Trial Outcomes & Findings for Study to Evaluate the Safety for the Treatment of Inflammation Associated With Cataract Surgery (NCT NCT02547623)

NCT ID: NCT02547623

Last Updated: 2018-08-21

Results Overview

Treatment-emergent Adverse Events were defined as events that started after the study drug administration, and occurred before termination of the study, or were present before study drug administration and worsened after dose administration.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

194 participants

Primary outcome timeframe

Baseline to postoperative day 90/ early termination

Results posted on

2018-08-21

Participant Flow

The first patient was enrolled into the study on 06 November 2015 and the last patient completed the study on 16 August 2016.

Of the 194 patients randomized, 181 patients were dosed and included in the ITT (intent-to-treat) and safety analysis sets. 13 randomized patients were not dosed and terminated from the study. Some of the patients that were not dosed had at least one significant protocol deviation.

Participant milestones

Participant milestones
Measure
Dexamethasone Depot
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Overall Study
STARTED
126
55
Overall Study
COMPLETED
122
52
Overall Study
NOT COMPLETED
4
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Evaluate the Safety for the Treatment of Inflammation Associated With Cataract Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Total
n=181 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
34 Participants
n=93 Participants
17 Participants
n=4 Participants
51 Participants
n=27 Participants
Age, Categorical
>=65 years
92 Participants
n=93 Participants
38 Participants
n=4 Participants
130 Participants
n=27 Participants
Sex: Female, Male
Female
67 Participants
n=93 Participants
31 Participants
n=4 Participants
98 Participants
n=27 Participants
Sex: Female, Male
Male
59 Participants
n=93 Participants
24 Participants
n=4 Participants
83 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
n=93 Participants
1 Participants
n=4 Participants
10 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
117 Participants
n=93 Participants
54 Participants
n=4 Participants
171 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
2 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=93 Participants
1 Participants
n=4 Participants
12 Participants
n=27 Participants
Race (NIH/OMB)
White
111 Participants
n=93 Participants
52 Participants
n=4 Participants
163 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=93 Participants
0 Participants
n=4 Participants
3 Participants
n=27 Participants
Region of Enrollment
United States
126 Participants
n=93 Participants
55 Participants
n=4 Participants
181 Participants
n=27 Participants
Study Eye
OD (Right eye)
67 study eye
n=93 Participants
27 study eye
n=4 Participants
94 study eye
n=27 Participants
Study Eye
OS (Left eye)
59 study eye
n=93 Participants
28 study eye
n=4 Participants
87 study eye
n=27 Participants
Best Corrected Visual Acuity
study eye number
.292 LogMar
STANDARD_DEVIATION .1913 • n=93 Participants
.355 LogMar
STANDARD_DEVIATION .2557 • n=4 Participants
.311 LogMar
STANDARD_DEVIATION .2141 • n=27 Participants
Best Corrected Visual Acuity
fellow eye number
.126 LogMar
STANDARD_DEVIATION .1394 • n=93 Participants
.176 LogMar
STANDARD_DEVIATION .2123 • n=4 Participants
.141 LogMar
STANDARD_DEVIATION .1660 • n=27 Participants
Corneal Endothelial Cell Density - Specular Microscopy
2491.91 cells/mm^2
STANDARD_DEVIATION 346.365 • n=93 Participants
2398.33 cells/mm^2
STANDARD_DEVIATION 384.092 • n=4 Participants
2463.15 cells/mm^2
STANDARD_DEVIATION 359.902 • n=27 Participants
Intraocular Pressure
Study eye
15.1 mmHg
STANDARD_DEVIATION 2.94 • n=93 Participants
14.4 mmHg
STANDARD_DEVIATION 2.71 • n=4 Participants
14.9 mmHg
STANDARD_DEVIATION 2.88 • n=27 Participants
Intraocular Pressure
Fellow eye
14.9 mmHg
STANDARD_DEVIATION 2.88 • n=93 Participants
14.5 mmHg
STANDARD_DEVIATION 2.79 • n=4 Participants
14.8 mmHg
STANDARD_DEVIATION 2.85 • n=27 Participants
Use of Viscoelastic during the Surgery
Yes
126 Participants
n=93 Participants
55 Participants
n=4 Participants
181 Participants
n=27 Participants
Use of Viscoelastic during the Surgery
No
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Use of Femto prior to the Surgery
Yes
25 Participants
n=93 Participants
8 Participants
n=4 Participants
33 Participants
n=27 Participants
Use of Femto prior to the Surgery
No
101 Participants
n=93 Participants
47 Participants
n=4 Participants
148 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline to postoperative day 90/ early termination

Treatment-emergent Adverse Events were defined as events that started after the study drug administration, and occurred before termination of the study, or were present before study drug administration and worsened after dose administration.

