Phase 2
Completed N=44
Safety and Exploratory Efficacy Study of SF0166 for the Treatment of Diabetic Macular Edema (DME)
Source: ClinicalTrials.gov NCT02914613 ↗Enrolled (actual)
44
Serious AEs
13.6%
Results posted
May 2023
Primary outcomePrimary: Number of Subjects With No Cells Observed Following Slit Lamp Examination From Baseline to Week 8 — 22; 22; 22; 22 Participants
Summary
The primary purpose of this study was to evaluate the safety and exploratory efficacy of SF0166 Topical Ophthalmic Solution in patients with Diabetic Macular Edema (DME).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Subjects With No Cells Observed Following Slit Lamp Examination From Baseline to Week 8 |
22; 22; 22; 22; 21; 21 | — |
| PRIMARY Number of Subjects With Flare Observed Following Slit Lamp Examination From Baseline to Week 8 |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Subjects With Hyphema Observed Following Slit Lamp Examination From Baseline to Week 8 |
0; 0; 22; 22; 0; 0 | — |
| PRIMARY Number of Subjects With Bulbar Conjunctival Injection Observed Following Slit Lamp Examination From Baseline to Week 8 |
0; 0; 22; 22; 0; 1 | — |
| PRIMARY Number of Subjects With Erythema Observed Following Slit Lamp Examination From Baseline to Week 8 |
0; 0; 22; 22; 0; 1 | — |
| PRIMARY Number of Subjects With Edema Observed Following Slit Lamp Examination From Baseline to Week 8 |
0; 0; 1; 0; 21; 22 | — |
| PRIMARY Number of Subjects With Any Lens Opacity Observed Following Slit Lamp Examination From Baseline to Week 8 |
13; 7; 9; 15; 15; 9 | — |
| PRIMARY Number of Subjects With Abnormal Findings in Optic Nerve Following Fundus Examination From Baseline to Week 8 |
21; 22; 1; 0; 20; 21 | — |
| PRIMARY Number of Subjects With Abnormal Findings in Vitreous Following Fundus Examination From Baseline to Week 8 |
18; 16; 4; 6; 17; 16 | — |
| PRIMARY Number of Subjects With Abnormal Findings in Fundus Following Fundus Examination From Baseline to Week 8 |
5; 8; 17; 14; 4; 8 | — |
| PRIMARY Number of Subjects With Abnormal Findings in Macula/Choroid Following Fundus Examination From Baseline to Week 8 |
22; 22; 0; 0; 21; 22 | — |
| PRIMARY Number of Subjects With Abnormal Findings in Vessels Following Fundus Examination From Baseline to Week 8 |
18; 15; 4; 7; 17; 17 | — |
| PRIMARY Cup:Disc Ratio of Subjects Following Fundus Examination From Baseline to Week 8 |
1; 4; 6; 3; 9; 10 | — |
| PRIMARY Number of Subjects With Abnormal Findings Following A Fluorescein Angiogram at Week 4 Compared to Baseline (Day 0) |
21; 20; 1; 2; 21; 19 | — |
| PRIMARY Change in Intraocular Pressure From Baseline to Week 8 |
-0.1; 1.0; 0.2; -0.1; -0.2; 1.2 | — |
| PRIMARY Change in Central Retinal Thickness (CRT) for Study Eye From Baseline (Day 0) to Week 8 |
24.9; 1.3; 17.0; 3.4; -16.3; 14.9 | — |
| SECONDARY Change in Best-corrected Visual Acuity (BCVA) for Study Eye From Baseline (Day 0) at Week 4 and Week 8 |
0.1; -0.8; 0.1; 0.8; 1.1; -0.5 | — |
Eligibility Criteria
Inclusion Criteria
- Male or female, 18 years of age or older.
- Retinal thickening secondary to type 1 or type 2 diabetes mellitus with Diabetic Macular Edema (DME) defined as central subfield thickness ≥325 microns (µm) on spectral domain OCT in the study eye.
- Best-corrected Visual Acuity (BCVA) between 78 and 25 letters, inclusive, in the study eye at the screening/randomization visit using Early Treatment Diabetic Retinopathy Study (ETDRS) testing, with BCVA decrement primarily attributable to Diabetic Macular Edema (DME).
- Treatment naïve (i.e., no previous anti--vascular endothelial growth factor [VEGF] treatment in the study eye) or previously treated study eye with adequate washout defined below:
- Lucentis (ranibizumab): 30-day washout
- Avastin (bevacizumab): 30-day washout
- Eylea (aflibercept): 60-day washout
- Macugen (pegaptanib): 45-day washout
- Willing and able to return for all study visits.
- Able to adhere to the study dosing requirements.
- Understands and signs the written informed consent form.
Exclusion Criteria
- Active proliferative diabetic retinopathy (PDR) in the study eye, such as neovascularization of the optic disc (NVD), neovascularization elsewhere (NVE), vitreous hemorrhage, or neovascular glaucoma.
- Uncontrolled glaucoma or ocular hypertension in the study eye defined as an intraocular pressure (IOP) >25 millimeter of mercury (mmHg) regardless of concomitant treatment with IOP-lowering medications.
- Uncontrolled hypertension defined as systolic >180 mmHg or >160 mmHg on 2 consecutive measurements (during the same visit) or diastolic >100 mmHg on optimal medical regimen.
- Screening glycated hemoglobin (HbA1c) blood test >12.0%.
- Previous panretinal photocoagulation (PRP) in the study eye within 4 months of study enrollment, or the need for PRP during the study based on the Investigator's opinion.
- Previous focal laser photocoagulation in the study eye, within the foveal avascular zone.
- Intravitreal/periocular/topical ocular steroids of any type in the study eye within 90 days (3 months) prior to study enrollment.
- Placement of Iluvien or Retisert (fluocinolone acetonide intravitreal implant) in the study eye within 36 months (3 years) prior to study enrollment.
- Use of Ozurdex (dexamethasone intravitreal implant) in the study eye within 180 days (6 months) prior to study enrollment.
- Significant epiretinal membrane, posterior hyaloidal traction, and/or vitreomacular traction in the study eye as determined by the optical coherence tomography (OCT) results.
- Previous pars plana vitrectomy in the study eye.
- Any intraocular surgery in the study eye within 90 days (3 months) prior to study enrollment.
- Yttrium aluminium garnet (YAG) laser treatment in the study eye within 30 days (1 month) prior to study enrollment.
- Concomitant use of any topical ophthalmic medications in the study eye, including dry eye or glaucoma medications, unless on a stable dose for at least 90 days (3 months) prior to study enrollment and expected to stay on stable dose throughout study participation. Artificial tears are allowed.
- High myopia in the study eye, with a spherical equivalent of >8.00 Diopters (D) at screening.
- Chronic or recurrent uveitis in the study eye.
- Ongoing ocular infection or inflammation in either eye.
- A history of cataract surgery complicated by vitreous loss in the study eye.
- Congenital eye malformations in the study eye.
- A history of penetrating ocular trauma in the study eye.
- Mentally handicapped.
- Females of childbearing potential (i.e., who are not postmenopausal for at least 1 year or surgically sterile for at least 6 weeks prior to Visit 1 - Screening/Randomization) who are lactating, or who are pregnant as determined by a positive urine pregnancy test (UPT) at Visit 1 - Screening/Randomization. Women of childbearing potential must agree to use acceptable methods of birth control throughout the study. Accepta
Data sourced from ClinicalTrials.gov (NCT02914613). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.