Trial Outcomes & Findings for Prolensa (Bromfenac) 0.07% QD vs. Ilevro (Nepafenac) 0.3% QD for Treatment of Ocular Inflammation Post Cataract Surgery (NCT NCT01847638)

NCT ID: NCT01847638

Last Updated: 2018-11-14

Results Overview

Units on a scale. Biomicroscopy with slit lamp beam of 0.3 mm in width and 1.0 mm in height will be used to determine anterior cell and flare scores at each study visit by counting each individual white blood cell present and grading the flare (measure of protein and marker of inflammation in aqueous fluid). The sum of the severity of cell count and the flare grade will be called the Summed Ocular Inflammation Score (SOIS) and measured at each time point. The scale is 0-4 range for both values cells counted and flare where 0=no cell and 0=complete abscence of flare; 0.5 = 1-5 cells (trace) and 0= no flare; 1=6-15 cells and 1=very slight (barely detectable ) flare, 2=16-25 cells and 2=moderate flare (iris and lens clear), 3=26-30 cells and 3 =marked (iris and lens hazy) and 4=\>

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

change from baseline to final at post op 42 days +/-7 days

Results posted on

2018-11-14

Participant Flow

Participant milestones

Participant milestones
Measure
Prolensa (Bromfenac 0.07%)
Subjects will instill one drop Prolensa (bromfenac 0.07%) into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Prolensa (bromfenac 0.07%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Ilevro (Nepafenac 0.3%)
Subjects will instill one drop into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Ilevro (nepafenac 0.3%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Overall Study
STARTED
25
25
Overall Study
COMPLETED
25
25
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prolensa (Bromfenac) 0.07% QD vs. Ilevro (Nepafenac) 0.3% QD for Treatment of Ocular Inflammation Post Cataract Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Total
n=50 Participants
Total of all reporting groups
Prolensa (Bromfenac 0.07%)
n=25 Participants
Subjects will instill one drop Prolensa (bromfenac 0.07%) into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Prolensa (bromfenac 0.07%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Ilevro (Nepafenac 0.3%)
n=25 Participants
Subjects will instill one drop into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Ilevro (nepafenac 0.3%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Age, Categorical
<=18 years
0 Participants
n=35 Participants
0 Participants
n=39 Participants
0 Participants
n=41 Participants
Age, Categorical
Between 18 and 65 years
32 Participants
n=35 Participants
12 Participants
n=39 Participants
20 Participants
n=41 Participants
Age, Categorical
>=65 years
18 Participants
n=35 Participants
13 Participants
n=39 Participants
5 Participants
n=41 Participants
Age, Continuous
67.6 years
n=35 Participants
68.3 years
n=39 Participants
66.9 years
n=41 Participants
Sex: Female, Male
Female
34 Participants
n=35 Participants
17 Participants
n=39 Participants
17 Participants
n=41 Participants
Sex: Female, Male
Male
16 Participants
n=35 Participants
8 Participants
n=39 Participants
8 Participants
n=41 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=35 Participants
0 Participants
n=39 Participants
1 Participants
n=41 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
49 Participants
n=35 Participants
25 Participants
n=39 Participants
24 Participants
n=41 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=35 Participants
0 Participants
n=39 Participants
0 Participants
n=41 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=35 Participants
0 Participants
n=39 Participants
0 Participants
n=41 Participants
Race (NIH/OMB)
Asian
0 Participants
n=35 Participants
0 Participants
n=39 Participants
0 Participants
n=41 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=35 Participants
0 Participants
n=39 Participants
0 Participants
n=41 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=35 Participants
8 Participants
n=39 Participants
7 Participants
n=41 Participants
Race (NIH/OMB)
White
35 Participants
n=35 Participants
17 Participants
n=39 Participants
18 Participants
n=41 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=35 Participants
0 Participants
n=39 Participants
0 Participants
n=41 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=35 Participants
0 Participants
n=39 Participants
0 Participants
n=41 Participants
Region of Enrollment
United States
50 Participants
n=35 Participants
25 Participants
n=39 Participants
25 Participants
n=41 Participants

