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Non-Infectious UveitisPhase 3FAINCT01694186

Safety and Efficacy of an Injectable Fluocinolone Acetonide Intravitreal Insert

A Phase 3 study testing FAI insert in people with Non-Infectious Uveitis, run by EyePoint Pharmaceuticals, Inc. at 34 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A study to evaluate the safety and efficacy of an FAI insert for the management of subjects with non-infectious uveitis affecting the posterior segment of the eye. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Infectious Uveitis
What is being tested?
FAI insert
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
129 participants
Where
34 sitesin 6 countries
Study dates
2 Aug 2013to 26 Mar 2018
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or non-pregnant female at least 18 years of age at time of consent
  • One or both eyes having a history of recurrent non-infectious uveitis affecting the posterior segment of the eye with or without anterior uveitis > 1 year duration.
  • During the 12 months prior to enrollment (Day 1), the study eye has either received treatment:
  • systemic corticosteroid or other systemic therapies given for at least 3 months, and/or
  • at least 2 intra- or peri-ocular injections of corticosteroid for management of uveitis
  • OR the study eye has experienced recurrence:
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  • at least 2 separate recurrences of uveitis requiring systemic, intra- or peri-ocular injection of corticosteroid
  • At the time of enrollment (Day 1), study eye has < 10 anterior chamber cells/HPF and a vitreous haze ≤ grade 2.
  • Visual acuity of study eye is at least 15 letters on the ETDRS chart
  • Subject is not planning to undergo elective ocular surgery during the study
  • Subject has ability to understand and sign the Informed Consent Form
  • Subject is willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures

Who cannot join

  • Allergy to fluocinolone acetonide or any component of the FAI insert
  • History of posterior uveitis only that is not accompanied by vitritis or macular edema
  • History of iritis only and no vitreous cells, anterior chamber cells or vitreous haze
  • Uveitis with infectious etiology
  • Vitreous hemorrhage
  • Intraocular inflammation associated with a condition other than noninfectious uveitis (e.g. intraocular lymphoma)
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  • Ocular malignancy in either eye, including choroidal melanoma
  • Toxoplasmosis scar in study eye; or scar related to previous viral retinitis
  • Previous viral retinitis
  • Current viral diseases of the cornea and conjunctiva including epithelial herpes simplex keratitis (dendritic keratitis), vaccinia, and varicella, mycobacterial infections of the eye or fungal diseases of ocular structure
  • Media opacity precluding evaluation of retina and vitreous
  • Peripheral retinal detachment in area of insertion
  • Diagnosis of any form of glaucoma or ocular hypertension in study eye at Screening, unless study eye has been previously treated with an incisional surgery procedure that has resulted in stable IOP in the normal range (10-21 mmHg)
  • Intraocular pressure (IOP) > 21 mmHg or concurrent therapy at screening with any IOP-lowering pharmacologic agent in the study eye
  • Chronic hypotony (< 6 mmHg)
  • Ocular surgery on the study eye within 3 months prior to study Day 1
  • Capsulotomy in study eye within 30 days prior to study Day 1
  • Prior intravitreal treatment of study eye with Retisert within 36 months prior to study Day 1
  • Prior intravitreal treatment of study eye with Ozurdex within 6 months prior to study Day 1
  • Prior intravitreal treatment of study eye with Triesence or Trivaris within 3 months prior to study Day 1
  • Prior peri-ocular or subtenon steroid treatment of study eye within 3 months prior to study Day 1
  • Subjects requiring chronic systemic or inhaled corticosteroid therapy (>15mg prednisone daily) or chronic systemic immunosuppressive therapy
  • Excluding certain skin cancers (specifically, basal cell carcinoma and squamous cell carcinoma), any malignancy receiving treatment, or in remission less than 5 years prior to study Day 1
  • Subjects who test positive for human immune deficiency virus (HIV) or syphilis during screening
  • Mycobacterial uveitis or chorio-retinal changes of either eye which, in the opinion of the Investigator, result from infectious mycobacterial uveitis
  • Systemic infection within 30 days prior to study Day 1
  • Any severe acute or chronic medical or psychiatric condition that could increase the risk associated with study participation or could interfere with the interpretation of study results and, in the judgment of the investigator, could make the subject inappropriate for entry into this study
  • Any other systemic or ocular condition which, in the judgment of the investigator, could make the subject inappropriate for entry into this study
  • Treatment with an investigational drug or device within 30 days prior to study Day 1
  • Pregnant or nursing females; females of childbearing potential who are unwilling or unable to use an acceptable method of contraception as outlined in this protocol from at least 14 days prior to study Day 1 until the Month 12 Visit
  • Subjects unlikely to comply with the study protocol or who are likely to be lost to follow-up within three years

Trial locations and contacts

34 sites in 6 countries.

