AzTrials
AzTrials

Age-Related Macular DegenerationNCT05542381

The Role of Loteprednol in Reducing Post-Intravitreal Injection Related Pain

A study testing Loteprednol Etabonate Ophthalmic Gel [Lotemax] and Refresh Lubricant Eye Drops [Artificial Tears] in people with Age-Related Macular Degeneration, run by Virginia Polytechnic Institute and State University at 1 site in United States.

Completed

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

Official record
Search all trials

Trial summary

Patients are already receiving an intravitreal injection as a standard of care, but they are consenting to receiving a loteprednol drop following the intravitreal injection. This clinical trial is studying the role of loteprednol (corticosteroid) in reducing pain following intravitreal injections for patients with… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Age-Related Macular Degeneration
What is being tested?
Loteprednol Etabonate Ophthalmic Gel [Lotemax] and Refresh Lubricant Eye Drops [Artificial Tears]
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
1 siteUnited States
Study dates
22 Dec 2022to 1 May 2025
Phase
Interventional
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

  • All patients must have age-related macular degeneration and be undergoing intravitreal injections for treatment as defined by a retina specialist.

Who cannot join

  • Dementia
  • Report baseline eye pain
  • Use topical NSAIDs or steroids
  • Patient under 18 years old
  • History of corticosteroid responsive elevation in intraocular pressure
  • Allergy to Loteprednol or Nepafenac
Show all 14Show fewer
  • Pre-existing chronic pain disorders
  • Advanced Glaucoma
  • Herpes zoster
  • Allergy to local anesthetic or penicillin
  • Patients unable to consent on own behalf
  • Patients unable to communicate pain
  • Pregnancy
  • Incarceration

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Vistar Eye Center

    Roanoke, Virginia, 24019

Other trials in United States

About this study

Patients are already receiving an intravitreal injection as a standard of care, but they are consenting to receiving a loteprednol drop following the intravitreal injection. This clinical trial is studying the role of loteprednol (corticosteroid) in reducing pain following intravitreal injections for patients with age-related macular degeneration. As of now, there is no definitive pain management technique following intravitreal injections. Loteprednol is a corticosteroid widely used in ophthalmology to treat pain and inflammation, however, it has not been studied as a treatment for pain following intravitreal injections. Our overall goal is to manage pain to improve quality of care after intravitreal injections. Participants will be given either loteprednol, or artificial tears following one visit for an intravitreal injection to test how effective loteprednol is in pain reduction. Pain levels will be assessed by asking participants over the phone about their pain from a scale of 0 to 10 at three different times over a 1-week period. Artificial tear and medication usage will also be tracked over a 1-week period.

Read the detailed description

Patients are already receiving an intravitreal injection as a standard of care for age-related macular degeneration, but they are consenting to receiving a loteprednol drop following the intravitreal injection for the research study. Loteprednol is used as a part of regular medical care at the Vistar Eye Center following intravitreal injections but quantifying the magnitude of pain reduction has not been done yet. Additionally, as of now there is no definitive pain management technique following intravitreal injections. This clinical trial is studying the role of loteprednol (corticosteroid) in reducing pain following intravitreal injections for patients with age-related macular degeneration. Participants will be treated with either loteprednol, or artificial tears following one visit for an intravitreal injection at the Vistar Eye Center to test how effective loteprednol is in pain reduction. Pain levels will be assessed by asking participants over the phone about their pain from a scale of 0 to 10 at 2-hours, 1-day, and 1-week following the intravitreal injection. Intravitreal injections will be performed by the retina surgeon, and phone calls will be done with the research coordinator. Artificial tear and medication usage will also be tracked over a 1-week period.

Being tested
Loteprednol Etabonate Ophthalmic Gel [Lotemax], Refresh Lubricant Eye Drops [Artificial Tears]
Keywords
Loteprednol, Loteprednol Etabonate Ophthalmic Suspension, Immunosuppressive Agents, Glucocorticoids, Immunologic Factors, Molecular Mechanisms of Pharmacological Action, Eye Diseases, Retinal Diseases, Anti-Inflammatory Agents, vascular endothelial growth factor, Intravitreal Injection, Post-Intravitreal Injection Pain
Medical subject headings
Macular Degeneration, Eye Diseases, Retinal Diseases

What participants receive

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

  • Loteprednol Etabonate Ophthalmic Gel [Lotemax]Drug

    Loteprednol (ophthalmic corticosteroid) will be stored in the clinic according to the instructions on the package. The vial will be stored upright between 15°-25°C (59°-77°F). In the clinic, the vial will be opened by the retina surgeon according to sterile procedure and administered (1 drop) by the surgeon immediately after the intravitreal injection.

