Status:
TERMINATED
Dexamethasone Intravitreal Implant for Treatment of Macular Edema After Plaque Radiotherapy of Uveal Melanoma
Lead Sponsor:
Arman Mashayekhi
Collaborating Sponsors:
Allergan
Conditions:
Macular Edema
Cystoid Macular Edema
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
To evaluate the safety and efficacy of dexamethasone intravitreal implant (Ozurdex) and compare it with safety and efficacy of intravitreal bevacizumab in eyes with macular edema after plaque radiothe...
Detailed Description
Plaque radiotherapy is a commonly used method for treatment of small and medium-sized uveal melanomas. Macular edema is one of the most common causes of visual loss after plaque radiotherapy and has b...
Eligibility Criteria
Inclusion
- Inclusion criteria:
- Patient age 18 years or more.
- Uveal melanoma treated with I-125 plaque radiotherapy.
- Visual acuity between 20/40 to 20/400 secondary to post-radiation macular edema.
- Central subfield retinal thickness \> 300 micron.
- Duration of macular edema \< 12 months.
- No potential contributing causes of decreased vision other than macular edema.
- Exclusion criteria:
- Visual acuity worse than 20/400 or better than 20/40.
- Monocular patient or poor vision in the non-study eye (\<20/80).
- History of vitrectomy surgery.
- Panretinal photocoagulation or intraocular surgery within 3 months of enrollment.
- Concomitant or previous radiation optic neuropathy.
- Use of periocular, intravitreal, or systemic steroids within 6 month of enrollment in the study eye.
- Use of intravitreal VEGF antagonist within 6 weeks of enrollment.
- History of ocular hypertension or glaucoma, or intraocular pressure (IOP)\>21 mmHg.
- History of steroid-induced glaucoma in either eye.
- Active ocular infection or history of herpetic eye infection.
- Clinically significant epiretinal membrane in the study eye.
- Iris neovascularization in the study eye.
- Clinically significant media opacity preventing acquisition of good-quality optical coherence tomography (OCT) in the study eye.
- Aphakia or anterior chamber intraocular lens.
- Poorly controlled diabetes (Hemoglobin A1c level \>13%).
- Poorly controlled hypertension (Systolic pressure \> 160 mm Hg or diastolic pressure \> 90 mm Hg).
- Pregnancy (women of childbearing age should have negative pregnancy test and use contraception).
- Presence of any ocular condition that in the opinion of one of the investigators will prevent at least 2 lines of improvement in best-corrected visual acuity.
- Interval between plaque radiotherapy for uveal melanoma and intended date of dexamethasone intravitreal implant of less than 6 months.
- Evidence of activity or inadequate regression of the treated uveal melanoma after plaque radiotherapy (based on the judgment of the study investigators).
- Known allergy or hypersensitivity to any of the study medications or their components.
- History of prior myocardial infarction or stroke.
Exclusion
Key Trial Info
Start Date :
April 1 2014
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2015
Estimated Enrollment :
6 Patients enrolled
Trial Details
Trial ID
NCT01471054
Start Date
April 1 2014
End Date
July 1 2015
Last Update
September 3 2019
Active Locations (1)
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1
Ocular Oncology Service, Wills Eye Institute
Philadelphia, Pennsylvania, United States, 19107