A Phase 2, Multi-center, Randomized, Double- Masked and Placebo-Controlled Study Evaluating the Efficacy and Safety of YP-P10 Ophthalmic Solution Compared to Placebo in Subjects With Dry Eye (ICECAP 1)
Overview
- Phase
- Phase 2
- Intervention
- YP-P10 Placebo Ophthalmic Solution (vehicle)
- Conditions
- Dry Eye
- Sponsor
- Yuyu Pharma, Inc.
- Enrollment
- 257
- Locations
- 7
- Primary Endpoint
- Total Corneal Fluorescein Staining
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The objective of this study is to compare the safety and efficacy of YP-P10 Ophthalmic Solution to placebo for the treatment of the signs and symptoms of dry eye.
Detailed Description
The clinical hypotheses for this study is that 0.3% YP-P10 Ophthalmic Solution twice daily (BID) and 1.0% YP-P10 Ophthalmic Solution BID are superior to YP-P10 Placebo Ophthalmic Solution (vehicle) for the primary endpoints of signs and symptoms of dry eye, as follows: * Sign: Total corneal fluorescein staining score of the study eye using the modified NEI grading scale, measured by mean change from baseline (Visit 2, Pre- Controlled Adverse Environment \[CAE®\]) to Visit 6 * Symptom: Ocular discomfort score of both eyes using the Visual Analog Scale (VAS) Ocular Discomfort Scale, measured by mean change from baseline (Visit 2, Pre-CAE®) to Visit 6
Investigators
Eligibility Criteria
Inclusion Criteria
- •Individuals eligible to participate in this study must meet all of the following criteria:
- •Be at least 18 years of age;
- •Provide written informed consent;
- •Be willing and able to comply with all study procedures;
- •Have a patient-reported history of dry eye for at least 6 months prior to Visit 1;
- •Have a history of use or desire to use eye drops for dry eye symptoms within 6 months of Visit 1;
- •Have a best corrected visual acuity (BCVA) of 0.7 logarithm of the minimum angle of resolution (logMAR) or better (Snellen equivalent score of 20/100 or better) in each eye at Visit 1;
- •Have a score of ≥ 2 for both eyes according to the Ora Calibra® Ocular Discomfort \& 4- Symptom Questionnaire in at least one of the dry eye symptoms at Visits 1 and 2;
- •Have an unanesthetized Schirmer's Test score of ≤ 10 mm/5 minutes and ≥ 1 mm/5 minutes in at least one eye at Visits 1 and 2;
- •Have a corneal fluorescein staining score of ≥ 2 according to the Ora Calibra® Corneal and Conjunctival Staining Scale for Grading of Fluorescein Staining in at least one region in one eye at Visits 1 and 2 and a central score ≥ 1 in the same eye;
Exclusion Criteria
- •Individuals who meet any of the following exclusion criteria will not be eligible to participate in the study:
- •Have any clinically significant slit lamp findings at Visit 1 that may include active blepharitis, meibomian gland dysfunction, lid margin inflammation, or active ocular allergies that require therapeutic treatment, and/or in the opinion of the investigator may interfere with study parameters;
- •Be diagnosed with an ongoing ocular infection (bacterial, viral, or fungal), or active ocular inflammation at Visit 1;
- •Have worn contact lenses within 7 days of Visit 1 or anticipate using contact lenses during the study;
- •Have previously had laser-assisted in situ keratomileusis (LASIK) surgery within the last 12 months;
- •Have used Restasis®, Xiidra®, or Cequa®, Eysuvis™ and Tyrvaya™ within 60 days of Visit 1;
- •Have had any ocular and/or lid surgeries in the past 6 months or have any planned ocular and/or lid surgeries over the study period;
- •Be using or anticipate using temporary punctal plugs during the study that have not been stable within 30 days of Visit 1;
- •Be currently taking any topical ophthalmic prescription (including medications for glaucoma) or over-the-counter solutions, artificial tears, gels or scrubs, and cannot discontinue these medications for the duration of the trial (excluding medications allowed for the conduct of the study); the respective wash- out periods are required for the following medications:
- •Antihistamines (including ocular): 72 hours prior to Visit 1
Arms & Interventions
YP-P10 Placebo Ophthalmic Solution (vehicle)
Intervention: YP-P10 Placebo Ophthalmic Solution (vehicle)
0.3% YP-P10 Ophthalmic Solution
Intervention: 0.3% YP-P10 Ophthalmic Solution
1% YP-P10 Ophthalmic Solution
Intervention: 1% YP-P10 Ophthalmic Solution
Outcomes
Primary Outcomes
Total Corneal Fluorescein Staining
Time Frame: Day 85
Modified National Eye Institute Scale; 0-20: Higher is Worse
Ocular Discomfort Score
Time Frame: Day 85
Visual Analogue Scale; 0-100: Higher is Worse
Secondary Outcomes
- Lissamine Green Staining: Temporal(13 weeks)
- Lissamine Green Staining: Inferior Nasal(13 weeks)
- Lissamine Green Staining: Conjunctival Sum(13 weeks)
- Ocular Surface Disease Index (OSDI): Subtotal 1-5(13 weeks)
- Pain in Eyes(13 Weeks)
- Fluorescein Staining: Nasal(13 weeks)
- Conjunctival Redness(13 weeks)
- Ocular Surface Disease Index (OSDI): Subtotal 6-9(13 weeks)
- Ocular Surface Disease Index (OSDI): Subtotal 10-12(13 weeks)
- Ocular Surface Disease Index (OSDI): Total(13 weeks)
- Burning/Stinging(13 weeks)
- Itching(13 weeks)
- Foreign Body Sensation(13 Weeks)
- Blurred Vision(13 Weeks)
- Eye Dryness(13 Weeks)
- Photophobia(13 Weeks)
- Fluorescein Staining: Superior(13 weeks)
- Fluorescein Staining: Central(13 weeks)
- Fluorescein Staining: Inferior(13 weeks)
- Fluorescein Staining: Temporal(13 weeks)
- Lissamine Green Staining: Nasal(13 weeks)
- Unanesthetized Schirmer's Test(13 weeks)
- Tear Film Break-up Time (TFBUT)(13 weeks)
- Lissamine Green Staining: Inferior Temporal(13 weeks)
- Lissamine Green Staining: Superior Temporal(13 weeks)
- Lissamine Green Staining: Superior Nasal(13 weeks)
- Adverse Event Query - SEA Reported(13 Weeks)
- Dilated Fundoscopy: Shift From Normal/Abnormal NCS to Abnormal CS(13 weeks)
- Intraocular Pressure (IOP) by Contact Tonometry by the Examiner: Unsafe and Abnormal Ranges(13 weeks)
- Treatment Compliance Using a Daily Compliance Diary(13 weeks)
- Drop Comfort - Positive Response(13 weeks)
- Visual Acuity - Subjects With Increase Greater Than 0.2 logMAR(13 weeks)
- Slit-lamp Evaluation Biomicroscopy - Subjects That Had a Shift From Normal/Abnormal NCS to Abnormal CS(13 weeks)
- Adverse Event Query - TEAEs(13 weeks)
- Adverse Event Query - Ocular TEAEs(13 Weeks)
- Adverse Event Query - Non Ocular TEAEs(13 Weeks)
- Adverse Event Query - TEAEs Causing Premature Treatment Discontinuation(13 Weeks)
- Adverse Event Query - TEAEs Suspected to be Related to Study Drug(13 Weeks)