This is a randomized, masked, active-controlled, parallel-group, multi-center study that will assess the efficacy of ILUVIEN as a baseline therapy in the treatment of Center Involving DME (CI-DME). The study will enroll patients who are either treatment naïve or have not received any DME treatments for the preceding 12 months as documented in medical records. Patients who received DME treatment \>12 months before screening, must not have received \>4 intravitreal injections. The study will compare 2 treatment regimens: ILUVIEN intravitreal implant (0.19 mg) followed by supplemental aflibercept as needed per protocol criteria (2 mg/0.05 mL), compared to intravitreal aflibercept loading dose (2 mg administered by intravitreal injection every 4 weeks for 5 consecutive doses) followed by supplemental aflibercept as needed per protocol criteria (2 mg/0.05 mL).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
300
0.19 mg Fluocinolone Acetonide Intravitreal Implant
2 mg/0.05 mL Aflibercept Anti-VEGF intravitreal injection
Investigative Site
Phoenix, Arizona, United States
Investigative Site
Tucson, Arizona, United States
Investigative Site
Beverly Hills, California, United States
Investigative Site
Glendale, California, United States
Investigative Site
Laguna Hills, California, United States
Investigative Site
The mean total number of supplemental aflibercept injections needed during the study
The mean total number of supplemental aflibercept injections needed during
Time frame: Baseline to 18 months
Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline
Proportion of subjects with 15, 10 and 5 letter (ETDRS) gains from baseline
Time frame: At 18 months
Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)
Area under the curve (AUC) of Best Corrected Visual Acuity (BCVA)
Time frame: Baseline to 18 months
Mean change from baseline in Center Subfield Thickness (CST)
Mean change from baseline in Center Subfield Thickness (CST)
Time frame: Baseline to 18 months
Area under the curve (AUC) of Center Subfield Thickness (CST)
Area under the curve (AUC) of Center Subfield Thickness (CST)
Time frame: Baseline to 18 months
Mean change from baseline in the National Eye Institute Visual Function Questionnaire (NEI VFQ-25) composite score and subscale scores
The NEI VFQ-25 is a questionnaire that allows the individual to report on their level of visual function. Scores range from 0-100, with a score of 0 being the worst outcome and 100 being the best outcome.
Time frame: At 18 months
Safety Outcome Endpoints: The incidence and severity of treatment-related adverse events
The incidence and severity of treatment-related adverse events
Time frame: Baseline to 18 months
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Santa Ana, California, United States
Investigative Site
Colorado Springs, Colorado, United States
Investigative Site
Clearwater, Florida, United States
Investigative Site
Orlando, Florida, United States
Investigative Site
Palm Beach Gardens, Florida, United States
...and 30 more locations