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CompletedNCT01698749Updated Oct 3, 2012

Effect of Intravitreal Long Acting Dexamethasone Implant, Ozurdex in Patients With Diabetic Macular Edema

An interventional study of long acting intravitreal dexamethasone implant in Diabetic Macular Edema, Macular Edema, Cystoid and Vision Disorders, sponsored by Post Graduate Institute of Medical Education and Research, Chandigarh. Completed at 1 site in India. Open to participants aged 20 Years to 72 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-10-03.

Sponsored by Post Graduate Institute of Medical Education and Research, Chandigarh · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
61
Allocation
Not applicable
Ages
20 Years to 72 Years
Sex
All
01

Study summary

This study is undertaken to determine the effect of intravitreal long acting dexamethasone implant,(Ozurdex®)in patients with diabetic macular edema.Diabetic macular edema is important cause of visual impairment in patients with diabetes mellitus. Focal/ grid laser photocoagulation is the standard of care in its management. Several adjuncts including intravitreal corticosteroids, Pegabtanib Sodium ,Ranibizumab, Bevacizumab, non-steroidal anti-inflammatory agents, corticosteroids, laser photocoagulation have been tried. Intravitreal Triamcinolone Acetonide (TA), a water insoluble steroid, has been shown to reduce the retinal thickness and improve the visual acuity. However, recurrence of macular edema in patients who receive intravitreal TA is a major concern as the patients need multiple repeat injections because of its short half life. A more potent steroid, dexamethasone has also been tried as an alternative to TA for macular edema; however, its short half life of only 3 hours prevents its clinical application. In search for the ideal corticosteroid preparation, a Dexamethasone Posterior Segment Drug Delivery System (Dexamethasone DDS - Ozurdex®, Allergan Inc, Irvine, California) was recently developed. Promising results have been shown in certain patients with retinal vein occlusions, uveitis receiving this intravitreal drug delivery system with improvement in visual acuity. The present study introduces a novel concept of using Ozurdex ® implant in patients with diabetic macular edema.

Read the detailed description

This study is undertaken to determine the effect of intravitreal long acting dexamethasone implant,(Ozurdex®)in patients with diabetic macular edema.Diabetic macular edema is important cause of visual impairment in patients with diabetes mellitus. Focal/ grid laser photocoagulation is the standard of care in its management. Several adjuncts including intravitreal corticosteroids, Pegabtanib Sodium ,Ranibizumab, Bevacizumab, non-steroidal anti-inflammatory agents, corticosteroids, laser photocoagulation have been tried. Intravitreal Triamcinolone Acetonide (TA), a water insoluble steroid, has been shown to reduce the retinal thickness and improve the visual acuity. However, recurrence of macular edema in patients who receive intravitreal TA is a major concern as the patients need multiple repeat injections because of its short half life. A more potent steroid, dexamethasone has also been tried as an alternative to TA for macular edema; however, its short half life of only 3 hours prevents its clinical application. In search for the ideal corticosteroid preparation, a Dexamethasone Posterior Segment Drug Delivery System (Dexamethasone DDS - Ozurdex®, Allergan Inc, Irvine, California) was recently developed. Promising results have been shown in certain patients with retinal vein occlusions, uveitis receiving this intravitreal drug delivery system with improvement in visual acuity. The present study introduces a novel concept of using Ozurdex ® implant in patients with diabetic macular edema.

02

Conditions studied

  • Diabetic Macular Edema
  • Macular Edema, Cystoid
  • Vision Disorders
  • Clinically Significant Macular Edema

Keywords

  • Ozurdex
  • Diabetic macular edema
  • Central macular thickness
03

In context

Vision Disorders

308 studies on the registry are indexed under Vision Disorders; 81 are open to participants now.

This study's enrollment of 61 is close to the median of 66 across 211 interventional studies indexed under Vision Disorders.

Browse Vision Disorders studies →

Lead sponsor

Post Graduate Institute of Medical Education and Research, Chandigarh is the lead sponsor of 290 studies on the registry; 42 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 72 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • The patients of Type 1 or Type 2 Diabetes Mellitus fulfilling the following inclusion criteria shall be enrolled in the study:

    1. Patients of Non Proliferative Diabetic retinopathy (NPDR)with clinicaly significant macular edema(CSME)
    2. Patients with Proliferative Diabetic Retinopathy (PDR) with CSME where proliferative component has been adequately treated with laser photocoagulation
    3. Diabetic patients withcystoid macular edema
    4. Minimum central thickness on OCT not less than 300 microns

Exclusion criteria

Exclusion Criteria:

  1. Patients with history of ocular hypertension or glaucoma
  2. Patients with media haze or pupillary non-dilation that does not allow good fundus photography, FFA and OCT.
  3. Patients with macular ischemia on FFA
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    Ozurdex in diabetic macular edema

    Intravitreal ozurdex given in patients with diabetic macular edema and patients followed up for change in central macular thickness and visual acuity over period of 6 months

    Drug: long acting intravitreal dexamethasone implant

Interventions

  • Druglong acting intravitreal dexamethasone implant

    Intravitreal ozurdex was given in diabetic patients with clinically significant macular edema and they were followed up for change in central macular thickness and visual acuity over a period of 6 months

    Also known as: Ozurdex

06

What researchers measure

Primary outcomes

  1. change in central macular thickness

    The primary outcome is the change in the central macular thickness, either an increase or decrease, as measured by optical coherence tomography as compared to baseline central macular thickness

    Time frame: Baseline and 6 months

Secondary outcomes

  1. Change in the visual acuity

    Change in the visual acuity as measured by the logMAR visual acuity chart

    Time frame: Baseline and 6 months

07

Study locations

1 site
  • Pooja Bansal
    Chandigarh, 160012, India
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01698749
Lead sponsor
Post Graduate Institute of Medical Education and Research, Chandigarh
Responsible party
Pooja Bansal,MD (MD, Post Graduate Institute of Medical Education and Research, Chandigarh) — Principal investigator
First posted
Oct 3, 2012
Start date
Dec 2011
Primary completion
Jan 2012
Completion
Feb 2012
Last update
Oct 3, 2012

Study contacts

POOJA BANSAL, MBBS,MS
principal investigator · Post Graduate Institute of Medical Education and Research, Chandigarh
VISHALI R GUPTA, MBBS,MS
principal investigator · Post Graduate Institute of Medical Education and Research, Chandigarh
AMOD GUPTA, MBBS,MS
principal investigator · Post Graduate Institute of Medical Education and Research, Chandigarh

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2012. You cannot join it, but the record below documents what was studied.

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