Last reviewed · How we verify

NCT00168298

A Study of the Safety and Efficacy of a New Treatment for Macular Edema Resulting From Retinal Vein Occlusion

Completed Phase 3 Results posted Last updated 23 April 2019
What this trial tests

Phase 3 trial testing 700 µg Dexamethasone in Macular Edema in 668 participants. Completed in 5 September 2008.

Timeline
1 November 2004
Primary endpoint
1 March 2008
5 September 2008

Quick facts

Lead sponsorAllergan
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment668
Start date1 November 2004
Primary completion1 March 2008
Estimated completion5 September 2008
Sites13 locations across Hong Kong, Colombia, Italy, New Zealand, United Kingdom, Poland, South Korea, Canada

Drugs / interventions tested

Conditions studied

Sponsor

Allergan — full company profile →

Who can join

18 and older, any sex, with Macular Edema or Retinal Vein Occlusion. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Patients With 15 or More Letter Improvement in Best Corrected Visual Acuity (BCVA) in the Study Eye Primary · Day 180

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. The numbers of patients with at least a 15 or more letter improvement in BCVA in the study eye are presented.

GroupValue95% CI
700 µg Dexamethasone53
350 µg Dexamethasone48
Sham Injection38
Change From Baseline in Retinal Thickness in the Study Eye Secondary · Baseline, Day 90, Day 180

Retinal thickness is assessed by optical coherence tomography (OCT) in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.

Baseline
GroupValue95% CI
700 µg Dexamethasone573.6± 189.08
350 µg Dexamethasone566.6± 219.63
Sham Injection542.5± 185.64
Change from Baseline at Day 90
GroupValue95% CI
700 µg Dexamethasone-215.6± 207.62
350 µg Dexamethasone-205.5± 216.25
Sham Injection-91.1± 191.85
Change from Baseline at Day 180
GroupValue95% CI
700 µg Dexamethasone-132.1± 207.20
350 µg Dexamethasone-150.5± 220.78
Sham Injection-127.4± 197.77
Percentage of Patients With a Change From Baseline in BCVA by Category Secondary · Baseline, Day 90

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Data are grouped into the following 5 categories based on change from baseline: ≥15 Letters Improvement, ≥5 and \<15 Letters Improvement, No Change (Between -5 to +5 Letters), ≥5 and \<15 Letters Worsening, and ≥15 Letters Worsening.

≥15 Letters Improvement
GroupValue95% CI
700 µg Dexamethasone21.2
350 µg Dexamethasone25.7
Sham Injection13.8
≥5 and <15 Letters Improvement
GroupValue95% CI
700 µg Dexamethasone45.1
350 µg Dexamethasone39.0
Sham Injection37.1
No Change (Between -5 to +5 Letters)
GroupValue95% CI
700 µg Dexamethasone25.7
350 µg Dexamethasone26.6
Sham Injection29.9
≥5 and <15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone4.4
350 µg Dexamethasone6.4
Sham Injection11.2
≥15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone3.5
350 µg Dexamethasone2.3
Sham Injection8.0
Percentage of Patients With a Change From Baseline in BCVA by Category Secondary · Baseline, Day 180

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Data are grouped into the following 5 categories based on change from baseline: ≥15 Letters Improvement, ≥5 and \<15 Letters Improvement, No Change (Between -5 to +5 Letters), ≥5 and \<15 Letters Worsening, and ≥15 Letters Worsening.

≥15 Letters Improvement
GroupValue95% CI
700 µg Dexamethasone23.5
350 µg Dexamethasone21.6
Sham Injection17.0
≥5 and <15 Letters Improvement
GroupValue95% CI
700 µg Dexamethasone35.0
350 µg Dexamethasone33.9
Sham Injection28.6
No Change (Between -5 to +5 Letters)
GroupValue95% CI
700 µg Dexamethasone27.0
350 µg Dexamethasone28.9
Sham Injection28.6
≥5 and <15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone8.0
350 µg Dexamethasone10.6
Sham Injection13.8
≥15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone6.6
350 µg Dexamethasone5.0
Sham Injection12.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events (AEs) and Serious Adverse Events (SAEs) are reported for the double-blind treatment period through Month 6.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

700 µg Dexamethasone
Serious: 16/225 (7%)
Deaths:
350 µg Dexamethasone
Serious: 7/215 (3%)
Deaths:
Sham Injection
Serious: 17/221 (8%)
Deaths:

Serious adverse events (35 terms)

ReactionSystem700 µg Dexamethasone350 µg DexamethasoneSham Injection
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Myocardial infarctionCardiac disorders
Cardiac failure congestiveCardiac disorders
Renal failure acuteRenal and urinary disorders
Aneurysmal bone cystMusculoskeletal and connective tissue disorders
Aortic aneurysmVascular disorders
Cardiac arrestCardiac disorders
Carotid artery occlusionNervous system disorders
Cerebellar infarctionNervous system disorders
CholecystitisHepatobiliary disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Intraocular pressure increasedInvestigations
Non-cardiac chest painGeneral disorders
Ocular hypertensionEye disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
Cerebrovascular accidentNervous system disorders
Angina pectorisCardiac disorders
Atrial septal defectCongenital, familial and genetic disorders
Chronic lymphocytic leukaemiaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Parkinson's diseaseNervous system disorders
Angina unstableCardiac disorders
AppendicitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
CellulitisInfections and infestations
Other adverse events (7 terms — click to expand)

ReactionSystem700 µg Dexamethasone350 µg DexamethasoneSham Injection
Intraocular pressure increasedInvestigations
Conjunctival haemorrhageEye disorders
Conjunctival hyperaemiaEye disorders
Eye painEye disorders
MaculopathyEye disorders
Retinal exudatesEye disorders
HypertensionVascular disorders

Most-reported serious reactions: Breast cancer, Myocardial infarction, Cardiac failure congestive, Renal failure acute, Aneurysmal bone cyst, Aortic aneurysm, Cardiac arrest, Carotid artery occlusion.

Data from ClinicalTrials.gov NCT00168298 adverse events section.

Sponsor's own description

This study will evaluate the safety and efficacy of an intravitreal implant of dexamethasone for the treatment of macular edema associated with retinal vein occlusion.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Intravitreal steroids versus observation for macular edema secondary to central retinal vein occlusion.
    Gewaily D, Muthuswamy K, Greenberg PB. · · 2015 · cited 7× · PMID 26352007 · DOI 10.1002/14651858.cd007324.pub3

Verify or expand the search:

Other trials of 700 µg Dexamethasone

Trials testing the same drug.

Other recruiting trials for Macular Edema

Currently open trials in the same condition.

Other Allergan trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00168298.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing