A Phase 2a, Double-blind, Randomized, Placebo-controlled, Repeated Administration, Crossover Study to Establish Safety, Tolerability and Efficacy of PresbiDrops (CSF-1) in Presbyopic Subjects
Overview
- Phase
- Phase 2
- Intervention
- PresbiDrops (CSF-1)
- Conditions
- Presbyopia
- Sponsor
- Orasis Pharmaceuticals Ltd.
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Percentage of participants with a ≥ 2 line improvement from Baseline in uncorrected near distance visual acuity
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
A study to establish safety, tolerability, and efficacy of PresbiDrops (CSF-1) in presbyopic subjects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Men and women between 40 and 65 years of age (inclusive).
- •Subjects who provide written informed consent to participate in the study.
- •Subjects have signs of presbyopia upon ophthalmic examination.
- •Subjects have normal presbyopia with low distance refraction (sphere no greater than ±0.75 diopter cylinder no greater than ±0.75 diopter cylinder \[DC\], refraction along any principal meridian no greater than 1.00 diopter).
- •Subjects must have best corrected vision of 20/20 in both eyes, and currently depend on reading glasses or bifocals in which the near addition is \> +1.00 diopter.
- •Subjects in general good health in the opinion of the Investigator as determined by medical history.
- •Women with childbearing potential must have a negative urine pregnancy test at Screening and be willing and able to use a medically acceptable method of birth control or they must be postmenopausal. Acceptable methods of birth control in this study include: Vasectomy, tubal ligation, consistent use of an approved oral contraceptive (birth control pill), intrauterine device (IUD), hormonal implants, contraceptive injection or a double barrier method (diaphragm with spermicidal gel or condom with contraceptive foam). Postmenopausal women are defined as women with menstruation cessation for 12 consecutive months prior to signing of the informed consent form.
- •Subjects must be able to understand the requirements of the study and must be willing to comply with the requirements of the study.
Exclusion Criteria
- •History of macular disease or any other ocular conditions or congenital malformation.
- •Any medical condition known to affect the structure of the uvea, cornea, lens, or retina or main function of the eyes.
- •No cataract or minimal nuclear sclerosis.
- •Severe dry eye.
- •Any topical ophthalmic medications, other than artificial tears (up to a maximum of 4 times per day) and medications that are associated with fluctuation of accommodative capacity and/or pupil size, unless on a stable dose for at least 3 months before the Screening visit.
- •Contact lenses for the past three months before the Screening visit.
- •A difference of more than 0.50 diopter between the manifest spherical equivalent and the wave front refraction spherical equivalent.
- •Pupil size less than 2,5 mm in either eye prior to dilation at ambient light of 8-15 lux prior to the Baseline visit.
- •A history of herpes (of any kind) in either eye.
- •Cataract surgery and/or refractive surgery in either eye.
Arms & Interventions
PresbiDrops (CSF-1)
Participants self-administered PresbiDrops (CSF-1), 1 drop in each eye each morning for 2 weeks.
Intervention: PresbiDrops (CSF-1)
Placebo
Participants self-administered placebo, 1 drop in each eye each morning for 2 weeks.
Intervention: Placebo
Outcomes
Primary Outcomes
Percentage of participants with a ≥ 2 line improvement from Baseline in uncorrected near distance visual acuity
Time Frame: Baseline to end of treatment (up to 14 days)
Uncorrected visual acuity will be assessed at distance and near (40 cm) using a standardized eye chart. The number of lines in the eye chart that the participant correctly identifies will be measured. The test will be performed both binocularly and on 1 eye at a time by covering the eye not being tested. Distance visual acuity will be measured under normal light conditions. Near acuity will be measured both in poor light conditions and normal light conditions.
Mean change from Baseline in the number of lines correctly identified in uncorrected near distance visual acuity
Time Frame: Baseline to end of treatment (up to 14 days)
Uncorrected visual acuity will be assessed at distance and near (40 cm) using a standardized eye chart. The number of lines in the eye chart that the participant correctly identifies will be measured. The test will be performed both binocularly and on 1 eye at a time by covering the eye not being tested. Distance visual acuity will be measured under normal light conditions. Near acuity will be measured both in poor light conditions.
Secondary Outcomes
- Percentage of participants with a ≥ 2 line improvement from Baseline in uncorrected intermediate distance visual acuity(Baseline to end of treatment (up to 14 days))
- Mean change from Baseline in the number of lines correctly identified in uncorrected intermediate distance visual acuity(Baseline to end of treatment (up to 14 days))
- Change from Baseline in the depth of focus at distance and near(Baseline to end of treatment (up to 14 days))
- Change from Baseline in uncorrected distance visual acuity(Baseline to end of treatment (up to 14 days))
- Change from Baseline in the need for glasses(Baseline to end of treatment (up to 14 days))
- Change from Baseline in pupil diameter and appearance(Baseline to end of treatment (up to 14 days))
- Change from Baseline in the stability of pre-corneal tear film(Baseline to end of treatment (up to 14 days))
- Change from Baseline in visual field(Baseline to end of treatment (up to 14 days))