DROPS: To Assess the Safety and Efficacy of R932348 Ophthalmic Solutions in Patients With Keratoconjunctivitis Sicca

Sponsor
Rigel Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT01900249
Collaborator
(none)
204
20
3
12
10.2
0.9

Study Details

Study Description

Brief Summary

The purpose of this study is to determine whether 0.2% and 0.5% R348 Ophthalmic Solutions are safe and effective in the treatment of Patients with Keratoconjunctivitis Sicca.

Condition or Disease Intervention/Treatment Phase
  • Drug: R348 Ophthalmic Solution, 0.2%
  • Drug: R348 Ophthalmic Solution, 0.5%
  • Drug: Placebo
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
204 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 2, Multi-Center, Randomized, Double-Masked, Placebo-Controlled Clinical Study to Assess the Safety and Efficacy of 0.2% and 0.5% R932348 Ophthalmic Solutions in Patients With Keratoconjunctivitis Sicca
Study Start Date :
Jul 1, 2013
Actual Primary Completion Date :
Jul 1, 2014
Actual Study Completion Date :
Jul 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: R348 Ophthalmic Solution, 0.2%

R348 Ophthalmic Solution, 0.2%

Drug: R348 Ophthalmic Solution, 0.2%
R348 Ophthalmic Solution, 0.2% 1 drop per eye twice a day for 12 weeks.
Other Names:
  • R932348
  • Active Comparator: R348 Ophthalmic Solution, 0.5%

    R348 Ophthalmic Solution, 0.5%

    Drug: R348 Ophthalmic Solution, 0.5%
    R348 Ophthalmic Solution, 0.5% 1 drop per eye twice a day for 12 weeks.
    Other Names:
  • R932348
  • Placebo Comparator: Placebo

    Placebo Ophthalmic Solution, 1 drop per eye twice a day for 12 weeks.

    Drug: Placebo
    Placebo Ophthalmic Solution 1 drop per eye twice a day for 12 weeks.

    Outcome Measures

    Primary Outcome Measures

    1. Change of Corneal Fluorescein Staining of the Inferior Cornea Region. [Baseline to Week 12]

      Change from baseline (Visit 3) of inferior region CFS score at 12 weeks. Inferior region CFS score range 0-4, where '0' represents no fluorescein staining and '4' represents severe staining on the cornea.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 85 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • A history of dry eye (based on the date of initial dry eye symptoms)

    • Use of over-the-counter (OTC) and/or prescription eye drops for dry eye symptoms

    • Corneal fluorescein staining score of at least 2 in the inferior region

    Exclusion Criteria:
    • History of, or a concurrent clinically significant illness, medical condition (other than Keratoconjunctivitis Sicca or Sjögren's syndrome), or laboratory abnormality that, in the Investigator's opinion, could affect the conduct of the study.

    • Use of ophthalmic cyclosporine within 45 days of Visit 1.

    • Use of any topical ophthalmic steroid within 2 weeks of Visit 1.

    • Have worn contact lenses or anticipate using contact lenses during the study.

    • Have a condition or be in a situation that the Investigator feels may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study.

    • Have a history of alcohol or substance abuse that, in the judgment of the Investigator, may impair or risk the subject's full participation in the study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Sall Research Medical Center Artesia California United States 90701
    2 North Bay Eye Petaluma California United States 94954
    3 Martel Medical Eye Group Rancho Cardova California United States 95670
    4 Specialty Eye Care Parker Colorado United States 808134
    5 International Research Center Brandon Florida United States 33603
    6 East Florida Eye Institute Stuart Florida United States 34994
    7 Clayton Eye Center Morrow Georgia United States 30260
    8 Coastal Research Associates Roswell Georgia United States 30076
    9 Chicago Research Center Chicago Illinois United States 60634
    10 Chicago Cornea Consultants Hoffman Estates Illinois United States 60169
    11 Koffler Vision Group Lebanon Kentucky United States 40033
    12 Taustine Eye Center Louisville Kentucky United States 40217
    13 Comprehensive Eye Care, Ltd/Vision Research Institute, LLC Washington Missouri United States 63090
    14 Mundorf Eye Center Charlotte North Carolina United States 28204
    15 Charlotte Eye Ear Nose and Throat Associates, PA Charlotte North Carolina United States 28210
    16 Cornerstone Eyecare High Point North Carolina United States 27262
    17 Abrams Eye Center Cleveland Ohio United States 44115
    18 Glaucoma Consultants and Center for Eye Research Mt. Pleasant South Carolina United States 29464
    19 Chattanooga Eye Institute Chattanooga Tennessee United States 37411
    20 Eye Clinics of South Texas San Antonio Texas United States 78209

