ClinicalTrials.gg
Status unknownNCT04863742ENHANCEUpdated Apr 28, 2021

Evaluation Of Vision Recovery And Comfort Index In Patients With Borderline/Mild Dry Eyes Undergoing FLACS With Premium IOL

A Phase 4 interventional study of Dextenza 0.4Mg Ophthalmic Insert and Prednisolone Acetate in Dry Eye Syndromes, sponsored by Sight Medical Doctors PLLC. Status unknown at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-28.

Sponsored by Sight Medical Doctors PLLC · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, open-label, single-center, randomized, head-to-head, investigator-sponsored clinical study. It aims to investigate the vision recovery and patient comfort in borderline/mild dry eye disease patients undergoing FLACS with Premium PCIOL (i.e., Panoptix, Toric IOL (spherical/multifocal), ReStor, Symfony), receiving a 0.4mg dexamethasone intracanalicular insert when compared to patients receiving standard of care prednisolone acetate 1%.

Read the detailed description

This is a prospective, open-label, single-center, randomized, head-to-head, investigator-sponsored clinical study. It aims to investigate the vision recovery and patient comfort in borderline/mild dry eye disease patients undergoing FLACS with Premium PCIOL (i.e., Panoptix, Toric IOL (spherical/multifocal), ReStor, Symfony), receiving a 0.4mg dexamethasone intracanalicular insert when compared to patients receiving standard of care prednisolone acetate 1%. After screening a given patient for inclusion and exclusion criteria, and gaining informed consent, a total of 30 patients will be randomized into two groups:

Group 1: 15 patients will undergo bilateral FLACS + Premium PCIOL in separate days and will receive a 0.4mg dexamethasone intracanalicular insert at the days of each surgery.

Group 2: 15 patients will undergo bilateral FLACS + Premium PCIOL in separate days and will receive prednisolone acetate 1% QID/ 1 week, TID/ 1 week, BID/1 week, QD/ 1 week regimen starting at the days of each surgery.

All patient eyes will receive Prolensa 0.07% ophthalmic solution QD for 4 weeks starting 3 days prior to surgery and Besivance 0.6% eye drops TID/starting 3 days prior to surgery.

Per enrolled eye, the study period will last for approximately 30 days after surgery, consisting of three postop follow-up visits (six total postop visits per patient). At Day 1, Day 7 and Day 30, primary and secondary endpoints will be assessed alongside standard-of-care procedures. SPEED questionnaire will be assessed by a masked survey administrator. Adjusting for enrollment period, the study will last a total of approximately 12 months, including submission for publication/ presentation.

02

Conditions studied

  • Dry Eye Syndromes

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03

In context

Dry Eye Syndromes

1,325 studies on the registry are indexed under Dry Eye Syndromes; 193 are open to participants now.

This study's planned enrollment of 30 is below the median of 60 across 1,103 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

Sight Medical Doctors PLLC is the lead sponsor of 3 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

  1. Demonstrate objective signs of Boderline/ Mild Ocular Surface Disease (OSD) [defined as mild symptoms, mild conjunctival staining (\<2+ Superficial Punctate Keratitis), Tear Break-up Time \<12s] or demonstrate symptoms of OSD determined by SPEED questionnaire (SPEED Score \<10).
  2. Nucleus sclerosis up to 2+ planning to undergo FLACS + Premium PCIOL in both eyes.
  3. Ability to provide informed consent for procedures
  4. Ability to attend scheduled follow up visits
  5. No other corneal pathology to create unknown variability

Exclusion criteria

Exclusion Criteria:

  1. Age less than 18
  2. Pregnancy/currently breast-feeding
  3. Inability to provide informed consent
  4. Documented adverse reaction to steroid (e.g. "steroid responder", allergy, etc)
  5. Punctal stenosis
  6. Previous corneal transplant surgery or refractive surgery
  7. Concurrent use of topical steroid eye drops
  8. Systemic, topical or intravitreal steroid use within 1 month of baseline
  9. Active history of chronic or recurrent inflammatory eye disease in either eye
  10. History of ocular herpetic infection (inclusive of Herpes Simplex 1/2, Varicella Zoster, Epstein Barr, Cytomegalovirus)
  11. History of neurotrophic keratitis, uncontrolled diabetes, or other disease entities that may preclude proper healing
  12. Diagnosis of Glaucoma or use of topical glaucoma drops
  13. Participation in other studies in the last 6 months
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Dextenza Arm

    Drug: Dextenza 0.4Mg Ophthalmic Insert

  • Active comparator
    Prednisolone Acetate 1%

    Drug: Prednisolone Acetate

Interventions

06

What researchers measure

Primary outcomes

  1. Mean change in Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA)

    As measured by Best Corrected Visual Acuity (BCVA) from baseline and at 1 week and 30 days after surgery

    Time frame: Baseline, Post-Operative Day 7 and Day 30

  2. Mean change in uncorrected Visual Acuity (VA)

    As measured by uncorrected VA from baseline and at 1 week and 30 days after surgery

    Time frame: Baseline, Post-Operative Day 7 and Day 30

  3. Mean change from baseline in Standardized Patient Evaluation of Eye Dryness (SPEED) score

    As measured by SPEED score from baseline and at 1 week and 30 days after surgery

    Time frame: Baseline, Post-Operative Day 7 and Day 30

Secondary outcomes

  1. Patient satisfaction with vision at 1 week and 30 days after surgery

    As measured by patient satisfaction survey

    Time frame: Post-Operative Day 7 and Day 30

  2. Mean number of artificial tear drops dosed per day

    As measured by patient daily log.

    Time frame: 30 Day tear log.

  3. Mean change in tear break-up time (TBUT)

    As measured by TBUT

    Time frame: Baseline and at POD 7 and POD 30

  4. Mean change in tear osmolarity

    As measured by tear osmolarity

    Time frame: Baseline and at POD 7 and POD 30

  5. Mean change in corneal staining

    As measured by corneal staining

    Time frame: Baseline and at POD 7 and POD 30

  6. Mean change from baseline in (Central Subfield Thickness) CST

    As measured by CST

    Time frame: Post-Operative Day 7 and 30

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Apr 2021; primary completion for Jul 2021, 3 months later.

Of 81 non-industry phase 4 interventional studies under Dry Eye Syndromes, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 28. This study's planned 3 months is below that.

Counting every sponsor, half of 111 studies reached it within 13 months; a quarter within 5 and three quarters within 24.

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

Registered
Apr 22, 2021
First posted
Apr 28, 2021
StartEst.
Apr 26, 2021
Primary completionEst.
Jul 31, 2021
CompletionEst.
Sep 30, 2021
Last update
Apr 28, 2021
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 Apr 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04863742
Lead sponsor
Sight Medical Doctors PLLC
Responsible party
Dr. John Passarelli (Principle Investigator, Sight Medical Doctors PLLC) — Principal investigator
First posted
Apr 28, 2021
Start date
Apr 26, 2021 (estimated)
Primary completion
Jul 31, 2021 (estimated)
Completion
Sep 30, 2021 (estimated)
Last update
Apr 28, 2021

Study contacts

John Passarelli, MD
Contact
msingleton@sightmd.com
6312314455
Marshel Singleton, MSN, FNP
Contact
msingleton@sightmd.com
6312314455
John Passarelli, MD
principal investigator · Sight Medical Doctors PLLC

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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Studies of the drug tested here: Dexamethasone

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