Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43871   clinical trials with a EudraCT protocol, of which   7290   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A Phase III, Multi-National, Multi-Center, Randomized, Masked, Controlled, Safety and Efficacy Study of a Fluocinolone Acetonide Intravitreal (FAI) Insert in Subjects with Chronic Non-Infectious Uveitis Affecting the Posterior Segment of the Eye

    Summary
    EudraCT number
    2013-001810-14
    Trial protocol
    HU   DE   GB   IT  
    Global end of trial date
    26 Mar 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    31 Mar 2019
    First version publication date
    31 Mar 2019
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    PSV-FAI-001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01694186
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    EyePoint Pharmaceuticals, Inc. (pSivida Corporation)
    Sponsor organisation address
    480 Pleasant Street, Watertown, MA, United States, 02472
    Public contact
    Clinical Information, pSivida Corporation, +1 617972-6350, clinical.info@psivida.com
    Scientific contact
    Clinical Information, pSivida Corporation, +1 617972-6350, clinical.info@psivida.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    21 Sep 2018
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    26 Mar 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    26 Mar 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objectives of this study are to evaluate the safety and efficacy of a FAI insert in the management of subjects with chronic non-infectious uveitis affecting the posterior segment of the eye.
    Protection of trial subjects
    Subjects had the right to withdraw from the study at any time, for any reason, without jeopardizing their medical care. Each subject was followed for safety through the subject’s final visit unless the subject withdrew from the study.
    Background therapy
    The protocol allowed investigators to treat subjects prior to entry to meet study inclusion criteria. The objective of prior treatment was to obtain a relatively quiet eye prior to enrollment. If a subject was receiving systemic corticosteroids or immunosuppressants or topical steroids to control uveitis prior to study enrollment, that subject had such treatment ended within 3 months following Day 1, in a manner that followed the standard of care for ending the specific treatment. Systemic medications or topical steroids administered as part of gradual dose reduction were not considered prohibited medications.
    Evidence for comparator
    -
    Actual start date of recruitment
    30 Jun 2013
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    36 Months
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 20
    Country: Number of subjects enrolled
    Germany: 11
    Country: Number of subjects enrolled
    Hungary: 1
    Country: Number of subjects enrolled
    United States: 56
    Country: Number of subjects enrolled
    India: 31
    Country: Number of subjects enrolled
    Israel: 10
    Worldwide total number of subjects
    129
    EEA total number of subjects
    32
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    111
    From 65 to 84 years
    18
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Male or female subjects at least 18 years old, who had been diagnosed with unilateral or bilateral chronic non-infectious uveitis affecting the posterior segment of the eye for at least 12 months prior to randomization.

    Pre-assignment
    Screening details
    The Screening period occur within 30 days prior to Day 1. Subjects who failed to meet the inclusion/exclusion criteria during the screening period or on Day 1 could have been rescreened.

    Period 1
    Period 1 title
    Treatment (Day 1)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind [1]
    Roles blinded
    Subject, Monitor, Data analyst, Carer, Assessor
    Blinding implementation details
    The study was designed to mask treatment assignment to study subjects and investigators making study assessments after the administration of the assigned treatment. The study was designed to have both unmasked and masked personnel. Two investigators were used at each study center. One investigator served as the unmasked treating investigator (investigator 1) and the other investigator served as the masked assessing investigator (investigator 2).

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    FAI Insert
    Arm description
    One treatment (FAI injection) was administered on Day 1 to each subject. The Fluocinolone Acetonide Intravitreal Insert (FAI insert) is an injectable intravitreal sustained-release FA delivery system preloaded into an injection device. Each insert contained a drug core of FA as the active ingredient within a cylindrical polyimide polymer tube 3.5-mm long with an external diameter of 0.37 mm.
    Arm type
    Experimental

    Investigational medicinal product name
    FAI insert
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Intravitreal implant in applicator
    Routes of administration
    Intravitreal use
    Dosage and administration details
    The dose delivered in the FAI insert was 0.18 mg fluocinolone acetonide delivered into the vitreous humor for 36 months. The FAI insert was administered to the study eye by injection through the pars plana using a preloaded applicator with a 25-gauge needle.