    Sponsors and Collaborators

    • Rigel Pharmaceuticals

    Investigators

    • Study Director: Daniel Magilavy, MD, Rigel Pharmaceuticals, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Rigel Pharmaceuticals
    ClinicalTrials.gov Identifier:
    NCT01900249
    Other Study ID Numbers:
    • C-932348-003
    First Posted:
    Jul 16, 2013
    Last Update Posted:
    Oct 3, 2016
    Last Verified:
    Aug 1, 2016
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.5% Placebo
    Arm/Group Description R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.2%: R348 Ophthalmic Solution, 0.2% 1 drop per eye twice a day for 12 weeks. R348 Ophthalmic Solution, 0.5% R348 Ophthalmic Solution, 0.5%: R348 Ophthalmic Solution, 0.5% 1 drop per eye twice a day for 12 weeks. Placebo Ophthalmic Solution, 1 drop per eye twice a day for 12 weeks. Placebo: Placebo Ophthalmic Solution 1 drop per eye twice a day for 12 weeks.
    Period Title: Overall Study
    STARTED 67 68 69
    COMPLETED 64 63 65
    NOT COMPLETED 3 5 4

    Baseline Characteristics

    Arm/Group Title R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.5% Placebo Total
    Arm/Group Description R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.2%: R348 Ophthalmic Solution, 0.2% 1 drop per eye twice a day for 12 weeks. R348 Ophthalmic Solution, 0.5% R348 Ophthalmic Solution, 0.5%: R348 Ophthalmic Solution, 0.5% 1 drop per eye twice a day for 12 weeks. Placebo Ophthalmic Solution, 1 drop per eye twice a day for 12 weeks. Placebo: Placebo Ophthalmic Solution 1 drop per eye twice a day for 12 weeks. Total of all reporting groups
    Overall Participants 67 68 69 204
    Age (Years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Years]
    62.4
    (11.59)
    63.3
    (11.5)
    61.5
    (15.2)
    62.4
    (12.8)
    Sex: Female, Male (Count of Participants)
    Female
    54
    80.6%
    54
    79.4%
    54
    78.3%
    162
    79.4%
    Male
    13
    19.4%
    14
    20.6%
    15
    21.7%
    42
    20.6%

    Outcome Measures

    1. Primary Outcome
    Title Change of Corneal Fluorescein Staining of the Inferior Cornea Region.
    Description Change from baseline (Visit 3) of inferior region CFS score at 12 weeks. Inferior region CFS score range 0-4, where '0' represents no fluorescein staining and '4' represents severe staining on the cornea.
    Time Frame Baseline to Week 12

    Outcome Measure Data

    Analysis Population Description
    The intent to treat population (ITT) included all randomized subjects who administered study medication. The primary analysis was performed on the ITT population.
    Arm/Group Title R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.5% Placebo
    Arm/Group Description R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.2%: R348 Ophthalmic Solution, 0.2% 1 drop per eye twice a day for 12 weeks. R348 Ophthalmic Solution, 0.5% R348 Ophthalmic Solution, 0.5%: R348 Ophthalmic Solution, 0.5% 1 drop per eye twice a day for 12 weeks. Placebo Ophthalmic Solution, 1 drop per eye twice a day for 12 weeks. Placebo: Placebo Ophthalmic Solution 1 drop per eye twice a day for 12 weeks.
    Measure Participants 67 68 69
    Mean (95% Confidence Interval) [units on a scale (Likert)]
    -1.00
    -0.78
    -0.78