PRIMARY outcome

Timeframe: change from baseline to final at post op 42 days +/-7 days

Population: patients undergoing uncomplicated cataract surgery

Units on a scale. Biomicroscopy with slit lamp beam of 0.3 mm in width and 1.0 mm in height will be used to determine anterior cell and flare scores at each study visit by counting each individual white blood cell present and grading the flare (measure of protein and marker of inflammation in aqueous fluid). The sum of the severity of cell count and the flare grade will be called the Summed Ocular Inflammation Score (SOIS) and measured at each time point. The scale is 0-4 range for both values cells counted and flare where 0=no cell and 0=complete abscence of flare; 0.5 = 1-5 cells (trace) and 0= no flare; 1=6-15 cells and 1=very slight (barely detectable ) flare, 2=16-25 cells and 2=moderate flare (iris and lens clear), 3=26-30 cells and 3 =marked (iris and lens hazy) and 4=\>

Outcome measures

Outcome measures
Measure
Prolensa (Bromfenac 0.07%)
n=25 Participants
Subjects will instill one drop Prolensa (bromfenac 0.07%) into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Prolensa (bromfenac 0.07%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Ilevro (Nepafenac 0.3%)
n=25 Participants
Subjects will instill one drop into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Ilevro (nepafenac 0.3%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Treatment of Inflammation Associated With Cataract Surgery
0.01 units on a scale
Standard Deviation .3
0.01 units on a scale
Standard Deviation .4

SECONDARY outcome

Timeframe: baseline score to final postoperative visit at 42 days +/-7 days

Population: patients undergoing uncomplicated cataract surgery

ETDRS log MAR Visual Acuity from baseline to final postoperative visit. The change was calculated as the difference of the value at the later time point minus the value at the earlier time point. The scale runs from -0.30 (corresponding to 20/10) or better visual acuity to 1(20/200) or worse visual acuity with the smaller or more negative numbers indicating better visual acuity outcomes and larger numbers indicating worsened visual acuity outcomes.

Outcome measures

Outcome measures
Measure
Prolensa (Bromfenac 0.07%)
n=25 Participants
Subjects will instill one drop Prolensa (bromfenac 0.07%) into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Prolensa (bromfenac 0.07%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Ilevro (Nepafenac 0.3%)
n=25 Participants
Subjects will instill one drop into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Ilevro (nepafenac 0.3%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Visual Acuity
.19 logMar
Standard Deviation .2
.21 logMar
Standard Deviation .25

OTHER_PRE_SPECIFIED outcome

Timeframe: change from baseline to final postoperative visit at 42 days +/- 7 days

Population: Patients undergoing uncomplicated phacoemulsification with lens implantation at a single center by a single surgeon.

Change in Retinal Thickness from baseline to final postoperative visit as measured by an SD-OCT

Outcome measures

Outcome measures
Measure
Prolensa (Bromfenac 0.07%)
n=25 Participants
Subjects will instill one drop Prolensa (bromfenac 0.07%) into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Prolensa (bromfenac 0.07%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Ilevro (Nepafenac 0.3%)
n=25 Participants
Subjects will instill one drop into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Ilevro (nepafenac 0.3%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Retinal Thickness
276 microns
Standard Deviation 1.26
279 microns
Standard Deviation 2.1

Adverse Events

Prolensa (Bromfenac 0.07%)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Ilevro (Nepafenac 0.3%)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Prolensa (Bromfenac 0.07%)
n=25 participants at risk
Subjects will instill one drop Prolensa (bromfenac 0.07%) into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Prolensa (bromfenac 0.07%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Ilevro (Nepafenac 0.3%)
n=25 participants at risk
Subjects will instill one drop into the study (operative) eye once daily for a maximum of 25 days. Dosing will begin three days prior to surgery (Day 3), continue on the day of surgery and for 21 days after surgery. Ilevro (nepafenac 0.3%): Comparison of Prolensa (bromfenac ophthalmic solution) 0.07% QD vs. Ilevro (nepafenac ophthalmic suspension) 0.3% QD for Treatment of Ocular Inflammation Associated with Cataract Surgery
Eye disorders
iritis
4.0%
1/25 • Number of events 1 • 2 years
0.00%
0/25 • 2 years

Additional Information

Melissa Toyos

Toyos Clinic

Phone: 6153274015

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place