    Arm title
    Sham injection
    Arm description
    During study Day 1, the sham applicator was gently pressed against the study eye to provide the subject with the perception that an intravitreal injection was being performed. This procedure was performed to mask study subjects to their assigned treatment.
    Arm type
    Sham injection

    Investigational medicinal product name
    Sham Injector
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Implantation matrix
    Routes of administration
    Intravitreal use
    Dosage and administration details
    The sham applicator was an empty 1-mL syringe attached to a blunt 14-gauge needle; it did not contain an FAI insert. During study Day 1, the sham applicator was gently pressed against the study eye to provide the subject with the perception that an intravitreal injection was being performed. This procedure was performed to mask study subjects to their assigned treatment.

    Notes
    [1] - The roles blinded appear to be inconsistent with a double blind trial.
    Justification: Two investigators were used at each study center. One investigator served as the unmasked treating investigator (investigator 1) and the other investigator served as the masked assessing investigator (investigator 2).
    Number of subjects in period 1
    FAI Insert Sham injection
    Started
    87
    42
    Completed
    87
    42
    Period 2
    Period 2 title
    Follow-up Period (36 months)
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer, Assessor
    Blinding implementation details
    To preserve study masking as much as possible within the imposed ethical constraints, the study personnel who administered the assigned treatment refrained from performing any subject assessments after Day 1. Treatment assignments were masked to the subjects and to those involved in administering routine follow-up care to the subjects. Follow up assessments were performed only by study personnel at the site who were masked to the assigned treatment.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    FAI Insert
    Arm description
    One treatment (FAI injection) was administered on Day 1 to each subject. The Fluocinolone Acetonide Intravitreal Insert (FAI insert) is an injectable intravitreal sustained-release FA delivery system preloaded into an injection device. Each insert contained a drug core of FA as the active ingredient within a cylindrical polyimide polymer tube 3.5-mm long with an external diameter of 0.37 mm.
    Arm type
    Experimental

    Investigational medicinal product name
    FAI insert
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Intravitreal implant in applicator
    Routes of administration
    Intravitreal use
    Dosage and administration details
    The dose delivered in the FAI insert was 0.18 mg fluocinolone acetonide delivered into the vitreous humor for 36 months. The FAI insert was administered to the study eye by injection through the pars plana using a preloaded applicator with a 25-gauge needle.

    Arm title
    Sham Injection
    Arm description
    During study Day 1, the sham applicator was gently pressed against the study eye to provide the subject with the perception that an intravitreal injection was being performed. This procedure was performed to mask study subjects to their assigned treatment.
    Arm type
    Sham Injection

    Investigational medicinal product name
    Sham Injector
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Implantation matrix
    Routes of administration
    Intravitreal use
    Dosage and administration details
    The sham applicator was an empty 1-mL syringe attached to a blunt 14-gauge needle; it did not contain an FAI insert. During study Day 1, the sham applicator was gently pressed against the study eye to provide the subject with the perception that an intravitreal injection was being performed. This procedure was performed to mask study subjects to their assigned treatment.

    Number of subjects in period 2
    FAI Insert Sham Injection
    Started
    87
    42
    Completed
    80
    36
    Not completed
    7
    6
         Consent withdrawn by subject
    1
    -
         Physician decision
    2
    -
         Death
    1
    -
         Lost to follow-up
    3
    4
         Lack of efficacy
    -
    2

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    FAI Insert
    Reporting group description
    One treatment (FAI injection) was administered on Day 1 to each subject. The Fluocinolone Acetonide Intravitreal Insert (FAI insert) is an injectable intravitreal sustained-release FA delivery system preloaded into an injection device. Each insert contained a drug core of FA as the active ingredient within a cylindrical polyimide polymer tube 3.5-mm long with an external diameter of 0.37 mm.

    Reporting group title
    Sham injection
    Reporting group description
    During study Day 1, the sham applicator was gently pressed against the study eye to provide the subject with the perception that an intravitreal injection was being performed. This procedure was performed to mask study subjects to their assigned treatment.

