MedPath

Topical Ophthalmic AGN-195263 for the Treatment of Evaporative Dry Eye

Phase 3
Terminated
Conditions
Dry Eye Syndromes
Interventions
Drug: Vehicle
Registration Number
NCT02965846
Lead Sponsor
Allergan
Brief Summary

The objectives of this study are twofold •To evaluate the safety and efficacy of 0.1% AGN-195263 administered twice daily compared to its vehicle in patients with evaporative dry eye (EDE) •To evaluate the systemic pharmacokinetics of 0.1% AGN-195263 administered twice daily in patients with EDE

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
43
Inclusion Criteria
  • Male, 18 years of age or older, at the screening (day -51) visit OR

  • Females, who are naturally postmenopausal (permanent cessation of menstrual periods for at least 12 consecutive months) or are permanently sterilized (ie, eg, tubal occlusion,hysterectomy, bilateral salpingectomy, and/or bilateral oophorectomy) at the screening (day -51) visit

  • In at least 1 eye, all of the following objective measures of evaporative dry eye (EDE) must be present at the standardization (day -21) and baseline (day 1) visits. The same eye must qualify at both visits

    • Tear film break-up time (TBUT) ≥ 2 seconds and ≤ 7 seconds
    • Corneal sodium fluorescein staining score ≥ 1 and ≤ 4 (Oxford scheme)
    • Anesthetized Schirmer's tear test score ≥ 10 mm after 5 minutes
  • At the standardization (day -21) and baseline (day 1) visits, patients must have:

    • Ocular Surface Disease Index© (OSDI) score > 12 (0 to 100 scale)
    • Overall ocular discomfort score ≥ 1 and < 4 (0 to 4 scale; 0 = none, 4 = very severe)
    • Ocular burning score ≥ 1 and < 4 (0 to 4 scale; 0 = none, 4 = very severe)
    • Blurred vision score ≥ 1 and < 4 (0 to 4 scale; 0 = none, 4 = very severe)
  • In at least 1 eye, a lower lid margin meibum quality global assessment score ≥ 1 at the standardization (day -21) and baseline (day 1) visits. The same eye must qualify at both visits

  • In at least 1 eye, the number of lower lid margin expressible meibomian glands must be ≥ 3 at the standardization (day -21) and baseline (day 1) visits. The same eye must qualify at both visits

  • Use of an artificial tear product, lid hygiene (ie, warm compress, lid massage, lid scrub), omega-3 supplementation (topical ocular or systemic), or antibiotics (ie, systemic or topical macrolides, tetracyclines, tetracycline derivatives [including doxycycline and minocycline]) for the treatment of dry eye disease, or meibomian gland disease within 1 year of the standardization (day -21) visit

Exclusion Criteria
  • Male patients with a history of, known, or suspected prostate cancer
  • Male patients with a prostate-specific antigen (PSA) level ≥ 4 μg/L
  • Female patients with a history of known or suspected breast, cervical, ovarian, or uterine cancer
  • Female patient who is of child-bearing potential
  • At standardization (day -21) and / or baseline (day 1) visits, a lower lid margin meibum quality global assessment score of non-expressible (NE) in either eye
  • Patients who are currently using estrogen and/or progesterone containing products (including herbal and nutritional supplements) and not on a stable dose (at least 90 days prior to the standardization visit (day -21) and/or anticipate initiating use and/or changing use during the study
  • Patients who are currently using or have used any androgen or anti-androgen treatment (including herbal and nutritional supplements), within 90 days of the standardization (day -21) visit or anticipated use during the study
  • Patients who are currently using or have used any hair growth product within 90 days of the standardization (day -21) visit or anticipated use during the study
  • Patients who are currently using or have used topical corticosteroids in the eyes or on the eyelids within 60 days prior to the standardization visit (day -21), or any such use anticipated prior to the month 6 visit
  • Patients who are currently using or have used oral or topical macrolides, tetracyclines, tetracycline derivative drugs (including doxycycline and minocycline), retinoids (eg, isotretinoin), calcineurin inhibitors (ie, RESTASIS®, Ikervis®), oral (systemic) corticosteroids, or lifitegrast (Xiidra™) or any other therapeutic dry eye treatment within 60 days of the standardization visit (day -21), or anticipated use before the month 6 visit

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AGN-195263AGN-195263-
VehicleVehicle-
Primary Outcome Measures
NameTimeMethod
Overall Ocular Discomfort Score (0 to 4 Scale; 0=None, 4=Very Severe)6 month visit

The overall ocular discomfort will be assessed on a questionnaire using a 0 to 4 scale on which 0=none, 1=mild, 2=moderate, 3=severe and 4=very severe.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Tearfilm Break Up Time (TBUT)Baseline (day 1) to 6 month visit

For TBUT, the mean of 3 measurements of time in seconds will be computed at each visit for each eye. The mean value of the study eye will be used for the analysis.

