Safety and Efficacy Study of Iontophoretic Dexamethasone Phosphate Ophthalmic Solution to Treat Non-Infectious Anterior Segment Uveitis

Last updated: March 28, 2013
Sponsor: Eyegate Pharmaceuticals, Inc.
Overall Status: Completed

Phase

3

Condition

Iritis

Anterior Uveitis

Uveitis

Treatment

N/A

Clinical Study ID

NCT01505088
EGP-437-004
  • Ages 12-85
  • All Genders

Study Summary

The purpose of this study is to evaluate the safety and efficacy of ocular iontophoresis with dexamethasone phosphate ophthalmic solution EGP-437 using the EyeGate® II Drug Delivery System (EGDS) compared to prednisolone acetate ophthalmic suspension (1%) in patients with non-infectious anterior segment uveitis.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or female, age 12 to 85 years with a diagnosis of non-infectious anterior segmentuveitis defined as an anterior chamber cell count of ≥ 11 cells

  • Receive, understand, and sign a copy of the written informed consent form

  • Be able to return for all study visits and willing to comply with all study-relatedinstructions

Exclusion

Exclusion Criteria:

  • Have uveitis of infectious etiology

  • Have active intermediate or posterior uveitis

  • Known positive HLA-B27 with a severe (4+) fibrinoid reaction

  • Have previous anterior segment uveitis episode in the study eye ≤ 4 weeks prior tobaseline visit

  • Have used topical corticosteroid treatment in the study eye ≤ 48 hours prior tobaseline visit

  • Have used oral corticosteroid within the past 14 days prior to baseline

  • Have received intravitreal or sub-Tenon corticosteroid treatment in the study eyewithin the past 6 months prior to baseline visit

  • Currently using prescribed nonsteroidal anti-inflammatory agents (i.e., use ofover-the-counter dosages is allowable) or prescribed immunosuppressive agents, unlessthe dose has been stable for the last six weeks and no change in dosing is anticipatedfor the duration of the study

  • Have IOP ≥ 25 mmHg at baseline, a history of glaucoma, or require ocularanti-hypertensive medications in the study eye

  • Be known steroid intraocular pressure responders in either eye

  • Have open wounds/skin disease on the forehead area where the iontophoresis returnelectrode will be applied

  • Have severe lesions of the eyelids or the ocular surface impeding the application ofthe iontophoresis applicator

  • Have known allergy to dexamethasone or dexamethasone phosphate or any medication to beused in this study

  • Have history or diagnosis of ocular herpes, corneal lesion of suspected herpeticorigin, or Behçet's disease

  • Have monocular or BCVA worse than 20/80 in the fellow eye

  • Have optic neuritis of any origin

  • Have clinically suspected or confirmed central nervous system or ocular lymphoma

  • Planning to undergo elective ocular surgery during the study

  • Have active hyphema, pars planitis, choroiditis, clinically significant macular edema,toxoplasmosis scar, or vitreous hemorrhage

  • Have severe/serious ocular pathology or medical condition which may preclude studycompletion

  • Have pacemaker and/or any other electrical sensitive support system

  • Be pregnant or lactating female, or female of childbearing age and using inadequatebirth control method

  • Have participated in another investigational device or drug study within 30 days ofbaseline visit

  • Have significant Fuch's Corneal Dystrophy

Study Design

Total Participants: 193
Study Start date:
December 01, 2011
Estimated Completion Date:
March 31, 2013

Study Description

Anterior uveitis is a disorder of the eye associated with intraocular inflammation of the anterior portion of the uvea, particularly the iris and/or ciliary body. It is distinct from other iterations of uveitis such as posterior, diffuse and intermediate uveitis although it is the most common form of uveitis and accounts for approximately 75% of cases.

In a Phase 1/2 study (EGP-437-001), the delivery of EGP-437 (40 mg/mL dexamethasone phosphate solution) at four different iontophoresis dose levels was studied in 40 subjects with non-infectious anterior segment uveitis. The study demonstrated that a single EGP-437 treatment: lowered anterior chamber cell (ACC) scores in the majority of patients without requiring additional treatment; produced low short-term systemic exposure to dexamethasone and dexamethasone phosphate; and produced the most beneficial effects in the 1.6 and 4.8 mA-min dose groups; and caused mainly minor AEs and no non-ocular systemic corticosteroid mediated effects were observed.

