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Effect of Ruboxistaurin on Clinically Significant Macular Edema

Phase 3
Completed
Conditions
Diabetic Macular Edema
Interventions
Drug: Placebo
Registration Number
NCT00133952
Lead Sponsor
Chromaderm, Inc.
Brief Summary

The purpose of the study is to test the hypothesis that oral administration of ruboxistaurin will reduce the occurrence of sustained moderate visual loss (SMVL) in patients with clinically significant macular edema. SMVL is defined as a 15 letter or more decrease from baseline in best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity that is sustained for the patient's last 6 months of study participation. The SMVL data from this study will be combined with the SMVL data from Study B7A-MC-MBDL for the purpose of comparing ruboxistaurin to placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
309
Inclusion Criteria
  • Type 1 or 2 diabetes
  • 18 years or older
  • Hemoglobin A1c (HbA1c) less than or equal to 11%
  • Mild to very severe non-proliferative diabetic retinopathy in the study eye
  • Clinically significant macular edema in the study eye not within 100 microns of center of macula
Exclusion Criteria
  • Previous surgery or laser treatment (or need for laser treatment within 3 months) in the study eye
  • Glaucoma in the study eye
  • Unstable cardiovascular disease
  • Major surgery within past 3 months
  • Significantly impaired kidney or liver function, or malignancy requiring chemotherapy or radiation therapy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboTaken orally daily for up to 48 months
RuboxistaurinRuboxistaurin32 mg taken orally daily for up to 48 months
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Sustained Moderate Visual Loss (SMVL) Any Time Baseline Through Month 48Baseline through 48 months

SMVL is defined as a 15 letter or more decrease from baseline in best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity that is sustained for the participant's last 6 months of study participation. ETDRS visual acuity uses an eye chart with 5 letters per line. The scores range from 0 (no letters read correctly) to 100 (all letters read correctly).

Secondary Outcome Measures
NameTimeMethod
Number of Eyes With Significant Center-Involved Macular Edema at Any Time From Baseline Through Month 24Baseline through 24 months

Significant center-involved macular edema is defined as an absolute retinal thickness at the center of the macula \>2 standard deviations above the mean baseline value (where the mean and standard deviation are calculated at baseline from the randomized population of participants with retinal thickness values of ≤ 300 microns in depth).

Change From Baseline to Month 24 in Mean Retinal Thickness Within 500 Microns of the Center of the MaculaBaseline, 24 months

Least Squares (LS) Mean values were controlled for treatment, pooled center, and baseline value.

Time to Focal PhotocoagulationBaseline through 48 months
Change From Baseline to Month 24 in Contrast SensitivityBaseline, 24 months

Values are presented as changes in the number of letters read correctly on the Pelli-Robson contrast sensitivity chart which consists of 16 triplets (48 letters total) with letters of the same size but decreasing contrast. Least Squares (LS) Mean values were controlled for treatment, pooled center, and baseline value.

Change From Baseline to Month 24 in Retinal Thickness at the Center of the MaculaBaseline, up to 24 months
Number of Participants Requiring Focal Photocoagulation at Any Time From Baseline Through Month 24Baseline through 24 months
Number of Participants Requiring Repeat Focal Photocoagulation at Any Time From Baseline Though Month 24Baseline through 24 months

Repeat focal photocoagulation is defined as 2 or more focal photocoagulation treatments needed during the study.

Number of Participants Not Requiring Focal Photocoagulation at Any Time From Baseline Through Month 24Baseline through 24 months

Trial Locations

Locations (1)

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

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London, United Kingdom

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