Study to Assess the Safety and Efficacy of BOL-303242-X Ophthalmic Suspension in Dry Eye Syndrome

Sponsor
Bausch & Lomb Incorporated (Industry)
Overall Status
Completed
CT.gov ID
NCT01163643
Collaborator
(none)
356
1
6
12
29.7

Study Details

Study Description

Brief Summary

The objective of this study is to identify the concentration and daily dosing frequency of BOL-303242-X ophthalmic suspension in treating dry eye syndrome over a 12 week dosing period.

Condition or Disease Intervention/Treatment Phase
  • Drug: 0.3% BOL-303242-X ophthalmic suspension
  • Drug: 2% BOL-303242-X ophthalmic suspension
  • Drug: Placebo Comparator: Vehicle
  • Drug: 1% BOL-303242-X ophthalmic suspension
  • Drug: 2% BOL-303242-X ophthalmic suspension AM
  • Drug: 2% BOL-303242-X ophthalmic suspension PM
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
356 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Masked, Parallel-Group, Vehicle Controlled, Multicenter, Exploratory Study Assessing the Safety and Efficacy of BOL-303242-X Ophthalmic Suspension in Dry Eye Syndrome
Study Start Date :
Jul 1, 2010
Actual Primary Completion Date :
Jun 1, 2011
Actual Study Completion Date :
Jul 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: 0.3% BOL-303242-X ophthalmic suspension

0.3% BOL-303242-X ophthalmic suspension

Drug: 0.3% BOL-303242-X ophthalmic suspension
0.3% BOL-303242-X ophthalmic suspension BID for 12 weeks.

Experimental: 2% BOL-303242-X ophthalmic suspension

2% BOL-303242-X ophthalmic suspension

Drug: 2% BOL-303242-X ophthalmic suspension
2% BOL-303242-X ophthalmic suspension BID for 12 weeks.

Placebo Comparator: Vehicle

Vehicle twice daily (BID)

Drug: Placebo Comparator: Vehicle
Placebo Comparator: Vehicle BID for 12 weeks.

Experimental: 1% BOL-303242-X ophthalmic suspension

1% BOL-303242-X ophthalmic suspension

Drug: 1% BOL-303242-X ophthalmic suspension
1% BOL-303242-X ophthalmic suspension BID for 12 weeks.

Experimental: 2% BOL-303242-X ophthalmic suspension in the morning

2% BOL-303242-X ophthalmic suspension in the morning (AM) and vehicle in the afternoon (PM)

Drug: 2% BOL-303242-X ophthalmic suspension AM
2% BOL-303242-X ophthalmic suspension once daily (QD) AM and vehicle QD in PM for 12 weeks.

Experimental: 2% BOL-303242-X ophthalmic suspension PM

Vehicle in the AM and 2% BOL-303242-X ophthalmic suspension in the PM.

Drug: 2% BOL-303242-X ophthalmic suspension PM
Vehicle QD AM and 2% BOL-303242-X ophthalmic suspension QD in PM for 12 weeks.

Outcome Measures

Primary Outcome Measures

  1. Mean Corneal Staining Score [12 weeks]

    Total corneal staining score was calculated by adding the individual grades from 5 regions of the corneal surface (1: Central; 2: Superior; 3: Temporal; 4: Nasal; 5: Inferior). Grade 0 = none and Grade 3 = severe. The minimum total score possible was 0 and the maximum total score possible was 15. Higher scores indicated worse outcome.

  2. Mean Worst Visual Analog Scale(VAS) Dry Eye Symptom [12 weeks]

    Each symptom (ocular discomfort, dryness, grittiness, and stinging) was assessed to the nearest millimeter on a 0 - 10 cm Visual Analog Scale (VAS) by the subject. The worst VAS dry eye symptom was utilized in the analysis. The minimum for the worst symptom was 0 and the maximum for the worst symptom was 10.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects who have a diagnosis of dry eye disease.

  • Intraocular pressure (IOP) ≤28 mmHg with no IOP lowering medications.

