跳至主要内容
临床试验/CTRI/2018/05/013869
CTRI/2018/05/013869招募中4 期

Macular Edema Nepafenac vs. Difluprednate (MEND) Uveitis Trial

Proctor Foundation2 个研究点 分布在 1 个国家目标入组 108 人开始时间: 2018年5月6日最近更新:

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
108
试验地点
2
主要终点
Assessment of Central Subfield Thickness on OCT

研究概览

简要总结

A study demonstrating that topical treatments are effective and safe would greatly impact practice patterns and treatment of macular edema secondary to uveitis.

研究设计

研究类型
Observational

入排标准

年龄范围
18.00 Year(s) 至 99.00 Year(s)(—)
性别
All

入选标准

  • Key Inclusion criteria:
  • ≥18 years of age
  • Diagnosis of anterior, intermediate, posterior, or panuveitis (can be infectious or non-infectious)
  • Inactive or minimally active inflammation according to Standardization of Uveitis Nomenclature
  • If on oral corticosteroids, a stable dose of <10 mg prednisone/day for >4 weeks
  • If on systemic corticosteroid-sparing immunomodulatory therapy, a stable dose for >4 weeks
  • If using prednisolone acetate 1% drops, stable regimen of ≤2 drops per day for >4 weeks
  • If infectious uveitis, inflammation must be inactive or minimally active per definition above and on stable dose of treatment for ≥4 weeks with no anticipated changes to treatment during the trial Eye-level Inclusion Criteria:
  • ME defined as thickening of the 1mm central subfield of the macula greater than 2 standard deviations above normal thickness (>320 µm by Heidelberg spectral-domain OCT)
  • Baseline intraocular pressure >5 mmHg and <21 mmHg
  • Media clarity and pupillary dilation sufficient to allow OCT testing and retinal photography
  • Best-corrected visual acuity of 5/200 or better.

排除标准

  • Key Exclusion Criteria:
  • Use of oral acetazolamide or other systemic carbonic anhydrase inhibitors at baseline
  • Known allergy or hypersensitivity to any component of the study drugs
  • History of central serous chorioretinopathy in either eye
  • Intravitreal or periocular corticosteroid injection in the past 8 weeks, dexamethasone implant in the past 12 months, or a fluocinolone acetonide implant in the past 3 years
  • Presence of an epiretinal membrane—noted clinically or by OCT—in the study eye, thought to be significant enough to preclude improvement of ME
  • Previous pars plana vitrectomy
  • History of severe glaucoma (C/D ratio > 0.9 or any notching of optic nerve to rim) 8.

结局指标

主要结局

Assessment of Central Subfield Thickness on OCT

时间窗: 4 weeks

次要结局

  • 1. Proportion of patients achieving resolution, improvement, and recurrence of Macular edema by the Week 4 visit and by the Week 24 visit(2. BCVA at week 4)

研究者

发起方
Proctor Foundation
申办方类型
Research institution and hospital

研究点 (2)

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