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CompletedNCT00900887Updated Mar 20, 2015

Topic Antiinflammatory Therapy Added to Selective Photocoagulation in Macular Edema

A Phase 2 interventional study of Ketorolac and Nepafenac in Diabetic Retinopathy and Macular Edema, sponsored by Hospital Juarez de Mexico. Completed at 1 site in Mexico. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2015-03-20.

Sponsored by Hospital Juarez de Mexico · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to determine the efficacy of ocular topic antiinflammatory therapy (sodic nepafenac at 0.1% or ketorolac at 0.5%) to treat center point thickness secondary to selective photocoagulation in diabetics with clinically significant macular edema.

Read the detailed description

Selective photocoagulation is the standard treatment for clinically significant macular edema. This treatment decreased the incidence of moderate visual loss in the long term. Nonetheless, in the first six weeks after treatment it is induced, probably because an exacerbation of macular edema secondary to treatment. An inflammatory response has been reported after selective photocoagulation. Therefore, antiinflammatory therapy like ketorolac or nepafenac could be useful to manage center point thickness secondary to selective photocoagulation in diabetics with macular edema.

02

Conditions studied

  • Diabetic Retinopathy
  • Macular Edema

Keywords

  • diabetic retinopathy
  • clinically significant macular edema
  • selective photocoagulation
  • topic ketorolac
  • topic nepafenac
  • efficacy
  • treatment
03

In context

Macular Edema

841 studies on the registry are indexed under Macular Edema; 56 are open to participants now.

This study's enrollment of 84 is above the median of 50 across 619 interventional studies indexed under Macular Edema.

Browse Macular Edema studies →

Lead sponsor

Hospital Juarez de Mexico is the lead sponsor of 15 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • type 2 diabetes
  • regardless of diabetes duration and retinopathy severity level
  • one or both eyes with focal clinically significant macular edema
  • treated with selective or focal photocoagulation
  • visual capacity under subjective refraction before treatment
  • adequate quality 6mm fast macular map on the day of photocoagulation
  • signed of inform consent

Exclusion criteria

Exclusion Criteria:

  • ocular surgery in the last 4 months
  • previous selective photocoagulation
  • topic or systemic antiinflammatory therapy in the last week
  • allergic to antiinflammatory non-steroids therapy
  • lent contact used in tha last 2 days before photocoagulation
  • history of ocular trauma, ocular infection or lacrimal dysfunction in the last 3 months
  • history of uveitis or ocular inflammation in the last 12 months
  • any ocular external disease, infection or inflammatory process during evaluation
  • corneal abnormalities that could modify visual capacity per se
  • actual corneal disease
  • pregnancy
  • myopia over -6.00 diopters
  • any retinal disease different from diabetic retinopathy
  • adverse event of the drug
  • desert to pharmacology therapy after the second visit
  • no assistance after the second visit
  • inadequate quality 6mm fast macular map after the second visit
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
84 participants (actual)

Study arms

  • Active comparator
    Ketorolac

    ocular topic ketorolac used 3 times a day for a week after the selective photocoagulation

    Drug: Ketorolac

  • Active comparator
    Nepafenac

    ocular topic nepafenac 3 times a day during one week after selective photocoagulation

    Drug: Nepafenac

  • Placebo comparator
    Polietilenglicol 400, propilenglicol

    ocular lubricant drops 3 times a day for a week after selective photocoagulation

    Drug: Polietilenglicol 400, propilenglicol

Interventions

  • DrugKetorolac

    ophthalmic presentation 5 mg/ml dosage one drop (0.25 mg) in the treated eye 3 times a day during one week

    Also known as: Godek

  • DrugNepafenac

    topic presentation 1 mg/ml dosage one drop (0.05 mg) in the treated eye 3 times a day during one week

    Also known as: Nevanac

  • DrugPolietilenglicol 400, propilenglicol

    ocular presentation Polietilenglicol 400 (4 mg), propilenglicol (3 mg), HP guar (1.9 mg)/1 ml dosage: one drop (0.2 mg polietinglicol 400, 0.15 mg propilenglicol, 0.095 mg HP guar) 3 times a day during one week

    Also known as: Systane

06

What researchers measure

Primary outcomes

  1. ocular topic antiinflammatory therapy (ketorolac, nepafenac or placebo) applied 3 times a day in the treated eye for a week after selective photocoagulation

    Time frame: one week after treatment

Secondary outcomes

  1. center point thickness using stratus OCT measured in microns

    Time frame: before treatment, at 24, 48 and 168 hours after treatment

  2. macular volume using stratus OCT measured in cubic millimeters

    Time frame: before treatment, 24, 48 and 168 hours after treatment

  3. visual capacity under subjective refractive correction measured in decimal equivalent

    Time frame: before treatment, at 24, 48, 168 hours after treatment

07

Study locations

1 site
  • Virgilio Lima Gomez
    Mexico, Distrito Federal 07760, Mexico
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00900887
Lead sponsor
Hospital Juarez de Mexico
Responsible party
Virgilio Lima Gomez (PhD, Hospital Juarez de Mexico) — Principal investigator
First posted
May 13, 2009
Start date
Apr 2008
Primary completion
Mar 2015
Completion
Mar 2015
Last update
Mar 20, 2015

Study contacts

Virgilio Lima Gomez, MD, MSc
study chair · Hospital Juarez de Mexico
Dulce M Razo Blanco Hernandez, MD
principal investigator · Hospital Juarez de Mexico
Juan Asbun Bojalil, MD, PhD
study director · Hospital Juarez de Mexico

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.

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