NCT04863742

Brief Summary

This is a prospective, open-label, single-center, randomized, head-to-head, investigator-sponsored clinical study. It aims to investigate the vision recovery and patient comfort in borderline/mild dry eye disease patients undergoing FLACS with Premium PCIOL (i.e., Panoptix, Toric IOL (spherical/multifocal), ReStor, Symfony), receiving a 0.4mg dexamethasone intracanalicular insert when compared to patients receiving standard of care prednisolone acetate 1%.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Apr 2021

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 22, 2021

Completed
4 days until next milestone

Study Start

First participant enrolled

April 26, 2021

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 28, 2021

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2021

Completed
Last Updated

April 28, 2021

Status Verified

April 1, 2021

Enrollment Period

3 months

First QC Date

April 22, 2021

Last Update Submit

April 26, 2021

Conditions

Outcome Measures

Primary Outcomes (3)

  • Mean change in Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA)

    As measured by Best Corrected Visual Acuity (BCVA) from baseline and at 1 week and 30 days after surgery

    Baseline, Post-Operative Day 7 and Day 30

  • Mean change in uncorrected Visual Acuity (VA)

    As measured by uncorrected VA from baseline and at 1 week and 30 days after surgery

    Baseline, Post-Operative Day 7 and Day 30

  • Mean change from baseline in Standardized Patient Evaluation of Eye Dryness (SPEED) score

    As measured by SPEED score from baseline and at 1 week and 30 days after surgery

    Baseline, Post-Operative Day 7 and Day 30

Secondary Outcomes (6)

  • Patient satisfaction with vision at 1 week and 30 days after surgery

    Post-Operative Day 7 and Day 30

  • Mean number of artificial tear drops dosed per day

    30 Day tear log.

  • Mean change in tear break-up time (TBUT)

    Baseline and at POD 7 and POD 30

  • Mean change in tear osmolarity

    Baseline and at POD 7 and POD 30

  • Mean change in corneal staining

    Baseline and at POD 7 and POD 30

  • +1 more secondary outcomes

Study Arms (2)

Dextenza Arm

EXPERIMENTAL
Drug: Dextenza 0.4Mg Ophthalmic Insert

Prednisolone Acetate 1%

ACTIVE COMPARATOR
Drug: Prednisolone Acetate

Interventions

sustained released dexamethasone, 0.4mg

Dextenza Arm

Prednisolone Acetate 1% QID x 1week, TID x 1week, BID x1 week, QD x1 week.

Prednisolone Acetate 1%

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Demonstrate objective signs of Boderline/ Mild Ocular Surface Disease (OSD) \[defined as mild symptoms, mild conjunctival staining (\<2+ Superficial Punctate Keratitis), Tear Break-up Time \<12s\] or demonstrate symptoms of OSD determined by SPEED questionnaire (SPEED Score \<10).
  • Nucleus sclerosis up to 2+ planning to undergo FLACS + Premium PCIOL in both eyes.
  • Ability to provide informed consent for procedures
  • Ability to attend scheduled follow up visits
  • No other corneal pathology to create unknown variability

You may not qualify if:

  • Age less than 18
  • Pregnancy/currently breast-feeding
  • Inability to provide informed consent
  • Documented adverse reaction to steroid (e.g. "steroid responder", allergy, etc)
  • Punctal stenosis
  • Previous corneal transplant surgery or refractive surgery
  • Concurrent use of topical steroid eye drops
  • Systemic, topical or intravitreal steroid use within 1 month of baseline
  • Active history of chronic or recurrent inflammatory eye disease in either eye
  • History of ocular herpetic infection (inclusive of Herpes Simplex 1/2, Varicella Zoster, Epstein Barr, Cytomegalovirus)
  • History of neurotrophic keratitis, uncontrolled diabetes, or other disease entities that may preclude proper healing
  • Diagnosis of Glaucoma or use of topical glaucoma drops
  • Participation in other studies in the last 6 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

SightMD, LIASC

Brentwood, New York, 11717, United States

RECRUITING

MeSH Terms

Conditions

Dry Eye Syndromes

Interventions

Calcium Dobesilateprednisolone acetate

Condition Hierarchy (Ancestors)

Lacrimal Apparatus DiseasesEye Diseases

Intervention Hierarchy (Ancestors)

BenzenesulfonatesBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsArylsulfonatesArylsulfonic AcidsSulfonic AcidsSulfur AcidsSulfur Compounds

Study Officials

  • John Passarelli, MD

    Sight Medical Doctors PLLC

    PRINCIPAL INVESTIGATOR

Central Study Contacts

John Passarelli, MD

CONTACT

Marshel Singleton, MSN, FNP

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle Investigator

Study Record Dates

First Submitted

April 22, 2021

First Posted

April 28, 2021

Study Start

April 26, 2021

Primary Completion

July 31, 2021

Study Completion

September 30, 2021

Last Updated

April 28, 2021

Record last verified: 2021-04

Locations