Safety and Efficacy Study of DSP-Visulex for the Treatment of Anterior Uveitis

NCT ID: NCT02309385

Last Updated: 2017-04-27

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

PHASE1/PHASE2

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2017-03-03

Brief Summary

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The purpose of this study is to determine the efficacy, safety, and tolerability of dexamethasone sodium phosphate Visulex (DSP-Visulex) after repeated-dose administration in patients with acute anterior uveitis.

Detailed Description

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This is a multicenter, randomized, parallel group, double-masked, active- controlled study. Subjects will be enrolled and randomized to either 8 % or 15% DSP-Visulex with placebo drops or Vehicle-Visulex (V-Visulex) with prednisolone acetate 1% eye drops. All subjects will receive concomitant treatment with cyclopentolate.

Conditions

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Non-Infectious Anterior Uveitis

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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8% DSP-Visulex

8% dexamethasone sodium phosphate - Visulex (DSP- Visulex) and placebo eye drops in the affected eye.

Group Type EXPERIMENTAL

8% Dexamethasone Sodium Phosphate - Visulex

Intervention Type DRUG

15% DSP-Visulex

15% dexamethasone sodium phosphate - Visulex (DSP- Visulex) and placebo eye drops in the affected eye.

Group Type EXPERIMENTAL

15% Dexamethasone Sodium Phosphate - Visulex

Intervention Type DRUG

Pred Forte

Prednisolone acetate (1%) eye drops and vehicle - Visulex in the affected eye.

Group Type ACTIVE_COMPARATOR

Prednisolone Acetate (1%) Eye Drops

Intervention Type DRUG

Interventions

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8% Dexamethasone Sodium Phosphate - Visulex

Intervention Type DRUG

15% Dexamethasone Sodium Phosphate - Visulex

Intervention Type DRUG

Prednisolone Acetate (1%) Eye Drops

Intervention Type DRUG

Other Intervention Names

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8% DSP- Visulex 8% DSP- Visulex Pred Forte

Eligibility Criteria

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Inclusion Criteria

* Non-infectious anterior uveitis

Exclusion Criteria

* lntraocular pressure \> 25mm Hg OU.
* Previous occurrence of an acute episode of anterior uveitis in affected eye(s) within 4 weeks prior to Visit 1.
* Historical or active intermediate or posterior uveitis in affected eye(s).
* Clear systemic causes of uveitis that may require or have required systemic treatment
* Uveitis suspected to have resulted from recent surgery or trauma.
* Use of ocular medication of any kind in affected eye(s) more than 2 days prior to Visit 1, excluding artificial tears, topical allergy medications, eyelid scrubs.
* Current use, or anticipated initiation during the study, of a corticosteroid or an immunosuppressant agent by any route (oral, inhaled, ocular, dermal). Current stable use is allowed.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Eye Institute (NEI)

NIH

Sponsor Role collaborator

Aciont Inc

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William I Higuchi, PhD

Role: PRINCIPAL_INVESTIGATOR

Aciont Inc

Locations

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Massachusetts Eye Research and Surgery Institution (MERSI)

Cambridge, Massachusetts, United States

Site Status

Charlotte Eye, Ear, Nose, and Throat Associates

Charlotte, North Carolina, United States

Site Status

Bergstrom Eye Research

Fargo, North Dakota, United States

Site Status

B-Berger and Associates

Austin, Texas, United States

Site Status

Retina and Uveitis Consultants of Texas

San Antonio, Texas, United States

Site Status

Moran Eye Center, University of Utah

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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Chang-Lin JE, Attar M, Acheampong AA, Robinson MR, Whitcup SM, Kuppermann BD, Welty D. Pharmacokinetics and pharmacodynamics of a sustained-release dexamethasone intravitreal implant. Invest Ophthalmol Vis Sci. 2011 Jan 5;52(1):80-6. doi: 10.1167/iovs.10-5285.

Reference Type BACKGROUND
PMID: 20702826 (View on PubMed)

Czock D, Keller F, Rasche FM, Haussler U. Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids. Clin Pharmacokinet. 2005;44(1):61-98. doi: 10.2165/00003088-200544010-00003.

