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Diabetic Macular EdemaPhase 1/2NCT02914613

Safety and Exploratory Efficacy Study of SF0166 for the Treatment of Diabetic Macular Edema (DME)

A Phase 1/2 study testing SF0166 Topical Ophthalmic Solution in people with Diabetic Macular Edema, run by OcuTerra Therapeutics, Inc. at 6 sites in United States.

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 primary purpose of this study was to evaluate the safety and exploratory efficacy of SF0166 Topical Ophthalmic Solution in patients with Diabetic Macular Edema (DME). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetic Macular Edema
What is being tested?
SF0166 Topical Ophthalmic Solution
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
6 sitesUnited States
Study dates
24 Aug 2016to 16 May 2017
Phase
Phase 1/2
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 female, 18 years of age or older.
  • Retinal thickening secondary to type 1 or type 2 diabetes mellitus with Diabetic Macular Edema (DME) defined as central subfield thickness ≥325 microns (µm) on spectral domain OCT in the study eye.
  • Best-corrected Visual Acuity (BCVA) between 78 and 25 letters, inclusive, in the study eye at the screening/randomization visit using Early Treatment Diabetic Retinopathy Study (ETDRS) testing, with BCVA decrement primarily attributable to Diabetic Macular Edema (DME).
  • Treatment naïve (i.e., no previous anti--vascular endothelial growth factor [VEGF] treatment in the study eye) or previously treated study eye with adequate washout defined below:
  • Lucentis (ranibizumab): 30-day washout
  • Avastin (bevacizumab): 30-day washout
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  • Eylea (aflibercept): 60-day washout
  • Macugen (pegaptanib): 45-day washout
  • Willing and able to return for all study visits.
  • Able to adhere to the study dosing requirements.
  • Understands and signs the written informed consent form.

Who cannot join

  • Active proliferative diabetic retinopathy (PDR) in the study eye, such as neovascularization of the optic disc (NVD), neovascularization elsewhere (NVE), vitreous hemorrhage, or neovascular glaucoma.
  • Uncontrolled glaucoma or ocular hypertension in the study eye defined as an intraocular pressure (IOP) >25 millimeter of mercury (mmHg) regardless of concomitant treatment with IOP-lowering medications.
  • Uncontrolled hypertension defined as systolic >180 mmHg or >160 mmHg on 2 consecutive measurements (during the same visit) or diastolic >100 mmHg on optimal medical regimen.
  • Screening glycated hemoglobin (HbA1c) blood test >12.0%.
  • Previous panretinal photocoagulation (PRP) in the study eye within 4 months of study enrollment, or the need for PRP during the study based on the Investigator's opinion.
  • Previous focal laser photocoagulation in the study eye, within the foveal avascular zone.
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  • Intravitreal/periocular/topical ocular steroids of any type in the study eye within 90 days (3 months) prior to study enrollment.
  • Placement of Iluvien or Retisert (fluocinolone acetonide intravitreal implant) in the study eye within 36 months (3 years) prior to study enrollment.
  • Use of Ozurdex (dexamethasone intravitreal implant) in the study eye within 180 days (6 months) prior to study enrollment.
  • Significant epiretinal membrane, posterior hyaloidal traction, and/or vitreomacular traction in the study eye as determined by the optical coherence tomography (OCT) results.
  • Previous pars plana vitrectomy in the study eye.
  • Any intraocular surgery in the study eye within 90 days (3 months) prior to study enrollment.
  • Yttrium aluminium garnet (YAG) laser treatment in the study eye within 30 days (1 month) prior to study enrollment.
  • Concomitant use of any topical ophthalmic medications in the study eye, including dry eye or glaucoma medications, unless on a stable dose for at least 90 days (3 months) prior to study enrollment and expected to stay on stable dose throughout study participation. Artificial tears are allowed.
  • High myopia in the study eye, with a spherical equivalent of >8.00 Diopters (D) at screening.
  • Chronic or recurrent uveitis in the study eye.
  • Ongoing ocular infection or inflammation in either eye.
  • A history of cataract surgery complicated by vitreous loss in the study eye.
  • Congenital eye malformations in the study eye.
  • A history of penetrating ocular trauma in the study eye.
  • Mentally handicapped.
  • Females of childbearing potential (i.e., who are not postmenopausal for at least 1 year or surgically sterile for at least 6 weeks prior to Visit 1 - Screening/Randomization) who are lactating, or who are pregnant as determined by a positive urine pregnancy test (UPT) at Visit 1 - Screening/Randomization. Women of childbearing potential must agree to use acceptable methods of birth control throughout the study. Acceptable methods of birth control include tubal ligation, transdermal patch, intrauterine devices/systems, oral/implantable/injectable or contraceptives, sexual abstinence, double barrier method, or vasectomized partner.
  • Participation in any other investigational device or drug clinical research study within 30 days of Visit 1 - Screening/Randomization.
  • Contraindication to the study medications or fluorescein dye.
  • Other ocular pathologies that in the Investigator's opinion would interfere with the subject's vision in the study eye.

