Status:

WITHDRAWN

Intravitreal Dexamethasone Implant (Ozurdex) Versus Bevacizumab in Patients With Diabetic Macular Edema Undergoing Cataract Surgery

Lead Sponsor:

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Collaborating Sponsors:

Allergan

Doheny Image Reading Center

Conditions:

Diabetic Macular Edema

Cataract

Eligibility:

All Genders

18-89 years

Phase:

NA

Brief Summary

The purpose of this research is to compare the effectiveness of bevacizumab (Avastin) with another a dexamethasone implant (Ozurdex), with respect to anatomic and visual outcomes as well as injection ...

Detailed Description

Subjects over the age of 18 with both: 1) visually significant cataracts requiring cataract surgery and 2) diabetic macular edema (DME) will be enrolled in the study. Subjects with high risk prolifera...

Eligibility Criteria

Inclusion

  • Age greater than 18 years old with type one or type two diabetes mellitus
  • Center-involving diabetic macular edema with central subfield thickness ≥ 320um on Heidelberg Spectralis optical coherence tomography (OCT) testing
  • Best-corrected electron-early treatment diabetic retinopathy study (E-ETDRS Visual Acuity) visual acuity letter score between 78 to 24
  • Any Lens Opacities Classification System (LOCS) III cataract grade greater than or equal to two

Exclusion

  • Presence of macular edema attributable to other causes including but not limited to retinal venous occlusive disease and non-infectious uveitis
  • History of glaucoma
  • History of steroid-induced intraocular pressure (IOP) elevation that required IOP-lowering treatment
  • Optic nerve cup to disc ratio greater than 0.6
  • Active proliferative diabetic retinopathy
  • Presence of other retinal diseases including but not limited to age-related macular degeneration, retinal venous occlusive disease and posterior segment uveitis
  • Any prior intraocular surgery
  • Treatment with any anti-VEGF medication within the past 3 months or intravitreal steroid within the past 6 months
  • Panretinal photocoagulation within the prior 6 months or anticipated need for panretinal photocoagulation within the next 6 months
  • IOP greater than or equal to 25
  • Systolic blood pressure \> 180 mmHg or diastolic \> 110 mmHg
  • Myocardial infarction, other cardiac event requiring hospitalization, cerebrovascular accident, transient ischemic attack or treatment for acute congestive heart failure within the past 6 months

Key Trial Info

Start Date :

January 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 31 2021

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04067856

Start Date

January 1 2020

End Date

January 31 2021

Last Update

February 21 2021

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Intravitreal Dexamethasone Implant (Ozurdex) Versus Bevacizumab in Patients With Diabetic Macular Edema Undergoing Cataract Surgery | DecenTrialz