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Safety, Efficacy, Tolerability and Pharmacokinetics of AGN-223575 Ophthalmic Suspension in Patients With Dry Eye Disease

Phase 2
Completed
Conditions
Dry Eye Syndromes
Interventions
Drug: AGN-223575 ophthalmic solution
Drug: AGN-223575 vehicle ophthalmic solution
Registration Number
NCT02435914
Lead Sponsor
Allergan
Brief Summary

This study will evaluate the safety, efficacy, tolerability, and systemic pharmacokinetics of 3 different doses of topical ophthalmic AGN-223575 suspension compared to AGN-223575 vehicle in patients with dry eye disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
236
Inclusion Criteria
  • Signs and symptoms of dry eye disease
  • Has used RESTASIS and/or artificial tears in both eyes twice a day for at least 60 days.
Exclusion Criteria
  • History of glaucoma, or ocular hypertension
  • Diagnosis of ocular infection
  • Use of contact lenses in the past 14 days or expected use during the study
  • Use of any topical ophthalmic medications in the past 30 days
  • Use of corticosteroids in the past 30 days.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AGN-223575 Dose AAGN-223575 ophthalmic solution1 drop of AGN-223575 Dose A ophthalmic solution administered in each eye twice daily for 14 day followed by either 1 drop of AGN-223575 Dose A ophthalmic solution or 1 drop of vehicle to AGN-223575 in each eye once daily for 7 days.
AGN-223575 Dose AAGN-223575 vehicle ophthalmic solution1 drop of AGN-223575 Dose A ophthalmic solution administered in each eye twice daily for 14 day followed by either 1 drop of AGN-223575 Dose A ophthalmic solution or 1 drop of vehicle to AGN-223575 in each eye once daily for 7 days.
AGN-223575 Dose BAGN-223575 ophthalmic solution1 drop of AGN-223575 Dose B ophthalmic solution administered in each eye twice daily for 14 day followed by either 1 drop of AGN-223575 Dose B ophthalmic solution or 1 drop of vehicle to AGN-223575 in each eye once daily for 7 days.
AGN-223575 Dose BAGN-223575 vehicle ophthalmic solution1 drop of AGN-223575 Dose B ophthalmic solution administered in each eye twice daily for 14 day followed by either 1 drop of AGN-223575 Dose B ophthalmic solution or 1 drop of vehicle to AGN-223575 in each eye once daily for 7 days.
AGN-223575 Dose CAGN-223575 ophthalmic solution1 drop of AGN-223575 Dose C ophthalmic solution administered in each eye twice daily for 14 day followed by either 1 drop of AGN-223575 Dose C ophthalmic solution or 1 drop of vehicle to AGN-223575 in each eye once daily for 7 days.
AGN-223575 Dose CAGN-223575 vehicle ophthalmic solution1 drop of AGN-223575 Dose C ophthalmic solution administered in each eye twice daily for 14 day followed by either 1 drop of AGN-223575 Dose C ophthalmic solution or 1 drop of vehicle to AGN-223575 in each eye once daily for 7 days.
AGN-223575 VehicleAGN-223575 vehicle ophthalmic solution1 drop of Vehicle to AGN-223575 ophthalmic solution administered in each eye twice daily for 14 day followed by 1 drop of vehicle to AGN-223575 ophthalmic solution in each eye once daily for 7 days.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Conjunctival Redness Score in the Study Eye Using a 5-Point ScaleBaseline, Day 14

Nasal and temporal bulbar conjunctival hyperemia were graded separately in each eye by the investigator under slit-lamp magnification by assigning a score of 0 to 4 for each quadrant based on comparison to the Allergan Dry Eye Redness Scale with photographic reference where: 0=Normal, vessels of bulbar conjunctiva are easily observed; 1=Trace redness; 2=Mild redness; 3=Moderate redness; 4=Severe redness, and each score is associated with a reference photo. For each eye, the study quadrant was determined by the greater (more severe) of the baseline redness scores for nasal and temporal bulbar conjunctival hyperemia as assessed using the Allergan Dry Eye Redness Scale. If the temporal score was greater than the nasal score, then the temporal quadrant was the study quadrant for the eye and was used to assess primary efficacy; otherwise the nasal quadrant was the study quadrant. A negative change from baseline (less redness) indicates improvement.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Ocular Surface Disease Index (OSDI) Total Score Using a 5-Point ScaleBaseline, Day 14