    Reporting group values
    FAI Insert Sham injection Total
    Number of subjects
    87 42 129
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    75 36 111
        From 65-84 years
    12 6 18
    Age continuous
    Units: years
        median (full range (min-max))
    48 (20 to 77) 48 (18 to 73) -
    Gender categorical
    Units: Subjects
        Female
    50 29 79
        Male
    37 13 50
    Subject analysis sets

    Subject analysis set title
    Intent-to-treat (ITT) Set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    A total of 129 subjects were enrolled in the study (all-randomized population). Of these, all 129 subjects were included in the intent-to-treat (ITT) population (87 subjects and 42 subjects in the FAI insert and sham injection treatment groups, respectively).

    Subject analysis set title
    Safety Set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    A total of 129 subjects were enrolled in the study (all-randomized population). Of these, all 129 subjects were included in the Safety population (87 subjects and 42 subjects in the FAI insert and sham injection treatment groups, respectively).

    Subject analysis sets values
    Intent-to-treat (ITT) Set Safety Set
    Number of subjects
    129
    129
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    111
    111
        From 65-84 years
    18
    18
    Age continuous
    Units: years
        median (full range (min-max))
    48 (18 to 77)
    48 (18 to 77)
    Gender categorical
    Units: Subjects
        Female
    79
    79
        Male
    50
    50

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    FAI Insert
    Reporting group description
    One treatment (FAI injection) was administered on Day 1 to each subject. The Fluocinolone Acetonide Intravitreal Insert (FAI insert) is an injectable intravitreal sustained-release FA delivery system preloaded into an injection device. Each insert contained a drug core of FA as the active ingredient within a cylindrical polyimide polymer tube 3.5-mm long with an external diameter of 0.37 mm.

    Reporting group title
    Sham injection
    Reporting group description
    During study Day 1, the sham applicator was gently pressed against the study eye to provide the subject with the perception that an intravitreal injection was being performed. This procedure was performed to mask study subjects to their assigned treatment.
    Reporting group title
    FAI Insert
    Reporting group description
    One treatment (FAI injection) was administered on Day 1 to each subject. The Fluocinolone Acetonide Intravitreal Insert (FAI insert) is an injectable intravitreal sustained-release FA delivery system preloaded into an injection device. Each insert contained a drug core of FA as the active ingredient within a cylindrical polyimide polymer tube 3.5-mm long with an external diameter of 0.37 mm.

    Reporting group title
    Sham Injection
    Reporting group description
    During study Day 1, the sham applicator was gently pressed against the study eye to provide the subject with the perception that an intravitreal injection was being performed. This procedure was performed to mask study subjects to their assigned treatment.

    Subject analysis set title
    Intent-to-treat (ITT) Set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    A total of 129 subjects were enrolled in the study (all-randomized population). Of these, all 129 subjects were included in the intent-to-treat (ITT) population (87 subjects and 42 subjects in the FAI insert and sham injection treatment groups, respectively).

    Subject analysis set title
    Safety Set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    A total of 129 subjects were enrolled in the study (all-randomized population). Of these, all 129 subjects were included in the Safety population (87 subjects and 42 subjects in the FAI insert and sham injection treatment groups, respectively).

    Primary: Recurrence of Uveitis in the Study Eye at 6 Months

    Close Top of page
    End point title
    Recurrence of Uveitis in the Study Eye at 6 Months
    End point description
    The primary efficacy analysis was performed on the ITT population at 6 months and was the difference between study groups in the proportion of subjects who had a recurrence of uveitis.
    End point type
    Primary
    End point timeframe
    The primary efficacy analysis was conducted after all subjects in the study completed 6 months of treatment or discontinued from the study.
    End point values
    FAI Insert Sham Injection
    Number of subjects analysed
    87
    42
    Units: Patients
        RECURRENCE WITHIN 6 MONTHS
    25
    38
        Row-defined recurrence
    1
    12
        Imputed recurrence
    24
    26
        NO RECURRENCE WITHIN 6 MONTHS
    62
    4
    Statistical analysis title
    Statistical Analysis Plan (SAP)
    Comparison groups
    FAI Insert v Sham Injection
    Number of subjects included in analysis
    129
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    Chi-squared corrected
    Parameter type
    Odds ratio (OR)
    Point estimate
    23.56
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    7.61
         upper limit
    72.94