  • Refresh Lubricant Eye Drops [Artificial Tears]Other

    Also called Refresh

    REFRESH® Brand Lubricant Eye Drops are artificial tears. In the clinic, the vial will be opened by the retina surgeon according to sterile procedure and administered (1 drop) by the surgeon immediately after the intravitreal injection.

Study groups in NCT05542381
Study groupRoleWhat they receive
LoteprednolExperimental1 drop of Loteprednol is administered immediately after the intravitreal injection in this treatment arm.
Receives: Drug: Loteprednol Etabonate Ophthalmic Gel [Lotemax]
Artificial tearsPlacebo comparator1 drop of artificial tears is administered immediately after the intravitreal injection in this treatment arm. This arm acts as a negative control.
Receives: Other: Refresh Lubricant Eye Drops [Artificial Tears]

What is being measured

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

  1. Post-Intravitreal Injection Pain

    11-point Numerical Rating Scale (0-10, 0 being the lowest level of pain and 10 being highest level of pain)

    Measured: 2-hour Post-Intravitreal Injection

  2. Post-Intravitreal Injection Pain

    11-point Numerical Rating Scale (0-10, 0 being the lowest level of pain and 10 being highest level of pain)

    Measured: 1-day Post-Intravitreal Injection

  3. Post-Intravitreal Injection Pain

    11-point Numerical Rating Scale (0-10, 0 being the lowest level of pain and 10 being highest level of pain)

    Measured: 1-week Post-Intravitreal Injection

Secondary outcomes (6)
  1. Analgesic Medication Use

    Pill count

    Measured: 2-hour Post-Intravitreal Injection

  2. Analgesic Medication Use

    Pill count

    Measured: 1-day Post-Intravitreal Injection

  3. Analgesic Medication Use

    Pill count

    Measured: 1-week Post-Intravitreal Injection

  4. Artificial Tear Use

    Artificial Tear Drop Count

    Measured: 2-hour Post-Intravitreal Injection

  5. Artificial Tear Use

    Artificial Tear Drop Count

    Measured: 1-day Post-Intravitreal Injection

  6. Artificial Tear Use

    Artificial Tear Drop Count

    Measured: 1-week Post-Intravitreal Injection

Timeline

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

  1. First posted15 Sep 2022
  2. Study start22 Dec 2022
  3. Primary completion1 May 2024
  4. Study completion1 May 2025

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double-blinded placebo-controlled design
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05542381
Sponsor's protocol ID
22-514
Status last verified
Jan 2025
First submitted
1 Sep 2022
Last updated
19 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ambati J, Fowler BJ. Mechanisms of age-related macular degeneration. Neuron. 2012 Jul 12;75(1):26-39. doi: 10.1016/j.neuron.2012.06.018.

    PubMed 22794258
  • Amon M, Busin M. Loteprednol etabonate ophthalmic suspension 0.5 %: efficacy and safety for postoperative anti-inflammatory use. Int Ophthalmol. 2012 Oct;32(5):507-17. doi: 10.1007/s10792-012-9589-2. Epub 2012 Jun 16.

    PubMed 22707339
  • Chou R, McDonagh MS, Nakamoto E, Griffin J. Analgesics for Osteoarthritis: An Update of the 2006 Comparative Effectiveness Review [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 Oct. Report No.: 11(12)-EHC076-EF. Available from http://www.ncbi.nlm.nih.gov/books/NBK65646/

    PubMed 22091473
  • DeCroos FC, Afshari NA. Perioperative antibiotics and anti-inflammatory agents in cataract surgery. Curr Opin Ophthalmol. 2008 Jan;19(1):22-6. doi: 10.1097/ICU.0b013e3282f30577.

    PubMed 18090893
  • El-Harazi SM, Feldman RM. Control of intra-ocular inflammation associated with cataract surgery. Curr Opin Ophthalmol. 2001 Feb;12(1):4-8. doi: 10.1097/00055735-200102000-00002.

    PubMed 11150074
  • Fong R, Cavet ME, DeCory HH, Vittitow JL. Loteprednol etabonate (submicron) ophthalmic gel 0.38% dosed three times daily following cataract surgery: integrated analysis of two Phase III clinical studies. Clin Ophthalmol. 2019 Aug 1;13:1427-1438. doi: 10.2147/OPTH.S210597. eCollection 2019.

    PubMed 31447544
  • Grzybowski A, Told R, Sacu S, Bandello F, Moisseiev E, Loewenstein A, Schmidt-Erfurth U; Euretina Board. 2018 Update on Intravitreal Injections: Euretina Expert Consensus Recommendations. Ophthalmologica. 2018;239(4):181-193. doi: 10.1159/000486145. Epub 2018 Feb 1.

    PubMed 29393226
  • Gundogan FC, Yolcu U, Akay F, Ilhan A, Ozge G, Uzun S. Diabetic Macular Edema. Pak J Med Sci. 2016 Mar-Apr;32(2):505-10. doi: 10.12669/pjms.322.8496.

    PubMed 27182271
  • Kaplan RI, Drinkwater OJ, Lee RH, Chod RB, Barash A, Giovinazzo JV, Gologorsky D, Jansen ME, Rosen RB, Gentile RC. Pain Control after Intravitreal Injection Using Topical Nepafenac 0.3% or Pressure Patching: A Randomized, Placebo-Controlled Trial. Ophthalmol Retina. 2019 Oct;3(10):860-866. doi: 10.1016/j.oret.2019.04.022. Epub 2019 Apr 26.

    PubMed 31221565
  • Kaplan RI, Rosen RB, Gentile RC. Optimizing the Patient Experience and Satisfaction: The Role of Topical NSAIDs with Intravitreal Injections. Ophthalmol Retina. 2020 May;4(5):459-460. doi: 10.1016/j.oret.2020.03.004. No abstract available.

    PubMed 32381252
  • Karia N. Retinal vein occlusion: pathophysiology and treatment options. Clin Ophthalmol. 2010 Jul 30;4:809-16. doi: 10.2147/opth.s7631.

    PubMed 20689798
  • Oztas Z, Akkin C, Afrashi F, Nalcaci S. The short-needle intravitreal injection technique. Int J Ophthalmol. 2016 Jun 18;9(6):929-30. doi: 10.18240/ijo.2016.06.24. eCollection 2016. No abstract available.

    PubMed 27366700
  • Popovic MM, Muni RH, Nichani P, Kertes PJ. Topical Nonsteroidal Anti-inflammatory Drugs for Pain Resulting from Intravitreal Injections: A Meta-Analysis. Ophthalmol Retina. 2020 May;4(5):461-470. doi: 10.1016/j.oret.2020.01.024. Epub 2020 Feb 13.

    PubMed 32199867
  • Rifkin L, Schaal S. Shortening ocular pain duration following intravitreal injections. Eur J Ophthalmol. 2012 Nov-Dec;22(6):1008-12. doi: 10.5301/ejo.5000147. Epub 2012 Apr 24.

    PubMed 22562296
  • Shin SH, Park SP, Kim YK. Factors Associated with Pain Following Intravitreal Injections. Korean J Ophthalmol. 2018 Jun;32(3):196-203. doi: 10.3341/kjo.2017.0081. Epub 2018 May 15.

    PubMed 29770638

Questions about this trial

What is this clinical trial studying?

A study testing Loteprednol Etabonate Ophthalmic Gel [Lotemax] and Refresh Lubricant Eye Drops [Artificial Tears] in people with Age-Related Macular Degeneration, run by Virginia Polytechnic Institute and State University 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?

The sponsor lists 1 inclusion and 14 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 19 Sep 2025. 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. 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.

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?

Post-Intravitreal Injection Pain (time frame: 2-hour Post-Intravitreal Injection). The study lists 3 primary outcomes in all. 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 NCT05542381, which also lists 19 linked publications.

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 19 Sep 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in