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Retina-Vitreous Associates Medical Group

    Beverly Hills, California, 90211

  • Ophthalmic Consultants of Boston

    Boston, Massachusetts, 02114

  • Retina Consultants of Houston

    Houston, Texas, 77030

  • United Medical Research Institute

    Inglewood, California, 90301

  • Martel Eye Medical Group

    Rancho Cordova, California, 95670

  • Center for Retina and Macular Disease

    Winter Haven, Florida, 33880

Other trials in United States

About this study

Official title: A Phase I/II Randomized, Double-Masked, Multicenter Clinical Trial Designed to Evaluate the Safety and Exploratory Efficacy of SF0166 Topical Ophthalmic Solution in the Treatment of Diabetic Macular Edema (DME)

The primary purpose of this study was to evaluate the safety and exploratory efficacy of SF0166 Topical Ophthalmic Solution in patients with Diabetic Macular Edema (DME).

Read the detailed description

This was a prospective, randomized, double-masked, multicenter, Phase I/II clinical study in which 44 eligible subjects with active Diabetic Macular Edema (DME) were randomized to 1 of 2 treatment arms in a 1:1 ratio as follows: SF0166 low dose twice daily (BID) or SF0166 high dose BID.

Study subjects administered the randomly assigned treatment for 28 days. There was an additional 28-day post-treatment follow-up period. Study subjects returned for examination every 2 weeks for 8 weeks (2 months).

Being tested
SF0166 Topical Ophthalmic Solution

What participants receive

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

  • SF0166 Topical Ophthalmic SolutionDrug

    Also called OTT166 Ophthalmic Solution

Study groups in NCT02914613
Study groupRoleWhat they receive
SF0166 low dose BIDExperimentalSF0166 low dose instilled in study eye BID for 28 days of treatment.
Receives: Drug: SF0166 Topical Ophthalmic Solution
SF0166 high dose BIDExperimentalSF0166 high dose instilled in study eye BID for 28 days of treatment.
Receives: Drug: SF0166 Topical Ophthalmic Solution

What is being measured

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

  1. Number of Subjects With No Cells Observed Following Slit Lamp Examination From Baseline to Week 8

    Percentage of subjects with red blood cell counts in the anterior chamber in the ranges from 0 to > 30 with the higher number being worse

    Measured: Baseline, 2, 4, 6, and 8 weeks

  2. Number of Subjects With Flare Observed Following Slit Lamp Examination From Baseline to Week 8

    Number and percentage of subjects with flare in the anterior chamber graded on a scale from 0 (none) to 4 (severe).

    Measured: Baseline, 2, 4, 6, and 8 weeks

  3. Number of Subjects With Hyphema Observed Following Slit Lamp Examination From Baseline to Week 8

    Number and percentage of subjects with hyphema

    Measured: Baseline, 2, 4, 6 and 8 weeks

  4. Number of Subjects With Bulbar Conjunctival Injection Observed Following Slit Lamp Examination From Baseline to Week 8

    Number and percentage of subjects with bulbar conjunctival injection

    Measured: Baseline, 2,4,6 and 8 weeks

  5. Number of Subjects With Erythema Observed Following Slit Lamp Examination From Baseline to Week 8

    Number and percentage of subjects with erythema

    Measured: Baseline, 2, 4, 6 and 8 weeks

  6. Number of Subjects With Edema Observed Following Slit Lamp Examination From Baseline to Week 8

    Number and percentage of subjects with edema

    Measured: Baseline, 2,4, 6 and 8 weeks

  7. Number of Subjects With Any Lens Opacity Observed Following Slit Lamp Examination From Baseline to Week 8

    Number and percentage of subjects with any lens opacity

    Measured: Baseline, 2,4,6 and 8 weeks

  8. Number of Subjects With Abnormal Findings in Optic Nerve Following Fundus Examination From Baseline to Week 8

    Number and percentage of subjects with abnormal findings in the optic nerve

    Measured: Baseline, 2,4,6 and 8 weeks

  9. Number of Subjects With Abnormal Findings in Vitreous Following Fundus Examination From Baseline to Week 8

    Number and percentage of subjects (both eyes) with abnormal findings in the vitreous

    Measured: Baseline, 2,4,6 and 8 weeks

  10. Number of Subjects With Abnormal Findings in Fundus Following Fundus Examination From Baseline to Week 8

    Number and percentage of subjects with abnormal findings in the fundus

    Measured: Baseline, 2,4,6 and 8 weeks

  11. Number of Subjects With Abnormal Findings in Macula/Choroid Following Fundus Examination From Baseline to Week 8

    Number and percentage of subjects with abnormal findings in the macula/choroid

    Measured: Baseline, 2,4,6 and 8 weeks

  12. Number of Subjects With Abnormal Findings in Vessels Following Fundus Examination From Baseline to Week 8

    Number and percentage of subjects with abnormal findings in the retinal vessels

    Measured: Baseline, 2,4,6 and 8 weeks

  13. Cup:Disc Ratio of Subjects Following Fundus Examination From Baseline to Week 8

    Number and percentage of subjects with specified Cup:Disc ratio in the range from 0.1 to 0.6 with the higher number being worse

    Measured: Baseline, 2,4,6 and 8 weeks

  14. Number of Subjects With Abnormal Findings Following A Fluorescein Angiogram at Week 4 Compared to Baseline (Day 0)

    Number and percentage of subjects with abnormal fluorescein angiogram findings

    Measured: Baseline and 4 weeks

  15. Change in Intraocular Pressure From Baseline to Week 8

    Mean and standard deviation of change from Baseline in intra-ocular pressure

    Measured: 2,4,6 and 8 weeks

  16. Change in Central Retinal Thickness (CRT) for Study Eye From Baseline (Day 0) to Week 8

    Measured: 2,4,6 and 8 weeks

Secondary outcomes (1)
  1. Change in Best-corrected Visual Acuity (BCVA) for Study Eye From Baseline (Day 0) at Week 4 and Week 8

    Measured: 2, 4, 6 and 8 weeks

Timeline

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

  1. First posted26 Sep 2016 (estimated)
  2. Study start24 Aug 2016
  3. Primary completion16 May 2017
  4. Study completion16 May 2017

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02914613
Sponsor's protocol ID
SF0166-C-001
Status last verified
May 2023
First submitted
1 Sep 2016
Last updated
11 May 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing SF0166 Topical Ophthalmic Solution in people with Diabetic Macular Edema, run by OcuTerra Therapeutics, Inc. at 6 sites in United States.

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 11 inclusion and 25 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 11 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 11 May 2023). 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?

Number of Subjects With No Cells Observed Following Slit Lamp Examination From Baseline to Week 8 (time frame: Baseline, 2, 4, 6, and 8 weeks). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 May 2023.

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