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Safety and Efficacy of Fluocinolone Acetonide Intravitreal Implant vs Standardized Therapy

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Bausch + Lomb

Status and phase

Completed
Phase 3
Phase 2

Conditions

Non-infectious Uveitis

Treatments

Drug: corticosteroids and immunosuppressants
Drug: fluocinolone acetonide intravitreal implant

Study type

Interventional

Funder types

Industry

Identifiers

NCT00468871
415-002

Details and patient eligibility

About

This is a 3 year,superiority, multicenter, open-label, randomised controlled safety and efficacy study. The aim of this study is to evaluate the effect of an intravitreal fluocinolone acetonide (0.59 mg) implant compared to standardized therapy in subjects with unilateral or bilateral, non-infectious uveitis affecting the posterior segment of the eye.

Enrollment

140 patients

Sex

All

Ages

6+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Males and non-pregnant females at least 6 years of age
  • History of recurrent unilateral or asymmetric non-infectious posterior uveitis of at east 1 year duration not associated with significant systemic activity of the disease
  • The more severely affected eye having had at least 2 separate recurrences
  • The more severely affected eye having been treated by systemic therapy for at least one month just before inclusion
  • Visual acuity (VA) of at least 1.4 logMAR units at enrollment
  • At time of enrollment, </=10 anterior chamber cells/HPF and vitrous haze</= grade 2.

Exclusion criteria

  • known allergy or contraindication to fluocinolone acetonide, systemic corticosteroids, or the immunosuppressive agents to be administered
  • history of retinal detachment, retinoschisis in the area of implantation, or media opacity precluding evaluation of the retina and vitreous
  • presence or history of uncontrolled IOP while on steroid therapy resulting in loss of vision, or IOP >25 mm Hg requiring at least 2 types of antiglaucoma medication to be reduced to <25 mm Hg
  • history of NIPU only or iritis only with no vitritis, macular edema, vitreous cells, or vitreous haze
  • infectious etiology, vitreous hemorrhage, or a toxoplasma scar in the study eye
  • ocular surgery and/or trauma on the study eye within 3 months prior to enrollment, or trabeculoplasty or yttrium aluminum garnet laser within 1 month prior to study enrollment
  • monocularity
  • AIDS
  • pregnancy/lactation
  • potential for noncompliance
  • or participation in other clinical studies within 1 month of enrollment.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

140 participants in 2 patient groups

Fluocinolone acetonide
Experimental group
Description:
Intravitreal fluocinolone acetonide implant
Treatment:
Drug: fluocinolone acetonide intravitreal implant
Standard care
Active Comparator group
Description:
Standard of Care
Treatment:
Drug: corticosteroids and immunosuppressants

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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