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Safety analyses were performed on the safety population at Month 6, Month 12, and Month 36.
    Adverse event reporting additional description
    Descriptive statistics were provided for all treatment-emergent AEs (TEAEs). Frequency counts and percentage of subjects within each treatment group were provided by Medical Dictionary for Regulatory Activities (MedDRA) system organ class (SOC) and preferred term (PT) by treatment.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.1
    Reporting groups
    Reporting group title
    FAI Insert
    Reporting group description
    -

    Reporting group title
    Sham Injection
    Reporting group description
    -

    Serious adverse events
    FAI Insert Sham Injection
    Total subjects affected by serious adverse events
         subjects affected / exposed
    35 / 87 (40.23%)
    15 / 42 (35.71%)
         number of deaths (all causes)
    1
    0
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Uterine cancer
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Premature baby
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Post-traumatic stress disorder
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Product issues
    Device dislocation
         subjects affected / exposed
    2 / 87 (2.30%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Intraocular pressure fluctuation
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intraocular pressure increased
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Skull fracture
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Post procedural inflammation
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyphaema
         subjects affected / exposed
    2 / 87 (2.30%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Hydrocele
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Angina pectoris
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Supraventricular tachycardia
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Central nervous system lesion
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Presyncope
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Optic neuritis
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Visual field defect
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Lymphadenopathy
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    Blindness
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cataract
         subjects affected / exposed
    8 / 87 (9.20%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 8
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Glaucoma
         subjects affected / exposed
    4 / 87 (4.60%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypotony of eye
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Macular oedema
         subjects affected / exposed
    1 / 87 (1.15%)
    3 / 42 (7.14%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Non-infectious endophthalmitis
         subjects affected / exposed
    0 / 87 (0.00%)
    2 / 42 (4.76%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ocular hypertension
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Retinal detachment
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Uveitis
         subjects affected / exposed
    7 / 87 (8.05%)
    5 / 42 (11.90%)
         occurrences causally related to treatment / all
    0 / 7
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vitreous haemorrhage
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vitritis
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cataract subcapsular
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Choroidal detachment
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Corneal epithelium defect
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cystoid macular oedema
         subjects affected / exposed
    2 / 87 (2.30%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Visual acuity reduced
         subjects affected / exposed
    3 / 87 (3.45%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Visual impairment
         subjects affected / exposed
    2 / 87 (2.30%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    0 / 87 (0.00%)
    1 / 42 (2.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Duodenitis
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Foot deformity
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteoarthritis
         subjects affected / exposed
    2 / 87 (2.30%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rhabdomyolysis
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Septic shock
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Corneal infection
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Obesity
         subjects affected / exposed
    1 / 87 (1.15%)
    0 / 42 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    FAI Insert Sham Injection
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    84 / 87 (96.55%)
    40 / 42 (95.24%)
    Investigations
    Intraocular pressure increased
         subjects affected / exposed
    49 / 87 (56.32%)
    17 / 42 (40.48%)
         occurrences all number
