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This is a randomized, controlled study to assess the safety and effectiveness of treatment with an intracanalicular dexamethasone (0.4mg) insert when utilized in conjunction with topical steroids as part of an extended taper steroid regimen following cataract surgery in patients with a history of epiretinal membrane, diabetic retinopathy, or non-exudative macular degeneration.
There will be approximately 40 eyes with two groups:
Group 1 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate drops QID x 1 week, then Dextenza will be inserted at the one-week postoperative evaluation (Day 8).
Group 2 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate for five weeks with dosing schedule: QID x 2 weeks, TID x 1 week, BID x 1 week, QD x 1 week.
Both groups will receive topical Prolensa Qa.m. x 5 weeks and Moxifloxacin TID x 1 week, per investigators preferential treatment regimen.
Each subject's participation is expected to last for approximately 5 weeks and subjects will be required to complete six scheduled visits over the course of the study period: Baseline (Screening Visit Day -1), Operative Visit (Day 0), Day 1, Day 8 (insertion day), Day 14, and Day 37.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dextenza | Experimental | Group 1 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate drops QID x 1 week, then Dextenza will be inserted at the one-week postoperative evaluation (Day 8). |
|
| Prednisolone Acetate | Active Comparator | Group 2 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate for five weeks with dosing schedule: QID x 2 weeks, TID x 1 week, BID x 1 week, QD x 1 week. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dextenza 0.4Mg Ophthalmic Insert | Drug | Group 1 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate drops QID x 1 week, then Dextenza will be inserted at the one-week postoperative evaluation (Day 8). Both groups will receive topical Prolensa Qa.m. x 5 weeks and Moxifloxacin TID x 1 week, per investigators preferential treatment regimen. |
| Measure | Description | Time Frame |
|---|---|---|
| Absence of anterior chamber cells | SUN Scale (0 minimum/better to 4 maximum/ worse) | at Day 14 |
| Measure | Description | Time Frame |
|---|---|---|
| BCVA | Snellen Chart | Baseline (day 8) to day 37 |
| Number of subjects requiring rescue steroid | Addition of steroid treatment | Day 8 to Day 37 |
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Inclusion Criteria:
Subjects will be eligible for study participation if they:
Exclusion Criteria:
Subjects are not eligible for study participation if they:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wyse Eyecare | Northbrook | Illinois | 60062 | United States |
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| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D002123 | Calcium Dobesilate |
| ID | Term |
|---|---|
| D001557 | Benzenesulfonates |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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This is a randomized, controlled study to assess the safety and effectiveness of treatment with an intracanalicular dexamethasone (0.4mg) insert when utilized in conjunction with topical steroids as part of an extended taper steroid regimen following cataract surgery in patients with a history of epiretinal membrane, diabetic retinopathy, or non-exudative macular degeneration Group 1 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate drops QID x 1 week, then Dextenza will be inserted at the one-week postoperative evaluation (Day 8).
Group 2 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate for five weeks with dosing schedule: QID x 2 weeks, TID x 1 week, BID x 1 week, QD x 1 week.
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|
| Prednisolone Acetate 1% | Drug | Group 2 (20 eyes) will receive treatment with topical 1% Prednisolone Acetate for five weeks with dosing schedule: QID x 2 weeks, TID x 1 week, BID x 1 week, QD x 1 week. Both groups will receive topical Prolensa Qa.m. x 5 weeks and Moxifloxacin TID x 1 week, per investigators preferential treatment regimen. |
|
| Number and Percentage of subjects with complete absence of cell | SUN Scale | Day 8 to 37 |
| Measuring Cell | Sun Scale (0 minimum/better to 4 maximum/ worse) | Day 8, 14, 37 |
| Measuring Flare | Sun Scale (0 minimum/better to 4 maximum/ worse) | Day 8, 14, 37 |
| Eye Pain | VAS Questionnaire 0 no pain to 10 worst possible pain | Day 8, 14, 37 |
| Ease of insertion | Noted as Easy, Moderate, or Difficult | Day 8 |
| Ease of Visualization | Noted as Easy, Moderate, or Difficult | Day 8, 14, 37 |
| Number of attempts to successfully insertion | Note Number of attempts to successfully insert as 1,2,3 attempts | Day 8 |
| Dry Eye | SPEED Survey Lower score indicates less dryness which is better than a higher score | Day 8, Day 14, and Day 37. |
| Central Macular Thickness | Mean change of Central Macular Thickness by Optical coherence tomography | Baseline to Day 37 |
| Insert Retention | By slit lamp exam if insert is visualized or not | Day 8 to 37 days |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D001190 | Arylsulfonates |
| D017739 | Arylsulfonic Acids |
| D013451 | Sulfonic Acids |
| D013456 | Sulfur Acids |
| D013457 | Sulfur Compounds |