Trial Outcomes & Findings for Diabetic Macular Edema Treated With Ozurdex (DMEO) (NCT NCT01951066)

NCT ID: NCT01951066

Last Updated: 2016-09-29

Results Overview

Changes in propermeability factor levels were correlated with changes in edema using the person correlation coefficient (this was calculated using data from all time points).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

1, 2, 3, and 4 months after injection of a dexamethasone implant or anti-VEGF agent

Results posted on

2016-09-29

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1 (Dexamethasone Implant/Anti-VEGF)
Patients in group 1 received an injection of an dexamethasone implant at baseline followed by PRN anti-VEGF injections after crossover at week 16. Dexamethasone Implant: Patients will receive a single injection of a dexmethasone implant Anti-VEGF injection: Patients will receive PRN injections of an anti-VEGF agent
Group 2 (Anti-VEGF/Dexamethasone Implant)
Patients in group 2 received prn anti-VEGF injections followed by injection of a dexamethasone implant after crossover at week 16. Dexamethasone Implant: Patients will receive a single injection of a dexmethasone implant Anti-VEGF injection: Patients will receive PRN injections of an anti-VEGF agent
First Intervention (Baseline to Week 16)
STARTED
10
10
First Intervention (Baseline to Week 16)
COMPLETED
10
10
First Intervention (Baseline to Week 16)
NOT COMPLETED
0
0
Second Intervention (Week 16 to Week 32)
STARTED
10
10
Second Intervention (Week 16 to Week 32)
COMPLETED
10
10
Second Intervention (Week 16 to Week 32)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Diabetic Macular Edema Treated With Ozurdex (DMEO)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=20 Participants
Age, Continuous
61.8 years
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Baseline Intraretinal Fluid
Mild
3 participants
n=5 Participants
Baseline Intraretinal Fluid
Moderate
14 participants
n=5 Participants
Baseline Intraretinal Fluid
Severe
3 participants
n=5 Participants
Mean Disease Duration
48.1 Months
n=5 Participants
Prior Anti-VEGF injections
13.3 Injections
n=5 Participants
Prior Intraocular Steroids
5 participants
n=5 Participants
Prior Laser
Grid Laser
6 participants
n=5 Participants
Prior Laser
Scatter Laser Photocoagulation
6 participants
n=5 Participants
Baseline Best Corrected Visual Acuity
56.1 ETDRS Score
n=5 Participants
Baseline Central Subfield Thickness
464.3 Microns
n=5 Participants

PRIMARY outcome

Timeframe: 1, 2, 3, and 4 months after injection of a dexamethasone implant or anti-VEGF agent

Changes in propermeability factor levels were correlated with changes in edema using the person correlation coefficient (this was calculated using data from all time points).

Outcome measures

Outcome measures
Measure
Dexamethasone Implant
n=20 Participants
Patients received an injection of an dexamethasone implant
Anti-VEGF Agent
n=20 Participants
Patients received PRN injections of an Anti-VEGF agent
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
THSP-2
0.33 Pearson correlation coefficient (r)
0.064 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
HGF
0.31 Pearson correlation coefficient (r)
0.226 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
IL-8
0.30 Pearson correlation coefficient (r)
-0.184 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
MIP-1a
0.34 Pearson correlation coefficient (r)
-0.107 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
Angiopoietin-2
0.40 Pearson correlation coefficient (r)
0.229 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
IGF-BP3
0.36 Pearson correlation coefficient (r)
0.435 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
Persephin
0.35 Pearson correlation coefficient (r)
0.114 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
IGF-BP1
0.47 Pearson correlation coefficient (r)
0.059 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
Prolactin
0.45 Pearson correlation coefficient (r)
0.369 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
MMP-9
0.45 Pearson correlation coefficient (r)
0.29 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
EG-VEGF
0.43 Pearson correlation coefficient (r)
-0.004 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
Endostatin
0.41 Pearson correlation coefficient (r)
0.189 Pearson correlation coefficient (r)
Correlation Between Change in Level of Propermeability Factors With Change in Edema After Treatment With a Dexamethasone Implant or Anti-VEGF Agent
CXCL16
0.29 Pearson correlation coefficient (r)
0.027 Pearson correlation coefficient (r)

Adverse Events

All Participants

Serious events: 4 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Participants
n=20 participants at risk
Eye disorders
Cataract progression
5.0%
1/20
Nervous system disorders
Emergency room visit because of a possible seizure
5.0%
1/20
Cardiac disorders
Mitral valve repair surgery
5.0%
1/20
Eye disorders
Endophthalmitis
5.0%
1/20

Other adverse events

Other adverse events
Measure
All Participants
n=20 participants at risk
Musculoskeletal and connective tissue disorders
Steroid injection in the hip due to arthritis
5.0%
1/20
Cardiac disorders
Racing of heart
5.0%
1/20
Musculoskeletal and connective tissue disorders
Foot Infection
5.0%
1/20
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
5.0%
1/20
Eye disorders
Vision loss
5.0%
1/20
Respiratory, thoracic and mediastinal disorders
Cough
5.0%
1/20
General disorders
Patient had a fall
10.0%
2/20
Eye disorders
Increased Intraocular pressure
5.0%
1/20
Eye disorders
Eye soreness
5.0%
1/20
Eye disorders
Bruising of eyelid
5.0%
1/20
Blood and lymphatic system disorders
Blood transfusion due to severe anemia
5.0%
1/20

Additional Information

[Peter A. Campochiaro

Wilmer Eye Institute, Johns Hopkins University School of Medicine

Phone: (410) 955-5106

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER