Intermediate Uveitis, Panuveitis, Posterior Uveitis
Conditions
Brief summary
Phase 3, multi-center, randomized, masked, controlled study to evaluate the safety and efficacy of an injectable fluocinolone acetonide intravitreal (FAI) insert for the management of subjects with chronic non-infectious uveitis affecting the posterior segment of the eye. Patients will be randomized to receive either a sham injection or the FAI insert and will be observed for three years following treatment.
Detailed description
This is a phase 3, multi-center, randomized, masked, controlled study to evaluate the safety and efficacy of an injectable fluocinolone acetonide intravitreal (FAI) insert for the management of subjects with chronic non-infectious uveitis affecting the posterior segment of the eye. Patients will be randomized to receive either a sham injection or the FAI insert and will be observed for three years following treatment.
Interventions
DRUGSham Injection
Placebo
DRUGFAI Insert
Fluocinolone Acetonide
Sponsors
EyePoint Pharmaceuticals, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male or non pregnant female at least 18 years of age at time of consent * One or both eyes having a history of recurrent non-infectious uveitis affecting the posterior segment of the eye with or without anterior uveitis \> 1 year duration * At the time of enrollment (Day 1), study eye has \< 10 anterior chamber cells/High Power Field (HPF) and a vitreous haze ≤ grade 2. * Visual acuity of study eye is at least 15 letters on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart * Subject is not planning to undergo elective ocular surgery during the study * Subject has ability to understand and sign the Informed Consent Form * Subject is willing and able to comply with scheduled visits, treatment plan, laboratory tests and other study procedures * During the 12 months prior to enrollment (Day 1), the study eye has either received treatment: * systemic corticosteroid or other systemic therapies given for at least 3 months, and/or * at least 2 intra- or peri-ocular administrations of corticosteroid for management of uveitis OR the study eye has experienced recurrence: • at least 2 separate recurrences of uveitis requiring systemic, intra- or peri-ocular injection of corticosteroid
Exclusion criteria
* Allergy to fluocinolone acetonide or any component of the Fluocinolone Acetonide Intravitreal (FAI) insert * History of posterior uveitis only that is not accompanied by vitritis or macular edema * History of iritis only and no vitreous cells, anterior chamber cells or vitreous haze * Uveitis with infectious etiology * Vitreous hemorrhage * Intraocular inflammation associated with a condition other than noninfectious uveitis (e.g. intraocular lymphoma) * Ocular malignancy in either eye, including choroidal melanoma * Toxoplasmosis scar in study eye or scar related to previous viral retinitis * Previous viral retinitis * Current viral diseases of the cornea and conjunctiva including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella, mycobacterial infections of the eye or fungal diseases of ocular structures * Media opacity precluding evaluation of retina and vitreous * Peripheral retinal detachment in area of insertion * Diagnosis of any form of glaucoma or ocular hypertension in study eye at Screening, unless study eye has been previously treated with an incisional surgery procedure that has resulted in stable Intraocular pressure (IOP) in the normal range (10-21 mmHg) * IOP \> 21 mmHg or concurrent therapy at Screening with any IOP-lowering pharmacologic agent in the study eye * Chronic hypotony (\< 6 mmHg) * Ocular surgery on the study eye within 3 months prior to study Day 1 * Capsulotomy in study eye within 30 days prior to study Day 1 * Prior intravitreal treatment of study eye with Retisert within 36 months prior to study Day 1 * Prior intravitreal treatment of study eye with Ozurdex within 6 months prior to study Day 1 * Prior intravitreal treatment of study eye with Triesence or Trivaris within 3 months prior to study Day 1 * Prior peri-ocular or subtenon steroid treatment of study eye within 3 months prior to study Day 1 * Subjects requiring chronic systemic or inhaled corticosteroid therapy (\>15mg prednisone daily) or chronic systemic immunosuppressive therapy * Excluding certain skin cancers (specifically, basal cell carcinoma and squamous cell carcinoma), any malignancy receiving treatment, or in remission