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Phase 4 N=40 Randomized Treatment

Assessing Dextenza Insert After SMILE Procedure

Post Procedural Infection

Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Sep 2023
Primary outcome: Primary: Mean Change in Pain — 0.15; 0.20; 0.95; 0.90 Score on a scale from 0-10

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Dexamethasone ophthalmic insert 0.4 mg (Drug); Topical Prednisolone Acetate Ophthalmic Drops (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
William Wiley, MD
Primary completion
Jun 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Change in Pain
0.15; 0.20; 0.95; 0.90; 0.47; 0.37
SECONDARY
Number of Lines Lost From Best Corrected Visual Acuity
0; 0
SECONDARY
Loss of Lines in Uncorrected Visual Acuity
-0.010; 0.013; -0.014; -0.026; -0.071; -0.068
SECONDARY
Post op Pain Management Per Eye
0; 0
SECONDARY
Patient Preference Between Groups
14; 2; 4; 11; 3; 3

Summary

This three-month prospective, open-label, single-center, randomized investigator initiated clinical study seeks to investigate the efficacy of DEXTENZA when placed in the lower canaliculus (study eye) compared to topical corticosteroids (control eye) following bilateral SMILE surgery. In addition, the study will evaluate physician assessment of ease of DEXTENZA insertion

Eligibility Criteria

Inclusion Criteria

  • Age 18 years and older
  • Scheduled for bilateral SMILE surgery
  • Willing and able to comply with clinic visits and study related procedures
  • Willing and able to sign the informed consent form

Exclusion Criteria

  • Patients under the age of 18.
  • Pregnancy (must be ruled out in women of child-bearing age with pregnancy test)
  • Active infectious systemic disease
  • Active infectious ocular or extraocular disease
  • Obstructed nasolacrimal duct in the study eye(s)
  • Hypersensitivity to dexamethasone
  • Patients being treated with immunomodulating agents in the study eye(s)
  • Patients being treated with immunosuppressants and/or oral steroids Patients with severe disease that warrants critical attention, deemed unsafe for the study by the investigator
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04380857). 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.

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