    Adverse Events

    Time Frame The AE reporting period begins with the first dose of double blind study drug and ends with the final study (Day 91) visit.
    Adverse Event Reporting Description
    Arm/Group Title R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.5% Placebo
    Arm/Group Description R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.2%: R348 Ophthalmic Solution, 0.2% 1 drop per eye twice a day for 12 weeks. R348 Ophthalmic Solution, 0.5% R348 Ophthalmic Solution, 0.5%: R348 Ophthalmic Solution, 0.5% 1 drop per eye twice a day for 12 weeks. Placebo Ophthalmic Solution, 1 drop per eye twice a day for 12 weeks. Placebo: Placebo Ophthalmic Solution 1 drop per eye twice a day for 12 weeks.
    All Cause Mortality
    R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.5% Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.5% Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/67 (4.5%) 1/68 (1.5%) 2/69 (2.9%)
    Gastrointestinal disorders
    Rectal haemorrhage 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Pancreatitis 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    General disorders
    Malignant hyperthermia 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Chest pain 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Infections and infestations
    Pneumonia 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Musculoskeletal and connective tissue disorders
    Intervertebral disc protrusion 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Arthralgia 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Nervous system disorders
    Cerebrovascular accident 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Asthma 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Other (Not Including Serious) Adverse Events
    R348 Ophthalmic Solution, 0.2% R348 Ophthalmic Solution, 0.5% Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 36/67 (53.7%) 46/68 (67.6%) 31/69 (44.9%)
    Cardiac disorders
    Cardiac Failure Congestive 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Sinus Tachycardia 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Ear and labyrinth disorders
    Vertigo 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Eye disorders
    Eye Discharge 3/67 (4.5%) 3 3/68 (4.4%) 3 2/69 (2.9%) 2
    Conjunctival Hyperaemia 0/67 (0%) 0 2/68 (2.9%) 2 0/69 (0%) 0
    Blepharitis 1/67 (1.5%) 1 1/68 (1.5%) 1 0/69 (0%) 0
    Chalazion 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Conjunctival Haemorrhage 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Meibomianitis 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Periorbital Oedema 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Ocular Hyperaemia 3/67 (4.5%) 3 0/68 (0%) 0 1/69 (1.4%) 1
    Conjunctival Cyst 1/67 (1.5%) 1 0/68 (0%) 0 1/69 (1.4%) 1
    Conjunctival Disorder 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Conjunctivitis Allergic 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Eye Pain 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Punctate Keratitis 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Trichiasis 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Lacrimation Increased 0/67 (0%) 0 0/68 (0%) 0 2/69 (2.9%) 3
    Corneal Abrasion 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Keratitis 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Photophobia 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Gastrointestinal disorders
    Diarrhoea 1/67 (1.5%) 1 2/68 (2.9%) 2 1/69 (1.4%) 1
    Vomiting 0/67 (0%) 0 1/68 (1.5%) 1 1/69 (1.4%) 1
    Abdominal Pain 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Gastrooesophageal Reflux Disease 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Nausea 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Pancreatitis 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Rectal Haemorrhage 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Salivary Duct Obstruction 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Toothache 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    General disorders
    Instillation Site Pain 17/67 (25.4%) 20 35/68 (51.5%) 37 3/69 (4.3%) 3
    Instillation Site Pruritus 1/67 (1.5%) 1 4/68 (5.9%) 4 0/69 (0%) 0
    Chest Pain 0/67 (0%) 0 1/68 (1.5%) 1 1/69 (1.4%) 1
    Fatigue 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    instillation Site Paraesthesia 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Instillation Site Discomfort 4/67 (6%) 5 0/68 (0%) 0 2/69 (2.9%) 2
    Hyperthermia Malignant 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Immune system disorders
    Hypersensitivity 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Infections and infestations
    Urinary Track Infection 1/67 (1.5%) 1 2/68 (2.9%) 2 1/69 (1.4%) 1
    Influenza 0/67 (0%) 0 2/68 (2.9%) 2 2/69 (2.9%) 2
    Sinusitis 1/67 (1.5%) 1 1/68 (1.5%) 1 1/69 (1.4%) 1
    Upper Respiratory Tract Infection 0/67 (0%) 0 1/68 (1.5%) 1 2/69 (2.9%) 2
    Tooth Abscess 0/67 (0%) 0 1/68 (1.5%) 1 1/69 (1.4%) 1
    Herpes Zoster 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Nasopharyngitis 2/67 (3%) 2 0/68 (0%) 0 2/69 (2.9%) 2
    Pneumonia 1/67 (1.5%) 1 0/68 (0%) 0 1/69 (1.4%) 1
    Bronchitis 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Hordeolum 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Kidney Infection 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Pharyngitis 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Sinusitis Bacterial 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Post Procedural Infection 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 2
    Cystitis 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Otitis Media 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Injury, poisoning and procedural complications
    Tooth Fracture 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Contusion 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Fall 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Injury 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Investigations
    Blood Pressure Increased 0/67 (0%) 0 1/68 (1.5%) 1 1/69 (1.4%) 1
    Urine Analysis Abnormal 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Intraocular Pressure Increased 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Manifest Refraction 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Metabolism and nutrition disorders
    Dehydration 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Hyperkalaemia 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Musculoskeletal and connective tissue disorders
    Musculoskeletal Pain 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Neck Pain 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Rotator Cuff Syndrome 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Back Pain 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Bursitis 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Systemic Lupus Erythematosus 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Intervertebral Disc Protusion 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 2
    Arthralgia 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal Cell Carcinoma 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Nervous system disorders
    Dysgeusia 0/67 (0%) 0 2/68 (2.9%) 2 0/69 (0%) 0
    Dizziness 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Viith Nerve Paralysis 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Cerebrovascular Accident 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Headache 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Psychiatric disorders
    Depression 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Renal and urinary disorders
    Glycosuria 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Nasal Discomfort 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Oropharyngeal Pain 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Rhinorrhoea 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Asthma 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Atelectasis 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Sinus Congestion 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Cough 0/67 (0%) 0 0/68 (0%) 0 2/69 (2.9%) 2
    Nasal Congestion 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Skin and subcutaneous tissue disorders
    Erythema 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Acne 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Ecchymosis 0/67 (0%) 0 0/68 (0%) 0 1/69 (1.4%) 1
    Surgical and medical procedures
    Tooth Extraction 0/67 (0%) 0 1/68 (1.5%) 1 0/69 (0%) 0
    Rotator Cuff Repair 1/67 (1.5%) 1 0/68 (0%) 0 0/69 (0%) 0
    Vascular disorders
    Hypertension 1/67 (1.5%) 1 2/68 (2.9%) 2 0/69 (0%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Anne-Marie Duliege, MD
    Organization Rigel
    Phone 650-624-1100
    Email clinicaltrials@rigel.com
    Responsible Party:
    Rigel Pharmaceuticals
    ClinicalTrials.gov Identifier:
    NCT01900249
    Other Study ID Numbers:
    • C-932348-003
    First Posted:
    Jul 16, 2013
    Last Update Posted:
    Oct 3, 2016
    Last Verified:
    Aug 1, 2016