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Clinical Trials in the USA / NCT04469595
Active, not recruiting Phase 4

A Study of Intravitreal ILUVIEN® Implant as Baseline Therapy in Patients With Early Diabetic Macular Edema (DME)

NCT04469595 · tracked via the Priya Life Science USA tracker
Sponsor
Alimera Sciences
Phase
Phase 4
Started
2020-08-31
Last updated
2024-07-31

Condition(s) studied

Diabetic Macular Edema

Investigational drug(s) / intervention(s)

Iluvien 0.19 MG Drug ImplantAflibercept

Iluvien 0.19 MG Drug Implant: 0.19 mg Fluocinolone Acetonide Intravitreal Implant

Aflibercept: 2 mg/0.05 mL Aflibercept Anti-VEGF intravitreal injection

Study summary

This is a randomized, masked, active-controlled, parallel-group, multi-center study that will assess the efficacy of ILUVIEN as a baseline therapy in the treatment of Center Involving DME (CI-DME). The study will enroll patients who are either treatment naïve or have not received any DME treatments for the preceding 12 months as documented in medical records. Patients who received DME treatment \>12 months before screening, must not have received \>4 intravitreal injections. The study will compare 2 treatment regimens: ILUVIEN intravitreal implant (0.19 mg) followed by supplemental aflibercept as needed per protocol criteria (2 mg/0.05 mL), compared to intravitreal aflibercept loading dose (2 mg administered by intravitreal injection every 4 weeks for 5 consecutive doses) followed by supplemental aflibercept as needed per protocol criteria (2 mg/0.05 mL).

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Major Inclusion Criteria: 1. Male or female subjects ≥18 years of age at the time of consent. 2. Must have CI-DME confirmed by Spectral Domain Ocular Coherence Tomography (SD-OCT) and Center Subfield Thickness (CST) of: ≥350 µm in the study eye. 3. Best Corrected Visual Acuity (BCVA) of ≤80 ETDRS Letters and ≥35 ETDRS letters in the study eye at Screening Visit. Major Exclusion Criteria: 1. Patients with Proliferative Diabetic Retinopathy (PDR); high risk proliferative diabetic retinopathy in the study eye and related complications. 2. History or current diagnosis of glaucoma or ocular hypertension (OHT) or a cup to disc ratio \>0.8; History of uncontrolled intraocular pressure (defined as IOP ≥25 mmHg with maximum topical and systemic medical hypotensive treatment) or previous filtration surgery in the study eye at Screening Visit. 3. Other conditions that can cause macular edema. 4. Patients who received prior LASER photocoagulation therapy including macular grid or pan retina photocoagulation (PRP) at any time in the study eye. Prior focal LASER photocoagulation therapy outside the macula is allowed. 5. Patients who received the following therapies in the study eye: 1. Intravitreal or periocular steroids; 2. Intravitreal injection of aflibercept, brolucizumab, or conbercept ≤12 months prior to Screening Visit 6. Patients who received \>1 intravitreal injection of ranibizumab or bevacizumab in the last 12 months; or have received ranibizumab or bevacizumab ≤6 weeks prior to Screening Visit 7. Patients who have lens opacities due to cataract or other etiologies that would make it difficult to examine the fundus or that affect the patients Activities of Daily Living (ADL). 8. Steroid Challenge Exclusion Criterion- At the Baseline Visit, patients who are determined to have an IOP ≥25 mmHg or an increase ≥8 mmHg from Screening will be excluded from the study.

Primary outcome measure(s)

Trial sites (40)

FacilityCityRegionStatus
Investigative Site Phoenix Arizona
Investigative Site Tucson Arizona
Investigative Site Beverly Hills California
Investigative Site Glendale California
Investigative Site Laguna Hills California
Investigative Site Santa Ana California
Investigative Site Colorado Springs Colorado
Investigative Site Clearwater Florida
Investigative Site Orlando Florida
Investigative Site Palm Beach Gardens Florida
Investigative Site Tampa Florida
Investigative Site Marietta Georgia
Investigative Site Sandy Springs Georgia
Investigative Site Elmhurst Illinois
Investigative Site Lemont Illinois
Investigative Site Oak Park Illinois
Investigative Site Springfield Illinois
Investigative Site Leawood Kansas
Investigative Site Shawnee Mission Kansas
Investigative Site West Monroe Louisiana
Investigative Site Baltimore Maryland
Investigative Site Detroit Michigan
Investigative Site Grand Blanc Michigan
Investigative Site Independence Missouri
Investigative Site Bloomfield New Jersey
Investigative Site Beachwood Ohio
Investigative Site Cincinnati Ohio
Investigative Site Cleveland Ohio
Investigative Site Youngstown Ohio
Investigative Site Tulsa Oklahoma
Investigative Site Erie Pennsylvania
Investigative Site Columbia South Carolina
Investigative Site Dallas Texas
Investigative Site Houston Texas
Investigative Site McAllen Texas
Investigative Site San Antonio Texas
Investigative Site San Antonio Texas
Investigative Site The Woodlands Texas
Investigative Site Roanoke Virginia
Investigative Site Warrenton Virginia

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04469595 on ClinicalTrials.gov ↗ ← All trials in the USA