Suprachoroidal Injection of CLS-TA in Subjects With Macular Edema Associated With Non-infectious Uveitis

NCT ID: NCT02595398

Last Updated: 2021-05-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-17

Study Completion Date

2018-01-18

Brief Summary

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The study is designed to evaluate the safety and efficacy of suprachoroidally administered triamcinolone acetonide, CLS-TA, in subjects with macular edema associated with non-infectious uveitis.

Detailed Description

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This is a Phase 3, randomized, masked, sham-controlled, multicenter study to assess the safety and efficacy of 4 mg of CLS-TA administered via suprachoroidal injection compared to a sham injection procedure in the treatment of subjects with macular edema associated with non-infectious uveitis.

Qualified subjects will be randomized to receive two suprachoroidal injections of CLS-TA administered to the study eye or two sham injection procedures administered to the study eye approximately 12 weeks apart (Visit 2 and Visit 5). Follow-up visits will be conducted monthly up to 24 weeks (Visit 8).

Conditions

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Uveitis Uveitis, Posterior Uveitis, Anterior Uveitis, Intermediate Panuveitis

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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4mg CLS-TA Suprachoriodal Injection

Suprachoroidal injection of 40 mg/mL (4 mg in 100 µL) of CLS-TA

Group Type EXPERIMENTAL

4mg CLS-TA Suprachoriodal Injection

Intervention Type DRUG

CLS-TA, 40 mg/mL (4 mg in 100 µL), administered as a single injection at 2 timepoints

Sham Procedure

Matching suprachoroidal syringe with sham procedure

Group Type SHAM_COMPARATOR

Sham Procedure

Intervention Type DRUG

Sham procedure administered at 2 timepoints

Interventions

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4mg CLS-TA Suprachoriodal Injection

CLS-TA, 40 mg/mL (4 mg in 100 µL), administered as a single injection at 2 timepoints

Intervention Type DRUG

Sham Procedure

Sham procedure administered at 2 timepoints

Intervention Type DRUG

Other Intervention Names

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Triamcinolone Acetonide suprachoroidal sham

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of non-infectious uveitis (pan, anterior, intermediate and posterior)
* Diagnosis of macular edema associated with non-infectious uveitis (retinal thickness ≥ 300 microns)
* Visual Acuity score of ≥ 5 letters read (20/800 Snellen equivalent) and ≤ 70 letters read (20/40 Snellen equivalent), in the study eye

Exclusion Criteria

* Any active ocular disease or infection in the study eye other than uveitis
* Intraocular pressure \> 22 mmHg or uncontrolled glaucoma in the study eye; subjects are not excluded if IOP ≤ 22 mmHg with no more than 2 IOP lowering medications.
* Any uncontrolled systemic disease that, in the opinion of the Investigator, would preclude participation in the study
* Any topical ocular corticosteroid in the 10 days prior to baseline; intraocular or periocular corticosteroid injections in the 2 months prior to baseline; an OZURDEX implant in the 6 months prior to baseline; RETISERT or ILUVIEN implant in the 3 years prior to baseline.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clearside Biomedical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas Cuilla, MD, MBA

Role: STUDY_DIRECTOR

Clearside Biomedical, Inc.

Locations

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Retinal Consultants of Arizona

Phoenix, Arizona, United States

Site Status

Retina Centers, PC

Tucson, Arizona, United States

Site Status

California Retina Consultants

Bakersfield, California, United States

Site Status

Retina-Vitreous Associates Medical Group

Beverly Hills, California, United States

Site Status

USC Eye Institute

Los Angeles, California, United States

Site Status

Northern California Retina Vitreous Associates Medical Group, Inc.

Mountain View, California, United States

Site Status

Orange County Retina Medical Group

Santa Ana, California, United States

Site Status

University of Colorado

Aurora, Colorado, United States

Site Status

Colorado Retina Associates

Golden, Colorado, United States

Site Status

Retina Group of Florida

Fort Lauderdale, Florida, United States

Site Status

Center for Retina and Macular Disease

Lakeland, Florida, United States

Site Status

Emory Eye Center Emory University

Atlanta, Georgia, United States

Site Status

Marietta Eye Clinic

Marietta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Illinois at Chicago

Chicago, Illinois, United States

Site Status

Illinois Retina Associates, S.C.

Oak Park, Illinois, United States

Site Status

Midwest Eye Retina Practicing at Midwest Eye Institute

Indianapolis, Indiana, United States

Site Status

Elman Retina Group, PA

Baltimore, Maryland, United States

Site Status

The Retina Group of Washington

Chevy Chase, Maryland, United States

Site Status

Valley Eye Physicians and Surgeons, PC

Ayer, Massachusetts, United States

Site Status

Ophthalmic Consultants of Boston

Boston, Massachusetts, United States

Site Status

Ocular Immunology and Uveitis Foundation; Massachusetts Eye Research and Surgery Institution

