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TerminatedNCT03640650Updated Sep 21, 2021

Economic Impact of Dropless Therapy Versus Usual Care for Cataract Surgery: A Real-World Study.

A Phase 4 interventional study of Dropless Therapy and Usual Care in Cataract Surgery, sponsored by PeriPharm. Terminated at 2 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-09-21.

Sponsored by PeriPharm · Phase 4, Interventional, and Prevention

Why this study was terminated
COVID-19 pandemic leading to uncertainty in the recruitement
Phase
Phase 4
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This real-life Health Economics and Outcome Research (HEOR) study will enable to evaluate the economic impact of Dropless therapy for the prophylactic treatment of inflammation and infection after routine cataract surgery. This prospective randomized controlled crossover open-label study will estimate resource utilization and cost attributable to patients' management following a cataract surgery and until last follow-up visit and adherence, satisfaction and preference between usual care and Dropless in a real-life setting.

Data collected will include patients' characteristics and demographics, medical information, cataract surgery information, healthcare resource utilization, patients' adherence to topical ophthalmic medications as well as patients' satisfaction to both treatment and preference between usual care and Dropless. Patients will fill a set of questionnaires at their recruitment in the study and at their last follow-up visit for their two cataracts surgery.

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Conditions studied

  • Cataract Surgery

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Keywords

  • Sequential bilateral cataract surgery
03

In context

Cataract

1,701 studies on the registry are indexed under Cataract; 230 are open to participants now.

This study's enrollment of 80 is close to the median of 80 across 1,155 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

PeriPharm is the lead sponsor of 13 studies on the registry; 2 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

Inclusion criteria

  1. 18 years of age or older;
  2. Undergoing delayed sequential bilateral cataract extraction with intraocular lens implantation;
  3. Delayed sequential bilateral cataract surgery performed in a day surgery setting;
  4. Second cataract surgery planned within 3 months following the date of the first cataract surgery;
  5. Ability to read and understand English or French;
  6. Signature of ICF.

Exclusion criteria

Exclusion Criteria:

  1. Patients with other ophthalmic conditions such as glaucoma, corneal disease, agerelated macular degeneration, and active uveitis* (*In line with current clinical practice in Canada, uveitis should be inactive for 3 months to be included in the study);
  2. Any clinically significant, serious or severe medical or psychiatric condition that may increase the risk associated with study participation;
  3. Participation in any investigational ophthalmic-related drug or device trial within the 30 days prior to the start date of this trial or participation in any current investigational ophthalmic-related drug or device trial;
  4. Patients with any history of allergy to the usual care post-operative eye drops or the components of Dropless.
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Dropless Therapy

    Single used, pre-mixed, centrally compounded injectable that contains 15 mg/ml of triamcinolone acetonide and 1 mg/ml of moxifloxacin. This preservative-free suspension is injected at a dose of 0.2 mg into the posterior chamber, for a total drug delivery of 3 mg of triamcinolone acetonide and 0.2 mg of moxifloxacin. At the time of cataract surgery, Dropless is intended to be injected as a single administration into the anterior vitreous after the insertion of the IOL implant, with a 27 or 30-gauge cannula via a transzonular or transsceral pars plana injection, just before rinsing the viscoelastic fluid.

    Combination Product: Dropless Therapy

  • Active comparator
    Usual Care

    This therapy usually comprises an antibiotic, a steroid and in some cases a nonsteroidal anti-inflammatory drug (NSAID). Antibacterial drops are usually given at the end of surgery and are continued for one week after the surgery. Steroid drops are usually started the day of surgery and then tapered down over 3 to 4 weeks. When prescribed, NSAIDs are usually started 2 or 3 days before surgery, or started the day of surgery, and continued for 3 or 4 times a day for 3 to 4 weeks.

    Drug: Usual Care

Interventions

  • Combination productDropless Therapy

    The Dropless will be injected, as a single administration, into the vitreous cavity during the cataract surgery.

    Also known as: Triamcinolone acetonide (15mg/ml), Moxifloxacine (1mg/ml)

  • DrugUsual Care

    In order to reflect real-world clinical practice, the choice of topical ophthalmic medications as well as dosage, posology, and duration of treatment will be left to the discretion of the treating ophthalmologist.

    Also known as: Antibacterial eye drops, Nonsteroidal anti-inflammatory eye drops, Steroid eye drops

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What researchers measure

Primary outcomes

  1. Cataract surgery - related healthcare resource use assessed by number of relevant medications

    Chart abstracted and self-reported by participant

    Time frame: 30 to 45 days following each cataract surgeries

  2. Cataract surgery - related healthcare resource use assessed by number of medical visits (outpatient and inpatient visits)

    Chart abstracted and self-reported by participant

    Time frame: 30 to 45 days following each cataract surgeries

  3. Cataract surgery - related healthcare resource use assessed by number of hospitalizations (ICU and non-ICU)

    Chart abstracted and self-reported by participant

    Time frame: 30 to 45 days following each cataract surgeries

  4. Cataract surgery - related health care resource use assessed by lengths of hospital stay (ICU and non-ICU)

    Chart abstracted and self-reported by participant

    Time frame: 30 to 45 days following each cataract surgeries

  5. Cataract surgery - related health care resource use assessed by number of emergency department visit

    Chart abstracted and self-reported by participant

    Time frame: 30 to 45 days following each cataract surgeries

  6. Cataract surgeries - related health care resource use assessed by number of home visit from nurse

    Chart abstracted and self-reported by participant

    Time frame: 30 to 45 days following each cataract surgeries

Secondary outcomes

  1. Medication adherence

    The investigator will question the participant on his adherence to drop regimen. Descriptive results of the adherence, based on self-reported adherence, will be reported in accordance to patients' responses for each question.

    Time frame: 30 to 45 days following each cataract surgeries

  2. Medication satisfaction

    The investigator will question the patient in order to describe the satisfaction to drop regimen or Dropless. Descriptive results of the satisfaction, based on self-reported satisfaction, will be reported in accordance to patients' responses for each question.

    Time frame: 30 to 45 days following each cataract surgeries

  3. Medication preference

    The investigator will question the patient about his preference between the usual care (eye drops) and Dropless. Descriptive results of the preference will be reported in accordance to patients' responses.

    Time frame: Through study completion, an average of 20 weeks for each patient

07

Study locations

2 sites
  • CIUSSS de l'Est-de-l'Île-de-Montréal (Hôpital Maisonneuve-Rosemont)
    Montreal, Quebec H1T 2M4, Canada
  • McGill Academic Eye Center
    Montreal, Quebec H4A 3J1, Canada
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03640650
Lead sponsor
PeriPharm
Collaborators
Advance Dosage Forms, Inc., Imprimis Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Aug 21, 2018
Start date
Aug 15, 2018
Primary completion
Mar 16, 2021
Completion
Mar 16, 2021
Last update
Sep 21, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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