Evaluation of OZURDEX® in Patients With Macular Edema Secondary to Retinal Vein Occlusion in China
Primary Purpose
Macular Edema, Retinal Vein Occlusion
Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
OZURDEX
Sponsored by
About this trial
This is an interventional treatment trial for Macular Edema
Eligibility Criteria
Inclusion Criteria:
Inclusion Criteria:
- Patient diagnosed with macular edema due to RVO (either BRVO or CRVO, non-ischemic)
- Retinal thickness ≥ 300 μm by SD-OCT in the central 1 mm macular subfield of the study eye at the Screening visit
- BCVA score of 19 to 73 letters (approximately 20/400 to 20/40 Snellen equivalent) in the study eye measured by ETDRS method at Screening
- < 3 months of macular edema duration
- Treatment-naive patients (ie, have not previously received any treatment for macular edema secondary to RVO)
Exclusion Criteria:
- Uncontrolled systemic disease
- Presence of/history of any ocular condition other than macular edema that affects visual acuity (eg, cataract, severe macular ischemia, foveal atrophy, age-related macular degeneration, uveitis or other ocular inflammatory disease, neovascular glaucoma, Irvine-Gass syndrome, prior macular detachment)
- Any of the following ≤ 3 months before study entry or anticipated need within the coming 3 months:
- Intraocular surgery
- Laser photocoagulation
- Intraocular injection
- Periocular steroid injection
- Vitrectomized eye
- Aphakic eyes with ruptured posterior lens capsule or presence of an ACIOL, iris or transscleral fixated intraocular lens
- History of marked IOP elevation in response to steroid treatment that (a) required IOP-lowering treatment, (b) resulted in a >10 mm Hg increase in IOP from predose, or (c) resulted in IOP >25 mm Hg
- History of glaucoma or ocular hypertension (IOP > 21 mm Hg), or optic nerve head change consistent with glaucoma damage, and/or glaucomatous visual field loss in the study eye (patients with a history of previous angle closure that has been successfully treated with either a laser or surgical peripheral iridotomy [PI] are allowed as long as the visual fields have been stable for > 1 year prior to study entry and the patient has been and can be safely dilated).
- Any active ocular infection (i.e., bacterial, viral, parasitic, or fungal) in either eye at the Screening visit
- Female patients who are pregnant, nursing, or planning a pregnancy, or who are of childbearing potential and not using a reliable means of contraception
- Any condition that may interfere or preclude participation in the study
- Use of systemic steroids (e.g., oral, intravenous, intramuscular, epidural, rectal, or extensive dermal) within 1 month prior to Baseline or anticipated use at any time during the study (inhaled, intranasal, and intra-articular/intrabursal corticosteroids are allowed)
- Use of immunosuppressants, immunomodulators, antimetabolites, and/or alkylating agents within 3 months prior to Baseline or anticipated use at any time during the study
- Use of warfarin or heparin within 2 weeks prior to Baseline or anticipated use within the study period
- Known allergy, hypersensitivity or contraindication to the study medication, its components, fluorescein or povidone iodine
- Current enrollment in another drug or device study within 30 days prior to Baseline
Sites / Locations
- Peking Union Medical College Hospital /ID# 233616
- Beijing Tongren Hospital, CMU /ID# 233608
- The First Xiangya Hospital of Central South University /ID# 233627
- The First Affiliated Hospital of Dalian Medical University /ID# 233688
- Qilu Hospital of Shandong University /ID# 233605
- The Eye and ENT Hospital Affiliated of Fudan Univesity /ID# 233666
- Shanghai General Hospital /ID# 233579
- Joint Shantou International Eye Center of Shantou University and The Chinese Uni /ID# 233580
- Tianjin Eye Hospital /ID# 233581
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Study Eye
Arm Description
OZURDEX implant 700 μg
Outcomes
Primary Outcome Measures
Mean change in visual acuity from Baseline
Determined by best corrected visual acuity (BCVA)
Proportion of patients with a BCVA improvement of 15 letters or more compared to Baseline
Measured using the ETDRS visual acuity protocol
BCVA average change from Baseline in area under the curve (AUC) analysis
Secondary Outcome Measures
Mean change from Baseline in BCVA
Mean change from Baseline in Central Retinal Thickness (CRT)
Mean change from Baseline in the National Eye Institute (NEI) Visual Function Questionnaire (VFQ)-25
25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better functioning. Original numeric values from the survey will be recoded with the worst and best possible scores set at 0 and 100 points, respectively. In this format, scores represent the achieved percentage of the total possible score, e.g. a score of 50 represents 50% of the highest possible score.
Mean number of OZURDEX injections
Mean retreatment interval in months
Proportion of patients with 2nd injection
Proportion of patients with 3rd injection
Time to 2nd injection
Time to 3rd injection
Correlation between the change of BCVA and extent of leak by fluorescein angiography (FA)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03908307
Brief Title
Evaluation of OZURDEX® in Patients With Macular Edema Secondary to Retinal Vein Occlusion in China
Official Title
A 12-month, Open-label, Multicenter, Phase 4 Study to Evaluate the Efficacy and Safety of OZURDEX® Implant 700 µg (Dexamethasone) on Patients With Macular Edema Secondary to Retinal Vein Occlusion in China (YANGTZE Study)
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
July 25, 2019 (Actual)
Primary Completion Date
September 26, 2021 (Actual)
Study Completion Date
September 26, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Allergan
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
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 study will take place in China to evaluate the safety and efficacy of OZURDEX implant 700 μg in the treatment of macular edema due to retinal vein occlusion (RVO) in patients who have never received treatment for RVO.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Macular Edema, Retinal Vein Occlusion
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
150 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Study Eye
Arm Type
Experimental
Arm Description
OZURDEX implant 700 μg
Intervention Type
Drug
Intervention Name(s)
OZURDEX
Intervention Description
Implant 700 μg
Primary Outcome Measure Information:
Title
Mean change in visual acuity from Baseline
Description
Determined by best corrected visual acuity (BCVA)
Time Frame
At Month 6
Title
Proportion of patients with a BCVA improvement of 15 letters or more compared to Baseline
Description
Measured using the ETDRS visual acuity protocol
Time Frame
At Month 6
Title
BCVA average change from Baseline in area under the curve (AUC) analysis
Time Frame
At Month 6
Secondary Outcome Measure Information:
Title
Mean change from Baseline in BCVA
Time Frame
After first follow-up visit, at each injection, and at Month 12
Title
Mean change from Baseline in Central Retinal Thickness (CRT)
Time Frame
At Months 6 and 12
Title
Mean change from Baseline in the National Eye Institute (NEI) Visual Function Questionnaire (VFQ)-25
Description
25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better functioning. Original numeric values from the survey will be recoded with the worst and best possible scores set at 0 and 100 points, respectively. In this format, scores represent the achieved percentage of the total possible score, e.g. a score of 50 represents 50% of the highest possible score.
Time Frame
At Months 6 and 12
Title
Mean number of OZURDEX injections
Time Frame
During the 12-month study
Title
Mean retreatment interval in months
Time Frame
During the 12-month study
Title
Proportion of patients with 2nd injection
Time Frame
During the 12-month study
Title
Proportion of patients with 3rd injection
Time Frame
During the 12-month study
Title
Time to 2nd injection
Time Frame
During the 12-month study
Title
Time to 3rd injection
Time Frame
During the 12-month study
Title
Correlation between the change of BCVA and extent of leak by fluorescein angiography (FA)
Time Frame
At Month 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Inclusion Criteria:
Patient diagnosed with macular edema due to RVO (either BRVO or CRVO, non-ischemic)
Retinal thickness ≥ 300 μm by SD-OCT in the central 1 mm macular subfield of the study eye at the Screening visit
BCVA score of 19 to 73 letters (approximately 20/400 to 20/40 Snellen equivalent) in the study eye measured by ETDRS method at Screening
< 3 months of macular edema duration
Treatment-naive patients (ie, have not previously received any treatment for macular edema secondary to RVO)
Exclusion Criteria:
Uncontrolled systemic disease
Presence of/history of any ocular condition other than macular edema that affects visual acuity (eg, cataract, severe macular ischemia, foveal atrophy, age-related macular degeneration, uveitis or other ocular inflammatory disease, neovascular glaucoma, Irvine-Gass syndrome, prior macular detachment)
Any of the following ≤ 3 months before study entry or anticipated need within the coming 3 months:
Intraocular surgery
Laser photocoagulation
Intraocular injection
Periocular steroid injection
Vitrectomized eye
Aphakic eyes with ruptured posterior lens capsule or presence of an ACIOL, iris or transscleral fixated intraocular lens
History of marked IOP elevation in response to steroid treatment that (a) required IOP-lowering treatment, (b) resulted in a >10 mm Hg increase in IOP from predose, or (c) resulted in IOP >25 mm Hg
History of glaucoma or ocular hypertension (IOP > 21 mm Hg), or optic nerve head change consistent with glaucoma damage, and/or glaucomatous visual field loss in the study eye (patients with a history of previous angle closure that has been successfully treated with either a laser or surgical peripheral iridotomy [PI] are allowed as long as the visual fields have been stable for > 1 year prior to study entry and the patient has been and can be safely dilated).
