A Phase 3, Multicenter, Prospective, Randomized, Masked, Controlled, Safety and Efficacy Study of a Fluocinolone Acetonide (FA) Intravitreal 0.05 mg Insert (Yutiq 0.05 mg) in Subjects With Chronic Non-Infectious Uveitis Affecting the Posterior Segment of the Eye
Overview
- Phase
- Phase 3
- Intervention
- Sham Injector
- Conditions
- Uveitis
- Sponsor
- EyePoint Pharmaceuticals, Inc.
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Percentage of Subjects With Recurrence of Uveitis in the Study Eye at Week 24
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
A study to evaluate the safety and efficacy of a fluocinolone acetonide intravitreal (FAI) insert in the management of subjects with chronic non-infectious uveitis affecting the posterior segment of the eye.
Detailed Description
This was a phase 3, multicenter, randomized, masked, controlled study to evaluate the safety and efficacy of an injectable FAI insert for the management of subjects with chronic non-infectious uveitis affecting the posterior segment of the eye. Subjects were randomized to receive either a sham injection or the FAI insert and were observed for 1 year following treatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male or non-pregnant female at least 18 years of age at time of consent.
- •One or both eyes had a history of recurrent non-infectious uveitis affecting the posterior segment of the eye (intermediate, posterior, or panuveitis) with or without anterior uveitis \>1 year duration.
- •During the 52 weeks prior to enrollment (Day 1), the subject must have received treatment for uveitis in the study eye with:
- •Systemic corticosteroid or other systemic therapies for at least 12 consecutive or non-consecutive weeks, AND/OR
- •at least 2 intra- or peri-ocular administrations of corticosteroid in the study eye, OR
- •the study eye has experienced recurrence of uveitis at least 2 separate times requiring systemic, intra- or peri-ocular injection of corticosteroid.
- •At the time of enrollment (Day 1), the study eye has \<10 anterior chamber cells/HPF (high power field) and a vitreous haze ≤ grade
- •Visual acuity of study eye ≥15 letters on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart.
- •Not planning to undergo elective ocular surgery during the study.
- •Able to understand and sign the Informed Consent Form (ICF).
Exclusion Criteria
- •Ocular Exclusion Criteria (for the study eye, unless indicated otherwise):
- •History of posterior uveitis only that is not accompanied by vitritis or macular edema.
- •History of iritis only associated with no vitreous cells, anterior chamber cells, or vitreous haze at Day
- •Uveitis with infectious etiology.
- •Vitreous hemorrhage.
- •Intraocular inflammation associated with a condition other than noninfectious uveitis (eg, intraocular lymphoma).
- •Uveitis limited to the anterior segment, ie, anterior uveitis only.
- •Ocular malignancy in either eye, including choroidal melanoma.
- •Previous viral retinitis.
- •Toxoplasmosis scar or scar related to previous viral retinitis in the study eye.
Arms & Interventions
Sham Comparator
Intravitreal sham injection
Intervention: Sham Injector
FAI insert (0.05 mg fluocinolone acetonide)
Fluocinolone acetonide (FA) intravitreal 0.05 mg insert (Yutiq 0.05 mg).
Intervention: FAI Insert
Outcomes
Primary Outcomes
Percentage of Subjects With Recurrence of Uveitis in the Study Eye at Week 24
Time Frame: Week 24
Recurrence was defined as: * An increase in the vitreous haze of ≥2 steps compared to baseline or any visit time point prior to the Week 24 visit; or * A deterioration in visual acuity of at least 15 letters BCVA compared to baseline or any visit time point prior to the Week 24 visit.
Secondary Outcomes
- Percentage of Subjects With Recurrence of Uveitis in the Study Eye at Week 52(Week 52)
- Percentage of Subjects With Recurrence of Uveitis in the Fellow Eye at Weeks 24 and 52(Weeks 24 and 52)
- Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) Letter Score in the Study Eye at Weeks 24 and 52(Weeks 24 and 52)
- Number of Recurrences of Uveitis Within 24 and 52 Weeks(Weeks 24 and 52)
- Time to Recurrence of Uveitis Through Weeks 24 and 52(Weeks 24 and 52)
- Number of Adjunctive Treatments Required to Treat Recurrences of Uveitis at 24 and 52 Weeks(Weeks 24 and 52)
- Percentage of Subjects With Recurrence of Iridocyclitis in the Study Eye Compared to Baseline at 24 and 52 Weeks(Weeks 24 and 52)
- Percentage of Subjects With Resolution of Macular Edema at Day 28 and Months 2, 3, 6 and 12(At Day 28 and Months 2, 3, 6 and 12)