A Study of Intravitreal ILUVIEN® Implant as Baseline Therapy in Patients With Early Diabetic Macular Edema (DME) (NEW DAY)
Primary Purpose
Diabetic Macular Edema
Status
Active
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Iluvien 0.19 MG Drug Implant
Aflibercept
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Macular Edema focused on measuring DME, CI-DME, Diabetic Macular Edema, Diabetic Retinopathy
Eligibility Criteria
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.
Sites / Locations
- Investigative Site
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- Investigative Site
- Investigative Site
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- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
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- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
ILUVIEN Arm
Aflibercept Arm
Arm Description
Intravitreal ILUVIEN
Intravitreal aflibercept
Outcomes
Primary Outcome Measures
The mean total number of supplemental aflibercept injections needed during the study
The mean total number of supplemental aflibercept injections needed during
Secondary Outcome Measures
Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline
Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline
Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)
Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)
Mean change from baseline in Center Subfield Thickness (CST)
Mean change from baseline in Center Subfield Thickness (CST)
Area under the curve (AUC) of Center Subfield Thickness (CST)
Area under the curve (AUC) of Center Subfield Thickness (CST)
Mean change from baseline in the National Eye Institute Visual Function Questionnaire (NEI VFQ-25) composite score and subscale scores
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.
Safety Outcome Endpoints: The incidence and severity of treatment-related adverse events
The incidence and severity of treatment-related adverse events
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04469595
Brief Title
A Study of Intravitreal ILUVIEN® Implant as Baseline Therapy in Patients With Early Diabetic Macular Edema (DME)
Acronym
NEW DAY
Official Title
A Randomized, Masked, Controlled Study of Intravitreal ILUVIEN® Implant as Baseline Therapy in Patients With Early Diabetic Macular Edema (DME)
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 31, 2020 (Actual)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alimera Sciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief 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 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).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Macular Edema
Keywords
DME, CI-DME, Diabetic Macular Edema, Diabetic Retinopathy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Model Description
Randomized, masked, active-controlled, multi-center study
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
300 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
ILUVIEN Arm
Arm Type
Active Comparator
Arm Description
Intravitreal ILUVIEN
Arm Title
Aflibercept Arm
Arm Type
Active Comparator
Arm Description
Intravitreal aflibercept
Intervention Type
Drug
Intervention Name(s)
Iluvien 0.19 MG Drug Implant
Other Intervention Name(s)
ILUVIEN
Intervention Description
0.19 mg Fluocinolone Acetonide Intravitreal Implant
Intervention Type
Drug
Intervention Name(s)
Aflibercept
Other Intervention Name(s)
Eylea
Intervention Description
2 mg/0.05 mL Aflibercept Anti-VEGF intravitreal injection
Primary Outcome Measure Information:
Title
The mean total number of supplemental aflibercept injections needed during the study
Description
The mean total number of supplemental aflibercept injections needed during
Time Frame
Baseline to 18 months
Secondary Outcome Measure Information:
Title
Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline
Description
Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline
Time Frame
At 18 months
Title
Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)
Description
Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)
Time Frame
Baseline to 18 months
Title
Mean change from baseline in Center Subfield Thickness (CST)
Description
Mean change from baseline in Center Subfield Thickness (CST)
Time Frame
Baseline to 18 months
Title
Area under the curve (AUC) of Center Subfield Thickness (CST)
Description
Area under the curve (AUC) of Center Subfield Thickness (CST)
Time Frame
Baseline to 18 months
Title
Mean change from baseline in the National Eye Institute Visual Function Questionnaire (NEI VFQ-25) composite score and subscale scores
Description
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.
Time Frame
At 18 months
Title
Safety Outcome Endpoints: The incidence and severity of treatment-related adverse events
Description
The incidence and severity of treatment-related adverse events
Time Frame
Baseline to 18 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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.
Facility Information:
Facility Name
Investigative Site
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85020
Country
United States
Facility Name
Investigative Site
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Facility Name
Investigative Site
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Investigative Site
City
Glendale
State/Province
California
ZIP/Postal Code
91203
Country
United States
Facility Name
Investigative Site
City
Laguna Hills
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
Investigative Site
City
Santa Ana
State/Province
California
ZIP/Postal Code
92705
Country
United States
Facility Name
Investigative Site
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
Facility Name
Investigative Site
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33761
Country
United States
Facility Name
Investigative Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Investigative Site
City
Palm Beach Gardens
State/Province
Florida
ZIP/Postal Code
33418
Country
United States
Facility Name
Investigative Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Investigative Site
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Investigative Site
City
Sandy Springs
State/Province
Georgia
ZIP/Postal Code
30328
Country
United States
Facility Name
Investigative Site
City
Elmhurst
State/Province
Illinois
ZIP/Postal Code
60126
Country
United States
Facility Name
Investigative Site
City
Lemont
State/Province
Illinois
ZIP/Postal Code
60439
Country
United States
Facility Name
Investigative Site
City
Oak Park
State/Province
Illinois
ZIP/Postal Code
60304
Country
United States
Facility Name
Investigative Site
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62704
Country
United States
Facility Name
Investigative Site
City
Leawood
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
Investigative Site
City
Shawnee Mission
State/Province
Kansas
ZIP/Postal Code
66204
Country
United States
Facility Name
Investigative Site
City
West Monroe
State/Province
Louisiana
ZIP/Postal Code
71291
Country
United States
Facility Name
Investigative Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21237
Country
United States
Facility Name
Investigative Site
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Investigative Site
City
Grand Blanc
State/Province
Michigan
ZIP/Postal Code
48439
Country
United States
Facility Name
Investigative Site
City
Independence
State/Province
Missouri
ZIP/Postal Code
64055
Country
United States
Facility Name
Investigative Site
City
Bloomfield
State/Province
New Jersey
ZIP/Postal Code
07003
Country
United States
Facility Name
Investigative Site
City
Beachwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Investigative Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
Facility Name
Investigative Site
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
22106
Country
United States
Facility Name
Investigative Site
City
Youngstown
State/Province
Ohio
ZIP/Postal Code
44505
Country
United States
Facility Name
Investigative Site
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74114
Country
United States
Facility Name
Investigative Site
City
Erie
State/Province
Pennsylvania
ZIP/Postal Code
16507
Country
United States
Facility Name
Investigative Site
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29169
Country
United States
Facility Name
Investigative Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Investigative Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Investigative Site
City
McAllen
State/Province
Texas
ZIP/Postal Code
78503
Country
United States
Facility Name
Investigative Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
72815
Country
United States
Facility Name
Investigative Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States
Facility Name
Investigative Site
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77384
Country
United States
Facility Name
Investigative Site
City
Roanoke
State/Province
Virginia
ZIP/Postal Code
24018
Country
United States
Facility Name
Investigative Site
City
Warrenton
State/Province
Virginia
ZIP/Postal Code
20186
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study of Intravitreal ILUVIEN® Implant as Baseline Therapy in Patients With Early Diabetic Macular Edema (DME)
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