Assessing the Efficacy and Safety fo DEXTENZA, Sustained Release Dexamethasone 0.4 mg Insert(s) for the Treatment of Pain, Inflammation, and Cystoid Macular Edema Following 27 Gauge Vitrectomy With Internal Limiting Membrane Peel for the Treatment of Retinal Edema Associated With Macular Pucker.

NCT ID: NCT04501367

Last Updated: 2023-06-29

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-27

Study Completion Date

2024-12-31

Brief Summary

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Assessing the efficacy and safety of DEXTENZA, sustained release dexamethasone 0.4 mg inserts following 27 gauge vitrectomy with internal limiting membrane peel

Detailed Description

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Assessing the efficacy and safety of DEXTENZA, sustained release dexamethasone 0.4 mg inserts, when placed within the lower eye lid canaliculus or both the upper and lower canaliculi for the treatment of pain, inflammation, and cystoid macular edema following 27 gauge vitrectomy with internal limiting membrane peel for the treatment of retinal edema associated with macular pucker

Conditions

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Vitrectomy Macular Pucker Retinal Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In patients who undergo vitrectomy with internal limiting membrane peel surgery , subjects will be randomized to three groups and be followed for a period of two months. One group will be selected to receive one DEXTENZA (in the lower canaliculus), the second group will receive two DEXTENZA (upper and lower canaliculi) and the third group will receive prednisolone acetate 1% (control eye) . All groups will receive a subconjunctival dexamethasone injection at the time of surgery.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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DEXTENZA Group

Patients undergoing vitrectomy with internal limiting membrane peel

Group Type EXPERIMENTAL

Dexamethasone Intracanalicular Insert, 0.4 mg

Intervention Type DRUG

To determine post-surgical resolution of pain, inflammation, and cystoid macular edema outcomes when treated with one DEXTENZA (lower eye lid canaliculus) compared to topical steroid treatment in patients who undergo vitrectomy with internal limiting membrane peel surgery

Second DEXTENZA Group

Patients undergoing vitrectomy with internal limiting membrane peel

Group Type EXPERIMENTAL

Dexamethasone Intracanalicular Insert, 0.4 mg

Intervention Type DRUG

To determine post-surgical resolution of pain, inflammation, and cystoid macular edema outcomes when treated with two DEXTENZA (upper and lower canaliculi) compared to topical steroid treatment in patients who undergo vitrectomy with internal limiting membrane peel surgery

Topical Prednisolone Acetate 1% Group

Patients undergoing vitrectomy with internal limiting membrane peel

Group Type EXPERIMENTAL

Prednisone acetate 1%

Intervention Type DRUG

To reduce post-surgical pain and inflammation in patients who undergo vitrectomy with internal limiting membrane peel surgery

Interventions

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Dexamethasone Intracanalicular Insert, 0.4 mg

To determine post-surgical resolution of pain, inflammation, and cystoid macular edema outcomes when treated with one DEXTENZA (lower eye lid canaliculus) compared to topical steroid treatment in patients who undergo vitrectomy with internal limiting membrane peel surgery

Intervention Type DRUG

Dexamethasone Intracanalicular Insert, 0.4 mg

To determine post-surgical resolution of pain, inflammation, and cystoid macular edema outcomes when treated with two DEXTENZA (upper and lower canaliculi) compared to topical steroid treatment in patients who undergo vitrectomy with internal limiting membrane peel surgery

Intervention Type DRUG

Prednisone acetate 1%

To reduce post-surgical pain and inflammation in patients who undergo vitrectomy with internal limiting membrane peel surgery

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Symptomatic macular pucker with retinal edema
* Age 18 years and older
* Scheduled vitrectomy and internal limiting membrane peel
* Willing and able to comply with clinic visits and study related procedures
* Willing and able to sign the informed consent form

Exclusion Criteria

* Patients under the age of 18
* Pregnancy ( must be ruled out in women of child-bearing age with pregnancy test)
* Active infectious systemic disease
* Active infectious ocular or extraocular disease
* Obstructed nasolacrimal duct in the study eye (s)
* Hypersensitivity to dexamethasone or prednisolone eye drops
* Patients being treated with immunomodulating agents in the study eye(s)
* Patient being treated with immunosuppressants and/or oral steroids
* Patients with severe disease that warrants critical attention, deemed unsafe for the study by the investigator
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kovach Eye Institute

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saad Ahmad, MD

Role: PRINCIPAL_INVESTIGATOR

Kovach Eye Institute

Locations

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Kovach Eye Institute

Elmhurst, Illinois, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Saad Ahmad, MD

Role: CONTACT

6308339361

Jamie White, Bachelors

Role: CONTACT

6308339621

Facility Contacts

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Jamie White, BA

Role: primary

630-833-9361 ext. 129

Other Identifiers

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Kovacheye

Identifier Type: -

Identifier Source: org_study_id

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