Waltham, Massachusetts, United States

Site Status

Discover Vision Centers

Independence, Missouri, United States

Site Status

Metropolitan Eye Research & Surgery Institute

Palisades Park, New Jersey, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

Retina Consultants PLLC

Slingerlands, New York, United States

Site Status

Charlotte Eye Ear Nose and Throat Associates, PA

Belmont, North Carolina, United States

Site Status

Wake Forest Baptist Health Eye Center

Winston-Salem, North Carolina, United States

Site Status

Bergstrom Eye Research

Fargo, North Dakota, United States

Site Status

Oregon Health & Science University Casey Eye Institute

Portland, Oregon, United States

Site Status

Mid Atlantic Retina

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center Eye Center

Pittsburgh, Pennsylvania, United States

Site Status

Innovative Clinical Research

Greenville, South Carolina, United States

Site Status

Austin Retina Associates

Austin, Texas, United States

Site Status

Texas Retina Associates

Dallas, Texas, United States

Site Status

Retina Consultants of Houston

Houston, Texas, United States

Site Status

Foresight Studies, LLC

San Antonio, Texas, United States

Site Status

Retina Consultants of Houston

The Woodlands, Texas, United States

Site Status

Virginia Eye Consultants

Norfolk, Virginia, United States

Site Status

Vitreoretinal Associates of Washington

Bellevue, Washington, United States

Site Status

L V Prasad Eye Hospital

Hyderabad, Andhra Pradesh, India

Site Status

Sri Sankaradeva Nethralaya

Guwahati, Assam, India

Site Status

M&J Western Regional Institute of Ophthalmology

Ahmedabad, Gujarat, India

Site Status

JSS Hospital

Mysore, Karnataka, India

Site Status

Regional Institute of Ophthalmology

Thiruvananthapuram, Kerala, India

Site Status

TN Medical College and BYL Nair Hospital

Mumbai, Maharashtra, India

Site Status

PBMA's H V Desai Eye Hospital

Pune, Maharashtra, India

Site Status

Sankara Nethralaya

Chennai, Tamil Nadu, India

Site Status

Sankara Eye Hospital

Coimbatore, Tamil Nadu, India

Site Status

King George's Medical University

Lucknow, Uttar Pradesh, India

Site Status

Sanjay Gandhi Postgraduate Institute of Medical Sciences

Lucknow, Uttar Pradesh, India

Site Status

Icare Eye Hospital & PG Institute

Noida, Uttar Pradesh, India

Site Status

Calcutta Medical Research Institute

Kolkata, , India

Site Status

Disha Eye Hospital

Kolkata, , India

Site Status

Dr Rajendra Prasad Centre for Ophthalmic Sciences

New Delhi, , India

Site Status

Dr. Shroff's Charity Eye Hospital

New Delhi, , India

Site Status

Soroka Medical Center

Beersheba, , Israel

Site Status

Bnai Zion Medical Center

Haifa, , Israel

Site Status

Rambam Health Corp

Haifa, , Israel

Site Status

Hadassah-Hebrew University Medical Center

Jerusalem, , Israel

Site Status

Rabin Medical Center

Petah Tikva, , Israel

Site Status

Sheba Medical Center

Ramat Gan, , Israel

Site Status

Kaplan Medical Center

Rehovot, , Israel

Site Status

Tel-Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Countries

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United States India Israel

References

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Yeh S, Ciulla T. Suprachoroidal triamcinolone acetonide injectable suspension for macular edema associated with noninfectious uveitis: an in-depth look at efficacy and safety. Am J Manag Care. 2023 Feb;29(2 Suppl):S19-S28. doi: 10.37765/ajmc.2023.89324.

Reference Type DERIVED
PMID: 36787524 (View on PubMed)

Yeh S, Henry CR, Kapik B, Ciulla TA. Triamcinolone Acetonide Suprachoroidal Injectable Suspension for Uveitic Macular Edema: Integrated Analysis of Two Phase 3 Studies. Ophthalmol Ther. 2023 Feb;12(1):577-591. doi: 10.1007/s40123-022-00603-x. Epub 2022 Nov 18.

Reference Type DERIVED
PMID: 36399237 (View on PubMed)

Bhattacharyya S, Hariprasad SM, Albini TA, Dutta SK, John D, Padula WV, Harrison D, Joseph G. Suprachoroidal Injection of Triamcinolone Acetonide Injectable Suspension for the Treatment of Macular Edema Associated With Uveitis in the United States: A Cost-Effectiveness Analysis. Value Health. 2022 Oct;25(10):1705-1716. doi: 10.1016/j.jval.2022.07.008. Epub 2022 Aug 31.

Reference Type DERIVED
PMID: 36055922 (View on PubMed)

Singer MA, Merrill P, Yeh S, Hall C, Kapik B, Ciulla TA. Suprachoroidal triamcinolone acetonide versus rescue therapies for the treatment of uveitic macular oedema: A post hoc analysis of PEACHTREE. Clin Exp Ophthalmol. 2022 Jan;50(1):23-30. doi: 10.1111/ceo.14024. Epub 2021 Dec 27.

Reference Type DERIVED
PMID: 34741564 (View on PubMed)

Price KW, Albini TA, Yeh S. Suprachoroidal Injection of Triamcinolone- Review of a Novel Treatment for Macular Edema Caused by Noninfectious Uveitis. US Ophthalmic Rev. 2020 Fall;13(2):76-79. doi: 10.17925/usor.2020.13.2.76. Epub 2020 Dec 23.

Reference Type DERIVED
PMID: 34322164 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CLS1001-301

Identifier Type: -

Identifier Source: org_study_id

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