Cataract
Interventions
Registration Number
NCT02547623
Lead Sponsor
ICON Bioscience Inc
Brief Summary

The study is a prospective, randomized, parallel-design, multicenter trial in patients ≥40 years of age undergoing cataract surgery. Patients who meet all inclusion and no exclusion criteria will be randomized to 1 of 2 treatment groups

* A single 5 mcl anterior chamber injection of IBI 10090, 103.4 mcg/mcl dexamethasone, equivalent dexamethasone dose: 517 mcg at the conclusion of cataract surgery or;

* Prednisolone acetate ophthalmic suspension 1% eye drops administered 1 drop 4 times daily (QID) for 3 weeks Safety will be assessed by adverse events (AEs), slit lamp biomicroscopy, fundus examination, intraocular pressure (IOP), visual acuity, and specular microscopy endothelial cell count.

Detailed Description

The study is a prospective, randomized, parallel-design, multicenter trial in patients ≥40 years of age undergoing cataract surgery. Patients who meet all inclusion and no exclusion criteria will be randomized to 1 of 2 treatment groups

* A single 5 mcl anterior chamber injection of IBI 10090, 103.4 mcg/mcl dexamethasone, equivalent dexamethasone dose: 517 mcg at the conclusion of cataract surgery or;

* Prednisolone acetate ophthalmic suspension 1% eye drops administered 1 drop 4 times daily (QID) for 3 weeks

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
194
Inclusion Criteria
  • undergoing cataract surgery
Exclusion Criteria
  • glaucoma patient, pregnancy, allergy to dexamethasone

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
dexamethasone depotDexamethasonedexamethasone depot 517 mcg
standard of carePrednisoloneprednisolone drops 1%
Primary Outcome Measures
NameTimeMethod
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)Baseline to postoperative day 90/ early termination

Treatment-emergent Adverse Events were defined as events that started after the study drug administration, and occurred before termination of the study, or were present before study drug administration and worsened after dose administration.

Secondary Outcome Measures
NameTimeMethod
Intraocular Pressure MeasurementBaseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Intraocular Pressure was measured by Goldmann applanation tonometry.

Visual Acuity in Study EyeBaseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Visual Acuity assessed by the Snellen chart, was expressed as the logarithm of the minimum angle of resolution (logMAR), and could range from 0 (representing 20/20 vision) to 1

Slit Lamp Biomicroscopy - Conjunctival Hyperemia GradeBaseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Slit lamp biomicroscopy of the anterior chamber was performed using a slit beam of 1-mm height and 1-mm width with maximum luminance through the highest-powered lens using the Investigator's standard slit lamp equipment and procedure.

Conjunctiva hyperemia slit lamp results were summarized by treatment group and time point.

Slit Lamp Biomicroscopy - Cornea Edema GradeBaseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Slit lamp biomicroscopy of the anterior chamber was performed using a slit beam of 1-mm height and 1-mm width with maximum luminance through the highest-powered lens using the Investigator's standard slit lamp equipment and procedure.

Cornea edema slit lamp results in the study eye were summarized by treatment group and time point.

Summary of Concomitant Medications Used in the Study Eye or Both EyesBaseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination
Changes in the Corneal Endothelial Cell CountBaseline, Postoperative day 90/Early termination

Corneal Endothelial Cell Density was measured by specular microscopy.

Optic Disc Cup-disc Ratio for the Study EyeBaseline, POD 90/Early termination

Calculated as the ratio of the diameter of the depression (cup) to that of the optical nerve head (disc).

Dilated Opthalmoscopy Findings - Optic Disc (Study Eye)Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's optic disc

Dilated Opthalmoscopy Findings - Retina (Study Eye)Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's retina

Dilated Opthalmoscopy Findings - Macula (Study Eye)Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's macula.

Dilated Opthalmoscopy Findings - Choroid (Study Eye)Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's choroid

Dilated Opthalmoscopy Findings - Vitreous (Study Eye)Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's vitreous

Trial Locations

Locations (10)

Inland Eye Specialists

🇺🇸

Hemet, California, United States

Kislinger MD inc

🇺🇸

Glendora, California, United States

Harvard Eye Associated

🇺🇸

Laguna Hills, California, United States

Feinerman Vision Center

🇺🇸

Newport Beach, California, United States

Cincinnati Eye Institute

🇺🇸

Cincinnati, Ohio, United States

Matossian Eye Associates

🇺🇸

Pennington, New Jersey, United States

Associated Eye Care

🇺🇸

Stillwater, Minnesota, United States

Ophthalmic Consultants of Long Island

🇺🇸

Garden City, New York, United States

the eye institute of Utah

🇺🇸

Salt Lake City, Utah, United States

Carolina Eye Care Physicians

🇺🇸

Mount Pleasant, South Carolina, United States

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