Inflammation
Conditions
Keywords
Macular edema
Brief summary
Intraocular delivery of celecoxib will be an effective means to treat inflammation and macular edema and prevent structural complications and vision loss in patients with chronic inflammation or macular edema who are unable to tolerate corticosteroids due to their side effects.
Detailed description
Specific Aims I: Test the safety of intraocular injection of 1mg and 4mg celecoxib in patients who have chronic inflammation or macular edema who are unable to tolerate corticosteroids due to their side effects. II: Test the efficacy of intraocular 1mg and 4mg celecoxib in treating inflammation or structural complications of inflammation (macular edema) in patients who are unable to tolerate corticosteroids due to their side effects. After investigational new drug application and Vanderbilt Institutional Review Board approval, celecoxib will be compounded by the Investigational Drug Service of the Vanderbilt Medical Center and packaged in individual sterile single use syringes for intraocular injection within 2 hours of preparation. Pharmaceutical grade celecoxib will be obtained from the drug manufacturer (Pfizer) with certificate analysis and compounded in sterile dimethyl sulfoxide following strict sterile technique.
Interventions
1-4 mg intravitreal celecoxib
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic inflammation and/or macular edema despite maximal medical treatment Unable to tolerate corticosteroids due to side effects Aphakic or Pseudophakic subjects
Exclusion criteria
* 15 years or younger Have active ocular infection Pregnancy Phakic subjects
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety | 12 weeks | Participant will receive an intravitreal injection of the Celecoxib and be followed for any possible adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy | 12 weeks | Participant will receive the intravitreal injection of celecoxib day 1 and be followed for efficacy. The efficacy will be determined from the ophthalmic exams and aqueous samples |