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Suprachoroidal Injection of Triamcinolone Acetonide With IVT Anti-VEGF in Subjects With Macular Edema Following RVO (TOPAZ)

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ClinicalTrials.gov Identifier: NCT03203447
Recruitment Status : Terminated (The early termination is due to the results obtained from the sister study, SAPPHIRE (CLS1003-301), which did not meet the 8-week primary efficacy endpoint.)
First Posted : June 29, 2017
Last Update Posted : January 9, 2019
Sponsor:
Information provided by (Responsible Party):
Clearside Biomedical, Inc.

Brief Summary:
This Phase 3, multicenter, randomized, masked, controlled, parallel group study is designed to demonstrate that suprachoroidal (SC) CLS-TA administered with intravitreal (IVT) anti-VEGF agent in subjects with treatment naive RVO is superior to IVT anti-VEGF agent used alone.

Condition or disease Intervention/treatment Phase
Macular Edema Retinal Vein Occlusion Drug: suprachoroidal CLS-TA + IVT anti-VEGF agent Drug: suprachoroidal sham + IVT anti-VEGF agent Phase 3

Detailed Description:
A Randomized, Masked, Controlled Trial to Study the Safety and Efficacy of Suprachoroidal CLS-TA With Intravitreal Anti-VEGF Agent in Subjects With Retinal Vein Occlusion

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 323 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A RANDOMIZED, MASKED, CONTROLLED TRIAL TO STUDY THE SAFETY AND EFFICACY OF SUPRACHOROIDAL CLS-TA IN COMBINATION WITH AN INTRAVITREAL ANTI-VEGF AGENT IN SUBJECTS WITH RETINAL VEIN OCCLUSION
Actual Study Start Date : March 5, 2018
Actual Primary Completion Date : December 18, 2018
Actual Study Completion Date : December 18, 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Edema
Drug Information available for: Bevacizumab

Arm Intervention/treatment
Active Comparator: Active
Lucentis (0.5 mg/0.05 mL) + CLS-TA (4 mg/0.10 mL), SC injection or Avastin (1.25 mg/0.05 mL) + CLS-TA (4 mg/0.10 mL), SC injection
Drug: suprachoroidal CLS-TA + IVT anti-VEGF agent
suprachoroidal injection of CLS-TA following either a 0.5 mg intravitreal injection of Lucentis or 1.25 mg intravitreal injection of Avastin

Sham Comparator: Control
Lucentis (0.5 mg/0.05 mL) + sham SC procedure or Avastin (1.25 mg/0.05 mL) + sham SC procedure
Drug: suprachoroidal sham + IVT anti-VEGF agent
suprachoroidal injection of CLS-TA following either a 0.5 mg intravitreal injection of Lucentis or 1.25 mg intravitreal injection of Avastin




Primary Outcome Measures :
  1. Proportion of subjects demonstrating ≥ 15 letter improvement from Baseline in Early Treatment of Diabetic Retinopathy Study (ETDRS) [ Time Frame: 2 months ]
    Based on best corrected visual acuity


Secondary Outcome Measures :
  1. Mean change from baseline in best corrected visual acuity [ Time Frame: 6 months ]
    Based on ETDRS

  2. Mean change from baseline in central subfield thickness [ Time Frame: 6 months ]
    Based on spectral domain optical coherence tomography



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Has a clinical diagnosis of RVO in the study eye
  • Has a CST of ≥ 300 µm in the study eye
  • Has an ETDRS BCVA score of ≥ 20 letters read and ≤ 70 letters read in the study eye
  • Is naïve to local pharmacologic treatment for RVO in the study eye

Exclusion Criteria:

  • Any active ocular disease or infection in the study eye other than RVO
  • History of glaucoma, intraocular pressure > 21 mmHg or ocular hypertension requiring more than one medication
  • Any uncontrolled systemic disease that, in the opinion of the Investigator, would preclude participation in the study
  • Any evidence of neovascularization in the study eye

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03203447


  Show 92 Study Locations
Sponsors and Collaborators
Clearside Biomedical, Inc.
Investigators
Study Director: Jennifer Kissner, PhD Vice President, Clinical Development

Responsible Party: Clearside Biomedical, Inc.
ClinicalTrials.gov Identifier: NCT03203447     History of Changes
Other Study ID Numbers: CLS1003-302
First Posted: June 29, 2017    Key Record Dates
Last Update Posted: January 9, 2019
Last Verified: January 2019

Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Clearside Biomedical, Inc.:
RVO
ME
Microneedle
Microinjection
Triamcinolone
Choroid
Choroid injection
Suprachoroidal
Anti-VEGF
Subretinal Fluid
Cystoid Macular Edema
Optical Coherence Tomography
OCT
Central Subfield Thickness
Lucentis
Avastin
Ranibizumab
Bevacizumab

Additional relevant MeSH terms:
Edema
Macular Edema
Retinal Vein Occlusion
Signs and Symptoms
Macular Degeneration
Retinal Degeneration
Retinal Diseases
Eye Diseases
Venous Thrombosis
Thrombosis
Embolism and Thrombosis
Vascular Diseases
Cardiovascular Diseases
Bevacizumab
Ranibizumab
Triamcinolone hexacetonide
Triamcinolone
Triamcinolone Acetonide
Triamcinolone diacetate
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Growth Inhibitors
Antineoplastic Agents
Anti-Inflammatory Agents
Glucocorticoids
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists
Immunosuppressive Agents