  • Subjects who are willing and able to refrain from using contact lenses during the study.

Exclusion Criteria:
  • Subjects with known hypersensitivity or contraindication to any component of the study medication.

  • Subjects who are expected to require concurrent treatment with ophthalmic medications (prescription or over the counter).

  • Subjects who are expected to require treatment with corticosteroids during the study.

  • Subjects who have used topical or systemic isotretinoin, cyclosporine, or retinoid therapies within 30 days prior to the screening visit.

  • Subjects who have undergone any type of ocular surgery within three months prior to screening.

  • Lacrimal punctal occlusion (plugs or cautery) within 2 months of Screening Visit.

  • Subjects with a history or presence of chronic generalized systemic or ocular disease that the Investigator feels might increase the risk to the subject or confound the result of the study.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Bausch & Lomb Rochester New York United States 14609

Sponsors and Collaborators

  • Bausch & Lomb Incorporated

Investigators

  • Study Director: Tuyen Ong, MD, Bausch & Lomb Incorporated

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Bausch & Lomb Incorporated
ClinicalTrials.gov Identifier:
NCT01163643
Other Study ID Numbers:
  • 637
First Posted:
Jul 16, 2010
Last Update Posted:
Sep 25, 2020
Last Verified:
Sep 1, 2020
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title 2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle
Arm/Group Description 2% BOL-303242-X ophthalmic suspension 2% BOL-303242-X ophthalmic suspension: 2% BOL-303242-X ophthalmic suspension BID for 12 weeks. 2% BOL-303242-X ophthalmic suspension in the morning (AM) and vehicle in the afternoon (PM) 2% BOL-303242-X ophthalmic suspension AM: 2% BOL-303242-X ophthalmic suspension once daily (QD) AM and vehicle QD in PM for 12 weeks. Vehicle in the AM and 2% BOL-303242-X ophthalmic suspension in the PM. 2% BOL-303242-X ophthalmic suspension PM: Vehicle QD AM and 2% BOL-303242-X ophthalmic suspension QD in PM for 12 weeks. 1% BOL-303242-X ophthalmic suspension 1% BOL-303242-X ophthalmic suspension: 1% BOL-303242-X ophthalmic suspension BID for 12 weeks. 0.3% BOL-303242-X ophthalmic suspension 0.3% BOL-303242-X ophthalmic suspension: 0.3% BOL-303242-X ophthalmic suspension BID for 12 weeks. Vehicle twice daily (BID) Placebo Comparator: Vehicle: Placebo Comparator: Vehicle BID for 12 weeks.
Period Title: Overall Study
STARTED 68 37 35 74 69 73
COMPLETED 62 35 33 69 61 66
NOT COMPLETED 6 2 2 5 8 7

Baseline Characteristics

Arm/Group Title 2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle Total
Arm/Group Description 2% BOL-303242-X ophthalmic suspension 2% BOL-303242-X ophthalmic suspension: 2% BOL-303242-X ophthalmic suspension BID for 12 weeks. 2% BOL-303242-X ophthalmic suspension in the morning (AM) and vehicle in the afternoon (PM) 2% BOL-303242-X ophthalmic suspension AM: 2% BOL-303242-X ophthalmic suspension once daily (QD) AM and vehicle QD in PM for 12 weeks. Vehicle in the AM and 2% BOL-303242-X ophthalmic suspension in the PM. 2% BOL-303242-X ophthalmic suspension PM: Vehicle QD AM and 2% BOL-303242-X ophthalmic suspension QD in PM for 12 weeks. 1% BOL-303242-X ophthalmic suspension 1% BOL-303242-X ophthalmic suspension: 1% BOL-303242-X ophthalmic suspension BID for 12 weeks. 0.3% BOL-303242-X ophthalmic suspension 0.3% BOL-303242-X ophthalmic suspension: 0.3% BOL-303242-X ophthalmic suspension BID for 12 weeks. Vehicle twice daily (BID) Placebo Comparator: Vehicle: Placebo Comparator: Vehicle BID for 12 weeks. Total of all reporting groups
Overall Participants 68 37 35 74 69 73 356
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
48.6
(17.79)
50.6
(16.99)
51.8
(18.10)
46.3
(17.64)
46.5
(15.91)
49.5
(17.56)
48.4
(17.29)
Sex: Female, Male (Count of Participants)
Female
45
66.2%
26
70.3%
24
68.6%
49
66.2%
48
69.6%
50
68.5%
242
68%
Male
23
33.8%
11
29.7%
11
31.4%
25
33.8%
21
30.4%
23
31.5%
114
32%

