EC-104 Intravitreal Implant for the Treatment of Diabetic Macular Edema

Last updated: January 19, 2025
Sponsor: Eclipse Life Sciences, Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Diabetic Macular Edema

Diabetic Retinopathy

Macular Edema

Treatment

EC-104 low dose

EC-104 high dose

Dexamethasone intravitreal implant

Clinical Study ID

NCT06536491
EC104-CS-201
  • Ages > 18
  • All Genders

Study Summary

This is a prospective, randomized, subject- and evaluator-masked, Phase 2, multicenter study comparing the safety and efficacy of EC-104-6M high-dose (fluocinolone acetonide [FA] 0.14 mg) implant and EC-104-4M low-dose (FA 0.092 mg) implant to Ozurdex® (dexamethasone intravitreal (IVT) implant, 0.7 mg) in subjects with diabetic retinopathy (DR) and center-involving diabetic macular edema (DME), with prior suboptimal clinical response to IVT anti-VEGF therapy who have been previously treated with locally administered corticosteroids without a clinically significant rise in intraocular pressure (IOP).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Males or females who are at least 18 years of age at the time of informed consent

  2. Willing and able to provide signed informed consent (participant or legallyauthorized representative) prior to any study-related procedures and to comply withall study visits and cooperate with all examinations

  3. Diagnosis of diabetes mellitus (Type 1 or Type 2), with history of diabetic macularedema (DME) < = years duration prior to Screening Visit 1

  4. Currently monitored hemoglobin A1c values ≤ 10.0 while under the care of a qualifiedmedical provider for diabetes mellitus management, unless provider allows valuevariance Inclusion criteria for the study eye (all of the below criteria must be met in thesame eye):

  5. Early Treatment Diabetic Retinopathy Study BCVA score ≤ 70 letters (Snellenequivalent 20/40 or worse) and ≥ 20 letters (Snellen equivalent 20/400) in at least 1 eye

Exclusion

Exclusion Criteria:

  1. Previous or current diagnosis of any form of glaucoma (defined as cup-to-disc ratio > 0.7) or ocular hypertension (documented intraocular pressure (IOP) > 21 mm Hgwithout glaucomatous disc damage) requiring medical or surgical intervention

  2. History of steroid-induced IOP elevation > 25 mm Hg

  3. Presence of active proliferative diabetic retinopathy, defined as activeneovascularization of disc (NVD), neovascularization elsewhere (NVE),neovascularization of iris (NVI), neovascularization of angle (NVA), or vitreoushemorrhage in the setting of active NVD or NVE

Study Design

Total Participants: 75
Treatment Group(s): 3
Primary Treatment: EC-104 low dose
Phase: 1/2
Study Start date:
August 19, 2024
Estimated Completion Date:
December 31, 2025

Study Description

Approximately 75 subjects who meet entry criteria will be randomized 1:1:1 to EC-104-6M high-dose (FA 0.14 mg) implant or EC-104-4M low-dose (FA 0.092 mg) implant or Ozurdex® (dexamethasone IVT implant 0.7 mg), with the goal of achieving approximately 20 subjects per group with a positive therapeutic response in their study eyes, who are evaluable in the primary endpoint analysis to assess efficacy. Subjects with a positive therapeutic response at Week 4 will be included in the primary and secondary endpoint analyses to assess efficacy for "Time to recurrent disease." Subjects who do not achieve a positive therapeutic response will be classified as suboptimal responders. While suboptimal responders will not be included in the primary and the secondary endpoint analyses to assess efficacy for "Time to recurrent disease," they will remain in the study and will be followed prospectively, with inclusion in the remaining endpoints to assess efficacy and all safety endpoint analyses

Connect with a study center

  • Retina Associates of Florida, LLC

    Tampa, Florida 33609
    United States

    Active - Recruiting

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