- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00405496
Study of Difluprednate Ophthalmic Emulsion in the Treatment of Uveitis
Phase 2a Study of 0.05% Difluprednate Ophthalmic Emulsion in the Treatment of Anterior Uveitis (Inluding Iritis, Cyclitis, Iridocyclitis, and Panuveitis).
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The primary objective was to investigate the efficacy and safety of 0.05% difluprednate ophthalmic emulsion in patients with endogenous anterior uveitis and to determine its clinical usefulness for treatment of this disease in the early phase of development, in comparison with Rinderon® solution (containing 0.1% betamethasone sodium phosphate) that has widely been used for treatment of postoperative inflammation, uveitis, etc. as a steroid ophthalmic solution.
The secondary objective was to establish the evaluation system for a dose-finding study.
Study Type
Enrollment
Phase
- Phase 2
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with endogenous anterior uveitis (including panuveitis)
- Patients with 20 or more anterior chamber cell within one field of the aqueous humor (Grade 3 or higher in clinical signs and grading) as measured with a slitlamp microscope
- Patients aged ≥20 years and <75 years who could clearly express their subjective symptoms (Patients aged 20 years at giving informed consent were included in the study.)
- Patients giving written informed consent prior to initiation of the study
Exclusion Criteria:
- Patients who did not meet all of the above inclusion criteria
- Patients receiving systemic administration or topical administration to the head or face including instillation of corticosteroid, nonsteroidal anti-inflammatory drugs, antiphlogistic enzymes, immunosuppressive drugs or colchicines within 1 week before the initial instillation of the study drug
- Patients with glaucoma or ocular hypertension (IOP ≥21 mmHg)
- Patients with corneal erosion or corneal ulcer
- Patients with viral keratoconjunctival diseases, tuberculos eye diseases, fungal eye diseases or bacterial eye diseases
- Patients with diabetes mellitus
- Patients with allergy to corticosteroids
- Patients requiring use of contact lens during the study period
- Women who were or might be pregnant
- Patients participating in other clinical studies within 6 months before initiation of the present study
- Patients with sensitivity to steroids(Patients who previously exhibited increased IOP after instillation of a steroid ophthalmic solution)
- Patients with fibrins to such an extent that might affect measurement of flare
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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The anterior chamber cell score was compared between baseline and after completion of the
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study treatment (14 +/- 2 days). The efficacy was evaluated with a 4-point scale based on the
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reduction of anterior chamber cell.
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Secondary Outcome Measures
Outcome Measure |
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The overall efficacy was evaluated with a 4-point-scale based on the change in the flare value
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(baseline/after completion of the study treatment ratio), as measured with a laser flare cell
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meter, and those in anterior chamber flare as measured with a slitlamp microscope and clinical
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signs and symptoms after completion of the study treatment (142 days) from baseline.
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Kanjiro Masudo, Director, Kanto Rosai Hospital
Study record dates
Study Major Dates
Study Start
Study Completion
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SJE2079/2-02-PC
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