    49
    17
    Vascular disorders
    Hypertension
         subjects affected / exposed
    6 / 87 (6.90%)
    4 / 42 (9.52%)
         occurrences all number
    6
    4
    Nervous system disorders
    Headache
         subjects affected / exposed
    6 / 87 (6.90%)
    3 / 42 (7.14%)
         occurrences all number
    6
    3
    Visual field defect
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 42 (2.38%)
         occurrences all number
    5
    1
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    0 / 87 (0.00%)
    3 / 42 (7.14%)
         occurrences all number
    0
    3
    Pain
         subjects affected / exposed
    2 / 87 (2.30%)
    3 / 42 (7.14%)
         occurrences all number
    2
    3
    Eye disorders
    Anterior chamber flare
         subjects affected / exposed
    0 / 87 (0.00%)
    3 / 42 (7.14%)
         occurrences all number
    0
    3
    Cataract
         subjects affected / exposed
    45 / 87 (51.72%)
    13 / 42 (30.95%)
         occurrences all number
    45
    13
    Cataract subcapsular
         subjects affected / exposed
    6 / 87 (6.90%)
    4 / 42 (9.52%)
         occurrences all number
    6
    4
    Conjunctival haemorrhage
         subjects affected / exposed
    21 / 87 (24.14%)
    5 / 42 (11.90%)
         occurrences all number
    21
    5
    Cystoid macular oedema
         subjects affected / exposed
    31 / 87 (35.63%)
    21 / 42 (50.00%)
         occurrences all number
    31
    21
    Dry eye
         subjects affected / exposed
    25 / 87 (28.74%)
    9 / 42 (21.43%)
         occurrences all number
    25
    9
    Eye pain
         subjects affected / exposed
    19 / 87 (21.84%)
    12 / 42 (28.57%)
         occurrences all number
    19
    12
    Eye pruritus
         subjects affected / exposed
    1 / 87 (1.15%)
    3 / 42 (7.14%)
         occurrences all number
    1
    3
    Eyelid ptosis
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 42 (2.38%)
         occurrences all number
    5
    1
    Foreign body sensation in eyes
         subjects affected / exposed
    8 / 87 (9.20%)
    2 / 42 (4.76%)
         occurrences all number
    8
    2
    Iridocyclitis
         subjects affected / exposed
    8 / 87 (9.20%)
    7 / 42 (16.67%)
         occurrences all number
    8
    7
    Macular fibrosis
         subjects affected / exposed
    10 / 87 (11.49%)
    6 / 42 (14.29%)
         occurrences all number
    10
    6
    Macular oedema
         subjects affected / exposed
    15 / 87 (17.24%)
    22 / 42 (52.38%)
         occurrences all number
    15
    22
    Ocular discomfort
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 42 (2.38%)
         occurrences all number
    5
    1
    Ocular hyperaemia
         subjects affected / exposed
    7 / 87 (8.05%)
    5 / 42 (11.90%)
         occurrences all number
    7
    5
    Photopsia
         subjects affected / exposed
    5 / 87 (5.75%)
    3 / 42 (7.14%)
         occurrences all number
    5
    3
    Posterior capsule opacification
         subjects affected / exposed
    12 / 87 (13.79%)
    3 / 42 (7.14%)
         occurrences all number
    12
    3
    Uveitis
         subjects affected / exposed
    49 / 87 (56.32%)
    40 / 42 (95.24%)
         occurrences all number
    49
    40
    Vision blurred
         subjects affected / exposed
    2 / 87 (2.30%)
    3 / 42 (7.14%)
         occurrences all number
    2
    3
    Visual acuity reduced
         subjects affected / exposed
    35 / 87 (40.23%)
    9 / 42 (21.43%)
         occurrences all number
    35
    9
    Visual impairment
         subjects affected / exposed
    23 / 87 (26.44%)
    5 / 42 (11.90%)
         occurrences all number
    23
    5
    Vitreous floaters
         subjects affected / exposed
    16 / 87 (18.39%)
    8 / 42 (19.05%)
         occurrences all number
    16
    8
    Vitreous opacities
         subjects affected / exposed
    12 / 87 (13.79%)
    6 / 42 (14.29%)
         occurrences all number
    12
    6
    Anterior chamber cell
         subjects affected / exposed
    8 / 87 (9.20%)
    1 / 42 (2.38%)
         occurrences all number
    8
    1
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    3 / 87 (3.45%)
    4 / 42 (9.52%)
         occurrences all number
    3
    4
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    1 / 87 (1.15%)
    4 / 42 (9.52%)
         occurrences all number
    1
    4
    Psychiatric disorders
    Depression
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 42 (2.38%)
         occurrences all number
    5
    1
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    5 / 87 (5.75%)
    1 / 42 (2.38%)
         occurrences all number
    5
    1
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    12 / 87 (13.79%)
    5 / 42 (11.90%)
         occurrences all number
    12
    5
    Viral upper respiratory tract infection
         subjects affected / exposed
    2 / 87 (2.30%)
    3 / 42 (7.14%)
         occurrences all number
    2
    3
    Conjunctivitis
         subjects affected / exposed
    2 / 87 (2.30%)
    3 / 42 (7.14%)
         occurrences all number
    2
    3

