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NCT00168324

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 599 participants. Completed in 1 October 2008.

Timeline
1 October 2004
Primary endpoint
1 March 2008
1 October 2008

Quick facts

Lead sponsorAllergan
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment599
Start date1 October 2004
Primary completion1 March 2008
Estimated completion1 October 2008
Sites13 locations across France, South Africa, Austria, Taiwan, Germany, Israel, Mexico, Philippines

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 Secondary · Day 90, 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 at each visit are presented.

Day 90
GroupValue95% CI
700 µg Dexamethasone45
350 µg Dexamethasone41
Sham Injection25
Day 180
GroupValue95% CI
700 µg Dexamethasone39
350 µg Dexamethasone32
Sham Injection37
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 Dexamethasone548.9± 185.45
350 µg Dexamethasone541.6± 183.68
Sham Injection534.4± 187.38
Change from Baseline at Day 90
GroupValue95% CI
700 µg Dexamethasone-199.3± 194.54
350 µg Dexamethasone-144.1± 166.59
Sham Injection-78.2± 150.05
Change from Baseline at Day 180
GroupValue95% CI
700 µg Dexamethasone-105.0± 197.83
350 µg Dexamethasone-91.4± 198.16
Sham Injection-110.3± 175.59
Cumulative Response Rate of 15 or More Letter Improvement Primary · Up to 180 Days

The cumulative response rate of 15 or more letter improvement was based on the Kaplan-Meier estimate. A Kaplan-Meier analysis takes into account patients who dropped out from the study prior to achieving the 15 letter improvement. Values ranged from 0-1, with a higher number indicating a higher probability of response.

Day 30
GroupValue95% CI
700 µg Dexamethasone0.101
350 µg Dexamethasone0.092
Sham Injection0.045
Day 60
GroupValue95% CI
700 µg Dexamethasone0.258
350 µg Dexamethasone0.204
Sham Injection0.100
Day 90
GroupValue95% CI
700 µg Dexamethasone0.359
350 µg Dexamethasone0.292
Sham Injection0.165
Day 180
GroupValue95% CI
700 µg Dexamethasone0.397
350 µg Dexamethasone0.349
Sham Injection0.225
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 Dexamethasone22.4
350 µg Dexamethasone20.9
Sham Injection12.4
≥5 and <15 Letters Improvement
GroupValue95% CI
700 µg Dexamethasone39.8
350 µg Dexamethasone42.3
Sham Injection34.2
No Change (Between -5 to +5 Letters)
GroupValue95% CI
700 µg Dexamethasone27.4
350 µg Dexamethasone23.5
Sham Injection34.7
≥5 and <15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone7.0
350 µg Dexamethasone9.2
Sham Injection13.4
≥15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone3.5
350 µg Dexamethasone4.1
Sham Injection5.4
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 Dexamethasone19.4
350 µg Dexamethasone16.3
Sham Injection18.3
≥5 and <15 Letters Improvement
GroupValue95% CI
700 µg Dexamethasone34.8
350 µg Dexamethasone37.8
Sham Injection27.7
No Change (Between -5 to +5 Letters)
GroupValue95% CI
700 µg Dexamethasone29.4
350 µg Dexamethasone25.5
Sham Injection30.2
≥5 and <15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone10.9
350 µg Dexamethasone10.7
Sham Injection14.9
≥15 Letters Worsening
GroupValue95% CI
700 µg Dexamethasone5.5
350 µg Dexamethasone9.7
Sham Injection8.9

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: 12/196 (6%)
Deaths:
350 µg Dexamethasone
Serious: 28/197 (14%)
Deaths:
Sham Injection
Serious: 14/202 (7%)
Deaths:

Serious adverse events (39 terms)

ReactionSystem700 µg Dexamethasone350 µg DexamethasoneSham Injection
Myocardial infarctionCardiac disorders
Intraocular pressure increasedInvestigations
Angina pectorisCardiac disorders
ArrhythmiaCardiac disorders
SyncopeNervous system disorders
Transient ischaemic attackNervous system disorders
Cerebrovascular accidentNervous system disorders
Carotid artery stenosisNervous system disorders
Mental status changesPsychiatric disorders
PancreatitisGastrointestinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Small intestinal obstructionGastrointestinal disorders
Squamous cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
GlaucomaEye disorders
Benign prostatic hyperplasiaReproductive system and breast disorders
BlindnessEye disorders
Cardiogenic shockCardiac disorders
ConvulsionNervous system disorders
DrowningGeneral disorders
GastroenteritisInfections and infestations
Humerus fractureInjury, poisoning and procedural complications
HypotensionVascular disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
PneumoniaInfections and infestations
Pneumonia viralInfections and infestations
Other adverse events (5 terms — click to expand)

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

Most-reported serious reactions: Myocardial infarction, Intraocular pressure increased, Angina pectoris, Arrhythmia, Syncope, Transient ischaemic attack, Cerebrovascular accident, Carotid artery stenosis.

Data from ClinicalTrials.gov NCT00168324 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.

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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/NCT00168324.

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