This Study Will Evaluate the Efficacy, Safety, and Pharmacokinetics of the Port Delivery System With Ranibizumab in Participants With Diabetic Macular Edema Compared With Intravitreal Ranibizumab (Pagoda)
Diabetic Macular Edema
About this trial
This is an interventional treatment trial for Diabetic Macular Edema focused on measuring Port Delivery System
Eligibility Criteria
Inclusion Criteria:
- Age ≥18 years at time of signing Informed Consent Form
- Documented diagnosis of diabetes mellitus (Type 1 or Type 2)
- HbA1c level of ≤10% within 2 months prior to screening or at screening
Study eye
- Macular thickening secondary to DME involving the center of the fovea with CST ≥325 um on SD-OCT at screening
- BCVA score of 78 to 25 letters (20/32 to 20/320 approximate Snellen equivalent)
Exclusion Criteria:
- High-risk proliferative diabetic retinopathy
- Active intraocular inflammation (grade trace or above)
- Suspected or active ocular or periocular infection of either eye
- Uncontrolled ocular hypertension or glaucoma and any such condition the investigator determines may require a glaucoma-filtering surgery during a patient's participation in the study
- Cerebrovascular accident or myocardial infarction within 6 months prior to randomization
- Atrial fibrillation diagnosis or worsening within 6 months prior to randomization
- Uncontrolled blood pressure
Sites / Locations
- Barnet Dulaney Perkins Eye Center
- Associated Retina Consultants
- Arizona Retina and Vitreous Consultants
- Retinal Consultants of Arizona
- California Retina Consultants
- Retina-Vitreous Associates Medical Group
- The Retina Partners
- Retina Consultants of Orange County
- N CA Retina Vitreous Assoc
- East Bay Retina Consultants
- Doheny Eye Institute
- California Eye Specialists Medical group Inc.
- Retinal Consultants Med Group
- Zuckerberg San Francisco General Hospital
- Orange County Retina Med Group
- California Retina Consultants
- Eye Center of Northern CO
- Colorado Retina Associates, PC
- Retina Group of New England
- Retina Group of Florida
- National Ophthalmic Research Institute
- Retina Specialty Institute
- Fort Lauderdale Eye Institute
- Retina Vitreous Assoc of FL
- Southern Vitreoretinal Assoc
- Retina Associates of Florida, LLC
- Southeast Retina Center
- Georgia Retina PC
- Northwestern Medical Group/Northwestern University
- Illinois Retina Associates
- University Retina and Macula Associates, PC
- Wolfe Eye Clinic
- Retina Associates
- Retina Associates of Kentucky
- Maine Eye Center
- The Retina Care Center
- Johns Hopkins Med; Wilmer Eye Inst
- Retina Group of Washington
- Cumberland Valley Retina Associates
- Retina Specialists
- Tufts Medical Center
- Ophthalmic Consultants of Boston
- Associated Retinal Consultants
- Foundation for Vision Research
- Vitreo Retinal Surgery
- Midwest Vision Research Foundation
- The Retina Institute
- Sierra Eye Associates
- Envision Ocular, LLC
- Mid Atlantic Retina
- Retina Associates of NJ
- Long Is. Vitreoretinal Consult
- Retina Vit Surgeons/Central NY
- New York University
- Ophthalmic Cons of Long Island
- Western Carolina Retinal Associate PA
- Char Eye Ear &Throat Assoc
- Duke Eye Center
- Graystone Eye
- Cincinnati Eye Institute
- Cleveland Clinic Foundation; Cole Eye Institute
- The Ohio State University
- Midwest Retina
- Retina Vitreous Center
- Retina Northwest
- Cumberland Valley Retina Consultants; Chambersburg
- Charleston Neuroscience Inst
- Carolina Eyecare Physicians
- Palmetto Retina Center, LLC
- Charles Retina Institute
- Tennessee Retina PC
- Retina Res Institute of Texas
- Texas Retina Associates
- Austin Retina Associates
- Austin Research Center for Retina
- Austin Clinical Research LLC
- Retina & Vitreous of Texas
- Texas Retina Associates
- Texas Retina Associates
- Med Center Ophthalmology Assoc
- Retina Consultants of Texas
- Retina Associates of Utah, PLLC
- Rocky Mountain Retina
- Piedmont Eye Center
- Wagner Kapoor Institute
- Retina Institute of Virginia
- Retina Center Northwest
- Spokane Eye Clinical Research
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
PDS Arm
Intravitreal Arm
Participants randomized to the PDS arm will receive intravitreal ranibizumab injection every 4 weeks (loading phase) and will then have the PDS implant (pre-filled with ranibizumab) surgically inserted. PDS implant refill-exchange procedures will be performed on a fixed interval every 24-weeks (Q24W) thereafter
Participants randomized to the intravitreal arm will receive intravitreal ranibizumab injection every 4 weeks until they receive the PDS implant (pre-filled with ranibizumab). PDS implant refill-exchange procedures will be performed on a fixed interval Q24W thereafter.