less than 5 years prior to study Day 1 * Subjects who have tested positive for human immune deficiency virus (HIV), tuberculosis or syphilis * Systemic infection within 30 days prior to study Day 1 * Any severe acute or chronic medical or psychiatric condition that could increase the risk associated with study participation or could interfere with the interpretation of study results and, in the judgment of the investigator, could make the subject inappropriate for entry into this study * Any other systemic or ocular condition which, in the judgment of the investigator, could make the subject inappropriate for entry into this study * Treatment with an investigational drug or device within 30 days prior to study Day 1 * Pregnant or nursing females; females of childbearing potential who are unwilling or unable to use an acceptable method of contraception as outlined in this protocol from at least 14 days prior to study Day 1 until the Month 12 Visit * Subjects unlikely to comply with the study protocol or who are likely to be lost to follow-up within three years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Recurrence of Uveitis in Study Eye Within 6 Months | 6 Months | Proportion of Subjects with Recurrence of Uveitis in the Study Eye within 6 Months Including Reason for Imputed Recurrence (ITT Population) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Recurrence of Uveitis in Study Eye Within 36 Months | 36 Months | Proportion of Subjects with Recurrence of Uveitis in the Study Eye at 36 Months Including Reason for Imputed Recurrence (ITT Population) |
Countries
India
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Sham Injection Placebo Injection | 52 |
| FAI Insert FAI Insert Group | 101 |
| Total | 153 |
Baseline characteristics
| Characteristic | Sham Injection | FAI Insert | Total |
|---|---|---|---|
| Age, Continuous | 40.6 years STANDARD_DEVIATION 13.74 | 39.9 years STANDARD_DEVIATION 12.87 | 40.1 years STANDARD_DEVIATION 13.13 |
| Age, Customized 20 to <40 years | 25 Participants | 57 Participants | 82 Participants |
| Age, Customized <20 years | 2 Participants | 0 Participants | 2 Participants |
| Age, Customized 40 to <60 years | 21 Participants | 34 Participants | 55 Participants |
| Age, Customized >=60 years | 4 Participants | 10 Participants | 14 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 52 Participants | 101 Participants | 153 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Intention To Treat (ITT) Population | 52 Participants | 101 Participants | 153 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 49 Participants | 96 Participants | 145 Participants |
| Race (NIH/OMB) Black or African American | 3 Participants | 5 Participants | 8 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Female | 34 Participants | 62 Participants | 96 Participants |
| Sex: Female, Male Male | 18 Participants | 39 Participants | 57 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 52 | 0 / 101 |
| other Total, other adverse events | 49 / 52 | 94 / 101 |
| serious Total, serious adverse events | 7 / 52 | 21 / 101 |
Outcome results
Primary
Number of Participants With Recurrence of Uveitis in Study Eye Within 6 Months
Proportion of Subjects with Recurrence of Uveitis in the Study Eye within 6 Months Including Reason for Imputed Recurrence (ITT Population)
Time frame: 6 Months
Population: Proportion of Subjects with Recurrence of Uveitis in the Study Eye within 6 Months Including Reason for Imputed Recurrence (ITT Population)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Sham Injection | Number of Participants With Recurrence of Uveitis in Study Eye Within 6 Months | 28 Participants |
| FAI Insert | Number of Participants With Recurrence of Uveitis in Study Eye Within 6 Months | 22 Participants |
Secondary
Number of Participants With Recurrence of Uveitis in Study Eye Within 36 Months
Proportion of Subjects with Recurrence of Uveitis in the Study Eye at 36 Months Including Reason for Imputed Recurrence (ITT Population)
Time frame: 36 Months
Population: Proportion of Subjects with Recurrence of Uveitis in the Study Eye at 36 Months Including Reason for Imputed Recurrence (ITT Population)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Sham Injection | Number of Participants With Recurrence of Uveitis in Study Eye Within 36 Months | 39 Participants |
| FAI Insert | Number of Participants With Recurrence of Uveitis in Study Eye Within 36 Months | 47 Participants |