34 sites in 6 countries

United States16 sites
  • Texas Retina Associates

    Arlington, Texas, 76012

  • Retina Vitreaous Associates

    Beverly Hills, California, 90211

  • Ocular Immunology and Uveitis Foundation

    Cambridge, Massachusetts, 02142

  • Northwestern University

    Chicago, Illinois, 60611

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Retina Consultants of Southern Colorado

    Colorado Springs, Colorado, 80909

  • Duke University Eye Center

    Durham, North Carolina, 27710

  • Retina Consultants of Houston

    Houston, Texas, 77030

  • Charleston Neuroscience Institute

    Ladson, South Carolina, 29456

  • Ophthalmology & Visual Sciences

    Lexington, Kentucky, 40508

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198

  • OHSU Casey Eye Institute

    Portland, Oregon, 97239

  • Retinal Consultants Medical Group, Inc

    Sacramento, California, 95819

  • Foresight Studies, LLC

    San Antonio, Texas, 78240

  • Retina Consultants

    Slingerlands, New York, 12159

  • Retina Macula Institute

    Torrance, California, 90503

Other trials in United States

India6 sites
  • C.H Nagri Municipal Eye Hospital

    Ahmedabad, Gujarat

  • PBMA'S H.V. Desai Eye Hospital

    Hadapsar, Pune

  • L. V. Prasad Eye Institute - Hospital

    Hyderabad, Andhra Pradesh

  • King George's Medical University

    Lucknow, Uttar Pradesh

  • Seth G.S. Medical College & KEM Hospital

    Parel, Mumbai

  • L.V. Prasad Eye Institute

    Pātia, Bhubaneshwar

Other trials in India

United Kingdom6 sites
  • Royal Hospitals Trust

    Belfast

  • Birmingham and Midland Eye Centre

    Birmingham

  • Bradford Royal Infirmary

    Bradford

  • Gloucestershire Royal Hospital

    Gloucester

  • Moorfields Eye Hospital

    London

  • St Thomas Hospital

    London

Other trials in United Kingdom

Israel3 sites
  • Hadassah University Hospital Ein Kerem

    Jerusalem

  • Rabin Medical Center

    Petah Tikva

  • Sheba Medical Center

    Qiryat Ono

Other trials in Israel

Germany2 sites
  • Augenarzte am St. Franziskus Hospital

    Münster

  • Universitatsklinikum Tubingen

    Tübingen

Other trials in Germany

Hungary1 site
  • Bajcsy-Zsilinszky Kórház és Rendelőintézet

    Budapest

Other trials in Hungary

About this study

Official title: A Phase III, Multi-National, Multi-Center, Randomized, Masked, Controlled, Safety and Efficacy Study of a Fluocinolone Acetonide Intravitreal Insert in Subjects With Chronic Non-Infectious Uveitis Affecting the Posterior Segment of the Eye

A study to evaluate the safety and efficacy of an FAI insert for the management of subjects with non-infectious uveitis affecting the posterior segment of the eye.

Read the detailed description

This is a phase 3, multi-national, multi-center, randomized, masked, controlled study to evaluate the safety and efficacy of an injectable fluocinolone acetonide intravitreal (FAI) insert for the management of subjects with non-infectious uveitis affecting the posterior segment of the eye. Patients will be randomized to receive either a sham injection or the FAI insert and will be observed for three years following treatment.

Being tested
FAI insert, Sham injection

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FAI insertDrug

    Also called Active Drug

  • Sham injectionDrug

    Also called Sham Comparator

Study groups in NCT01694186
Study groupRoleWhat they receive
sham injectionSham comparatorsham injection
Receives: Drug: Sham injection
FAI insertExperimentalFAI insert (0.18 mg fluocinolone acetonide)
Receives: Drug: FAI insert

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of Subjects With Recurrence of Uveitis in the Study Eye and Overall Summary of Number of Participants With Ocular Treatment-Emergent Adverse Events for the Study Eye Through Month 36 Visit

    Safety: Ocular adverse events, including IOP elevation; medications/procedures required to control elevated IOP; development or worsening of cataract; cataract-related procedures; clinically significant ocular changes; procedure related adverse events Primary Efficacy Endpoint: Proportion of subjects who have a recurrence of uveitis in the study eye within 6 months after receiving study treatment.

    Measured: 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Sep 2012 (estimated)
  2. Study start2 Aug 2013
  3. Primary completion26 Mar 2018
  4. Study completion26 Mar 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
129 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01694186
Sponsor's protocol ID
PSV-FAI-001
Acronym
FAI
Status last verified
Mar 2021
First submitted
24 Sep 2012
Last updated
2 Apr 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Jaffe GJ, Pavesio CE; Study Investigators. Effect of a Fluocinolone Acetonide Insert on Recurrence Rates in Noninfectious Intermediate, Posterior, or Panuveitis: Three-Year Results. Ophthalmology. 2020 Oct;127(10):1395-1404. doi: 10.1016/j.ophtha.2020.04.001. Epub 2020 Apr 17.

    PubMed 32624244

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing FAI insert in people with Non-Infectious Uveitis, run by EyePoint Pharmaceuticals, Inc. at 34 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, India, United Kingdom, Israel, Germany and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Mar 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of Subjects With Recurrence of Uveitis in the Study Eye and Overall Summary of Number of Participants With Ocular Treatment-Emergent Adverse Events for the Study Eye Through Month 36 Visit (time frame: 36 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01694186, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2021.

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