Macular Edema, Retinal Vein Occlusion
Conditions
Keywords
RVO, ME, Central Subfield Thickness, OCT, optical coherence tomography, cystoid macular edema, subretinal fluid, Eylea, aflibercept, anti-VEGF
Brief summary
A phase 2, multicenter, randomized, active-controlled, masked, parallel arm study designed to evaluate the safety and efficacy of a single suprachoroidal injection of CLS-TA, triamcinolone acetonide injectable suspension, given along with an intravitreal (IVT) injection of aflibercept compared to IVT aflibercept alone in subjects with retinal vein occlusion (RVO).
Detailed description
A randomized, masked, controlled trial of safety and efficacy of suprachoroidal CLS-TA in combination with intravitreal aflibercept in subjects with macular edema following retinal vein occlusion
Interventions
40 mg/mL CLS-TA, Clearside's formulation of TA (CLS-TA, triamcinolone acetonide injectable suspension)
suprachoroidal sham procedure
2 mg intravitreal injection of aflibercept
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of macular edema following RVO * History of ME ≤ 12 months * 20-70 letters inclusive BCVA using ETDRS
Exclusion criteria
* has had an IVT injection of anti-VEGF for RVO in the study eye * has had a corticosteroid injection in the past 3 months in the study eye * any uncontrolled ophthalmic condition in the study eye other than RVO
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 3 months |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Suprachoroidal CLS-TA + IVT Aflibercept Single unilateral, suprachoroidal injection of 40 mg/mL (4 mg in 100 µL) of CLS-TA following a 2 mg intravitreal injection of aflibercept
suprachoroidal CLS-TA: suprachoroidal injection of CLS-TA
IVT aflibercept: 2 mg intravitreal injection of aflibercept | 23 |
| Suprachoroidal Sham + IVT Aflibercept Single unilateral, suprachoroidal sham procedure following a 2 mg intravitreal injection of aflibercept
suprachoroidal sham: suprachoroidal sham procedure
IVT aflibercept: 2 mg intravitreal injection of aflibercept | 23 |
| Total | 46 |
Baseline characteristics
| Characteristic | Suprachoroidal Sham + IVT Aflibercept | Suprachoroidal CLS-TA + IVT Aflibercept | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 13 Participants | 18 Participants | 31 Participants |
| Age, Categorical Between 18 and 65 years | 10 Participants | 5 Participants | 15 Participants |
| Age, Continuous | 65.8 Years STANDARD_DEVIATION 14.64 | 66.9 Years STANDARD_DEVIATION 12.02 | 66.3 Years STANDARD_DEVIATION 12.02 |
| Region of Enrollment United States | 23 participants | 23 participants | 46 participants |
| Sex: Female, Male Female | 13 Participants | 10 Participants | 23 Participants |
| Sex: Female, Male Male | 10 Participants | 13 Participants | 23 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 23 | 0 / 23 |
| other Total, other adverse events | 12 / 23 | 10 / 23 |
| serious Total, serious adverse events | 0 / 23 | 0 / 23 |
Outcome results
Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm
Time frame: 3 months
Population: The Intent-to-Treat set included all randomly assigned subjects who were treated and had at least one post-Baseline assessment.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Suprachoroidal CLS-TA + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 0 | 18 Participants |
| Suprachoroidal CLS-TA + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 1 | 3 Participants |
| Suprachoroidal CLS-TA + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 2 | 0 Participants |
| Suprachoroidal CLS-TA + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 3 | 2 Participants |
| Suprachoroidal Sham + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 3 | 3 Participants |
| Suprachoroidal Sham + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 0 | 7 Participants |
| Suprachoroidal Sham + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 2 | 1 Participants |
| Suprachoroidal Sham + IVT Aflibercept | Total Number of Times a Subject Qualifies to be Administered IVT Aflibercept in Each Arm | 1 | 12 Participants |