TheraRadar
Data updated: May 26, 2026

ILUVIEN (fluocinolone acetonide)

Corticosteroid Hormone Receptor Agonists Trial Activity: Declining 1 active trials
Metabolic Approved 2014-09-26

ILUVIEN is indicated for the treatment of Diabetic Macular Edema; Uveitis.

Source: FDA Label • ALIMERA SCIENCES INC • Corticosteroid

How ILUVIEN Works

Fluocinolone acetonide inhibits inflammatory responses, including edema, fibrin deposition, capillary dilation, and leukocyte migration. It is thought to act by inducing inhibitory proteins called lipocortins, which inhibit phospholipase A2. This inhibition prevents the release of arachidonic acid, thereby suppressing the biosynthesis of potent inflammatory mediators such as prostaglandins and leukotrienes.

Development Insights

Alimera Sciences conducting 6 trials (60%)
8 indications explored (Moderate)
diabetic macular edema (3 trials)
age-related macular degeneration (2 trials)
macular edema (2 trials)
1
Indication
--
Phase 3 Trials
1
Priority Reviews
11
Years on Market

Details

Status
Prescription
First Approved
2014-09-26
Patent Cliff
2028

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Routes
INTRAVITREAL
Dosage Forms
IMPLANT

Companies

Active Ingredient: FLUOCINOLONE ACETONIDE

ILUVIEN Approval History

2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2014 to 2025
Mar 2025 SUPPL
Label · Labeling
Mar 2017 SUPPL
Label · Labeling
May 2015 SUPPL Priority
Mfg · Manufacturing (CMC)

What ILUVIEN Treats

2 indications

ILUVIEN is approved for 2 conditions since its original approval in 2014. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Diabetic Macular Edema
  • Uveitis
Source: FDA Label

ILUVIEN Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to ILUVIEN

3 of 20

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

OZURDEX
DEXAMETHASONE
2 shared
AbbVie
Shared indications:
UveitisDiabetic Macular Edema
ABRILADA
ADALIMUMAB-AFZB
1 shared
Pfizer
Shared indications:
AHZANTIVE
AFLIBERCEPT-MRBB
1 shared
FORMYCON AG
Shared indications:
Diabetic Macular Edema
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Clinical Trial Registry

7 trials
Trial Sponsor ID Phase Status Title
NCT05844982 AL Protocol AL UG1EY014231 Ph 3 recruiting Intravitreal Faricimab Injections or Fluocinolone Acetonide (0.19 mg) Intravitreal Implants vs Observation for Prevention of VA Loss Due to Radiation Retinopathy
NCT01781936 Iluvien Pro00033019 Ph 1 completed Pilot Study of a Fluocinolone Acetonide Intravitreal Insert (FA-i) to Treat Intermediate-, Posterior-, or Panuveitis
NCT02359526 RESPOND 4C-2014-06 Ph 4 completed A Pilot Study on the Effect and Safety of Iluvien® in Chronic Diabetic Macular Edema Patients
NCT02472366 results posted M-01-13-002 Ph 4 completed A Non-Randomized, Open-Label, Single Center Phase 4 Study of the Effect and Safety of ILUVIEN® in Chronic Diabetic Macular Edema Patients Considered Insufficiently Responsive to Available Therapies (Laser, Anti-VEGF) With or Without Intravitreal Corticosteroid Therapy
NCT00695318 results posted C-01-08-004 Ph 2 terminated Fluocinolone Acetonide Intravitreal Inserts in Geographic Atrophy
NCT00770770 FAVOR results posted C-01-08-006 Ph 2 terminated Fluocinolone Acetonide Intravitreal Inserts for Vein Occlusion in Retina
NCT01304706 results posted C-01-11-008 Ph 3 completed Fluocinolone Acetonide in Diabetic Macular Edema (FAME) Extension Study
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ILUVIEN FDA Label Details

Indications & Usage

FDA Label (PDF)

ILUVIEN is indicated for the treatment of Diabetic Macular Edema; Uveitis.

View full patent landscape →
2 OB patents · 2 families · 19 international docs across 8 countries

ILUVIEN Patents & Exclusivity

Latest Patent: Nov 2028

Patents (2 active)

US9849027 Expires Nov 7, 2028
US8871241 Expires Aug 12, 2027
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for ILUVIEN

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2028
  • 3 active patents

Trial Analysis

  • 10 total trials
  • Stage: Declining

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment