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Vitreous InflammationPhase 3NCT02361645

NSAIDs and PGE2 Levels in Vitrectomy Patients

A Phase 3 study testing Ketorolac 0.5% eyedrops, Indomethacin 0.5% eyedrops and Bromfenac 0.09% eyedrops in people with Vitreous Inflammation, run by Università degli Studi di Brescia.

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

The purpose of this study is to assess vitreous concentrations of nonsteroidal antiinflammatory drugs (NSAIDs) and prostaglandin E2 in patients treated with NSAIDs before vitrectomy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Vitreous Inflammation
What is being tested?
Ketorolac 0.5% eyedrops, Indomethacin 0.5% eyedrops and Bromfenac 0.09% eyedrops
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
No sites listed yet
Study dates
Mar 2014to Jan 2015
Phase
Phase 3
Are there results?
None posted in the registry

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

  • patients with pucker scheduled for vitrectomy

Who cannot join

  • diabetes
  • active inflammation

About this study

Official title: Vitreous Nonsteroidal Antiinflammatory Drus Concentrations And Prostaglandin E2 Levels in Vitrectomy Patients Treated With Indomethacin 0.5%, Bromfenac 0.09%, and Nepafenac 0.1%

The purpose of this study is to assess vitreous concentrations of nonsteroidal antiinflammatory drugs (NSAIDs) and prostaglandin E2 in patients treated with NSAIDs before vitrectomy.

A total of 0.5 to 1 mL undiluted vitreous was removed from the midvitreous cavity at the beginning of the surgery before infusion with balanced salt solution. Samples were immediately frozen and stored at -40°C until analysis. Samples were evaluated in a masked fashion. Vitreous concentrations of the study drugs were quantified using a reverse-phase liquid chromatography mass spectroscopy system. The minimum quantification limit for ketorolac, bromfenac, nepafenac, and amfenac was 0.8 ng/mL. Prostaglandin E2 concentrations were determined using a commercially available competitive enzyme immunoassay kit (R \& D Systems, Minneapolis, MN).

Being tested
Ketorolac 0.5% eyedrops, Indomethacin 0.5% eyedrops, Bromfenac 0.09% eyedrops, Nepafenac 0.1% eyedrops
Keywords
nonsteroidal antiinflammatory drugs, prostaglandin E2, vitrectomy

What participants receive

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

  • Ketorolac 0.5% eyedropsDrug

  • Indomethacin 0.5% eyedropsDrug

  • Bromfenac 0.09% eyedropsDrug

  • Nepafenac 0.1% eyedropsDrug

Study groups in NCT02361645
Study groupRoleWhat they receive
Control GroupNo interventionNo NSAIDs were administered prior to surgery
Ketorolac eyedropsExperimentalKetorolac 0.5% eyedrops were administered prior to surgery
Receives: Drug: Ketorolac 0.5% eyedrops
Indomethacin eyedropsExperimentalIndomethacin 0.5% eyedrops were administered prior to surgery
Receives: Drug: Indomethacin 0.5% eyedrops
Nepafenac eyedropsExperimentalNepafenac 0.1% eyedrops were administered prior to surgery
Receives: Drug: Nepafenac 0.1% eyedrops
Bromfenac eyedropsExperimentalBromfenac 0.09% eyedrops were administered prior to surgery
Receives: Drug: Bromfenac 0.09% eyedrops

What is being measured

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

  1. Prostaglandin E2 levels in the vitreous (pg/mL)

    Measured: 7 days after NSAID TID administration, following vitrectomy

Secondary outcomes (2)
  1. NSAIDs concentration (ng/mL) into the vitreous

    Vitreous concentrations of the study drugs were quantified using a reverse phase high performance liquid chromatography mass spectroscopy system.

    Measured: 7 days after NSAID TID administration, following vitrectomy

  2. Adverse events

    Measured: 7 days after NSAID TID administration, following vitrectomy

Timeline

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

  1. First posted12 Feb 2015 (estimated)
  2. Study startMar 2014
  3. Primary completionNov 2014
  4. Study completionJan 2015

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
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02361645
Sponsor's protocol ID
Vitreo001
Status last verified
Feb 2015
First submitted
27 Jan 2015
Last updated
12 Feb 2015
Results posted
No
Data monitoring committee
No

Publications

  • Morescalchi F, Russo A, Semeraro F. SURGICAL OUTCOMES OF VITREOMACULAR TRACTION TREATED WITH FOVEAL-SPARING PEELING OF THE INTERNAL LIMITING MEMBRANE. Retina. 2021 Oct 1;41(10):2026-2034. doi: 10.1097/IAE.0000000000003139.

    PubMed 33595256

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ketorolac 0.5% eyedrops, Indomethacin 0.5% eyedrops and Bromfenac 0.09% eyedrops in people with Vitreous Inflammation, run by Università degli Studi di Brescia.

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 1 inclusion and 2 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 12 Feb 2015. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Prostaglandin E2 levels in the vitreous (pg/mL) (time frame: 7 days after NSAID TID administration, following vitrectomy). 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 NCT02361645, 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 12 Feb 2015.

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