Flucinolone Acetonide Implant for Treating Refractory Ocular Behcet's Disease
A Multi-Center, Prospective Single Arm Study to Assess the Efficacy and Safety of RETISERT (Intravitreal Flucinolone Acetonide 0.59mg) in Patients With Refractory Ocular Behcet's Disease
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Primary Completion
December 2009
Estimated (date passed)
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Study Completion
May 2010
Estimated (date passed)
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Brief Summary
Objectives:
To describe the safety and efficacy of intravitreal flucinolone acetonide implants in the management of patients having refractory ocular Behcet's disease
Hypothesis:
A descriptive observational study
Study design:
A 1-year, multi-center (including four Korean medical centers) observational study
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
15 participants
Study completion date
May 2010
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 1 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
July 2008
Date type not reported
This date has not been verified as actual or estimated.
First Submitted
July 18, 2008
Actual (reported)
First Posted
July 23, 2008
Actual (reported)
Primary Completion
December 2009
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
May 2010
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Recurrence in the 36 wks, with one or more of the following events ->2 step Increase in the number of cells in the A/C -2 step increase in the vitreous haze -deterioration in visual acuity
1 year
Secondary Outcomes (1)
Post-implantation recurrence of uveitis rate: within-patient comparison of responding eyes (implant vs. fellow)and etc.
1 year
Study Arms (1)
single group
OTHER
Posterior uveitis patients having complete or incomplete type of Behcet's disease; typical ocular lesion and at least, one of the main symptoms or two of the additional symptoms.
Selection of study eye : For patients with unilateral uveitis, the study eye will be the affected eye; for patients with bilateral uveitis, the study eye will be the more severely affected eye (i.e., the eye having suffered more recurrences in the previous year, or if equal, the eye having received more therapy in the previous year, or if equal, the eye having the worse VA, or if equal, the eye clinically judged to be the more severely affected eye).
Drug: flucinolone acetonide
Interventions
flucinolone acetonideDrug
Intra-vitreal implantation of RETISERT on the study eye. The implant is a sustained-release delivery system containing 0.59 mg of flucinolone acetonide designed to deliver the drug for approximately 3 years.
Also known as: RETISERT
single group
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Males and non-pregnant females at least 18 years of age having complete or incomplete type of Behcet's disease according to the revised diagnostic criteria proposed by the Behcet's Disease Research Committee of Japan in 2003; typical ocular lesion and at least, one of the main symptoms or two of the additional symptoms.
One or both eyes having a history of recurrent or chronic ocular Behcet's disease affecting the eye more than 1 year duration requiring either systemic corticosteroid or other equivalent systemic therapy for at least three months prior to enrollment; OR at least 2 sub-Tenon's injections of corticosteroid for the management of uveitis during the six months prior to enrollment; OR at least 2 separate recurrences within the six months prior to enrollment requiring either systemic corticosteroid therapy or sub-Tenon's injection of corticosteroids
At the time of enrollment the implanted eye must have: ≤ 10 anterior chamber cells/HPF and a vitreous haze ≤ grade 2
Visual acuity of at least 1.4 logMAR units (Snellen 20/500).
You may not qualify if:
Allergy to FA or any component of the delivery system
History of only posterior segment uveitis not accompanied by vitritis or macular edema
History of iritis only and no vitreous cells or vitreous haze
Uveitis with infectious etiology
Vitreous hemorrhage
Presence of a toxoplasmosis scar in the study eye
Peripheral retinal detachment in area of implantation
Media opacity precluding evaluation of the retina and vitreous
Uncontrolled increased intraocular pressure(IOP)(\>21mmHg)at the time of retisert implantation
Ocular surgery on the study eye within 3 months prior to enrollment
Patients requiring chronic systemic corticosteroid therapy (\>15mg prednisone daily) or systemic immunosuppressive therapy to manage non-ocular disease
Patients who have tested positive for human immunodeficiency virus
Pregnant or lactating females
Females of childbearing potential considering becoming pregnant during the course of the study and those not taking effective contraception/precautions to avoid pregnancy
Patients for whom, in the physician's opinion, any of the protocol procedures may pose a special risk not outweighed by the potential benefits of participating in the study
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
May 2010
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
July 29, 2008
Record last verified: 2008-07
Source record
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Source: ClinicalTrials.gov.
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