OSDI questionnaire consists of 12 questions regarding ocular symptoms, environmental triggers, and vision-related functioning in patients with dry eye disease. The participants rate each question on a 5-point scale where: 0=none of the time to 4=all of the time. The scores are totaled over the 12 questions and normalized/converted to a total score of 0=no disability to 100=complete disability. Higher OSDI scores are associated with greater severity. A negative change from Baseline indicates improvement.

Change From Baseline in Corneal Staining Score of the Study Eye Using a 6-Point ScaleBaseline, Day 14

The cornea is the transparent front part of the eye which covers the iris and pupil. Staining of the cornea following ocular administration of fluorescein dye was graded using a 6-point scale where: 0=no staining to 5=diffuse staining. The higher the grade score, the worse the dry eye severity. A negative change from Baseline indicates improvement.

Percentage of Participants With Complete Redness Response (Yes/No) in the Study EyeDay 14

A participant was considered a redness responder if the study quadrant redness score based on the Allergan Dry Eye Redness Scale in the study eye was 0=Normal (no redness).

Trial Locations

Locations (28)

Eye Associates of Colorado Springs

🇺🇸

Colorado Springs, Colorado, United States

Eye Care Associates of Greater Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Whitsett Vision Group

🇺🇸

Houston, Texas, United States

Tufts Medical Center/ Tufts University School of Medicine

🇺🇸

Boston, Massachusetts, United States

Houston Eye Associates

🇺🇸

Houston, Texas, United States

Arizona Center for Clinical Trials

🇺🇸

Phoenix, Arizona, United States

Specialty Eye Ctr. Med. Group

🇺🇸

Glendale, California, United States

The Eye Research Foundation

🇺🇸

Newport Beach, California, United States

WCCT Global

🇺🇸

Santa Ana, California, United States

Coastal Research Assoc. LLC

🇺🇸

Roswell, Georgia, United States

West Coast Eye Institute

🇺🇸

Lecanto, Florida, United States

Eye Care Centers Management, Inc.

🇺🇸

Morrow, Georgia, United States

Kentucky Center for Vision

🇺🇸

Lexington, Kentucky, United States

Durrie Vision

🇺🇸

Overland Park, Kansas, United States

Chicago Cornea Consultants

🇺🇸

Hoffman Estates, Illinois, United States

Moyes Eye Center

🇺🇸

Kansas City, Missouri, United States

Comprehensive Eye Care Ltd.

🇺🇸

Washington, Missouri, United States

Raymond Fong MD, PC

🇺🇸

New York, New York, United States

South Shore Eye Care LLP

🇺🇸

Wantagh, New York, United States

Cornerstone Eye Care

🇺🇸

High Point, North Carolina, United States

Bluestein Custom Vision

🇺🇸

Charleston, South Carolina, United States

Carolinas Centers for Sight, PC

🇺🇸

Florence, South Carolina, United States

Mark A. Terry, MD PC/ Devers Eye Institute

🇺🇸

Portland, Oregon, United States

Keystone Clinical Research

🇺🇸

Austin, Texas, United States

Medical Center Opth. Assoc.

🇺🇸

San Antonio, Texas, United States

Ophthalmology Associates

🇺🇸

Saint Louis, Missouri, United States

SE Clinical Research Associates, LLC/ Charolette Eye Ear Nose

🇺🇸

Charlotte, North Carolina, United States

Black Hills Regional Eye Institute

🇺🇸

Rapid City, South Dakota, United States

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