A Study of Levofloxacin Ocular Implant in Patients Undergoing Routine Bilateral Cataract Surgery
Primary Purpose
Cataract
Status
Suspended
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Levofloxacin Ocular Implant
Control
Sponsored by
About this trial
This is an interventional treatment trial for Cataract
Eligibility Criteria
Key Inclusion Criteria
- Male or female subjects 18 years of age or older.
- Willing and able to understand and sign an informed consent form prior to any study-related procedures.
- Willing and able to follow study instructions, and able to be present for the required study visits/assessments for the duration of the study.
- Diagnosis of cataract in both eyes scheduled for sequential bilateral elective cataract extraction by phacoemulsification and posterior chamber IOL implantation not combined with any other surgery except femtosecond laser.
- Minimum endothelial cell density (ECD) in both eyes of greater than or equal to 2000 cells per mm2.
- Fully vaccinated against COVID-19, as evidenced by vaccination record.
Key Opthalmic Exclusion Criteria
Ophthalmic:
- Have a history of or current uveitis, macular edema (cystoid or diabetic), diabetic retinopathy, retinal vein occlusion and neovascular glaucoma, corneal conditions such as keratitis, corneal edema or advanced macular degeneration, which in the opinion of the investigator would interfere with study assessments and confound the data.
- In the opinion of the investigator or reading center, have confluent central corneal guttatae, multiple central guttatae greater than a single cell, or corneal disease or abnormality that would prevent specular microscopy corneal scans.
- Aphakia or low vision or monocular.
- Have had any intraocular surgery, glaucoma surgery (including but not limited to filtering surgery like trabeculectomy, Ahmed valve, etc) or cornea/refractive surgery within the past 6 months or anticipate a need for eye surgery (including laser) during the study period.
- Use of prostaglandin (PG) analogues within 60 days prior to Screening or during the course of the study.
- Subjects with clinically diagnosed Fuchs' Endothelial Corneal Dystrophy (FECD)/ history of keratoplasty.
- Subjects for whom an intra-ocular or glaucoma device procedure is planned during the cataract procedure, during study participation or has been previously undertaken.
- Have a current retinal detachment or history of blunt trauma in either eye.
- Subject who in the opinion of the surgeon has a high risk of the posterior capsule being compromised/zonular dehiscence during cataract surgery.
- Intraoperative complications during the cataract surgery including posterior capsule rupture, zonular dehiscence, non-placement of Posterior Chamber Intra Ocular Lens (PCIOL), vitreous prolapse, lens fragments in the vitreous, placement of Anterior Chamber Intra Ocular Lens (ACIOL), uncontrolled bleeding /hyphema.
- Known sensitivity to any component of the product (e.g. fluoroquinolone or polyurethane sensitivity), or to topical therapy used during course of study (e.g., povidone iodine, or anesthetics).
- Used fluoroquinolone antibiotics (topically, orally or systemically) during the 4 weeks before screening visit.
Sites / Locations
- Ophthalmology Associates
- Carolina Cataract and Laser Centre
- Melbourne Eye Specialists
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Levofloxacin Ocular Implant
Control
Arm Description
Biphasic levofloxacin antibiotic implant
Commercially available topical medications as per LEVO-CS102 Surgical Therapy Procedure.
Outcomes
Primary Outcome Measures
Safety of the Levofloxacin Ocular Implant
Descriptive summary statistics will be used to assess the number and frequency of ocular and non ocular adverse events
Levofloxacin concentration in aqueous humor at Day 5 in treated eyes
To determine levofloxacin concentration in aqueous humor at Day 5 in eyes with the Levofloxacin Ocular Implant to facilitate dose adjustment for Phase II studies.
Secondary Outcome Measures
Number of actuations required to administer the implant
Clinicians administering the implant will record the number of actuations required to use the custom-built administration device
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05441930
Brief Title
A Study of Levofloxacin Ocular Implant in Patients Undergoing Routine Bilateral Cataract Surgery
Official Title
An Interventional, Open Label, Controlled, Randomized, Pairwise, Phase Ib Safety, Tolerability and Pharmacokinetic (PK) Study of Levofloxacin Ocular Implant in Patients Undergoing Routine Bilateral Cataract Surgery
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Suspended
Why Stopped
Sponsor has suspended study to conserve capital for clinical development of lead asset
Study Start Date
June 23, 2023 (Anticipated)
Primary Completion Date
December 15, 2023 (Anticipated)
Study Completion Date
March 14, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PolyActiva Pty Ltd
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Open label controlled interventional study in eyes in up to 12 subjects (24 eyes) scheduled for uncomplicated bilateral cataract surgery on separate days.
Detailed Description
This is a multicenter, open label, controlled, pairwise, interventional study in eyes in up to 12 subjects (24 eyes) scheduled for uncomplicated bilateral cataract surgery on separate days. Eligible individuals provide informed consent; and are screened for inclusion in the study.
Once eligible, subject eyes will be randomized to determine which eye will receive the first surgery. After the first surgery, study participants will receive the control treatment consisting of commercially available topical medications. For the second cataract surgery, study participants will receive a single Levofloxacin Ocular Implant in the posterior sulcus in the surgical eye at the end of cataract surgery. No sham dosing will be conducted in the eyes in the control arm.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Once eligible, subject eyes will be randomized to determine which eye will receive the first surgery. After the first surgery, study participants will receive the control treatment consisting of commercially available topical medications. For the second cataract surgery, study participants will receive a single Levofloxacin Ocular Implant in the posterior sulcus in the surgical eye at the end of cataract surgery. No sham dosing will be conducted in the eyes in the control arm.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
12 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Levofloxacin Ocular Implant
Arm Type
Experimental
Arm Description
Biphasic levofloxacin antibiotic implant
Arm Title
Control
Arm Type
Active Comparator
Arm Description
Commercially available topical medications as per LEVO-CS102 Surgical Therapy Procedure.
Intervention Type
Drug
Intervention Name(s)
Levofloxacin Ocular Implant
Intervention Description
Levofloxacin Ocular Implant an implant that delivers a bolus dose of levofloxacin and a constant daily dose for a further 5-7 days.
Intervention Type
Drug
Intervention Name(s)
Control
Intervention Description
Commercially available topical medications as per LEVO-CS102 Surgical Therapy Procedure.
Primary Outcome Measure Information:
Title
Safety of the Levofloxacin Ocular Implant
Description
Descriptive summary statistics will be used to assess the number and frequency of ocular and non ocular adverse events
Time Frame
Day 90
Title
Levofloxacin concentration in aqueous humor at Day 5 in treated eyes
Description
To determine levofloxacin concentration in aqueous humor at Day 5 in eyes with the Levofloxacin Ocular Implant to facilitate dose adjustment for Phase II studies.
Time Frame
Day 5
Secondary Outcome Measure Information:
Title
Number of actuations required to administer the implant
Description
Clinicians administering the implant will record the number of actuations required to use the custom-built administration device
Time Frame
Day 0
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria
Male or female subjects 18 years of age or older.
Willing and able to understand and sign an informed consent form prior to any study-related procedures.
Willing and able to follow study instructions, and able to be present for the required study visits/assessments for the duration of the study.
Diagnosis of cataract in both eyes scheduled for sequential bilateral elective cataract extraction by phacoemulsification and posterior chamber IOL implantation not combined with any other surgery except femtosecond laser.
Minimum endothelial cell density (ECD) in both eyes of greater than or equal to 2000 cells per mm2.
Fully vaccinated against COVID-19, as evidenced by vaccination record.
Key Opthalmic Exclusion Criteria
Ophthalmic:
Have a history of or current uveitis, macular edema (cystoid or diabetic), diabetic retinopathy, retinal vein occlusion and neovascular glaucoma, corneal conditions such as keratitis, corneal edema or advanced macular degeneration, which in the opinion of the investigator would interfere with study assessments and confound the data.
In the opinion of the investigator or reading center, have confluent central corneal guttatae, multiple central guttatae greater than a single cell, or corneal disease or abnormality that would prevent specular microscopy corneal scans.
Aphakia or low vision or monocular.
Have had any intraocular surgery, glaucoma surgery (including but not limited to filtering surgery like trabeculectomy, Ahmed valve, etc) or cornea/refractive surgery within the past 6 months or anticipate a need for eye surgery (including laser) during the study period.
Use of prostaglandin (PG) analogues within 60 days prior to Screening or during the course of the study.
Subjects with clinically diagnosed Fuchs' Endothelial Corneal Dystrophy (FECD)/ history of keratoplasty.
Subjects for whom an intra-ocular or glaucoma device procedure is planned during the cataract procedure, during study participation or has been previously undertaken.
Have a current retinal detachment or history of blunt trauma in either eye.
Subject who in the opinion of the surgeon has a high risk of the posterior capsule being compromised/zonular dehiscence during cataract surgery.
Intraoperative complications during the cataract surgery including posterior capsule rupture, zonular dehiscence, non-placement of Posterior Chamber Intra Ocular Lens (PCIOL), vitreous prolapse, lens fragments in the vitreous, placement of Anterior Chamber Intra Ocular Lens (ACIOL), uncontrolled bleeding /hyphema.
Known sensitivity to any component of the product (e.g. fluoroquinolone or polyurethane sensitivity), or to topical therapy used during course of study (e.g., povidone iodine, or anesthetics).
Used fluoroquinolone antibiotics (topically, orally or systemically) during the 4 weeks before screening visit.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Coote, MD
Organizational Affiliation
Melbourne Eye Specialists
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ophthalmology Associates
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63131
Country
United States
Facility Name
Carolina Cataract and Laser Centre
City
Ladson
State/Province
South Carolina
ZIP/Postal Code
29456
Country
United States
Facility Name
Melbourne Eye Specialists
City
Fitzroy
State/Province
Victoria
ZIP/Postal Code
3065
Country
Australia
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study of Levofloxacin Ocular Implant in Patients Undergoing Routine Bilateral Cataract Surgery
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