CAPE: Oxulumis® Suprachoroidal Microcatherization of Triesence® in Diabetic Macular Edema

Sponsor
Oxular Limited (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05512962
Collaborator
(none)
20
2
10

Study Details

Study Description

Brief Summary

The purpose of this clinical trial is to evaluate the safety and tolerability of suprachoroidal microcatheterization with the Oxulumis® device for a randomized treatment with two dose levels of Triesence® in subjects with Diabetic Macular Edema.

Condition or Disease Intervention/Treatment Phase
  • Drug: Triamcinolone Acetonide
  • Device: Semi-automated Suprachoroidal Microcatheter
Phase 2

Detailed Description

Twenty-four (24) week, randomized, two-arm, single-masked, clinical trial to evaluate safety, tolerability, and to explore the efficacy of two dose levels of suprachoroidal triamcinolone acetonide suspension (Triesence®, 2.4 mg, and 4.0mg) administered using the Oxulumis® microcatheterization device in subjects with previously treated Diabetic Macular Edema.

After a screening period, approximately 20 eligible Diabetic Macular Edema subjects will be randomized using a 1:1 ratio to receive a single administration of one of two dose levels of triamcinolone acetonide (low dose, 2.4mg. or mid-dose, 4.0mg, respectively).

From Week 4, subjects will be assessed for the need for follow-on treatment. The follow-up period after treatment administration will be up to twenty-four (24) weeks.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
20 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Parallel Two-Dose Group AssignmentParallel Two-Dose Group Assignment
Masking:
Double (Participant, Care Provider)
Masking Description:
Subjects will be masked to the dose level of triamcinolone acetonide administered with the suprachoroidal Oxulumis microcatheter
Primary Purpose:
Treatment
Official Title:
A Multi-Center, Randomized, Two-Arm, Parallel-Group, Single-masked, 24-week, Clinical Trial to Evaluate Safety and Tolerability of Two Dose Levels of Suprachoroidal Triamcinolone Acetonide Administered With the Oxulumis® Ophthalmic Administration Device in Subjects With Diabetic Macular Edema
Anticipated Study Start Date :
Sep 30, 2022
Anticipated Primary Completion Date :
Jul 1, 2023
Anticipated Study Completion Date :
Aug 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Suprachoroidal Triamcinolone acetonide 2.4mg

The Oxulumis® device will be used for the administration of Triesence® (Triamcinolone acetonide) via suprachoroidal microcatheterization. A single treatment with 2.4mg/60µl Triesence® will be applied.

Drug: Triamcinolone Acetonide
Single suprachoroidal Administration of Triamcinolone acetonide
Other Names:
  • Triesence®
  • Device: Semi-automated Suprachoroidal Microcatheter
    Ophthalmic Adminstration Device
    Other Names:
  • Oxulumis®
  • Experimental: Suprachoroidal Triamcinolone acetonide 4.0 mg

    The Oxulumis® device will be used for the administration of Triesence® (Triamcinolone acetonide) via suprachoroidal microcatheterization. A single treatment with 4.0mg/100µl Triesence® will be applied.

    Drug: Triamcinolone Acetonide
    Single suprachoroidal Administration of Triamcinolone acetonide
    Other Names:
  • Triesence®
  • Device: Semi-automated Suprachoroidal Microcatheter
    Ophthalmic Adminstration Device
    Other Names:
  • Oxulumis®
  • Outcome Measures

    Primary Outcome Measures

    1. Frequency of ocular adverse events, systemic adverse events, serious, and treatment-emergent non-serious adverse events [24 Weeks]

      Treatment-emergent adverse events are defined as an event that emerges following administration of Triesence with the Oxulumis microcatheter administered at Visit 2 (Baseline, Day 0)

    2. Frequency of adverse device effects and frequency of serious adverse device effects [24 Weeks]

      Adverse device effects and serious adverse device effects are defined as effects that emerge following the administration of the Oxulumis microcatheter at Visit 2 (Baseline, Day 0)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Type 1 or Type 2 diabetes mellitus.

    • Diabetic macular edema involving the center of the fovea in the study eye

    • Best-corrected visual acuity in the study eye of ≤73 (early treatment of diabetic retinopathy study) ETDRS letters (approximate Snellen equivalent of 20/40 or worse)

    • Short-lived, limited, or no response to prior ocular injection therapy

    Exclusion Criteria:
    • Macular edema is considered due to a cause other than diabetes mellitus in the study eye.

    • Condition, in the study eye, in which visual acuity is not expected to improve from the resolution of macular edema

    • Macular laser photocoagulation or panretinal laser photocoagulation in the study eye performed within sixteen (16) weeks prior to screening.

    • Active proliferative diabetic retinopathy (PDR) or sequelae of PDR in the study eye.

    • Active malignancy or history of malignancy within the past five years.

    • Prior intravitreal (IVT) treatment with anti-Vascular endothelial growth factor (VEGF) in the study eye: last injection within four weeks, before screening

    • Prior ocular treatment with steroids in the study eye: last injection (intra- or periocular) with triamcinolone acetonide within three (3) months, with dexamethasone implant (Ozurdex®) within six (6) months before screening.

    • Prior treatment with longer duration steroid implants (e.g., fluocinolone acetonide IVT implant, Iluvien®) is exclusionary.

    • Prior treatment with suprachoroidal steroids is exclusionary.

    • Uncontrolled diabetes with a hemoglobin A1c (HbA1c) > 12% or any other uncontrolled systemic disease at screening.

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Oxular Limited

    Investigators

    • Study Director: Friedrich Asmus, MD, Oxular Limited

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Oxular Limited
    ClinicalTrials.gov Identifier:
    NCT05512962
    Other Study ID Numbers:
    • OXUCT-103 - CAPE
    • 2022-001533-37
    First Posted:
    Aug 23, 2022
    Last Update Posted:
    Aug 23, 2022
    Last Verified:
    Aug 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    Yes
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 23, 2022