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NCT02374060: POINT

PeriOcular and INTravitreal Corticosteroids for Uveitic Macular Edema Trial

Completed Phase 3 Results posted Last updated 4 December 2018
What this trial tests

Phase 3 trial testing Periocular triamcinolone 40 mg in Macular Edema in 192 participants. Completed in 4 January 2018.

Timeline
16 June 2015
Primary endpoint
30 August 2017
4 January 2018

Quick facts

Lead sponsorJHSPH Center for Clinical Trials
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment192
Start date16 June 2015
Primary completion30 August 2017
Estimated completion4 January 2018
Sites26 locations across United Kingdom, Canada, United States, Australia

Drugs / interventions tested

Conditions studied

Sponsor

JHSPH Center for Clinical Trials

Who can join

18 and older, any sex, with Macular Edema or Uveitis. 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.

Proportion of Baseline Central Subfield Thickness Observed at 8 Weeks Primary · At baseline and 8 weeks

The primary outcome is the change in central subfield thickness from baseline to 8 weeks measured on a relative scale as the the proportion of the baseline central subfield thickness. Values less than 1 indicate a decrease in retinal thickness with lower values indicating greater decreases. Smaller values are better. The time point of 8 weeks was chosen for assessment of the primary outcome because it encompasses the window for maximum benefit for all three treatment strategies. Retinal thickness was evaluated using masked assessments of OCT images.

GroupValue95% CI
Periocular Triamcinolone 40mg.77.67 – .89
Intravitreal Triamcinolone 4mg.61.53 – .70
Dexamethasoneintravitreal Implant.54.46 – .63
Proportion of Baseline Central Subfield Thickness Observed at 24 Weeks Secondary · At baseline and the 24 week visit

The primary outcome is the change in central subfield thickness from baseline to 24 weeks measured on a relative scale as the the proportion of the baseline central subfield thickness. Values less than 1 indicate a decrease in retinal thickness with lower values indicating greater decreases. Smaller values are better.The time point of 24 weeks was chosen to evaluate the duration of response and the need for additional injections.Retinal thickness was evaluated using masked assessments of OCT images.

GroupValue95% CI
Periocular Triamcinolone 40mg0.680.59 – 0.79
Intravitreal Triamcinolone 4mg0.640.56 – 0.74
Dexamethasoneintravitreal Implant0.610.52 – 0.71
Proportion of Eyes With >= 20% Reduction in Macular Thickness (or Normalization Even if <20% Reduction) at 8 Weeks Secondary · Over 8 weeks of follow-up

Proportion of eyes with \>=20% reduction in macular thickness (or normalization of macular thickness even if there is \<20% reduction) at 8 weeks.

GroupValue95% CI
Periocular Triamcinolone 40mg0.410.29 – 0.52
Intravitreal Triamcinolone 4mg0.790.70 – 0.88
Dexamethasoneintravitreal Implant0.840.74 – 0.94
Proportion of Eyes With >= 20% Reduction in Macular Thickness (or Normalization Even if <20% Reduction) at 24 Weeks Secondary · Over 24 weeks of follow-up

Proportion of eyes with \>=20% reduction in macular thickness (or normalization of macular thickness even if there is \<20% reduction) at 24 weeks

GroupValue95% CI
Periocular Triamcinolone 40mg0.610.50 – 0.72
Intravitreal Triamcinolone 4mg0.730.63 – 0.83
Dexamethasoneintravitreal Implant0.740.61 – 0.85
Proportion of Eyes With Resolution of Macular Edema at 8 Weeks Secondary · Over 8 weeks of follow-up

Proportion of eyes with resolution of macular edema defined as normalization of the macular thickness (i.e., \< 260 um on the standardized scale) at 8 weeks. The greater the proportion the more eyes achieved resolution of macular edema.

