Trial Outcomes & Findings for Study of the Effectiveness of Ozurdex for the Control of Uveitis (NCT NCT02049476)

NCT ID: NCT02049476

Last Updated: 2019-07-05

Results Overview

Absence of intraocular inflammation (e.g. less than trace anterior chamber (AC) cells; no vitreous haze; inactive chorioretinal lesions) is used to assess control of intraocular inflammation following treatment.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

at 6-month visit

Results posted on

2019-07-05

Participant Flow

Unit of analysis: Eyes

Participant milestones

Participant milestones
Measure
Dexamethasone Pellet
This is a proof of concept study; therefore all enrolled patients will receive the intervention according to its FDA-approved indication. Dexamethasone pellet: Dexamethasone pellet placement occurs within 14 days of baseline examination; for patients with bilaterally active uveitis, placement of a dexamethasone pellet in the second eye should occur within 14 days of the first implantation or within 30 day of the baseline examination. Repeated placement is permitted every 3 months based on the best clinical judgment of the doctor and the study protocol.
Overall Study
STARTED
20 28
Overall Study
COMPLETED
20 28
Overall Study
NOT COMPLETED
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of the Effectiveness of Ozurdex for the Control of Uveitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dexamethasone Pellet
n=20 Participants
This is a proof of concept study; therefore all enrolled patients will receive the intervention according to its FDA-approved indication. Dexamethasone pellet: Dexamethasone pellet placement occurs within 14 days of baseline examination; for patients with bilaterally active uveitis, placement of a dexamethasone pellet in the second eye should occur within 14 days of the first implantation or within 30 day of the baseline examination. Repeated placement is permitted every 3 months based on the best clinical judgment of the doctor and the study protocol.
Age, Continuous
52 years
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
20 Participants
n=5 Participants
Type of uveitis
Anterior and Intermediate
7 Participants
n=5 Participants
Type of uveitis
Intermediate
4 Participants
n=5 Participants
Type of uveitis
Posterior
9 Participants
n=5 Participants
Bilaterality of uveitis
Unilateral
0 Participants
n=5 Participants
Bilaterality of uveitis
Bilateral
20 Participants
n=5 Participants
Activity of uveitis
Active vitreous cell
8 Participants
n=5 Participants
Activity of uveitis
Active vitreous haze
4 Participants
n=5 Participants
Activity of uveitis
Active chorioretinal lesions
2 Participants
n=5 Participants
Activity of uveitis
Active retinal vasculitis/leakage
6 Participants
n=5 Participants

PRIMARY outcome

Timeframe: at 6-month visit

Absence of intraocular inflammation (e.g. less than trace anterior chamber (AC) cells; no vitreous haze; inactive chorioretinal lesions) is used to assess control of intraocular inflammation following treatment.

Outcome measures

Outcome measures
Measure
Dexamethasone Pellet
n=20 Participants
This is a proof of concept study; therefore all enrolled patients will receive the intervention according to its FDA-approved indication. Dexamethasone pellet: Dexamethasone pellet placement occurs within 14 days of baseline examination; for patients with bilaterally active uveitis, placement of a dexamethasone pellet in the second eye should occur within 14 days of the first implantation or within 30 day of the baseline examination. Repeated placement is permitted every 3 months based on the best clinical judgment of the doctor and the study protocol.
Number of Participants With Absence of Intraocular Inflammation at 6 Months
12 Participants

SECONDARY outcome

Timeframe: 12-month clinical visit

Absence of intraocular inflammation (e.g. less than trace anterior chamber (AC) cells; no vitreous haze; inactive chorioretinal lesions) is used to assess control of intraocular inflammation following treatment.