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    30 Oct 2013
    An exclusion criterion was added to harmonize the protocol with existing recommendation in the IB (pSivida 2017). An exclusion criterion was clarified to harmonize the protocol with existing tests conducted during eligibility screening. The original text for FAI insert delivery was updated. The PK data for FA release from Iluvien in human subjects were updated based on the publicly available 36-month data reported in Campochiaro et al 2013. The screening section was revised to clarify that the physical examination conducted by the investigative site should be consistent with the physical examination typically administered by the investigator in the investigator’s ophthalmology practice. Laboratory testing of electrolytes was revised to allow investigators to use local standard test for bicarbonate. Text was updated throughout to state that investigative sites were allowed to use local standard TB testing and not necessarily require all sites to use a serology TB testing. The text was updated throughout to clarify that the protocol required dilated indirect ophthalmoscopy only, as some investigators had interpreted the protocol to suggest that direct ophthalmoscopy was also required. The ICF sections were revised to accommodate different national requirements regarding the number of signed original ICF forms. The unmasking section was revised to clarify the authority of the investigator and to avoid any suggestion that the investigator must contact PPD/ EyePoint before breaking the mask for a subject. The OCT section was edited to indicate that sites with alternative OCT instruments were allowed to participate in the study. Anterior chamber cell scoring convention and vitreous haze scoring convention figures were added to clarify the scoring convention that was used in the study for the recurrence of uveitis.
    12 Dec 2013
    The exclusion criteria were updated to: - Clarify that the exclusion criteria pertain to the study eye. - Clarify that concurrent therapy of the study eye with any IOP-lowering medication is an exclusion criterion. Permit the enrollment of subjects with previous, successful incisional surgery to control IOP (e.g., filtration surgery, shunt, or tube placement) and the following: - Stable IOP in the normal range (10-21 mmHg) - No concurrent therapy with IOP-lowering medication The IOP section was updated to clarify that applanation tonometers with different brand names were acceptable to use in the study.
    10 Sep 2014
    The concomitant medications/procedures section was revised to clarify the conditions under which topical steroid use was permitted at time of study entry and at time following an ocular surgical procedure. Revision clarified conditions under which topical steroid use should be used to treat recurrences of uveitis. The data imputation section was updated for the conditions under which recurrence of uveitis would be imputed in the efficacy analysis. The measurement of BCVA by EDTRS was updated to clarify that the Tumbling E-ETDRS chart would be used for subjects who were illiterate or not familiar with the standard English alphabet.
    22 Dec 2014
    Revisions made as part of Amendment 4 for the US and EMEA countries were applied in Amendment 7 for India. Exclusion criterion regarding positive test for HIV, TB, or syphilis was clarified; positive HIV or syphilis test at screening would result in exclusion. An exclusion criterion was added to exclude subjects with infectious mycobacterial uveitis. The FAI insert injection procedure was revised to clarify that administration of a second FAI insert within the study eye was not permitted.
    02 Jul 2015
    The primary efficacy endpoint analysis was revised from Month 12 to Month 6. Text was revised throughout the protocol for consistency with revised timing of the primary efficacy endpoint analysis. Exploratory analyses text was revised throughout the protocol to be consistent with the revised timing of the primary efficacy endpoint analysis (Month 6). Efficacy and safety data analyses were revised for consistency with revised timing of primary efficacy endpoint analysis (Month 6). Sample size was adjusted for consistency with revised timing of primary efficacy endpoint analysis (Month 6), assuming that 80% of events observed within 12 months were observed within 6 months.
    20 Oct 2015
    The visit window for the Month 6 and Month 9 study visits was revised to ±28 days.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Not reported.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sat May 04 16:18:25 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA