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Antibiotic Steroid Combination Compared With Individual Administration in the in the Treatment of Ocular Inflammation and Infection

Primary Purpose

Ocular Inflammation, Infection Associated Blepharitis, Keratitis

Status
Withdrawn
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
azithromycin 1.5%/Loteprednol 0,5% + placebo
azithromycin 1.5% + Loteprednol 0,5% (separately)
Sponsored by
Adapt Produtos Oftalmológicos Ltda.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ocular Inflammation focused on measuring bacterial ocular inflammation, blepharitis, keratitis, conjunctivitis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients were male or female, of any race and age minimum of 18 years.
  • Blepharitis should provide diagnostic and / or keratitis and / or conjunctivitis with or without bacterial involvement corneal by biomicroscopy, with positive staining corneal fluorescein and also provide a composite score ≥ 2 on: bulbar conjunctival hyperemia, eyelid conjunctiva, secretion / exudate conjunctival erythema and flaking eyelids / eyelid crust on at least one eye (the same eye) on Day 1 visit

Exclusion Criteria:

  • Intraocular hypertension or uncontrolled glaucoma.
  • Use of contact lenses during the study.
  • Capacity unilateral visual only.
  • Suspected fungal infection, viral (eg, herpes simplex epithelial, dendritic keratitis) or Acanthamoeba, or any other disease where the use of corticosteroids is contraindicated.
  • Use of any topical ophthalmic medications preserved during study participation. Not be allowed eyedrops preserved (eg artificial tears).
  • Use of any antibacterial agent oral or topical ophthalmic until 72 hours prior to study entry.
  • Use of systemic steroids within 14 days prior to study entry. Ophthalmic topical steroids or nonsteroidal anti-inflammatory drugs (NSAIDs), until one week before admission to the study. Will not be allowed to use these medications during study participation. Will not be allowed to use nasal steroids during the study. Will be allowed to use inhaled steroids to aid inhaler. Will be allowed steroids dermal topics.
  • Use of nonsteroidal anti-inflammatory drugs (NSAIDs) systemic up to 24 hours prior to study entry or at any time during the study, unless the patient is under treatment regimen with stable (not necessary) for at least 2 months before Admission and therapy continues throughout the study.
  • Any disturbance or ocular or systemic disease, complicating factors or structural abnormality that affects the conduct or outcome of the study in a negative way or represents an undue risk to patient safety, according to the opinion of the investigator.
  • Any current immunosuppressive disorder (eg, HIV-positive), or immunosuppressive therapy (including chemotherapy).
  • Known allergy or suspected allergy or hypersensitivity to fluoroquinolones, to steroids or any other component of the study drug;
  • Pregnant or lactating. (Women of childbearing age may be admitted if they use contraception and submit urine pregnancy test negative);
  • Any patient who has a family member who participates in this study

Sites / Locations

  • Department of Ophthalmology of Hospital São Paulo

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

azithromycin 1.5%/Loteprednol 0,5% + placebo

azithromycin 1.5% + Loteprednol 0,5% (separately)

Arm Description

fixed combination of azithromycin 1.5% / Loteprednol 0,5% eye drops + placebo eye drops

azithromycin 1.5% + Loteprednol 0,5% eye drops (separately)

Outcomes

Primary Outcome Measures

Clinical cure
Clinical cure achieved when the score of the cardinal ocular signs (hyperemia in the bulbar conjunctiva, palpebral, exudate / conjunctival discharge, eyelid erythema and flaking / crust eyelid) is zero at the time of conclusion of the study (D8)

Secondary Outcome Measures

irradication of pathogens
Success obtained with microbiological irradication of pathogens present at baseline

Full Information

First Posted
November 2, 2012
Last Updated
December 10, 2014
Sponsor
Adapt Produtos Oftalmológicos Ltda.
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1. Study Identification

Unique Protocol Identification Number
NCT01721694
Brief Title
Antibiotic Steroid Combination Compared With Individual Administration in the in the Treatment of Ocular Inflammation and Infection
Official Title
Association of Azithromycin 1,5%/Loteprednol 0,5% Eye Drops Versus Individual Administration of Azithromycin 1,5% and Loteprednol 0,5% in the Treatment of Ocular Inflammation and Infection
Study Type
Interventional

2. Study Status

Record Verification Date
December 2014
Overall Recruitment Status
Withdrawn
Why Stopped
withdrawn by industry
Study Start Date
December 2012 (undefined)
Primary Completion Date
March 2013 (Anticipated)
Study Completion Date
May 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Adapt Produtos Oftalmológicos Ltda.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the efficacy and safety of fixed combination of azithromycin 1.5% + 0.5% Loteprednol eye drops for the treatment of ocular inflammation and infection associated bacterial blepharitis and / or keratitis and / or conjunctivitis compared with the individual administration of azithromycin 1.5% and 0.5% Loteprednol (separately).
Detailed Description
Estimated to be admitted a total of approximately 60 patients showing blepharitis and / or keratitis and / or conjunctivitis: 30 patients will be assigned to the group of Azithromycin 1.5%/Loteprednol 0.5% Eye Drops (fixed combination) + placebo and 30 patients will be assigned to the group of Azithromycin 1.5% + 0.5% Loteprednol (separately)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ocular Inflammation, Infection Associated Blepharitis, Keratitis, Conjunctivitis, Bacterial
Keywords
bacterial ocular inflammation, blepharitis, keratitis, conjunctivitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
azithromycin 1.5%/Loteprednol 0,5% + placebo
Arm Type
Experimental
Arm Description
fixed combination of azithromycin 1.5% / Loteprednol 0,5% eye drops + placebo eye drops
Arm Title
azithromycin 1.5% + Loteprednol 0,5% (separately)
Arm Type
Active Comparator
Arm Description
azithromycin 1.5% + Loteprednol 0,5% eye drops (separately)
Intervention Type
Drug
Intervention Name(s)
azithromycin 1.5%/Loteprednol 0,5% + placebo
Intervention Description
1 drop, AO, QID
Intervention Type
Drug
Intervention Name(s)
azithromycin 1.5% + Loteprednol 0,5% (separately)
Other Intervention Name(s)
azithromycin 1.5% + Loteprednol 0,5% eye drops (separately)
Intervention Description
1 drop, QID, AO
Primary Outcome Measure Information:
Title
Clinical cure
Description
Clinical cure achieved when the score of the cardinal ocular signs (hyperemia in the bulbar conjunctiva, palpebral, exudate / conjunctival discharge, eyelid erythema and flaking / crust eyelid) is zero at the time of conclusion of the study (D8)
Time Frame
Day 8
Secondary Outcome Measure Information:
Title
irradication of pathogens
Description
Success obtained with microbiological irradication of pathogens present at baseline
Time Frame
Day 8
Other Pre-specified Outcome Measures:
Title
ophthalmic evaluation
Description
decrease of visual acuity, corneal/anterior chamber changes, IOP increase and adverse event reporting
Time Frame
Day 4 and Day 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients were male or female, of any race and age minimum of 18 years. Blepharitis should provide diagnostic and / or keratitis and / or conjunctivitis with or without bacterial involvement corneal by biomicroscopy, with positive staining corneal fluorescein and also provide a composite score ≥ 2 on: bulbar conjunctival hyperemia, eyelid conjunctiva, secretion / exudate conjunctival erythema and flaking eyelids / eyelid crust on at least one eye (the same eye) on Day 1 visit Exclusion Criteria: Intraocular hypertension or uncontrolled glaucoma. Use of contact lenses during the study. Capacity unilateral visual only. Suspected fungal infection, viral (eg, herpes simplex epithelial, dendritic keratitis) or Acanthamoeba, or any other disease where the use of corticosteroids is contraindicated. Use of any topical ophthalmic medications preserved during study participation. Not be allowed eyedrops preserved (eg artificial tears). Use of any antibacterial agent oral or topical ophthalmic until 72 hours prior to study entry. Use of systemic steroids within 14 days prior to study entry. Ophthalmic topical steroids or nonsteroidal anti-inflammatory drugs (NSAIDs), until one week before admission to the study. Will not be allowed to use these medications during study participation. Will not be allowed to use nasal steroids during the study. Will be allowed to use inhaled steroids to aid inhaler. Will be allowed steroids dermal topics. Use of nonsteroidal anti-inflammatory drugs (NSAIDs) systemic up to 24 hours prior to study entry or at any time during the study, unless the patient is under treatment regimen with stable (not necessary) for at least 2 months before Admission and therapy continues throughout the study. Any disturbance or ocular or systemic disease, complicating factors or structural abnormality that affects the conduct or outcome of the study in a negative way or represents an undue risk to patient safety, according to the opinion of the investigator. Any current immunosuppressive disorder (eg, HIV-positive), or immunosuppressive therapy (including chemotherapy). Known allergy or suspected allergy or hypersensitivity to fluoroquinolones, to steroids or any other component of the study drug; Pregnant or lactating. (Women of childbearing age may be admitted if they use contraception and submit urine pregnancy test negative); Any patient who has a family member who participates in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rubens Belfort Jr., MD
Organizational Affiliation
Federal University of São Paulo / Hospital São Paulo
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Ophthalmology of Hospital São Paulo
City
São Paulo
ZIP/Postal Code
04023-062
Country
Brazil

12. IPD Sharing Statement

Learn more about this trial

Antibiotic Steroid Combination Compared With Individual Administration in the in the Treatment of Ocular Inflammation and Infection

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