Loteprednol Etabonate 0.25% for Prevention of Cornea Transplant Rejection

Study Overview
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Brief Summary
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The purpose of this study is to assess off-label use of loteprednol etabonate 0.25% ophthalmic suspension (Eysuvis) for prevention of immunologic rejection in the first year after Descemet membrane endothelial keratoplasty (DMEK). Topical corticosteroids have long been the mainstay for preventing and treating cornea transplant rejection although none are specifically approved for this purpose. The rates of immunologic rejection episodes and steroid-induced ocular hypertension will be compared with the respective rates observed in earlier studies with prednisolone acetate 1% suspension, loteprednol etabonate 0.5% gel, and fluorometholone 0.1% suspension after DMEK.

Official Title
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Prospective Analysis of Loteprednol Etabonate Ophthalmic Suspension 0.25% for Prevention of Immunologic Rejection After Descemet Membrane Endothelial Keratoplasty

Conditions
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Corneal Endothelial Dystrophy, Corneal Edema

Intervention / Treatment
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* Drug: loteprednol etabonate 0.25% ophthalmic suspension


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: o At least 18 years of age Male or female patient who had DMEK within the past 1 to 7 weeks. Patient is able and willing to administer eye drops. Patient is able to comprehend and has signed the Informed Consent form. Patient is likely to complete the 11-month study duration. Exclusion Criteria: o A history of a previous rejection episode in the study eye A patient exhibiting intraocular inflammation. A patient with a known sensitivity to any of the ingredients in the study medications A patient who has a condition (i.e., UNCONTROLLED systemic disease) or is in a situation which in the investigator's opinion may put the patient at significant risk, may confound the study results, or may interfere significantly with the patient's participation in the study A patient with abnormal eyelid function. A patient that is exhibiting active corneal ulceration, keratitis, or conjunctivitis, or who has a history of herpetic keratitis. Presence of any ocular disease that would interfere with the evaluation of the study treatment. However, patients with a history of cystoid macular edema, age-related macular degeneration, controlled glaucoma, corneal neovascularization, and other non-interfering comorbidities may be enrolled. A patient with a history of non-compliance with using prescribed medication. Patients who are pregnant or planning to become pregnant within the duration of the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Preventative Treatment<br>Loteprednol etabonate ophthalmic suspension 0.25% dosed 4 times daily for 2 months, 3 times daily for one month, twice daily for one month, and once daily until the 1 year postop exam. | Drug: loteprednol etabonate 0.25% ophthalmic suspension<br>* tapering dose<br>* Other names: Eysuvis;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Immunologic rejection | incidence of immunologic rejection episodes | 11 months | 
| steroid-induced ocular hypertension | incidence of steroid-induced ocular hypertension | 11 months |