Outcome Measures

1. Primary Outcome
Title Mean Corneal Staining Score
Description Total corneal staining score was calculated by adding the individual grades from 5 regions of the corneal surface (1: Central; 2: Superior; 3: Temporal; 4: Nasal; 5: Inferior). Grade 0 = none and Grade 3 = severe. The minimum total score possible was 0 and the maximum total score possible was 15. Higher scores indicated worse outcome.
Time Frame 12 weeks

Outcome Measure Data

Analysis Population Description
Randomized participants with Week 12 results were included, with no imputation of missing data at Week 12.
Arm/Group Title 2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle
Arm/Group Description 2% BOL-303242-X ophthalmic suspension 2% BOL-303242-X ophthalmic suspension: 2% BOL-303242-X ophthalmic suspension BID for 12 weeks. 2% BOL-303242-X ophthalmic suspension in the morning (AM) and vehicle in the afternoon (PM) 2% BOL-303242-X ophthalmic suspension AM: 2% BOL-303242-X ophthalmic suspension once daily (QD) AM and vehicle QD in PM for 12 weeks. Vehicle in the AM and 2% BOL-303242-X ophthalmic suspension in the PM. 2% BOL-303242-X ophthalmic suspension PM: Vehicle QD AM and 2% BOL-303242-X ophthalmic suspension QD in PM for 12 weeks. 1% BOL-303242-X ophthalmic suspension 1% BOL-303242-X ophthalmic suspension: 1% BOL-303242-X ophthalmic suspension BID for 12 weeks. 0.3% BOL-303242-X ophthalmic suspension 0.3% BOL-303242-X ophthalmic suspension: 0.3% BOL-303242-X ophthalmic suspension BID for 12 weeks. Vehicle twice daily (BID) Placebo Comparator: Vehicle: Placebo Comparator: Vehicle BID for 12 weeks.
Measure Participants 64 35 33 71 64 67
Mean (Standard Deviation) [score on a scale]
4.0
(3.19)
3.9
(3.87)
3.9
(3.66)
4.4
(3.53)
4.1
(3.03)
3.7
(3.33)
2. Primary Outcome
Title Mean Worst Visual Analog Scale(VAS) Dry Eye Symptom
Description Each symptom (ocular discomfort, dryness, grittiness, and stinging) was assessed to the nearest millimeter on a 0 - 10 cm Visual Analog Scale (VAS) by the subject. The worst VAS dry eye symptom was utilized in the analysis. The minimum for the worst symptom was 0 and the maximum for the worst symptom was 10.
Time Frame 12 weeks

Outcome Measure Data

Analysis Population Description
Randomized participants with Week 12 results were included, with no imputation of missing data at Week 12.
Arm/Group Title 2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle
Arm/Group Description 2% BOL-303242-X ophthalmic suspension 2% BOL-303242-X ophthalmic suspension: 2% BOL-303242-X ophthalmic suspension BID for 12 weeks. 2% BOL-303242-X ophthalmic suspension in the morning (AM) and vehicle in the afternoon (PM) 2% BOL-303242-X ophthalmic suspension AM: 2% BOL-303242-X ophthalmic suspension once daily (QD) AM and vehicle QD in PM for 12 weeks. Vehicle in the AM and 2% BOL-303242-X ophthalmic suspension in the PM. 2% BOL-303242-X ophthalmic suspension PM: Vehicle QD AM and 2% BOL-303242-X ophthalmic suspension QD in PM for 12 weeks. 1% BOL-303242-X ophthalmic suspension 1% BOL-303242-X ophthalmic suspension: 1% BOL-303242-X ophthalmic suspension BID for 12 weeks. 0.3% BOL-303242-X ophthalmic suspension 0.3% BOL-303242-X ophthalmic suspension: 0.3% BOL-303242-X ophthalmic suspension BID for 12 weeks. Vehicle twice daily (BID) Placebo Comparator: Vehicle: Placebo Comparator: Vehicle BID for 12 weeks.
Measure Participants 64 34 33 71 65 67
Mean (Standard Deviation) [score on a scale]
2.256
(2.3172)
2.954
(2.4688)
2.290
(2.4885)
2.407
(2.6070)
2.535
(2.5565)
2.026
(2.1849)

Adverse Events

Time Frame 12 weeks
Adverse Event Reporting Description The safety population included participants who received at least 1 dose of study drug. Participants confirmed to have never took a dose of study drug were excluded from safety analyses. Of the randomized participants, there was one 2% BOL-303242-X Ophthalmic Suspension participant, one 2% BOL-303242-X Ophthalmic Suspension PM participant, one 1% BOL-303242-X Ophthalmic Suspension participant, and 2 Vehicle participants who did not take at least one dose of study drug.
Arm/Group Title 2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle
Arm/Group Description 2% BOL-303242-X ophthalmic suspension 2% BOL-303242-X ophthalmic suspension: 2% BOL-303242-X ophthalmic suspension BID for 12 weeks. 2% BOL-303242-X ophthalmic suspension in the morning (AM) and vehicle in the afternoon (PM) 2% BOL-303242-X ophthalmic suspension AM: 2% BOL-303242-X ophthalmic suspension once daily (QD) AM and vehicle QD in PM for 12 weeks. Vehicle in the AM and 2% BOL-303242-X ophthalmic suspension in the PM. 2% BOL-303242-X ophthalmic suspension PM: Vehicle QD AM and 2% BOL-303242-X ophthalmic suspension QD in PM for 12 weeks. 1% BOL-303242-X ophthalmic suspension 1% BOL-303242-X ophthalmic suspension: 1% BOL-303242-X ophthalmic suspension BID for 12 weeks. 0.3% BOL-303242-X ophthalmic suspension 0.3% BOL-303242-X ophthalmic suspension: 0.3% BOL-303242-X ophthalmic suspension BID for 12 weeks. Vehicle twice daily (BID) Placebo Comparator: Vehicle: Placebo Comparator: Vehicle BID for 12 weeks.
All Cause Mortality
2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/67 (0%) 0/37 (0%) 0/34 (0%) 0/73 (0%) 0/69 (0%) 0/71 (0%)
Other (Not Including Serious) Adverse Events
2% BOL-303242-X Ophthalmic Suspension 2% BOL-303242-X Ophthalmic Suspension in the Morning 2% BOL-303242-X Ophthalmic Suspension PM 1% BOL-303242-X Ophthalmic Suspension 0.3% BOL-303242-X Ophthalmic Suspension Vehicle
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/67 (1.5%) 2/37 (5.4%) 1/34 (2.9%) 2/73 (2.7%) 3/69 (4.3%) 5/71 (7%)
Infections and infestations
Urinary Tract Infection 1/67 (1.5%) 2/37 (5.4%) 1/34 (2.9%) 2/73 (2.7%) 3/69 (4.3%) 5/71 (7%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Contact sponsor directly for details.

Results Point of Contact

Name/Title Study Director
Organization Bausch Health
Phone
Email susan.harris@bauschhealth.com
Responsible Party:
Bausch & Lomb Incorporated
ClinicalTrials.gov Identifier:
NCT01163643
Other Study ID Numbers:
  • 637
First Posted:
Jul 16, 2010
Last Update Posted:
Sep 25, 2020
Last Verified:
Sep 1, 2020