Clinical Outcomes and Evaluation of Lotemax 0.5% in Treatment of Ocular Inflammation Associated With Cataract Surgery
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Purpose
Investigate the intraocular pressure(pressure inside the eye) of patients who are treated with Lotemax after undergoing cataract surgery.
| Condition | Intervention |
|---|---|
|
Pseudophakia Inflammation |
Drug: loteprednol 0.5% ophthalmic solution |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Clinical Outcomes and Evaluation of Lotemax (Loteprednol Ophthalmic Solution ) 0.5% QID for Treatment of Ocular Inflammation Associated With Cataract Surgery |
- Investigate clinical outcomes for intraocular pressure after treatment with Lotemax (loteprednol ophthalmic solution) 0.5% QID in subjects who have undergone cataract extraction with posterior chamber intraocular implantation. [ Time Frame: baseline to 6 weeks ] [ Designated as safety issue: Yes ]Evaluate the Safety of treatment with Lotemax (loteprednol ophthalmic solution) 0.5% QID in subjects who have undergone cataract extraction with posterior chamber intraocular implantation.
- ETDRS letters read over early postoperative period [ Time Frame: baseline to 6 weeks ] [ Designated as safety issue: No ]ETDRS letters read will be assessed at baseline and at pod1, pod7, pod21 and pod42. Acuities will be
- cell scores in early postoperative period [ Time Frame: baseline to 6 weeks ] [ Designated as safety issue: No ]Cell scores will be measured using 1mmx1mm slit lamp beam at baseline, pod1, pod7,pod21 and pod42.
- Flare scores in early postoperative period [ Time Frame: baseline to 6 weeks ] [ Designated as safety issue: No ]Flare scores will be measured using a 1mmx1mm slit lamp beam at baseline, pod1, pod7, and pod42
| Estimated Enrollment: | 100 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
-
Drug: loteprednol 0.5% ophthalmic solution
- Lotemax
- loteprednol
This is a single-center study to evaluate the clinical outcomes of Lotemax 0.5% for the treatment of Ocular inflammation associated with cataract surgery. Subjects will be screened from one to 21 days prior to initiation of dosing with the test article. Subjects who sign the informed consent document and meet all inclusion/exclusion criteria will be eligible to participate in this study. Subjects will instill one drop of Lotemax into the study (operative) eye QID for a maximum of 22 days. Dosing with test article will begin the day of surgery and for 21 days after surgery. Subjects will be seen for evaluation on Days 1, 7±1, and 21 ± 2 following surgery. Subjects will be seen for a follow-up visit on Day 42 ± 3 following surgery, about 21 days after their last dose of test article.
In addition to the test article regimen, subjects will receive Vigamox TID 3 days prior to surgery. Patients will receive one drop of Timoptic XE 0.5%, Zymaxid on the day of surgery. Postoperatively, patients will receive Vigamox TID for ten days and Bromday QD for 3 weeks.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Male or Female 18 years of age scheduled for unilateral cataract surgery with intraocular implant.
Inclusion Criteria:
- Male or Female 18 years of age scheduled for unilateral cataract surgery (phacoemulsification or extracapsular) with posterior chamber intraocular lens implantation.
- Agree not to have any other ocular surgery in the study or fellow eye for duration of study.
- Have a BCVA of 20/200 or better in either eye.
- Willing/able to return for all required study visits.
- Willing/able to follow instructions from the study investigator and their staff.
- Able to self-administer test article (or have a caregiver available to instill all doses of test article).
- If woman capable of becoming pregnant, agree to have urine pregnancy test(must be negative) at agree to use a medically acceptable form of birth control during study and for at least one week prior to and after completion of the study.
- Have read, understood, and signed the informed consent document approved by Sterling Institutional Review Board.
- Have IOP ≥ 5mmHg and ≤ 22mmHg, (in study eye) with or without anti-glaucoma therapy at the pre-operative screening visit (if > 22mmHg, adjust following pachymetry).
Exclusion Criteria:
- Have known hypersensitivity to Lotemax or to any component of the test article (including "procedural" medications such as anesthetic and/or fluorescein drops, dilating drops, etc.).
- Have a known hypersensitivity to non-steroidal or steroidal anti-inflammatory drugs (NSAIDs).
- Have intraocular inflammation (i.e. cells or flare in the anterior chamber as measured on slit lamp exam) in the study eye at the screening visit.
- Have a known blood dyscrasia or bone marrow suppression, a diagnosis of uncontrolled/unstable peptic ulcer disease, inflammatory bowel disease, or ulcerative colitis, or any uncontrolled/unstable pulmonary, cardiac, vascular, autoimmune, hepatic, renal, or central nervous system disease.
- Have used ocular, topical, or systemic steroids within 14 days or depot steroid 30 days prior to initiation of dosing with the test article or throughout the duration of the study. Note: use of an opioid during surgery (e.g., fentanyl) is allowed.
- Have uncontrolled glaucoma or IOP >/= 27mmHg.
- Have active corneal pathology noted in the study eye at the screening visit. Active corneal pathology is defined as corneal pathology that is non-stable, or greater than mild, or will compromise assessment of the safety or efficacy of treatment.
- Are pregnant or nursing.
- Have participated in any other study of an investigational drug or device within 30 days prior to randomization.
Contacts and Locations| United States, Missouri | |
| Discover Vision Centers | |
| Independence, Missouri, United States, 64055 | |
| Principal Investigator: | Melissa Cable, MD | Discover Vision Centers |
More Information
Additional Information:
No publications provided
| Responsible Party: | Melissa Toyos, MD, Principal Investigator, Discover Vision Centers |
| ClinicalTrials.gov Identifier: | NCT01344226 History of Changes |
| Other Study ID Numbers: | MMC-2011A |
| Study First Received: | April 27, 2011 |
| Last Updated: | May 13, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Discover Vision Centers:
|
steroid responder |
Additional relevant MeSH terms:
|
Inflammation Pseudophakia Cataract Pathologic Processes Signs and Symptoms Lens Diseases |
Eye Diseases Loteprednol etabonate Anti-Allergic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013