Study of OT-101 in Treating Myopia

Sponsor
Ocumension (Hong Kong) Limited (Other)
Overall Status
Recruiting
CT.gov ID
NCT04770610
Collaborator
ORA, Inc. (Industry), Statistics & Data Corporation (Other)
678
7
3
61
96.9
1.6

Study Details

Study Description

Brief Summary

This is a phase III, randomized, double-masked, placebo-controlled, parallel-group, multicenter safety, tolerability, and efficacy study of atropine sulfate 0.01% (OT-101) as an investigational treatment for myopia in pediatric subjects

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

This is a phase III, randomized, double-masked, placebo-controlled, parallel-group, multi-center study to evaluate the safety tolerability and efficacy of OT-101 (Atropine 0.01%) Ophthalmic Solution in treating the progression of myopia in pediatric subjects that will enroll approximately 678 pediatric subjects with myopia in total. Subjects will be stratified by age and refractive error.

This study consists of 11 visits over the course of approximately 4 years and can be broken down in the 3 stages: Screening (Days -14 to -1), Stage 1 (Day 1 to Year 3), and Stage 2 (Year 3 to Year 4). In stage 1, subjects will be randomized in a 2:1 manner to OT-101 Ophthalmic Solution: Placebo. Subjects will be dosed with one drop of study treatment per eye once daily at bedtime for 3 years. In stage 2, subjects will be re-randomization 1:1 will occur at Visit 9 (Month 36). At re-randomization, subjects who had been assigned to OT-101 Ophthalmic Solution will be randomized in a 1:1 ratio to continue on OT-101 Ophthalmic Solution or switch to placebo. Subjects who had been assigned to placebo will continue with placebo.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
678 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase III, Randomized, Double-masked, Placebo-controlled, Parallel-group, Multicenter Study of the Safety and Efficacy of OT-101 (Atropine Sulfate 0.01%) in Treating the Progression of Myopia in Pediatric Subjects
Actual Study Start Date :
Apr 1, 2021
Anticipated Primary Completion Date :
Apr 1, 2026
Anticipated Study Completion Date :
May 1, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: OT-101 alone

Atropine Sulfate 0.01% Ophthalmic Solution through year 4

Drug: OT-101 Ophthalmic Solution
Atropine 0.01%
Other Names:
  • Investigational Product
  • Experimental: OT-101 plus vehicle

    Atropine Sulfate 0.01% Ophthalmic Solution through year 3 followed by vehicle for 1 year

    Drug: OT-101 Ophthalmic Solution
    Atropine 0.01%
    Other Names:
  • Investigational Product
  • Drug: Vehicle
    Investigational Product minus active ingredient
    Other Names:
  • Placebo
  • Placebo Comparator: Vehicle

    Vehicle (Investigational Product minus active ingredient) through year 4

    Drug: Vehicle
    Investigational Product minus active ingredient
    Other Names:
  • Placebo
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of study eyes with a -0.75D of progressive myopia defined as an increase in spherical equivalent of -0.75D or greater as assessed by cycloplegic autorefraction. [At month 36]

      Efficacy of OT-101 Ophthalmic Solution

    Secondary Outcome Measures

    1. Change in spherical equivalent (D) in the study eye as assessed by cycloplegic autorefraction [Baseline to Month 36]

      Efficacy of OT-101 Ophthalmic Solution

    2. Change in study eye axial length as measured by cycloplegic biometry (a standardized device will be selected for this study) [Baseline to Month 36]

      Efficacy of OT-101 Ophthalmic Solution

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    3 Years to 15 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Have refractive error by cycloplegic autorefraction at baseline (Visit 1) in the study eye of:
    1. myopia greater or equal to -1.00D of spherical equivalent

    2. astigmatism less than or equal to 1.50DC

    3. progression of at least -0.50D of spherical equivalent in the last 12 months;

    Exclusion Criteria:
    • Have active or a history of chronic or recurrent episodes of ocular inflammation (e.g. moderate to severe blepharitis, allergic conjunctivitis, peripheral ulcerative keratitis, scleritis) in either eye;

    • Have undergone any myopia control treatment including orthokeratology, rigid gas-permeable contact lenses, bifocal contact lenses, progressive addition spectacle lenses, or other lenses to reduce myopia progression in the previous 6 months. Myopic correction in the form of single-vision eyeglasses and/or single-vision soft contact lenses are allowed;

    • Have undergone any form of refractive eye surgery including incisional keratotomy, photorefractive keratectomy [PRK], laser in situ keratomileusis [LASIK], laser-assisted sub- epithelial keratectomy [LASEK]), corneal inlay procedures, conductive keratoplasty, small incision lenticule extraction (SMILE), cataract extraction, or any form of intraocular lens implantation;

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 North Valley Eye Medical Group, Inc. Mission Hills California United States 91345
    2 Colorado Vision Institute Colorado Springs Colorado United States 80907
    3 Indiana University Health Physicians Pediatric Ophthalmology Indianapolis Indiana United States 46202
    4 Comprehensive Eye Care, Ltd. Washington Missouri United States 63090
    5 Scott & Christie and Associates Chapel Hill North Carolina United States 27517
    6 San Antonio Eye Center San Antonio Texas United States 78215
    7 Alpine Research Organization Clinton Utah United States 84015

    Sponsors and Collaborators

    • Ocumension (Hong Kong) Limited
    • ORA, Inc.
    • Statistics & Data Corporation

    Investigators

    • Study Director: Keith Lane, ORA, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Ocumension (Hong Kong) Limited
    ClinicalTrials.gov Identifier:
    NCT04770610
    Other Study ID Numbers:
    • OT_101_001
    First Posted:
    Feb 25, 2021
    Last Update Posted:
    Aug 2, 2021
    Last Verified:
    May 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 2, 2021