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WithdrawnNCT01721694Updated Dec 11, 2014

Antibiotic Steroid Combination Compared With Individual Administration in the in the Treatment of Ocular Inflammation and Infection

A Phase 3 interventional study of azithromycin 1.5%/Loteprednol 0,5% + placebo and azithromycin 1.5% + Loteprednol 0,5% (separately) in Ocular Inflammation, Infection Associated Blepharitis and Keratitis, sponsored by Adapt Produtos Oftalmológicos Ltda.. Withdrawn at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-12-11.

Sponsored by Adapt Produtos Oftalmológicos Ltda. · Phase 3, Interventional, and Treatment

Why this study was withdrawn
withdrawn by industry
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate the efficacy and safety of fixed combination of azithromycin 1.5% + 0.5% Loteprednol eye drops for the treatment of ocular inflammation and infection associated bacterial blepharitis and / or keratitis and / or conjunctivitis compared with the individual administration of azithromycin 1.5% and 0.5% Loteprednol (separately).

Read the detailed description

Estimated to be admitted a total of approximately 60 patients showing blepharitis and / or keratitis and / or conjunctivitis: 30 patients will be assigned to the group of Azithromycin 1.5%/Loteprednol 0.5% Eye Drops (fixed combination) + placebo and 30 patients will be assigned to the group of Azithromycin 1.5% + 0.5% Loteprednol (separately)

02

Conditions studied

  • Ocular Inflammation
  • Infection Associated Blepharitis
  • Keratitis
  • Conjunctivitis, Bacterial

Keywords

  • bacterial ocular inflammation
  • blepharitis
  • keratitis
  • conjunctivitis
03

In context

Keratitis

108 studies on the registry are indexed under Keratitis; 19 are open to participants now.

Browse Keratitis studies →

Lead sponsor

Adapt Produtos Oftalmológicos Ltda. is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients were male or female, of any race and age minimum of 18 years.
  • Blepharitis should provide diagnostic and / or keratitis and / or conjunctivitis with or without bacterial involvement corneal by biomicroscopy, with positive staining corneal fluorescein and also provide a composite score ≥ 2 on: bulbar conjunctival hyperemia, eyelid conjunctiva, secretion / exudate conjunctival erythema and flaking eyelids / eyelid crust on at least one eye (the same eye) on Day 1 visit

Exclusion criteria

Exclusion Criteria:

  • Intraocular hypertension or uncontrolled glaucoma.
  • Use of contact lenses during the study.
  • Capacity unilateral visual only.
  • Suspected fungal infection, viral (eg, herpes simplex epithelial, dendritic keratitis) or Acanthamoeba, or any other disease where the use of is .
  • Use of any topical ophthalmic medications preserved during study participation. Not be allowed eyedrops preserved (eg artificial tears).
  • Use of any antibacterial agent oral or topical ophthalmic until 72 hours prior to study entry.
  • Use of systemic steroids within 14 days prior to study entry. Ophthalmic topical steroids or nonsteroidal anti-inflammatory drugs (NSAIDs), until one week before admission to the study. Will not be allowed to use these medications during study participation. Will not be allowed to use nasal steroids during the study. Will be allowed to use inhaled steroids to aid inhaler. Will be allowed steroids dermal topics.
  • Use of nonsteroidal anti-inflammatory drugs (NSAIDs) systemic up to 24 hours prior to study entry or at any time during the study, unless the patient is under treatment regimen with stable (not necessary) for at least 2 months before Admission and therapy continues throughout the study.
  • Any disturbance or ocular or systemic disease, complicating factors or structural abnormality that affects the conduct or outcome of the study in a negative way or represents an undue risk to patient safety, according to the opinion of the investigator.
  • Any current disorder (eg, -positive), or immunosuppressive therapy (including chemotherapy).
  • Known allergy or suspected allergy or to fluoroquinolones, to steroids or any other component of the study drug;
  • Pregnant or lactating. (Women of childbearing age may be admitted if they use and submit urine pregnancy test negative);
  • Any patient who has a family member who participates in this study
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    azithromycin 1.5%/Loteprednol 0,5% + placebo

    fixed combination of azithromycin 1.5% / Loteprednol 0,5% eye drops + placebo eye drops

    Drug: azithromycin 1.5%/Loteprednol 0,5% + placebo

  • Active comparator
    azithromycin 1.5% + Loteprednol 0,5% (separately)

    azithromycin 1.5% + Loteprednol 0,5% eye drops (separately)

    Drug: azithromycin 1.5% + Loteprednol 0,5% (separately)

Interventions

  • Drugazithromycin 1.5%/Loteprednol 0,5% + placebo

    1 drop, AO, QID

  • Drugazithromycin 1.5% + Loteprednol 0,5% (separately)

    Drug page: Azithromycin

    1 drop, QID, AO

    Also known as: azithromycin 1.5% + Loteprednol 0,5% eye drops (separately)

06

What researchers measure

Primary outcomes

  1. Clinical cure

    Clinical cure achieved when the score of the cardinal ocular signs (hyperemia in the bulbar conjunctiva, palpebral, exudate / conjunctival discharge, eyelid erythema and flaking / crust eyelid) is zero at the time of conclusion of the study (D8)

    Time frame: Day 8

Secondary outcomes

  1. irradication of pathogens

    Success obtained with microbiological irradication of pathogens present at baseline

    Time frame: Day 8

Other outcomes

  1. ophthalmic evaluation

    decrease of visual acuity, corneal/anterior chamber changes, IOP increase and adverse event reporting

    Time frame: Day 4 and Day 8

07

Study locations

1 site
  • Department of Ophthalmology of Hospital São Paulo
    São Paulo, 04023-062, Brazil
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Dec 2012, a primary completion of Mar 2013 and a completion of May 2013. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 2, 2012
First posted
Nov 6, 2012
Start
Dec 2012
Primary completionEst.
Mar 2013
CompletionEst.
May 2013
Last update
Dec 11, 2014
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 11, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01721694
Lead sponsor
Adapt Produtos Oftalmológicos Ltda.
Responsible party
Sponsor
First posted
Nov 6, 2012
Start date
Dec 2012
Primary completion
Mar 2013 (estimated)
Completion
May 2013 (estimated)
Last update
Dec 11, 2014

Study contacts

Rubens Belfort Jr., MD
principal investigator · Federal University of São Paulo / Hospital São Paulo

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Dec 2014. You cannot join it, but the record below documents what was studied.

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