Reference Type BACKGROUND
PMID: 15634032 (View on PubMed)

Cunningham ET Jr, Wender JD. Practical approach to the use of corticosteroids in patients with uveitis. Can J Ophthalmol. 2010 Aug;45(4):352-8. doi: 10.3129/i10-081.

Reference Type BACKGROUND
PMID: 20648092 (View on PubMed)

Gan IM, Ugahary LC, van Dissel JT, Feron E, Peperkamp E, Veckeneer M, Mulder PG, Platenkamp GJ, van Meurs JC. Intravitreal dexamethasone as adjuvant in the treatment of postoperative endophthalmitis: a prospective randomized trial. Graefes Arch Clin Exp Ophthalmol. 2005 Dec;243(12):1200-5. doi: 10.1007/s00417-005-0133-1. Epub 2005 Oct 19.

Reference Type BACKGROUND
PMID: 16235062 (View on PubMed)

GORDON DM. Use of dexamethasone in eye disease. J Am Med Assoc. 1960 Jan 23;172:311-2. doi: 10.1001/jama.1960.03020040009003. No abstract available.

Reference Type BACKGROUND
PMID: 13851186 (View on PubMed)

Miller DJ, Li SK, Tuitupou AL, Kochambilli RP, Papangkorn K, Mix DC Jr, Higuchi WI, Higuchi JW. Passive and oxymetazoline-enhanced delivery with a lens device: pharmacokinetics and efficacy studies with rabbits. J Ocul Pharmacol Ther. 2008 Aug;24(4):385-91. doi: 10.1089/jop.2007.0116.

Reference Type BACKGROUND
PMID: 18665810 (View on PubMed)

Rhen T, Cidlowski JA. Antiinflammatory action of glucocorticoids--new mechanisms for old drugs. N Engl J Med. 2005 Oct 20;353(16):1711-23. doi: 10.1056/NEJMra050541. No abstract available.

Reference Type BACKGROUND
PMID: 16236742 (View on PubMed)

Rohdewald P, Mollmann H, Barth J, Rehder J, Derendorf H. Pharmacokinetics of dexamethasone and its phosphate ester. Biopharm Drug Dispos. 1987 May-Jun;8(3):205-12. doi: 10.1002/bdd.2510080302.

Reference Type BACKGROUND
PMID: 3593899 (View on PubMed)

Weijtens O, Feron EJ, Schoemaker RC, Cohen AF, Lentjes EG, Romijn FP, van Meurs JC. High concentration of dexamethasone in aqueous and vitreous after subconjunctival injection. Am J Ophthalmol. 1999 Aug;128(2):192-7. doi: 10.1016/s0002-9394(99)00129-4.

Reference Type BACKGROUND
PMID: 10458175 (View on PubMed)

Weijtens O, Schoemaker RC, Cohen AF, Romijn FP, Lentjes EG, van Rooij J, van Meurs JC. Dexamethasone concentration in vitreous and serum after oral administration. Am J Ophthalmol. 1998 May;125(5):673-9. doi: 10.1016/s0002-9394(98)00003-8.

Reference Type BACKGROUND
PMID: 9625551 (View on PubMed)

Weijtens O, Schoemaker RC, Romijn FP, Cohen AF, Lentjes EG, van Meurs JC. Intraocular penetration and systemic absorption after topical application of dexamethasone disodium phosphate. Ophthalmology. 2002 Oct;109(10):1887-91. doi: 10.1016/s0161-6420(02)01176-4.

Reference Type BACKGROUND
PMID: 12359610 (View on PubMed)

Weijtens O, van der Sluijs FA, Schoemaker RC, Lentjes EG, Cohen AF, Romijn FP, van Meurs JC. Peribulbar corticosteroid injection: vitreal and serum concentrations after dexamethasone disodium phosphate injection. Am J Ophthalmol. 1997 Mar;123(3):358-63. doi: 10.1016/s0002-9394(14)70131-x.

Reference Type BACKGROUND
PMID: 9063245 (View on PubMed)

Other Identifiers

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R44EY014772

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DSPV-201

Identifier Type: -

Identifier Source: org_study_id

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