DEXTENZA for the Treatment of Pain and Inflammation Following Surgical Trabeculectomy and Ahmed Valve Procedures

NCT ID: NCT05116345

Last Updated: 2021-11-11

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-30

Study Completion Date

2023-11-30

Brief Summary

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This is a prospective, comparative, open-label, single-center, randomized, investigator-sponsored clinical study and seeks to investigate clinical outcomes with standard of care and high dose DEXTENZA treatment compared to standard of care topical dexamethasone in patients undergoing trabeculectomy, trabeculectomy Ex-PRESS, Xen Gel stent, and Ahmed Valve surgery. Patients will be followed through 6 months. After screening a given patient for inclusion and exclusion criteria, and gaining informed consent, eyes of n=30 patients will be randomized to one of the following two groups (n=15per group) and followed from Baseline through Month 6.

Detailed Description

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Conditions

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Glaucoma Following Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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DEXTENZA

a single intracanalicular dexamethasone (0.4 mg) insert

Group Type EXPERIMENTAL

DEXTENZA

Intervention Type DRUG

Intracanalicular Dexamethasone ophthalmic insert (0.4mg)

Topical Dexamethasone Treatment

Standard of care topical dexamethasone treatment through Month 2 dosing and tapering following:

6x/day week 1 4x/day weeks 2-4 2x/day weeks 5-8 Day of surgery dexamethasone ointment and patch will be applied post-surgically for overnight treatment and removed at post-operative day 1 visit in Group B eyes.

Group Type ACTIVE_COMPARATOR

Topical Dexamethasone

Intervention Type DRUG

topical dexamethasone drops

Interventions

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DEXTENZA

Intracanalicular Dexamethasone ophthalmic insert (0.4mg)

Intervention Type DRUG

Topical Dexamethasone

topical dexamethasone drops

Intervention Type DRUG

Other Intervention Names

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Dexamethasone (0.4mg) Insert

Eligibility Criteria

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Inclusion Criteria

* Able to provide signed written consent prior to participation in any study-related procedures
* Patient is diagnosed with glaucoma and undergoing trabeculectomy, trabeculectomy Ex-PRESS, Xen Gel stent, or Ahmed Valve surgery

Exclusion Criteria

* Have used topical corticosteroid treatment up to 48 hours prior to the baseline visit
* Have used oral corticosteroid within the past 14 days prior to baseline visit (Patients using stable doses of inhaled corticosteroids for 30 days prior to baseline visit can be included in the study)
* Have received intravitreal or sub-Tenon corticosteroid treatment prior to baseline visit or Ozurdex ® in the study eye within the 6 months prior to the baseline visit
* Are currently using prescribed nonsteroidal anti-inflammatory agents or prescribed immunosuppressive agents, unless the dose has been stable for the last 6 weeks and no change in dosing is anticipated for the duration of the study
* Are pregnant or lactating female, or female of childbearing age using inadequate birth control method
* Have participated in another investigational device or drug study within 30 days of the baseline visit
* Anterior chamber cells present at time of enrollment
* Known allergy to dexamethasone or prednisolone
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ocular Therapeutix, Inc.

INDUSTRY

Sponsor Role collaborator

Brian Jerkins, MD

OTHER

Sponsor Role lead

Responsible Party

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Brian Jerkins, MD

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Brian Jerkins, MD

Role: PRINCIPAL_INVESTIGATOR

University of Tennessee

Locations

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Hamilton Eye Institute

Memphis, Tennessee, United States

Site Status

Countries

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United States

Central Contacts

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Brian Jerkins, MD

Role: CONTACT

Phone: 901-338-1022

Email: [email protected]

Breia N. Dooley, MA

Role: CONTACT

Phone: 901-448-3269

Email: [email protected]

Facility Contacts

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Brian Jerkins, MD

Role: primary

Breia N. Dooley, MA

Role: backup

References

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Okeke CO, Quigley HA, Jampel HD, Ying GS, Plyler RJ, Jiang Y, Friedman DS. Adherence with topical glaucoma medication monitored electronically the Travatan Dosing Aid study. Ophthalmology. 2009 Feb;116(2):191-9. doi: 10.1016/j.ophtha.2008.09.004. Epub 2008 Dec 12.

Reference Type BACKGROUND
PMID: 19084273 (View on PubMed)

Lee A, Blair HA. Correction to: Dexamethasone Intracanalicular Insert: A Review in Treating Post-Surgical Ocular Pain and Inflammation. Drugs. 2020 Aug;80(12):1265. doi: 10.1007/s40265-020-01366-0.

Reference Type BACKGROUND
PMID: 32700064 (View on PubMed)

Other Identifiers

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The DEXTenSiVe Study

Identifier Type: -

Identifier Source: org_study_id