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Ocular events: study eye · Any TEAE
53 Participants
13 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Ocular events: study eye · Serious TEAE
1 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Systemic events · Any TEAE
10 Participants
6 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Ocular events: study eye · No TEAE
72 Participants
42 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Ocular events: fellow eye · Any TEAE
12 Participants
4 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Ocular events: fellow eye · Serious TEAE
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Ocular events: fellow eye · No TEAE
114 Participants
51 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Systemic events · Serious TEAE
2 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Systemic events · No TEAE
114 Participants
49 Participants

SECONDARY outcome

Timeframe: Baseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Intraocular Pressure was measured by Goldmann applanation tonometry.

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Intraocular Pressure Measurement
Screening (Baseline)
15.1 mmHG
Standard Deviation 2.94
14.4 mmHG
Standard Deviation 2.71
Intraocular Pressure Measurement
Post Operative Day 1
19.1 mmHG
Standard Deviation 6.54
17.5 mmHG
Standard Deviation 6.44
Intraocular Pressure Measurement
Post Operative Day 8
15.0 mmHG
Standard Deviation 4.7
15.1 mmHG
Standard Deviation 3.64
Intraocular Pressure Measurement
Post Operative Day 30
13.8 mmHG
Standard Deviation 3.2
14.1 mmHG
Standard Deviation 3.57
Intraocular Pressure Measurement
Post Operative Day 90/End of Treatment
13.0 mmHG
Standard Deviation 2.89
12.7 mmHG
Standard Deviation 2.93

SECONDARY outcome

Timeframe: Baseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Visual Acuity assessed by the Snellen chart, was expressed as the logarithm of the minimum angle of resolution (logMAR), and could range from 0 (representing 20/20 vision) to 1

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Visual Acuity in Study Eye
Screening (Baseline)
.292 LogMar
Standard Deviation 0.1913
.355 LogMar
Standard Deviation .2557
Visual Acuity in Study Eye
Post Operative Day 1
.249 LogMar
Standard Deviation .1398
.327 LogMar
Standard Deviation .2129
Visual Acuity in Study Eye
Post Operative Day 8
.073 LogMar
Standard Deviation .1353
.073 LogMar
Standard Deviation .1746
Visual Acuity in Study Eye
Post Operative Day 30
.039 LogMar
Standard Deviation .0952
.040 LogMar
Standard Deviation .1350
Visual Acuity in Study Eye
Post Operative Day 90/End of Treatment
.040 LogMar
Standard Deviation .1012
.047 LogMar
Standard Deviation .1150

SECONDARY outcome

Timeframe: Baseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Slit lamp biomicroscopy of the anterior chamber was performed using a slit beam of 1-mm height and 1-mm width with maximum luminance through the highest-powered lens using the Investigator's standard slit lamp equipment and procedure. Conjunctiva hyperemia slit lamp results were summarized by treatment group and time point.

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 8 · 1 (Mild)
11 Participants
8 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 8 · 2 (Moderate)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 8 · No value
0 Participants
2 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 30 · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 30 · No value
3 Participants
3 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Baseline · 0 (Absent)
124 Participants
55 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Baseline · 1 (Mild)
1 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Baseline · 2 (Moderate)
1 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Baseline · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Baseline · No value
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 1 · 0 (Absent)
103 Participants
45 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 1 · 1 (Mild)
21 Participants
10 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 1 · 2 (Moderate)
2 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 1 · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 1 · No value
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 8 · 0 (Absent)
115 Participants
45 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 8 · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 30 · 0 (Absent)
107 Participants
44 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 30 · 1 (Mild)
14 Participants
8 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 30 · 2 (Moderate)
2 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 90/End of Treatment · 0 (Absent)
119 Participants
50 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 90/End of Treatment · 1 (Mild)
4 Participants
2 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 90/End of Treatment · 2 (Moderate)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 90/End of Treatment · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Conjunctival Hyperemia Grade
Postoperative day 90/End of Treatment · No value
3 Participants
3 Participants

SECONDARY outcome

Timeframe: Baseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Slit lamp biomicroscopy of the anterior chamber was performed using a slit beam of 1-mm height and 1-mm width with maximum luminance through the highest-powered lens using the Investigator's standard slit lamp equipment and procedure. Cornea edema slit lamp results in the study eye were summarized by treatment group and time point.