Any active ocular infection (i.e., bacterial, viral, parasitic, or fungal) in either eye at the Screening visit
Female patients who are pregnant, nursing, or planning a pregnancy, or who are of childbearing potential and not using a reliable means of contraception
Any condition that may interfere or preclude participation in the study
Use of systemic steroids (e.g., oral, intravenous, intramuscular, epidural, rectal, or extensive dermal) within 1 month prior to Baseline or anticipated use at any time during the study (inhaled, intranasal, and intra-articular/intrabursal corticosteroids are allowed)
Use of immunosuppressants, immunomodulators, antimetabolites, and/or alkylating agents within 3 months prior to Baseline or anticipated use at any time during the study
Use of warfarin or heparin within 2 weeks prior to Baseline or anticipated use within the study period
Known allergy, hypersensitivity or contraindication to the study medication, its components, fluorescein or povidone iodine
Current enrollment in another drug or device study within 30 days prior to Baseline
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ALLERGAN INC.
Organizational Affiliation
Allergan
Official's Role
Study Director
Facility Information:
Facility Name
Peking Union Medical College Hospital /ID# 233616
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Facility Name
Beijing Tongren Hospital, CMU /ID# 233608
City
Beijing
ZIP/Postal Code
100730
Country
China
Facility Name
The First Xiangya Hospital of Central South University /ID# 233627
City
Changsha Hunan
ZIP/Postal Code
410008
Country
China
Facility Name
The First Affiliated Hospital of Dalian Medical University /ID# 233688
City
Dalian
ZIP/Postal Code
116011
Country
China
Facility Name
Qilu Hospital of Shandong University /ID# 233605
City
Jinan
ZIP/Postal Code
250012
Country
China
Facility Name
The Eye and ENT Hospital Affiliated of Fudan Univesity /ID# 233666
City
Shanghai
ZIP/Postal Code
200031
Country
China
Facility Name
Shanghai General Hospital /ID# 233579
City
Shanghai
ZIP/Postal Code
200080
Country
China
Facility Name
Joint Shantou International Eye Center of Shantou University and The Chinese Uni /ID# 233580
City
Shantou
ZIP/Postal Code
515041
Country
China
Facility Name
Tianjin Eye Hospital /ID# 233581
City
Tianjin
ZIP/Postal Code
300020
Country
China
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
IPD Sharing Time Frame
For details on when studies are available for sharing, please refer to the link below
IPD Sharing Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Use Agreement (DUA). For more information on the process, or to submit a request, visit the following link.
IPD Sharing URL
https://vivli.org/ourmember/abbvie/
Links:
URL
https://www.abbvieclinicaltrials.com/study/?id=CMO-MA-EYE-0575&Latitude=&Longitude=&LocationName=#additional-resources-section
Description
clinical study report synopsis
Learn more about this trial
Evaluation of OZURDEX® in Patients With Macular Edema Secondary to Retinal Vein Occlusion in China
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