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Completed

NCT Number: NCT04273282

A Prospective Clinical Study Evaluating Dexycu vs Prednisolone Acetate 1%

This is a post-approval, open-label, randomized, self-controlled prospective clinical study to evaluate the safety and ocular efficacy of Dexycu in controlling postoperative ocular pain and inflammation associated with cataract surgery.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Harvard Eye Associates, Laguna Hills, California, United States

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About this study

On initial consultation, each study subject will be randomized by a table in the possession of investigators to receive one of two treatment groups, either experimental or control in the first eye. The second eye will undergo cataract surgery approximately 2 weeks later and will be treated with the other treatment group:

Dexycu Group: A total of 30 study subjects will have Dexycu intracameral dexamethasone placed in their scheduled surgical eye at the time of surgery and will receive 50 micrograms of intracameral moxifloxacin at the conclusion of the procedure. They will take Prolensa each day after surgery for 4 weeks.

Control Group: A total of 30 study subjects will receive topical moxifloxacin 0.5% four times per day 1 day prior to surgery and for ten days postoperatively, Prolensa every day 1 day prior to surgery and for 4 weeks postoperatively, and prednisolone acetate 1.0% four times per day starting at the conclusion of cataract surgery for 2 weeks and twice per day for 2 weeks in their scheduled surgical eye.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • A male or female in good general health, greater than 18 years of age at time of screening.
  • Must be able to comprehend and willing to give informed consent.
  • Woman of child-bearing potential must not be pregnant or lactating.
  • Subject has availability, willingness, and sufficient cognitive awareness to comply with exam procedures and able to return for all scheduled study visits.
  • Subject with cataract for which routine phacoemulsification extraction and implantation of an intraocular lens has been planned.
  • Subject with an OCT of the macula in both eyes that demonstrates no significant pathology.

Exclusion criteria

  • Subject with any signs of intraocular inflammation in either eye at screening.
  • Subject with a known sensitivity to any of the study medications.
  • Subject with only one eye with potentially good vision.
  • Subject that has undergone prior intraocular surgery in the scheduled surgical eye within the last 6 months or laser surgery within three months prior to screening.
  • Subject with pupil abnormalities.
  • Subject with corneal abnormalities.
  • Subject with a history of chronic/recurrent inflammatory eye disease in either eye.
  • Subject with uncontrolled glaucoma.
  • Subject expected to undergo surgical intervention and/or ocular laser treatment prior to or during the study period.
  • Subject who requires use of systemic or ocular medications that may affect vision, ocular inflammation, or pain.
  • Subject with an acute or chronic disease or illness that would increase risk or confound study results, e.g. autoimmune disease, etc.
  • Subject with an uncontrolled systemic disease.
  • Subject with poorly-controlled diabetes.
  • Subject currently participating or has participated in another clinical trial within 30 days prior to enrollment.

Treatment and study plan

Dexycu intracameral dexamethasone

Drug

To evaluate the safety and ocular efficacy of Dexycu.

Other names: Moxifloxacin 0.5%, Prolensa

Prednisolone Acetate

Drug

To evaluate the safety and ocular efficacy, and patient acceptance of post cataract surgery drug treatment regimen that minimizes topical medications.

Primary outcomes

  1. Patient preference for medication protocol in 30 randomized subjects

    Time frame: Day 28

    Patient preference for medication protocol between the two eyes, as reported based on the question, "Thinking about your overall experience taking medications in each eye after surgery, which eye did you prefer? Questionnaire

Secondary outcomes

  1. Subject evaluation of postop ocular pain in 30 randomized subjects

    Time frame: Day 28

    Study subject evaluation of post-op ocular pain.

  2. Summed Ocular Inflammation Score in 30 randomized subjects

    Time frame: Day 28

    Summed Ocular Inflammation Score (sum of the mean anterior chamber cells and anterior flare score)

  3. Medication cost in 30 randomized subjects

    Time frame: Day 28

    Cost of medications to the patient (patient-reported)

Sponsors and collaborators

Lead sponsor

Research Insight LLC

Industry

Registry information

Official study title

The D3 Study: Drug Delivery vs Drops - A Prospective Clinical Study Evaluating Dexycu vs Prednisolone Acetate 1% in Controlling Post-operative Pain and Inflammation in Patients Undergoing Sequential Cataract Surgery

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Feb 18, 2020
Registry last updated
Dec 11, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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