CI

At a glance

ClinicalIndex Comparison Record
Early Ph 1Completed· 36 enrolled / 36 target
Drug / intervention
dexamethasone ophthalmic insert 0.4 mg, for intracanalicular use +1 moredrug
Likely dose
dexamethasone ophthalmic insert 0.4 mg, for intracanalicular usefrom record
Structured eligibility isn't available for this trial yet — see the full criteria in the Eligibility tab below.

Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.

Search/NCT04418999
NCT04418999Early Ph 1CompletedOn Track (0.5/mo)Completion was 54mo ago

Safety and Efficacy of Intracanalicular Dexamethasone Insert Compared to Loteprednol Etabonate Ophthalmic Gel 0.38% in Patients With Keratoconus Wearing Gas Permeable Contact Lenses Who Have Been Diagnosed With Allergic Conjunctivitis

Illinois College of Optometry·interventional·Posted Jun 5, 2020·Updated Jun 24, 2026

In Brief

A Early Phase 1 clinical trial evaluating dexamethasone ophthalmic insert 0.4 mg, for intracanalicular use and Loteprednol Etabonate 0.38% Ophthalmic Gel/Jelly for Keratoconus and 2 related conditions. Completed, enrolled 36 participants across 1 site.

Detailed Summary

Drug delivery platforms are an innovative exciting advancement in ophthalmology. They allow patients to eliminate topical medications which are generally associated with lack of compliance, difficulty of use and requiring help from family members. These delivery systems can be applied easily in office, and patients do not have to worry about drop insertion in their post-operative regimen. The results of this research project should help to answer the following question: Does the use of a physician administered intracanalicular dexamethasone insert improve the signs and symptoms of ocular allergy and dry eye disease in KC patients compared to the use of topical loteprednol etabonate ophthalmic gel 0.38%?

Study Details

Study Typeinterventional
Allocation--
Masking--
Primary Purpose--
CountriesUnited States
Collaborators--

Timeline

Early Ph 1CompletedFinished
202120222023202420252026
First PostedJun 5, 2020
Enrollment StartSep 1, 2020
Primary CompletionDec 31, 2021
TodayJul 2, 2026
Enrollment to primary: 1.3 yearsPosted 6.1 years ago

Arms & Interventions

Dexamethasone insertexperimental

Per participant, one eye will be randomized to receive the intracanalicular dexamethasone insert at the baseline visit (study eye). DEXTENZA is an ophthalmic insert that is inserted in the lower lacrimal punctum into the canaliculus at the day 1 visit by pulling the lower lid taught and using a forceps to insert the medication into the lower canaliculus through the lower punctum.

Drug: dexamethasone ophthalmic insert 0.4 mg, for intracanalicular use
Loteprednol etabonate ophthalmic gel 0.38%active_comparator

Per participant, one eye will be randomized to receive the standard of care topical lotemax etabonate ophthalmic gel 0.38% (control eye). Patients will be prescribed a loteprednol etabonate ophthalmic gel 0.38% and will instill one drop into the eye following a 4x/day,3x/day,2x/day,1/xday weekly taper

Drug: Loteprednol Etabonate 0.38% Ophthalmic Gel/Jelly

Interventions

dexamethasone ophthalmic insert 0.4 mg, for intracanalicular usedrug

Experimental

Loteprednol Etabonate 0.38% Ophthalmic Gel/Jellydrug

Active Comparator