GroupValue95% CI
Periocular Triamcinolone 40mg0.200.12 – 0.30
Intravitreal Triamcinolone 4mg0.470.34 – 0.60
Dexamethasoneintravitreal Implant0.610.48 – 0.73
Proportion of Eyes With Resolution of Macular Edema at 24 Weeks Secondary · Over 24 weeks of follow-up

Proportion of eyes with resolution of macular edema defined as normalization of the macular thickness (i.e., \<260 um on the standard scale) at 24 weeks.

GroupValue95% CI
Periocular Triamcinolone 40mg0.350.24 – 0.47
Intravitreal Triamcinolone 4mg0.360.24 – 0.48
Dexamethasoneintravitreal Implant0.410.28 – 0.54
Change in Best-corrected Visual Acuity at 8 Weeks Secondary · Over 8 weeks of follow-up

Mean change in best-corrected visual acuity from baseline to 8 weeks. Participants' visual acuity was measured by certified examiners with best refractive correction in place.Participants were challenged with reading letters on lines of the standard ETDRS eye chart (5 letters per line). Lines became smaller as participants progressed from the top to the bottom of the chart. Participants read down the chart until no more meaningful readings could be made and were scored by how many letters could be correctly identified. More letters read is associated with higher visual acuity.

GroupValue95% CI
Periocular Triamcinolone 40mg4.371.86 – 6.89
Intravitreal Triamcinolone 4mg9.707.26 – 12.13
Dexamethasoneintravitreal Implant9.537.01 – 12.05
Change in Best-corrected Visual Acuity at 24 Weeks Secondary · Over 24 weeks of follow-up

Mean change in best-corrected visual acuity from baseline to 24 weeks. Participants' visual acuity was measured by certified examiners with best refractive correction in place.Participants were challenged with reading letters on lines of the standard ETDRS eye chart (5 letters per line). Lines became smaller as participants progressed from the top to the bottom of the chart. Participants read down the chart until no more meaningful readings could be made and were scored by how many letters could be correctly identified. More letters read is associated with higher visual acuity.

GroupValue95% CI
Periocular Triamcinolone 40mg4.070.64 – 7.51
Intravitreal Triamcinolone 4mg9.606.87 – 12.34
Dexamethasoneintravitreal Implant9.216.62 – 11.80
Number of Eyes With Vitreous Hemorrhage Secondary · During 24 weeks of follow-up

Count of eyes with vitreous hemorrhage as an immediate complication of injection.

GroupValue95% CI
Periocular Triamcinolone 40mg1
Intravitreal Triamcinolone 4mg0
Dexamethasoneintravitreal Implant1
Number of Eyes With Retinal Tear or Detachment Secondary · During 24 weeks of follow-up

Count of eyes with retinal tears or detachments during the course of follow-up.

GroupValue95% CI
Periocular Triamcinolone 40mg1
Intravitreal Triamcinolone 4mg0
Dexamethasoneintravitreal Implant0
Number of Eyes With Endophthalmitis Secondary · During 24 weeks of folllow-ip

Count of eyes with an occurrence of endophthalmitis

GroupValue95% CI
Periocular Triamcinolone 40mg1
Intravitreal Triamcinolone 4mg0
Dexamethasoneintravitreal Implant0
Cumulative Proportion of Eyes With Severe Vision Loss Secondary · During 24 weeks of follow-up

Cumulative proportion of eyes with uveitic macular edema who experience severe vision loss (\>= 15 standard letters) during the 24 weeks of follow-up.

GroupValue95% CI
Periocular Triamcinolone 40mg0.110.04 – 0.18
Intravitreal Triamcinolone 4mg0.100.0 – 0.22
Dexamethasoneintravitreal Implant0.050.0 – 0.10

Adverse events — posted to ClinicalTrials.gov

Time frame: 24 weeks of follow-up. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Periocular Triamcinolone 40mg
Serious: 6/65 (9%)
Deaths: 0/65
Intravitreal Triamcinolone 4mg
Serious: 5/63 (8%)
Deaths: 0/63
Dexamethasoneintravitreal Implant
Serious: 6/64 (9%)
Deaths: 0/64

