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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03203447
Registration number
NCT03203447
Ethics application status
Date submitted
28/06/2017
Date registered
29/06/2017
Titles & IDs
Public title
Suprachoroidal Injection of Triamcinolone Acetonide With IVT Anti-VEGF in Subjects With Macular Edema Following RVO
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Scientific title
A Randomized, Masked, Controlled Trial To Study The Safety And Efficacy Of Suprachoroidal CLS-TA In Combination With An Intravitreal Anti-VEGF Agent In Subjects With Retinal Vein Occlusion
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Secondary ID [1]
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CLS1003-302
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Universal Trial Number (UTN)
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Trial acronym
TOPAZ
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Macular Edema
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Retinal Vein Occlusion
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - suprachoroidal CLS-TA
Treatment: Drugs - suprachoroidal sham
Treatment: Drugs - Lucentis or Avastin
Active comparator: Active - Lucentis (0.5 mg/0.05 mL), IVT injection + CLS-TA (4 mg/0.10 mL), SC injection or Avastin (1.25 mg/0.05 mL), IVT injection + CLS-TA (4 mg/0.10 mL), SC injection
Sham comparator: Control - Lucentis (0.5 mg/0.05 mL), IVT injection + sham SC procedure or Avastin (1.25 mg/0.05 mL), IVT injection + sham SC procedure
Treatment: Drugs: suprachoroidal CLS-TA
suprachoroidal injection of CLS-TA
Treatment: Drugs: suprachoroidal sham
sham suprachoroidal procedure
Treatment: Drugs: Lucentis or Avastin
IVT anti-VEGF agent. Either a 0.5 mg intravitreal injection of Lucentis or 1.25 mg intravitreal injection of Avastin
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of Subjects Demonstrating = 15 Letter Improvement From Baseline in Early Treatment of Diabetic Retinopathy Study (ETDRS)
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Assessment method [1]
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Best corrected visual acuity (BCVA) refers to the measurement of the best possible vision that can be achieved following refraction or correction. BCVA was assessed following the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol and was measured in the number of letters read correctly on an ETDRS eye chart. An increase from the pre-treatment state in BCVA of 15 letters or more represents a clinically meaningful improvement.
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Timepoint [1]
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2 months
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Secondary outcome [1]
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Mean Change From Baseline in Best Corrected Visual Acuity
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Assessment method [1]
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Best corrected visual acuity (BCVA) refers to the measurement of the best possible vision that can be achieved following refraction or correction. BCVA was assessed following the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol and was measured in the number of letters read correctly on an ETDRS eye chart. A positive change from baseline value represents an improvement in vision.
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Timepoint [1]
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6 months
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Secondary outcome [2]
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Mean Change From Baseline in Central Subfield Thickness
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Assessment method [2]
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Central subfield thickness (CST) is a diagnostic measurement used in identifying the presence of edema in the circular area 1 mm in diameter centered around the fovea. CST was measured using spectral domain optical coherence tomography (SD-OCT). A masked reading center graded the SD-OCT digital images. A negative change from baseline value represents a reduction in macular edema.
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Timepoint [2]
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6 months
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Eligibility
Key inclusion criteria
* Has a clinical diagnosis of RVO in the study eye
* Has a CST of = 300 µm in the study eye
* Has an ETDRS BCVA score of = 20 letters read and = 70 letters read in the study eye
* Is naïve to local pharmacologic treatment for RVO in the study eye
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Any active ocular disease or infection in the study eye other than RVO
* History of glaucoma, intraocular pressure > 21 mmHg or ocular hypertension requiring more than one medication
* Any uncontrolled systemic disease that, in the opinion of the Investigator, would preclude participation in the study
* Any evidence of neovascularization in the study eye
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/03/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
18/12/2018
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Sample size
Target
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Accrual to date
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Final
325
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Eye Clinic Albury Wodonga - Albury
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Recruitment hospital [2]
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Strathfield Retina Clinic - Strathfield
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Recruitment hospital [3]
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Save Sight Institute, University of Sydney (Sydney Eye Hospital) - Sydney
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Recruitment postcode(s) [1]
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2640 - Albury
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Recruitment postcode(s) [2]
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2135 - Strathfield
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Recruitment postcode(s) [3]
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2000 - Sydney
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Recruitment outside Australia
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United States of America
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Arizona
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California
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Connecticut
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Hungary
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Ansari Nagar
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Bhubaneswar
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West Bengal
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New Zealand
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Clearside Biomedical, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This Phase 3, multicenter, randomized, masked, controlled, parallel group study is designed to demonstrate that suprachoroidal (SC) CLS-TA administered with intravitreal (IVT) anti-VEGF agent in subjects with treatment naive RVO is superior to IVT anti-VEGF agent used alone.
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Trial website
https://clinicaltrials.gov/study/NCT03203447
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Thomas Ciulla, MD
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Address
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Chief Medical Officer
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/47/NCT03203447/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/47/NCT03203447/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03203447