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Slit Lamp Biomicroscopy - Cornea Edema Grade
Baseline · No value
0 Participants
1 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 1 · 0 (Absent)
74 Participants
37 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 1 · 2 (Moderate)
9 Participants
3 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 1 · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 1 · No value
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 8 · 0 (Absent)
109 Participants
48 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 8 · 1 (Mild)
16 Participants
6 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 8 · 2 (Moderate)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 8 · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 8 · No value
1 Participants
1 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 30 · 0 (Absent)
121 Participants
52 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 30 · 1 (Mild)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 30 · 2 (Moderate)
2 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 30 · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 30 · No value
3 Participants
3 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 90/End of Treatment · 0 (Absent)
123 Participants
52 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 90/End of Treatment · 1 (Mild)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 90/End of Treatment · 2 (Moderate)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 90/End of Treatment · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 90/End of Treatment · No value
3 Participants
3 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Baseline · 0 (Absent)
126 Participants
54 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Baseline · 1 (Mild)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Baseline · 2 (Moderate)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Baseline · 3 (Severe)
0 Participants
0 Participants
Slit Lamp Biomicroscopy - Cornea Edema Grade
Postoperative day 1 · 1 (Mild)
43 Participants
15 Participants

SECONDARY outcome

Timeframe: Baseline, Postoperative (POD) 1, POD 8, POD 30, POD 90/Early termination

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Summary of Concomitant Medications Used in the Study Eye or Both Eyes
Patients reporting at least one concomitant medica
124 Participants
55 Participants
Summary of Concomitant Medications Used in the Study Eye or Both Eyes
Antiseptics and disinfectants
1 Participants
1 Participants
Summary of Concomitant Medications Used in the Study Eye or Both Eyes
Anesthetics
4 Participants
1 Participants
Summary of Concomitant Medications Used in the Study Eye or Both Eyes
Psycholeptics
2 Participants
1 Participants
Summary of Concomitant Medications Used in the Study Eye or Both Eyes
Ophthalmologicals
124 Participants
55 Participants
Summary of Concomitant Medications Used in the Study Eye or Both Eyes
Thyroid therapy
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline, Postoperative day 90/Early termination

Corneal Endothelial Cell Density was measured by specular microscopy.

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Changes in the Corneal Endothelial Cell Count
Baseline
2483.66 cells/mm^2
Standard Deviation 351.819
2398.33 cells/mm^2
Standard Deviation 384.092
Changes in the Corneal Endothelial Cell Count
Postoperative day 90/End of treatment
2141.77 cells/mm^2
Standard Deviation 522.327
2106.39 cells/mm^2
Standard Deviation 517.938
Changes in the Corneal Endothelial Cell Count
Change from Baseline
-334.60 cells/mm^2
Standard Deviation 415.071
-288.83 cells/mm^2
Standard Deviation 376.775

SECONDARY outcome

Timeframe: Baseline, POD 90/Early termination

Calculated as the ratio of the diameter of the depression (cup) to that of the optical nerve head (disc).

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Optic Disc Cup-disc Ratio for the Study Eye
Screening (Baseline)
.31 ratio
Standard Deviation .142
.32 ratio
Standard Deviation .135
Optic Disc Cup-disc Ratio for the Study Eye
Postoperative day 90/End of treatment
.31 ratio
Standard Deviation .131
.33 ratio
Standard Deviation .143

SECONDARY outcome

Timeframe: Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's optic disc

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Dilated Opthalmoscopy Findings - Optic Disc (Study Eye)
Screening (Baseline) · Normal
115 Participants
52 Participants
Dilated Opthalmoscopy Findings - Optic Disc (Study Eye)
Screening (Baseline) · Abnormal
2 Participants
1 Participants
Dilated Opthalmoscopy Findings - Optic Disc (Study Eye)
Screening (Baseline) · Not analyzed
9 Participants
2 Participants
Dilated Opthalmoscopy Findings - Optic Disc (Study Eye)
Postoperative day 90/End of treatment · Normal
119 Participants
50 Participants
Dilated Opthalmoscopy Findings - Optic Disc (Study Eye)
Postoperative day 90/End of treatment · Abnormal
2 Participants
1 Participants
Dilated Opthalmoscopy Findings - Optic Disc (Study Eye)
Postoperative day 90/End of treatment · Not analyzed
5 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's retina

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Dilated Opthalmoscopy Findings - Retina (Study Eye)
Postoperative day 90/End of treatment · Abnormal
5 Participants
1 Participants
Dilated Opthalmoscopy Findings - Retina (Study Eye)
Postoperative day 90/End of treatment · Not analyzed
3 Participants
4 Participants
Dilated Opthalmoscopy Findings - Retina (Study Eye)
Screening (Baseline) · Normal
120 Participants
51 Participants
Dilated Opthalmoscopy Findings - Retina (Study Eye)
Screening (Baseline) · Abnormal
5 Participants
4 Participants
Dilated Opthalmoscopy Findings - Retina (Study Eye)
Screening (Baseline) · Not analyzed
1 Participants
0 Participants
Dilated Opthalmoscopy Findings - Retina (Study Eye)
Postoperative day 90/End of treatment · Normal
118 Participants
50 Participants

SECONDARY outcome

Timeframe: Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's macula.

