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Trial to Evaluate the Efficacy and Safety of TP-03, LIBRA Study

Phase 3
Completed
Conditions
Blepharitis
Interventions
Drug: Vehicle Control
Registration Number
NCT05629390
Lead Sponsor
LianBio LLC
Brief Summary

The Phase III main study is a randomized, controlled, multicenter, double blind, trial to evaluate the efficacy and safety of TP-03 (lotilaner ophthalmic solution, 0.25%), for the treatment of Demodex blepharitis in Chinese patients. The PK sub-study is a single-arm, open-label trial to evaluate systemic TP-03 in whole blood following topical ocular administration

Detailed Description

The main study is designed to demonstrate the superiority of TP-03 compared to vehicle for the treatment of Demodex blepharitis in Chinese patients. The vehicle of TP-03 was selected as the control since there are no approved pharmaceutical treatments for Demodex blepharitis. The vehicle as the control will provide evidence that the active ingredient is responsible for the response, not the vehicle alone.

A pharmacokinetics (PK) sub-study is included in the overall study design to evaluate systemic PK parameters of TP-03 in Chinese participants with Demodex blepharitis. The PK sub-study sites are separate from those of the Phase III study as described above.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
163
Inclusion Criteria
  1. Male or female, aged ≥ 18 years of age.
  2. Be willing to sign the informed consent and deemed capable of complying with the requirements of the study protocol.
  3. Has blepharitis
  4. Stated willingness to comply with all study procedures and availability for the duration of the study.
Exclusion Criteria
  1. Have used lid hygiene products (e.g., lid scrubs) within 14 days of Screening or unwilling to forego the use of lid hygiene products during the study.
  2. Have initiated treatment with an ocular topical prostaglandin analogue within 30 days of Screening or have any plans to change or discontinue treatment during the study
  3. Pregnancy or lactation.
  4. Any intraocular surgery (including ocular surface surgery, cataract surgery and intravitreal injection) or periocular surgery within 60 days prior to randomization, or any planned ocular surgical procedure during the study period
  5. Have any unstable or uncontrolled, cardiac, pulmonary, renal, oncological, neurological, metabolic or other systemic condition that, in the opinion of the investigator, would possibly require the participant to seek emergent medical treatment during the course of this study. This includes, but is not limited to, unstable or uncontrolled cardiac arrhythmias, hypertension, coagulopathies, renal failure or advanced diabetes mellitus.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Vehicle ControlVehicle ControlVehicle Control
Lotilaner Ophthalmic Solution (TP-03)LotilanerLotilaner Ophthalmic Solution (TP-03)
Primary Outcome Measures
NameTimeMethod
The assessment of treatment-related adverse effects43 days

To demonstrate the safety of 0.25% TP-03 in Demodex blepharitis

The proportion of participants cured based on their collarette score of 0 for the upper eyelid of the analysis eye.43 days

To demonstrate the efficacy of 0.25% Lotilaner Ophthalmic Solution to eliminate collarettes and eradicate mite in Demodex blepharitis

The proportion of participants with Demodex eradication based on the mite density of 0 mites/lash for the analysis eye at Day 4343 days

To demonstrate the efficacy of 0.25% Lotilaner Ophthalmic Solution to eliminate collarettes and eradicate mite in Demodex blepharitis

Secondary Outcome Measures
NameTimeMethod
The proportion of participants cured based on a composite of collarette score of 0 and erythema score of 0 for the upper eyelid of the analysis eye43 days

To demonstrate the efficacy of TP-03 to eliminate collarettes and erythema from the eyelid margin

Blood drug concentration of Lotilaner at Day 4343 days

To evaluate the blood drug concentration of Lotilaner following topical ocular administration of TP-03administration of 0.25% TP-03

Trial Locations

Locations (21)

Beijing Tongren Hospital

🇨🇳

Beijing, Beijing, China

Union Hospital, Tongji Medical College Huazhong University of Science and Technology

🇨🇳

Wuhan, Hubei, China

Renmin Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

Chongqing Aier Eye Hospital

🇨🇳

Chongqing, Chongqing, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

Xiangya Hospital, Central South University

🇨🇳

Changsha, Hunan, China

Xiamen Eye Center of Xiamen University

🇨🇳

Xiamen, Fujian, China

Zhongshan Ophthalmic Center, Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital of University of South China

🇨🇳

Hengyang, Hunan, China

Henan Provincial Eye Hospital

🇨🇳

Zhengzhou, Henan, China

Tianjin Medical University Eye Hospital

🇨🇳

Tianjin, Tianjin, China

Eye Hospital, Wenzhou Medical University

🇨🇳

Wenzhou, Zhejiang, China

Eye& Ent Hospital of Fudan University

🇨🇳

Shanghai, Shanghai, China

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

Guangzhou Aier Eye Hospital

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

Hainan Eye Hospital

🇨🇳

Haikou, Hainan, China

Shanxi Provincial Eye Hospital

🇨🇳

Taiyuan, Shanxi, China

Wuxi Second People's Hospital

🇨🇳

Wuxi, Jiangsu, China

Shanghai General Hospital

🇨🇳

Shanghai, Shanghai, China

The Second Affiliated Hospital Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

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