Overview

Efficacy and Tolerance Comparison Between Subconjunctival Injection of Triamcinolone and Intravitreal Implant of Dexamethasone for the Treatment of Inflammatory Macular Edema

Status:
Active, not recruiting
Trial end date:
2021-02-01
Target enrollment:
0
Participant gender:
All
Summary
Corticosteroids, whether injected peri- or intra-ocularly, remain indispensable tools of the therapeutic arsenal in treating inflammatory macular edema. However, a few years ago, only triamcinolone acetonide was available to ophthalmologists. This molecule, developed initially for rheumatological or dermatological use, has been increasingly deployed in ophthalmology, while still off-label. In 2011, the delivery system of dexamethasone from biodegradable and injectable implant into the vitreous cavity obtained the label for inflammatory macular edema. This protocol is therefore designed to compare the efficacy and safety of peri- and intra-ocular injections of corticosteroids in the treatment of inflammatory macular edema.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Nantes University Hospital
Treatments:
BB 1101
Dexamethasone
Dexamethasone 21-phosphate
Dexamethasone acetate
Triamcinolone
Triamcinolone Acetonide
Triamcinolone diacetate
Triamcinolone hexacetonide
Criteria
Inclusion Criteria:

- Patient, male or female (under effective contraception if premenopausal) over 18 years
old

- Patient affiliated with a social security plan

- Patient able to understand and follow the instructions of the study

- Patient having signed an informed consent

- Patient having a central macular thickness greater than 320μm (Spectral Domain, 270µm
Time Domain)

- Patient with an inflammatory macular edema, unilateral or bilateral (in the case of a
bilateral inflammatory macular edema, the eye most affected will be treated)

Exclusion Criteria:

- Patient with an infectious uveitis

- Patient with uncontrolled active infection

- Patient receiving an unbalanced general anti-inflammatory and/or immunosuppressive
and/or immunomodulatory therapy (recent modification <1 month)

- Patient having a history of glaucoma and/or ocular hypertension in the eye studied
(intraocular pressure (IOP) > 25 mmHg without antiglaucoma medication or > 21 mmHg
with antiglaucoma combination therapy) and/or cortisone-causing-hypertension not
controlled by an antiglaucoma dual therapy

- Patient with uncontrolled diabetes (HbA1c> 8%) or unbalanced hypertension (Systolic
Blood Pressure > 160 mmHg and/or Diastolic Blood Pressure > 100mmHg)

- Edematous diabetic maculopathy

- Patient who had received triamcinolone (subconjunctivally or sub-tenon) 3 months
before randomization, or 700μg dexamethasone intravitreally 6 months before
randomization

- Suspected or active ocular or periocular infection, including most viral diseases of
the cornea and conjunctiva, such as active epithelial keratitis with herpes simplex
(dendritic keratitis), vaccinia, varicella, mycobacterial infections and mycoses

- History of ocular herpes infection or central serous chorioretinopathy

- Aphakic eye with rupture of the posterior lens capsule

- Eye with implant in the anterior chamber, iris- or transscleral-fixated intraocular
implant and rupture of the posterior lens capsule

- Uncontrolled systemic inflammatory disease.

- Known hypersensitivity to the active substance or to one of the excipients of
Ozurdex®, Kenacort® or injectable fluorescein

- Pregnant woman or likely to become pregnant or nursing

- Patient participating in another clinical trial

- Adult under a legal protection regime (guardianship, trusteeship, "sauvegarde de
justice")