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Dilated Opthalmoscopy Findings - Macula (Study Eye)
Screening (Baseline) · Normal
109 Participants
44 Participants
Dilated Opthalmoscopy Findings - Macula (Study Eye)
Screening (Baseline) · Abnormal
15 Participants
11 Participants
Dilated Opthalmoscopy Findings - Macula (Study Eye)
Screening (Baseline) · Not analyzed
2 Participants
0 Participants
Dilated Opthalmoscopy Findings - Macula (Study Eye)
Postoperative day 90/End of treatment · Normal
107 Participants
39 Participants
Dilated Opthalmoscopy Findings - Macula (Study Eye)
Postoperative day 90/End of treatment · Abnormal
16 Participants
12 Participants
Dilated Opthalmoscopy Findings - Macula (Study Eye)
Postoperative day 90/End of treatment · Not analyzed
3 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's choroid

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Dilated Opthalmoscopy Findings - Choroid (Study Eye)
Screening (Baseline) · Normal
124 Participants
54 Participants
Dilated Opthalmoscopy Findings - Choroid (Study Eye)
Screening (Baseline) · Abnormal
0 Participants
0 Participants
Dilated Opthalmoscopy Findings - Choroid (Study Eye)
Screening (Baseline) · Not analyzed
2 Participants
1 Participants
Dilated Opthalmoscopy Findings - Choroid (Study Eye)
Postoperative day 90/End of treatment · Normal
122 Participants
50 Participants
Dilated Opthalmoscopy Findings - Choroid (Study Eye)
Postoperative day 90/End of treatment · Abnormal
1 Participants
0 Participants
Dilated Opthalmoscopy Findings - Choroid (Study Eye)
Postoperative day 90/End of treatment · Not analyzed
3 Participants
5 Participants

SECONDARY outcome

Timeframe: Baseline, POD 90/Early termination

The number and percentage of patients with normal or abnormal findings from dilated opthalmoscopy examination of the study eye's vitreous

Outcome measures

Outcome measures
Measure
Dexamethasone Depot
n=126 Participants
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 Participants
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Dilated Opthalmoscopy Findings - Vitreous (Study Eye)
Screening (Baseline) · Normal
104 Participants
49 Participants
Dilated Opthalmoscopy Findings - Vitreous (Study Eye)
Screening (Baseline) · Abnormal
21 Participants
5 Participants
Dilated Opthalmoscopy Findings - Vitreous (Study Eye)
Screening (Baseline) · Not analyzed
1 Participants
1 Participants
Dilated Opthalmoscopy Findings - Vitreous (Study Eye)
Postoperative day 90/End of treatment · Normal
107 Participants
44 Participants
Dilated Opthalmoscopy Findings - Vitreous (Study Eye)
Postoperative day 90/End of treatment · Abnormal
16 Participants
7 Participants
Dilated Opthalmoscopy Findings - Vitreous (Study Eye)
Postoperative day 90/End of treatment · Not analyzed
3 Participants
4 Participants

Adverse Events

Dexamethasone Depot

Serious events: 3 serious events
Other events: 23 other events
Deaths: 0 deaths

Prednisolone Drops 1% (Standard of Care)

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dexamethasone Depot
n=126 participants at risk
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 participants at risk
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Eye disorders
Diabetic retinopathy
0.79%
1/126 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
0.00%
0/55 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
Nervous system disorders
Loss of consciousness
0.79%
1/126 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
0.00%
0/55 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
Gastrointestinal disorders
Abdominal hernia
0.79%
1/126 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
0.00%
0/55 • Adverse event data was collected from screening until postoperative day 90/end of treatment.

Other adverse events

Other adverse events
Measure
Dexamethasone Depot
n=126 participants at risk
A single intraocular dose of dexamethasone (517 mcg) at the conclusion of cataract surgery
Prednisolone Drops 1% (Standard of Care)
n=55 participants at risk
Three weeks of treatment with prednisolone drops 1% (one drop, four times daily for three weeks)
Investigations
Intraocular pressure increased
11.1%
14/126 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
3.6%
2/55 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
Eye disorders
Iritis
6.3%
8/126 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
0.00%
0/55 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
Nervous system disorders
Headache
0.79%
1/126 • Adverse event data was collected from screening until postoperative day 90/end of treatment.
7.3%
4/55 • Adverse event data was collected from screening until postoperative day 90/end of treatment.

Additional Information

Vice President, Quality and Compliance

Icon Bioscience, Inc.

Phone: 510-933-8381

Results disclosure agreements

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