A Study of Intravitreal ILUVIEN® Implant as Baseline Therapy in Patients With Early Diabetic Macular Edema (DME)

NCT ID: NCT04469595

Last Updated: 2024-07-31

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-31

Study Completion Date

2024-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a randomized, masked, active-controlled, parallel-group, multi-center study that will assess the efficacy of ILUVIEN as a baseline therapy in the treatment of Center Involving DME (CI-DME). The study will enroll patients who are either treatment naïve or have not received any DME treatments for the preceding 12 months as documented in medical records. Patients who received DME treatment \>12 months before screening, must not have received \>4 intravitreal injections. The study will compare 2 treatment regimens: ILUVIEN intravitreal implant (0.19 mg) followed by supplemental aflibercept as needed per protocol criteria (2 mg/0.05 mL), compared to intravitreal aflibercept loading dose (2 mg administered by intravitreal injection every 4 weeks for 5 consecutive doses) followed by supplemental aflibercept as needed per protocol criteria (2 mg/0.05 mL).

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Diabetic Macular Edema

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, masked, active-controlled, multi-center study
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

ILUVIEN Arm

Intravitreal ILUVIEN

Group Type ACTIVE_COMPARATOR

Iluvien 0.19 MG Drug Implant

Intervention Type DRUG

0.19 mg Fluocinolone Acetonide Intravitreal Implant

Aflibercept

Intervention Type DRUG

2 mg/0.05 mL Aflibercept Anti-VEGF intravitreal injection

Aflibercept Arm

Intravitreal aflibercept

Group Type ACTIVE_COMPARATOR

Aflibercept

Intervention Type DRUG

2 mg/0.05 mL Aflibercept Anti-VEGF intravitreal injection

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Iluvien 0.19 MG Drug Implant

0.19 mg Fluocinolone Acetonide Intravitreal Implant

Intervention Type DRUG

Aflibercept

2 mg/0.05 mL Aflibercept Anti-VEGF intravitreal injection

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

ILUVIEN Eylea

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Male or female subjects ≥18 years of age at the time of consent.
2. Must have CI-DME confirmed by Spectral Domain Ocular Coherence Tomography (SD-OCT) and Center Subfield Thickness (CST) of: ≥350 µm in the study eye.
3. Best Corrected Visual Acuity (BCVA) of ≤80 ETDRS Letters and ≥35 ETDRS letters in the study eye at Screening Visit.

Exclusion Criteria

1. Patients with Proliferative Diabetic Retinopathy (PDR); high risk proliferative diabetic retinopathy in the study eye and related complications.
2. History or current diagnosis of glaucoma or ocular hypertension (OHT) or a cup to disc ratio \>0.8; History of uncontrolled intraocular pressure (defined as IOP ≥25 mmHg with maximum topical and systemic medical hypotensive treatment) or previous filtration surgery in the study eye at Screening Visit.
3. Other conditions that can cause macular edema.
4. Patients who received prior LASER photocoagulation therapy including macular grid or pan retina photocoagulation (PRP) at any time in the study eye. Prior focal LASER photocoagulation therapy outside the macula is allowed.
5. Patients who received the following therapies in the study eye:

1. Intravitreal or periocular steroids;
2. Intravitreal injection of aflibercept, brolucizumab, or conbercept ≤12 months prior to Screening Visit
6. Patients who received \>1 intravitreal injection of ranibizumab or bevacizumab in the last 12 months; or have received ranibizumab or bevacizumab ≤6 weeks prior to Screening Visit
7. Patients who have lens opacities due to cataract or other etiologies that would make it difficult to examine the fundus or that affect the patients Activities of Daily Living (ADL).
8. Steroid Challenge Exclusion Criterion- At the Baseline Visit, patients who are determined to have an IOP ≥25 mmHg or an increase ≥8 mmHg from Screening will be excluded from the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Alimera Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Investigative Site

Phoenix, Arizona, United States

Site Status

Investigative Site

Tucson, Arizona, United States

Site Status

Investigative Site

Beverly Hills, California, United States

Site Status

Investigative Site

Glendale, California, United States

Site Status

Investigative Site

Laguna Hills, California, United States

Site Status

Investigative Site

Santa Ana, California, United States

Site Status

Investigative Site

Colorado Springs, Colorado, United States

Site Status

Investigative Site

Clearwater, Florida, United States

Site Status

Investigative Site

Orlando, Florida, United States

Site Status

Investigative Site

Palm Beach Gardens, Florida, United States

Site Status

Investigative Site

Tampa, Florida, United States

Site Status

Investigative Site

Marietta, Georgia, United States

Site Status

Investigative Site

Sandy Springs, Georgia, United States

Site Status

Investigative Site

Elmhurst, Illinois, United States

Site Status

Investigative Site

Lemont, Illinois, United States

Site Status

Investigative Site

Oak Park, Illinois, United States

Site Status

Investigative Site

Springfield, Illinois, United States

Site Status

Investigative Site

Leawood, Kansas, United States

Site Status

Investigative Site

Shawnee Mission, Kansas, United States

Site Status

Investigative Site

West Monroe, Louisiana, United States

Site Status

Investigative Site

Baltimore, Maryland, United States

Site Status

Investigative Site

Detroit, Michigan, United States

Site Status

Investigative Site

Grand Blanc, Michigan, United States

Site Status

Investigative Site

Independence, Missouri, United States

Site Status

Investigative Site

Bloomfield, New Jersey, United States

Site Status

Investigative Site

Beachwood, Ohio, United States

Site Status

Investigative Site

Cincinnati, Ohio, United States

Site Status

Investigative Site

Cleveland, Ohio, United States

Site Status

Investigative Site

Youngstown, Ohio, United States

Site Status

Investigative Site

Tulsa, Oklahoma, United States

Site Status

Investigative Site

Erie, Pennsylvania, United States

Site Status

Investigative Site

Columbia, South Carolina, United States

Site Status

Investigative Site

Dallas, Texas, United States

Site Status

Investigative Site

Houston, Texas, United States

Site Status

Investigative Site

McAllen, Texas, United States

Site Status

Investigative Site

San Antonio, Texas, United States

Site Status

Investigative Site

San Antonio, Texas, United States

Site Status

Investigative Site

The Woodlands, Texas, United States

Site Status

Investigative Site

Roanoke, Virginia, United States

Site Status

Investigative Site

Warrenton, Virginia, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

01-20-005

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.