Serious adverse events (16 terms)

ReactionSystemPeriocular Triamcinolone 4…Intravitreal Triamcinolone…Dexamethasoneintravitreal …
Intraocular pressure increasedInvestigations
ChoroidalEye disorders
Ocular hypertensionEye disorders
uveitisEye disorders
Vitreous haemorrhageEye disorders
colitisGastrointestinal disorders
gastric polypsGastrointestinal disorders
injection site injuryGeneral disorders
pneumoniaInfections and infestations
mediastinoscopyInvestigations
bursitisMusculoskeletal and connective tissue disorders
chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
pulmonary hypertensionRespiratory, thoracic and mediastinal disorders
knee arthroplastySurgical and medical procedures
shoulder arthroplastySurgical and medical procedures
InvestigationInvestigations

Most-reported serious reactions: Intraocular pressure increased, Choroidal, Ocular hypertension, uveitis, Vitreous haemorrhage, colitis, gastric polyps, injection site injury.

Data from ClinicalTrials.gov NCT02374060 adverse events section.

Sponsor's own description

To evaluate the relative efficacy of three commonly utilized regional corticosteroids for the regional treatment of uveitic macular edema: periocular triamcinolone acetonide; intravitreal triamcinolone acetonide; intravitreal dexamethasone implant. The primary efficacy measure will be percent change in central subfield thickness as measured by OCT at 8 weeks. Participants will continue in the study for 24 weeks in order to evaluate relative effects of the 3 treatment strategies on the duration of treatment effects, requirement for additional injections, and adverse effects. Note: The planned sample size for the POINT Trial was 267 subjects. On 17 July 2017, with 192 subjects enrolled, the Data and Safety Monitoring Committee (DSMC) reviewed the planned interim analysis and recommended that the goals of the trial could be accomplished by completing follow-up of enrolled subjects without the recruitment of additional subjects. Per the DSMC recommendations, recruitment was suspended and follow-up of enrolled subjects was completed according to the protocol.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Periocular Triamcinolone vs. Intravitreal Triamcinolone vs. Intravitreal Dexamethasone Implant for the Treatment of Uveitic Macular Edema: The PeriOcular vs. INTravitreal corticosteroids for uveitic macular edema (POINT) Trial.
    Thorne JE, Sugar EA, Holbrook JT, Burke AE, et al · · 2019 · cited 150× · PMID 30269924 · DOI 10.1016/j.ophtha.2018.08.021
  2. Extension study of the safety and efficacy of CLS-TA for treatment of macular oedema associated with non-infectious uveitis (MAGNOLIA).
    Khurana RN, Merrill P, Yeh S, Suhler E, et al · · 2022 · cited 36× · PMID 33712478 · DOI 10.1136/bjophthalmol-2020-317560
  3. Suprachoroidal Injection of Triamcinolone- Review of a Novel Treatment for Macular Edema Caused by Noninfectious Uveitis.
    Price KW, Albini TA, Yeh S. · · 2020 · cited 11× · PMID 34322164 · DOI 10.17925/usor.2020.13.2.76
  4. What's New in Ocular Drug Delivery: Advances in Suprachoroidal Injection since 2023.
    Wu KY, Gao A, Giunta M, Tran SD. · · 2024 · cited 10× · PMID 39204112 · DOI 10.3390/ph17081007
  5. Perioperative Management of Uveitic Cataracts.
    Chen JL, Bhat P, Lobo-Chan AM. · · 2019 · cited 6× · PMID 31788579 · DOI 10.1016/j.yaoo.2019.04.014
  6. Pharmacotherapy for non-infectious uveitis: spotlight on phase III clinical trials of locally injected or implanted therapeutics and systemic immunomodulatory drugs.
    Shields MK, Ferreira LB, Ali SB, Dedina L, et al · · 2025 · PMID 40473986 · DOI 10.1186/s12348-025-00502-9

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Other recruiting trials for Macular Edema

Currently open trials in the same condition.

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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/NCT02374060.

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