Outcome measures

Outcome measures
Measure
Dexamethasone Pellet
n=20 Participants
This is a proof of concept study; therefore all enrolled patients will receive the intervention according to its FDA-approved indication. Dexamethasone pellet: Dexamethasone pellet placement occurs within 14 days of baseline examination; for patients with bilaterally active uveitis, placement of a dexamethasone pellet in the second eye should occur within 14 days of the first implantation or within 30 day of the baseline examination. Repeated placement is permitted every 3 months based on the best clinical judgment of the doctor and the study protocol.
Number of Participants With Absence of Intraocular Inflammation at 12 Months
13 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months visit

Mean IOP (mmHg) was calculated at each visit

Outcome measures

Outcome measures
Measure
Dexamethasone Pellet
n=28 eyes
This is a proof of concept study; therefore all enrolled patients will receive the intervention according to its FDA-approved indication. Dexamethasone pellet: Dexamethasone pellet placement occurs within 14 days of baseline examination; for patients with bilaterally active uveitis, placement of a dexamethasone pellet in the second eye should occur within 14 days of the first implantation or within 30 day of the baseline examination. Repeated placement is permitted every 3 months based on the best clinical judgment of the doctor and the study protocol.
Mean Intraocular Pressure (IOP)
Baseline IOP
13.2 millimeters of Mercury (mm Hg)
Standard Deviation 0.8
Mean Intraocular Pressure (IOP)
Month 1 Visit
18.2 millimeters of Mercury (mm Hg)
Standard Deviation 2.0
Mean Intraocular Pressure (IOP)
Month 3 Visit
14.6 millimeters of Mercury (mm Hg)
Standard Deviation 1.3
Mean Intraocular Pressure (IOP)
Month 6 Visit
14.1 millimeters of Mercury (mm Hg)
Standard Deviation 1.3
Mean Intraocular Pressure (IOP)
Month 12 Visit
13.5 millimeters of Mercury (mm Hg)
Standard Deviation 1.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 1 month, 3 months, 6 months, and 12 months visit

Number of eyes that had progression of cataract defined as any interval increase in nuclear, cortical or posterior sub capsular cataract from a previous visit that resulted in cataract surgery.

Outcome measures

Outcome measures
Measure
Dexamethasone Pellet
n=28 eyes
This is a proof of concept study; therefore all enrolled patients will receive the intervention according to its FDA-approved indication. Dexamethasone pellet: Dexamethasone pellet placement occurs within 14 days of baseline examination; for patients with bilaterally active uveitis, placement of a dexamethasone pellet in the second eye should occur within 14 days of the first implantation or within 30 day of the baseline examination. Repeated placement is permitted every 3 months based on the best clinical judgment of the doctor and the study protocol.
Number of Eyes With a Need for Cataract Surgery
Baseline visit
0 eyes
Number of Eyes With a Need for Cataract Surgery
Month 1 visit
0 eyes
Number of Eyes With a Need for Cataract Surgery
Month 3 visit
0 eyes
Number of Eyes With a Need for Cataract Surgery
Month 6 visit
1 eyes
Number of Eyes With a Need for Cataract Surgery
Month12 visit
3 eyes

Adverse Events

Dexamethasone Pellet

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dexamethasone Pellet
n=20 participants at risk
This is a proof of concept study; therefore all enrolled patients will receive the intervention according to its FDA-approved indication. Dexamethasone pellet: Dexamethasone pellet placement occurs within 14 days of baseline examination; for patients with bilaterally active uveitis, placement of a dexamethasone pellet in the second eye should occur within 14 days of the first implantation or within 30 day of the baseline examination. Repeated placement is permitted every 3 months based on the best clinical judgment of the doctor and the study protocol.
Eye disorders
Cataract progression
20.0%
4/20 • Number of events 6 • All 20 patients were followed for 12 months after their first Ozurdex injection to look for adverse events
Eye disorders
Ocular hypertension
35.0%
7/20 • Number of events 9 • All 20 patients were followed for 12 months after their first Ozurdex injection to look for adverse events
Eye disorders
Cataract surgery
10.0%
2/20 • Number of events 4 • All 20 patients were followed for 12 months after their first Ozurdex injection to look for adverse events

Additional Information

Jennifer E. Thorne, MD, PhD; Professor of Ophthalmology & Epidemiology,Director of Ocular Immunology

Wilmer Eye Institute, Johns Hopkins University School of Medicine

Phone: 410-955-2966

Results disclosure agreements

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