Study of Difluprednate vs. Prednisolone Acetate on Visual Acuity, and Corneal Edema Following Cataract Surgery.

NCT ID: NCT01244334

Last Updated: 2012-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2010-11-30

Brief Summary

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The purpose of this clinical research study is to investigate the efficacy of predosing patients undergoing cataract surgery with the potent corticosteroid difluprednate ophthalmic emulsion 0.05% compared to prednisolone acetate 1% on corneal edema (swelling), and retinal thickness.

Detailed Description

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Conditions

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Cataracts Corneal Edema Retinal Structural Change, Deposit and Degeneration Visual Acuity Reduced Transiently

Keywords

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cataract surgery, vision, corneal edema, retinal thickness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Difluprednate Ophthalmic Emulsion 0.05%

Group Type ACTIVE_COMPARATOR

Difluprednate ophthalmic emulsion 0.05%

Intervention Type DRUG

Difluprednate ophthalmic emulsion 0.05%: 29 days total, total of 7 drops prior to surgery, and 3 more following surgery while at the surgery center, then Q2H on day of surgery, then QID for 1 week, then BID for 1 week, then stop.

Prednisolone acetate suspension 0.1%

Group Type ACTIVE_COMPARATOR

Prednisolone acetate 1%

Intervention Type DRUG

Prednisolone acetate 1% : 29 days total, total of 7 drops prior to surgery, and 3 more following surgery while at the surgery center, then Q2H on day of surgery, then QID for 1 week, then BID for 1 week, then stop.

Interventions

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Difluprednate ophthalmic emulsion 0.05%

Difluprednate ophthalmic emulsion 0.05%: 29 days total, total of 7 drops prior to surgery, and 3 more following surgery while at the surgery center, then Q2H on day of surgery, then QID for 1 week, then BID for 1 week, then stop.

Intervention Type DRUG

Prednisolone acetate 1%

Prednisolone acetate 1% : 29 days total, total of 7 drops prior to surgery, and 3 more following surgery while at the surgery center, then Q2H on day of surgery, then QID for 1 week, then BID for 1 week, then stop.

Intervention Type DRUG

Other Intervention Names

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Durezol Prednisolone acetate

Eligibility Criteria

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Inclusion Criteria

* Healthy male or female 21 years of age or older
* Scheduled to undergo standard cataract surgery with topical anesthesia in both eyes within 6-25 days between surgeries.
* Willing and able to administer eye drops and record the times the drops were instilled
* Understand and are willing to sign the Informed Consent form
* Willing to complete the entire course of the study.

Exclusion Criteria

* Use of an eye medication or drops within 48 hours of the scheduled cataract surgery, other than the study medication or procedural solution required for surgery.
* Known sensitivity to any of the ingredients in the study medications or similar medications.
* Scheduled for 2nd eye cataract surgery earlier than 6 days or longer than 25 days apart.
* Corneal edema in either eye.
* Need for regional or general anesthesia during surgery.
* Complicated cataract surgery, including use of iris hooks or iris stretchers.
* Sight better than 20/100 in only one eye.
* A history of previous intraocular surgery in either eye.
* A history of uveitis, iritis, or intraocular inflammation.
* Macular pathology of the retina.
* Presence of glaucoma.
* Any confirmed or suspected active viral, bacterial, or fungal keratoconjunctival disease.
* History of steroid-related intraocular pressure (IOP) rise in the study eye.
* Lack of an intact corneal epithelium.
* Pupils that do not dilate to more than 5 mm prior to surgery or you require mechanical stretching of your pupil.
* Diabetes mellitus.
* Required use of a systemic steroidal or non-steroidal anti-inflammatory during the study period.
* Doctor has determined the presence of a condition (i.e., UNCONTROLLED systemic disease) or a situation that may put the subject at significant risk, confound the study results or may interfere significantly with your participation in the study.
* Females, who are pregnant, nursing an infant or planning a pregnancy.
* Currently involved in another investigational study or have participated in one within the 30 days prior to entering this study.
* Unable or unwilling to give signed informed consent prior to participation in any study-related procedures.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sirion Therapeutics, Inc.

INDUSTRY

Sponsor Role collaborator

Alcon Research

INDUSTRY

Sponsor Role collaborator

Parsons Medical Communications

UNKNOWN

Sponsor Role collaborator

Edward J. Holland

OTHER

Sponsor Role lead

Responsible Party

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Edward J. Holland

Sponsor Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Edward J Holland, MD

Role: PRINCIPAL_INVESTIGATOR

Cincinnati Eye Institute

Eric D Donnenfeld, MD

Role: PRINCIPAL_INVESTIGATOR

Ophthalmic Consultants of Long Island

Kerry S Solomon, MD

Role: PRINCIPAL_INVESTIGATOR

Carolina Eyecare

Locations

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Cincinnati Eye Institute

Edgewood, Kentucky, United States

Site Status

Ophthalmic Consultants of Long Island

Lynbrook, New York, United States

Site Status

Carolina Eyecare

Mt. Pleasant, South Carolina, United States

Site Status

Countries

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United States

References

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Donnenfeld ED, Holland EJ, Solomon KD, Fiore J, Gobbo A, Prince J, Sandoval HP, Shull ER, Perry HD. A multicenter randomized controlled fellow eye trial of pulse-dosed difluprednate 0.05% versus prednisolone acetate 1% in cataract surgery. Am J Ophthalmol. 2011 Oct;152(4):609-617.e1. doi: 10.1016/j.ajo.2011.03.018. Epub 2011 Jun 25.

Reference Type DERIVED
PMID: 21704965 (View on PubMed)

Other Identifiers

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SEMC 5/2009-011

Identifier Type: -

Identifier Source: org_study_id