Trial Locations

Locations (49)

The Medical City

🇵🇭

Pasig City, Philippines

Ospedale San Giuseppe, Universita di Milano

🇮🇹

Milano, Italy

Ludwig-Maximilians-University, Dept of Ophthalmology

🇩🇪

Munich, Germany

Oční ambulance

🇨🇿

Velká Bíteš, Czechia

University Eye Hospital

🇩🇪

Freiburg, Germany

Scott and Christie Associates

🇺🇸

Cranberry Township, Pennsylvania, United States

St. Franziskus Hospital Augenabteilung

🇩🇪

Munster, Germany

FN Kralovske Vinohrady, Ocni Klinika

🇨🇿

Praha 10, Czechia

Fakultni nemocnice Ostrava

🇨🇿

Ostrava, Czechia

Augenklinik Universitatsklinikum

🇩🇪

Dusseldorf, Germany

CHU de Bordeaux, Service d'Ophtalmologie

🇫🇷

Bordeaux, France

Piedmont Eye Center

🇺🇸

Lynchburg, Virginia, United States

Medical Center Ophthalmology Associates

🇺🇸

San Antonio, Texas, United States

Gutenberg University Medical School, Dept of Ophthalmology

🇩🇪

Mainz, Germany

Specjalistyczna Praktyka Lekarska prof. Edward Wylegala

🇵🇱

Katowice, Poland

Erciyes Üniversitesi Tıp Fakültesi

🇹🇷

Kayseri, Turkey

Buddhist Tzu Chi General Hospital

🇨🇳

Hualien, Taiwan

University of Valladolid, Facultad Medicina

🇪🇸

Valladolid, Spain

Institto de Microcirugia Ocular C/Josep Maria Llado

🇪🇸

Barcelona, Spain

Newcastle University School of Medicine, Dept of Ophthamology

🇬🇧

Newcastle-upon-Tyne, United Kingdom

Cartuja Vision

🇪🇸

Sevilla, Spain

Ege Üniv. Tıp Fakültesi

🇹🇷

Izmir, Turkey

Rapallo Hospital, Opthalmology Department

🇮🇹

Genova, Italy

University of Pisa, Neurosciences - Section of Ophthalmology

🇮🇹

Pisa, Italy

CHU Hopital Morvan (Bat 4) Service Daviel Ophtalmologie

🇫🇷

Brest Cedex, France

CHU Limoges - Hôpital Dupuytren

🇫🇷

Limoges Cedex, France

Lifelong Vision Foundation

🇺🇸

Chesterfield, Missouri, United States

Devers Eye Institute

🇺🇸

Portland, Oregon, United States

Lugene Eye Institute

🇺🇸

Glendale, California, United States

Sall Research Medical Center

🇺🇸

Artesia, California, United States

Wills Eye Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Ocni klinika OFTEX

🇨🇿

Pardubice, Czechia

University Hospital of Cologne, Dept of Ophthalmology

🇩🇪

Koln, Germany

Istituto Di Ricovero E Cura A Carattere Scientifico (IRCCS) - Ospedale San Raffaele (HSR) (Istituto Scientifico Universitario San Raffaele)

🇮🇹

Milano, Italy

Istituto di Oftalmologia

🇮🇹

Messina, Italy

Instituto Oftalmologico Fernandez-Vega

🇪🇸

Oviedo, Principado De Asturias, Spain

Clinico de Barcelona Casa de la Maternidad

🇪🇸

Barcelona, Spain

Clinica Oftalmologica

🇪🇸

Huelva, Spain

Asian Eye Institute

🇵🇭

Makati City, Philippines

Tri-Service General Hospital

🇨🇳

Taipei, Taiwan

University of Szeged Szent-Györgyi Albert Clinical Center, Faculty of Medicine, Dept of Ophthalmology

🇭🇺

Szeged, Hungary

Uniwersyteck Szpital Kliniczny im. Jana Mikulicza-Radeckiego

🇵🇱

Wroclaw, Poland

University of Debrecen, Dept of Opthalmology, (DE OEC Szemklinika)

🇭🇺

Debrecen, Hungary

Peregrine Eye and Laser Institute

🇵🇭

Makati City, Philippines

Optimum Profesorskie Centrum Okulistyki

🇵🇱

Gdansk, Poland

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Prywatna Klinika Okulistyczna OFTALMIKA

🇵🇱

Bydgoszcz, Poland

Szpital Specjalistyczny nr 1 w Bytomiu

🇵🇱

Bytom, Poland

Dept. of Ophthalmology Semmelweis University

🇭🇺

Budapest, Hungary

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