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

  • STATUS
    Recruiting
  • participants needed
    300
  • sponsor
    Alimera Sciences
Updated on 19 February 2024
macular edema
corrected visual acuity
aflibercept
spectral domain optical coherence tomography
edema
diabetic macular edema
sd-oct
iluvien

Summary

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 nave 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).

Details
Condition Diabetic Macular Edema
Age 18years - 100years
Treatment Aflibercept, Iluvien 0.19 MG Drug Implant
Clinical Study IdentifierNCT04469595
SponsorAlimera Sciences
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

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

Exclusion Criteria

Patients with Proliferative Diabetic Retinopathy (PDR); high risk proliferative diabetic retinopathy in the study eye and related complications
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
Other conditions that can cause macular edema
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
Patients who received the following therapies in the last 12 months prior to
screening
Intravitreal or periocular steroids in the study eye
Any intravitreal anti-VEGF [vascular endothelial growth factor (VEGF)] (including but not limited to bevacizumab, ranibizumab, or aflibercept)
Patients who received intravitreal anti-VEGF or corticosteroids >12 months prior to the Screening Visit will be allowed in the study, provided that they have not received a total of >4 injections
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)
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
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