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Active, Not Recruiting

NCT Number: NCT04469595

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

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 naïve 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).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Investigative Site, Phoenix, Arizona, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Major 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 µm in the study eye.
  • Best Corrected Visual Acuity (BCVA) of ≤80 ETDRS Letters and ≥35 ETDRS letters in the study eye at Screening Visit.

Major 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 study eye:
  • Intravitreal or periocular steroids;
  • Intravitreal injection of aflibercept, brolucizumab, or conbercept ≤12 months prior to Screening Visit
  • Patients who received >1 intravitreal injection of ranibizumab or bevacizumab in the last 12 months; or have received ranibizumab or bevacizumab ≤6 weeks prior to Screening Visit
  • 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.

Treatment and study plan

Iluvien 0.19 MG Drug Implant

Drug

0.19 mg Fluocinolone Acetonide Intravitreal Implant

Other names: ILUVIEN

aflibercept

Drug

2 mg/0.05 mL Aflibercept Anti-VEGF intravitreal injection

Other names: Eylea

Primary outcomes

  1. The mean total number of supplemental aflibercept injections needed during the study

    Time frame: Baseline to 18 months

    The mean total number of supplemental aflibercept injections needed during

Secondary outcomes

  1. Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline

    Time frame: At 18 months

    Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline

  2. Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)

    Time frame: Baseline to 18 months

    Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)

  3. Mean change from baseline in Center Subfield Thickness (CST)

    Time frame: Baseline to 18 months

    Mean change from baseline in Center Subfield Thickness (CST)

  4. Area under the curve (AUC) of Center Subfield Thickness (CST)

    Time frame: Baseline to 18 months

    Area under the curve (AUC) of Center Subfield Thickness (CST)

  5. Mean change from baseline in the National Eye Institute Visual Function Questionnaire (NEI VFQ-25) composite score and subscale scores

    Time frame: At 18 months

    The NEI VFQ-25 is a questionnaire that allows the individual to report on their level of visual function. Scores range from 0-100, with a score of 0 being the worst outcome and 100 being the best outcome.

  6. Safety Outcome Endpoints: The incidence and severity of treatment-related adverse events

    Time frame: Baseline to 18 months

    The incidence and severity of treatment-related adverse events

Sponsors and collaborators

Lead sponsor

Alimera Sciences

Industry

Registry information

Official study title

A Randomized, Masked, Controlled Study of Intravitreal ILUVIEN® Implant as Baseline Therapy in Patients With Early Diabetic Macular Edema (DME)

Acronym: NEW DAY

Important dates

Study start
2020
Primary completion
2024
Study completion
2024
First posted
Jul 14, 2020
Registry last updated
Jul 31, 2024

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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