Dry Eye SyndromesPhase 4ACCURATENCT04237012
ACCURATE Study for Subjects With Dry Eyes
A Phase 4 study testing Dextenza 0.4Mg Intracanalicular Insert and Over the counter Artificial tears in people with Dry Eye Syndromes, run by The Eye Centers of Racine and Kenosha at 1 site in United States.
Trial summary
To determine treatment and imaging outcomes in bilateral ocular surface disease management with an intracanalicular dexamethasone (0.4 mg) insert compared to standard topical over-the-counter artificial tears lubrication management Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Dry Eye Syndromes
- What is being tested?
- Dextenza 0.4Mg Intracanalicular Insert and Over the counter Artificial tears
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteUnited States
- Study dates
- 16 Dec 2019to 30 Dec 2021
- Phase
- Phase 4
- 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
- Healthy volunteers accepted
- Adult, Older adult
Inclusion Criteria:A patient's study eye must meet the following criteria to be eligible for inclusion in the study:
- Age 18 years and older
- Demonstrate objective signs of Ocular Surface Disease (OSD) or
- Demonstrate symptoms of OSD determined by a standardized questionnaire
- No other corneal pathology to create unknown variability
Exclusion Criteria:A patient who meets any of the following criteria in either eye will be excluded from the study:
- History of using topical steroids or other anti-inflammatory drops within 6 months of the study
- History of corticosteroid implant (Ozurdex or Iluvien) or intravitreal steroid use for macular disease in last 12 months
- History or current use of oral steroids or immunosuppressants
- Active ocular infection
- History of HSV
- History corneal refractive surgery
- Uncontrolled Glaucoma
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Randomized Self-Controlled Treatment With an Intracanalicular Dexamethasone Insert Compared to Topical Over the Counter Lubrication Therapy in Patients With Bilateral Ocular Surface Disease
To determine treatment and imaging outcomes in bilateral ocular surface disease management with an intracanalicular dexamethasone (0.4 mg) insert compared to standard topical over-the-counter artificial tears lubrication management
Read the detailed description
This study will evaluate the benefit of treatment with a physician administered intracanalicular dexamethasone insert and patient administered artificial tears prn compared to patient administered artificial tears prn (control) in patients with bilateral ocular surface dry eye disease. The study is a self-controlled design and includes multiple objective, measureable, and quantifiable endpoints to best determine an objective response to treatment in patient eyes randomized to either the insert plus prn artificial tears or artificial tears prn control. To aid in ensuring best possible masking, DEXTENZA is best visualized with blue light and yellow filter and therefore visualization will not be assessed until final visit following all measures.
- Conditions
- Dry Eye Syndromes
- Being tested
- Dextenza 0.4Mg Intracanalicular Insert, Over the counter Artificial tears
- Medical subject headings
- Dry Eye Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dextenza 0.4Mg Intracanalicular InsertDrug
Also called dexamethasone
all patients will receive Intracanalicular dexamethasone, 0.4mg insert lower punctum and able to use over the counter artificial tears PRN at patient discretion
Over the counter Artificial tearsOther
over the counter artificial tears PRN at patient discretion
| Study group | Role | What they receive |
|---|---|---|
| Dextenza | Experimental | Treatment Arm-Dextenza insertion lower lid punctum at time of screening and use of OTC artificial tears as needed Receives: Drug: Dextenza 0.4Mg Intracanalicular Insert |
| Over the counter Artificial tears | Active comparator | Controlled arm: continuation of OTC artificial tears no placement of Dextenza intracanular insert Receives: Other: Over the counter Artificial tears |
What is being measured
The primary outcome is the main question the study is designed to answer.
Determine effect of dexamethasone insert over artificial tears
To determine the effect of dexamethasone insert plus over-the-counter artificial tears prn compared to over the counter artificial tears prn from Baseline at Week 2 (at 8 am, 12 pm and 4 pm) as measured by iTrace and IOL Master 700: and comfort of dry eyes using the OSDI scale and reading scores
Measured: 1 month
Secondary outcomes (1)
OSDI scores
comfort of dry eyes using the OSDI scale and reading scores, scores are from the SPEED questionnaire. scale from 0-3 0-Never 1- Sometime 2-Often 3-Constant for the symptoms
Measured: 1 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jan 2020
- Study start16 Dec 2019
- Primary completion30 Dec 2021
- Study completion30 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Dry Eye SyndromesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Eye Centers of Racine and Kenosha
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Inder Paul Singh, M.D., The Eye Centers of Racine and Kenosha
- Investigators
- Inder P Singh, M.D., Principal investigator, President
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04237012
- Sponsor's protocol ID
- WIRB Protocol # 20192595
- Acronym
- ACCURATE
- Status last verified
- Nov 2024
- First submitted
- 13 Jan 2020
- Last updated
- 29 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Self-Controlled Treatment With an Intracanalicular Dexamethasone Insert Compared to Topical Over the Counter Lubrication Therapy in Patients With Bilateral Ocular Surface Disease
- ClinicalTrials.gov ID
- NCT04237012
- Acronym / sponsor ID
- ACCURATE / WIRB Protocol # 20192595
- Conditions
- Dry Eye Syndromes
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- The Eye Centers of Racine and KenoshaUniversity, hospital or other
- Study start
- 16 Dec 2019 (actual)
- Primary completion
- 30 Dec 2021 (actual)
- Study completion
- 30 Dec 2021 (actual)
- First posted
- 22 Jan 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To determine treatment and imaging outcomes in bilateral ocular surface disease management with an intracanalicular dexamethasone (0.4 mg) insert compared to standard topical over-the-counter artificial tears lubrication management
Detailed description
This study will evaluate the benefit of treatment with a physician administered intracanalicular dexamethasone insert and patient administered artificial tears prn compared to patient administered artificial tears prn (control) in patients with bilateral ocular surface dry eye disease. The study is a self-controlled design and includes multiple objective, measureable, and quantifiable endpoints to best determine an objective response to treatment in patient eyes randomized to either the insert plus prn artificial tears or artificial tears prn control. To aid in ensuring best possible masking, DEXTENZA is best visualized with blue light and yellow filter and therefore visualization will not be assessed until final visit following all measures.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dextenza | Experimental | Drug: Dextenza 0.4Mg Intracanalicular InsertTreatment Arm-Dextenza insertion lower lid punctum at time of screening and use of OTC artificial tears as needed |
| Over the counter Artificial tears | Active comparator | Other: Over the counter Artificial tearsControlled arm: continuation of OTC artificial tears no placement of Dextenza intracanular insert |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dextenza 0.4Mg Intracanalicular InsertAlso: dexamethasoneall patients will receive Intracanalicular dexamethasone, 0.4mg insert lower punctum and able to use over the counter artificial tears PRN at patient discretion | Drug | Dextenza |
| Over the counter Artificial tearsover the counter artificial tears PRN at patient discretion | Other | Over the counter Artificial tears |
Primary outcome
Determine effect of dexamethasone insert over artificial tears
Time frame: 1 month
To determine the effect of dexamethasone insert plus over-the-counter artificial tears prn compared to over the counter artificial tears prn from Baseline at Week 2 (at 8 am, 12 pm and 4 pm) as measured by iTrace and IOL Master 700: and comfort of dry eyes using the OSDI scale and reading scores
1 secondary outcome
OSDI scores
Time frame: 1 month
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Inder P Singh, M.D. principal investigator
President
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Dextenza 0.4Mg Intracanalicular Insert and Over the counter Artificial tears in people with Dry Eye Syndromes, run by The Eye Centers of Racine and Kenosha at 1 site 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?
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 29 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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 phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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?
Determine effect of dexamethasone insert over artificial tears (time frame: 1 month). 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 29 Nov 2024.