Omidria and Dexycu, or Omidria and Dextenza Compared to Topical Prednisolone Acetate 1% Following Cataract Surgery
Evaluation of Efficacy in the Resolution of Post-Operative Inflammation and Pain in Patients Receiving Omidria and Dexycu, or Omidria and Dextenza Compared to Topical Prednisolone Acetate 1% Following Cataract Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Missouri
-
Kansas City, Missouri, United States, 64133
- Silverstein Eye Centers
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients 18 years of age or older, undergoing routine, uncomplicated cataract surgery.
Exclusion Criteria:
- Any history of corneal dystrophy, corneal surgery within 6 months of cataract surgery, previous intraocular surgery, any concomitant eye drop use besides artificial tears, previous ocular trauma, or a history of treated glaucoma. No additional procedures can be done at the time of cataract surgery (e.g., stent placement, endo-laser, etc.), but femto-second laser-assisted surgery is permitted.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Omidria + Dextenza (dexamethasone ophthalmic insert) 0.4mg
Omidria (= ketorolac + phenylephrine) and intracanalicular dexamethasone insert (punctal plug)
|
phenylephrine 1% and ketorolac 0.3% intraocular solution
intracanalicular dexamethasone insert
|
|
Experimental: Omidria + Dexycu
Omidria (= ketorolac + phenylephrine) and intraocular dexamethasone suspension
|
phenylephrine 1% and ketorolac 0.3% intraocular solution
dexamethasone intraocular suspension
|
|
Active Comparator: Omidria + Prednisolone Acetate 1%
Omidria (= ketorolac + phenylephrine) and topical prednisolone acetate ophthalmic drops
|
phenylephrine 1% and ketorolac 0.3% intraocular solution
standard postoperative ophthalmic drop regimen
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Resolution of anterior chamber inflammation
Time Frame: Assessed at day 8 post-operatively
|
The primary efficacy end point is the complete resolution of anterior chamber inflammation (cell and flare).
This is a non-contact, non-invasive test performed by the physician using a slit lamp.
The evaluation requires less than one minute.
|
Assessed at day 8 post-operatively
|
|
Resolution of anterior chamber inflammation
Time Frame: Assessed at day 15 post-operatively
|
The primary efficacy end point is the complete resolution of anterior chamber inflammation (cell and flare).
This is a non-contact, non-invasive test performed by the physician using a slit lamp.
The evaluation requires less than one minute.
|
Assessed at day 15 post-operatively
|
|
Resolution of anterior chamber inflammation
Time Frame: Assessed at day 30 post-operatively
|
The primary efficacy end point is the complete resolution of anterior chamber inflammation (cell and flare).
This is a non-contact, non-invasive test performed by the physician using a slit lamp.
The evaluation requires less than one minute.
|
Assessed at day 30 post-operatively
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Resolution of postoperative pain
Time Frame: Assessed at day 1 post-operatively
|
The secondary efficacy endpoint is the elimination of post-operative pain per a subjective, standardized scale.
Post-operative pain as measured on a scale from 0-10 (ocular pain assessment).
|
Assessed at day 1 post-operatively
|
|
Resolution of postoperative pain
Time Frame: Assessed at day 8 post-operatively
|
The secondary efficacy endpoint is the elimination of post-operative pain per a subjective, standardized scale.
Post-operative pain as measured on a scale from 0-10 (ocular pain assessment).
|
Assessed at day 8 post-operatively
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Optical Coherence Tomography (OCT)
Time Frame: Assessed pre-operatively and 1 month post-operatively
|
OCT is a non-contact, non-invasive test that takes less than a minute to perform.
All that is required of the patient is that they sit still and look at a fixation light while the machine takes a picture.
No eye drops or any other intervention are required.
OCT scanning will provide an image of the deep layers of the retina and will be used to determine macular thickness measurement (macular thickness has been correlated to changes in contrast sensitivity) before and 30 days following surgery. .
|
Assessed pre-operatively and 1 month post-operatively
|
|
Contrast sensitivity testing
Time Frame: Assessed pre-operatively, and at 15 days and 30 days post-operatively
|
This test is non-contact, non-invasive and used to distinguish between finer and finer increments of light versus dark.
The patient simply looks at a chart similar to the Snellen Eye Chart and distinguishes lighter shades from darker shades.
The test is performed in less than one minute.
|
Assessed pre-operatively, and at 15 days and 30 days post-operatively
|
|
Best corrected visual acuity
Time Frame: Assessed pre-operatively, and at 15 days and 30 days post-operatively
|
ETDRS chart at 4m
|
Assessed pre-operatively, and at 15 days and 30 days post-operatively
|
|
Optical Coherence Tomography (OCT)
Time Frame: Assessed pre-operatively and 1 month post-operatively
|
OCT is a non-contact, non-invasive test that takes less than a minute to perform.
All that is required of the patient is that they sit still and look at a fixation light while the machine takes a picture.
No eye drops or any other intervention are required.
OCT scanning will provide an image of the deep layers of the retina and will be used to evaluate for the presence of cystoid macular edema before and 30 days following surgery.
|
Assessed pre-operatively and 1 month post-operatively
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Eye Diseases
- Lens Diseases
- Cataract
- Physiological Effects of Drugs
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Neuroprotective Agents
- Protective Agents
- Dexamethasone
- Prednisolone
- Methylprednisolone Acetate
- Methylprednisolone
- Methylprednisolone Hemisuccinate
- Prednisolone acetate
- Prednisolone hemisuccinate
- Prednisolone phosphate
Other Study ID Numbers
Other Study ID Numbers
- 1 (Mobile Health and Wellness Program)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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