The Phase 3 study is intended to confirm and extend the results from the Phase 2 study. The study is designed to assess the safety and efficacy Ocular Iontophoresis with EGP-437 4.0 mA-min at 1.5 mA and accompanying placebo eyedrops in comparison to Ocular Iontophoresis with sodium citrate buffer solution 4.0 mA-min at 1.5 mA and accompanying prednisolone acetate (1%) eyedrops for the treatment of non-infectious anterior segment uveitis.

Connect with a study center

  • Department of Ophthalmology at University of Alabama at Birmingham

    Birmingham, Alabama 35233
    United States

    Site Not Available

  • Arizona Eye Center

    Chandler, Arizona 85225
    United States

    Site Not Available

  • Associated Retina Consultants

    Phoenix, Arizona 85020
    United States

    Site Not Available

  • Retina-Vitreous Associates Medical Group

    Beverly Hills, California 90211
    United States

    Site Not Available

  • Doheny Eye Medical Group

    Los Angeles, California 90033
    United States

    Site Not Available

  • Orange County Retina Medical Group

    Santa Ana, California 92705
    United States

    Site Not Available

  • Colorado Retina Associates

    Golden, Colorado 80401
    United States

    Site Not Available

  • Corneal Consultants of Colorado

    Littleton, Colorado 80120
    United States

    Site Not Available

  • Connecticut Retina Consultants, LLC

    Bridgeport, Connecticut 06606
    United States

    Site Not Available

  • Eye Center of Southern Connecticut

    Hamden, Connecticut 06518
    United States

    Site Not Available

  • Yale Eye Center

    New Haven, Connecticut 06510
    United States

    Site Not Available

  • The Eye Associates of Manatee, LLP

    Bradenton, Florida 34209
    United States

    Site Not Available

  • Levenson Eye Associates

    Jacksonville, Florida 32204
    United States

    Site Not Available

  • Bascom Palmer Eye Institute

    Miami, Florida 33136
    United States

    Site Not Available

  • Logan Ophthalmic Research

    Tamarac, Florida 33321
    United States

    Site Not Available

  • Emory Eye Center

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Advanced Eye Care

    Fort Oglethorpe, Georgia 30742
    United States

    Site Not Available

  • Illinois Retina Associates

    Chicago, Illinois 60612
    United States

    Site Not Available

  • Raj K. Maturi, M.D. PC

    Indianapolis, Indiana 46290
    United States

    Site Not Available

  • Ellsworth Uveitis and Retina Care

    Ellsworth, Maine 04605
    United States

    Site Not Available

  • Wilmer Eye Institute

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Massachusetts Eye and Ear Infirmary

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Ophthalmic Consultants of Boston

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Massachusetts Eye Research and Surgery Institution

    Cambridge, Massachusetts 02142
    United States

    Site Not Available

  • Lifelong Vision Foundation

    Chesterfield, Missouri 63017
    United States

    Site Not Available

  • Tauber Eye Center

    Kansas City, Missouri 64111
    United States

    Site Not Available

  • Comprehensive Eye Care Ltd.

    Washington, Missouri 63090
    United States

    Site Not Available

  • Metropolitan Eye Research and Surgery Institute

    Palisades Park, New Jersey 07650
    United States

    Site Not Available

  • The New York Eye and Ear Infirmary

    New York, New York 10003
    United States

    Site Not Available

  • South Shore Eye Care

    Wantagh, New York 11793
    United States

    Site Not Available

  • Charlotte Eye Ear Nose and Throat Associates

    Matthews, North Carolina 28105
    United States

    Site Not Available

  • Casey Eye Institute

    Portland, Oregon 97239
    United States

    Site Not Available

  • Mid-Atlantic Retina

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • Scheie Eye Institute

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Southern College of Optometry

    Memphis, Tennessee 38104
    United States

    Site Not Available

  • Austin Retina Associates

    Austin, Texas 78705
    United States

    Site Not Available

  • Houston Eye Associates

    Houston, Texas 77025
    United States

    Site Not Available

  • Medical Center Ophthalmology Associates

    San Antonio, Texas 78240
    United States

    Site Not Available

  • Virginia Eye Consultants

    Norfolk, Virginia 23502
    United States

    Site Not Available

  • Spokane Eye Clinical Research

    Spokane, Washington 99204
    United States

    Site Not Available

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