A Safety, Efficacy and Pharmacokinetic Study of AGN-199201 and AGN-190584 in Patients With Presbyopia

Sponsor
Allergan (Industry)
Overall Status
Completed
CT.gov ID
NCT02780115
Collaborator
(none)
151
25
5
17.2
6
0.4

Study Details

Study Description

Brief Summary

This is a safety, efficacy and pharmacokinetics study of the fixed combination of AGN-199201 and AGN-190584 in participants with presbyopia (inability to focus on items close-up).

Condition or Disease Intervention/Treatment Phase
  • Drug: AGN-199201 ophthalmic solution
  • Drug: AGN-190584 ophthalmic solution
  • Drug: AGN-199201 Vehicle
  • Drug: AGN-190584 Vehicle
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
151 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 2, Multicenter, Double-Masked, Randomized, Vehicle-Controlled, Parallel-Group Study Evaluating the Safety, Efficacy, and Pharmacokinetics of the Fixed Combination of AGN-199201 and AGN-190584 in Patients With Presbyopia
Actual Study Start Date :
May 26, 2016
Actual Primary Completion Date :
Oct 31, 2017
Actual Study Completion Date :
Oct 31, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cohort 1: Vehicle Control

Vehicle dosed in both eyes administered once daily during office visits 1 through 5.

Drug: AGN-199201 Vehicle
Vehicle to AGN-199201

Drug: AGN-190584 Vehicle
Vehicle to AGN-190584

Experimental: Cohort 2: AGN-199201 Dose A and AGN-190584 Dose A

Fixed combinations of AGN-199201 Dose A and AGN-190584 Dose A dosed in both eyes administered once daily during office visits 1 through 5.

Drug: AGN-199201 ophthalmic solution
1 drop of AGN-199201 ophthalmic solution Doses A, B, C in the eye.

Drug: AGN-190584 ophthalmic solution
1 drop of AGN-190584 ophthalmic solution Doses A, B, C in the eye.

Experimental: Cohort 3: AGN-199201 Dose B and AGN-190584 Dose B

Fixed combinations of AGN-199201 Dose B and AGN-190584 Dose B dosed in both eyes administered once daily during office visits 1 through 5.

Drug: AGN-199201 ophthalmic solution
1 drop of AGN-199201 ophthalmic solution Doses A, B, C in the eye.

Drug: AGN-190584 ophthalmic solution
1 drop of AGN-190584 ophthalmic solution Doses A, B, C in the eye.

Experimental: Cohort 4: AGN-199201 Dose C and AGN-190584 Dose C

Fixed combinations of AGN-199201 Dose C and AGN-190584 Dose C dosed in both eyes administered once daily during office visits 1 through 5.

Drug: AGN-199201 ophthalmic solution
1 drop of AGN-199201 ophthalmic solution Doses A, B, C in the eye.

Drug: AGN-190584 ophthalmic solution
1 drop of AGN-190584 ophthalmic solution Doses A, B, C in the eye.

Experimental: Cohort 5: Vehicle, AGN-199201 Dose C and AGN-190584 Dose C

Dominant eye dosed with Vehicle. Fixed combinations of AGN-199201 Dose C and AGN-190584 Dose C dosed in nondominant eye. Treatment administered once daily during office visits 1 through 5.

Drug: AGN-199201 ophthalmic solution
1 drop of AGN-199201 ophthalmic solution Doses A, B, C in the eye.

Drug: AGN-190584 ophthalmic solution
1 drop of AGN-190584 ophthalmic solution Doses A, B, C in the eye.

Drug: AGN-199201 Vehicle
Vehicle to AGN-199201

Drug: AGN-190584 Vehicle
Vehicle to AGN-190584

Outcome Measures

Primary Outcome Measures

  1. Weighted Average Change From Baseline in Uncorrected Near Visual Acuity (UNVA) Letters in the Nondominant Eye [Baseline, Day 28]

    UNVA is assessed without corrective lenses in the non-dominant eye. UNVA is measured using an eye chart and is reported as the number of lines read correctly. The lower the number of lines read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of lines read correctly means that vision has improved.

Secondary Outcome Measures

  1. Number of Participants Experiencing One or More Treatment Emergent Adverse Events (TEAEs) [up to 65 days]

    A Treatment Emergent Adverse Event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. An Adverse Drug Reaction was a harmful and unintended reaction that is incurred during routine administration or use of the drug, whose causal relationship with the drug cannot be excluded.

Eligibility Criteria

Criteria

Ages Eligible for Study:
40 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Normal vision at distance, either natural or post corneal laser refractive surgery, with presbyopia in each eye and complaints of poor near vision that impacts activities of daily living
Exclusion Criteria:
  • Use of any topical ophthalmic medications, including artificial tears other than the study medications during the study

  • Corneal abnormalities in either eye that interfere with visual acuity

  • History of cataract surgery, phakic intraocular lens surgery, corneal inlay surgery or any intraocular surgery

  • Diagnosis of glaucoma or ocular hypertension.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Retina Institute of California Medical Group Arcadia California United States 91007
2 Sall Research Medical Center Artesia California United States 90701
3 WCCT Global, LLC Cypress California United States 90630
4 Specialty Eye Care Medical Center Glendale California United States 91203
5 Lugene Eye Institute Glendale California United States 91204
6 The Eye Research Foundation Newport Beach California United States 92663
7 Stanford Eye and Laser Center Palo Alto California United States 94303
8 Wolstan and Golberg Eye Associates Torrance California United States 90505
9 MedEye Associates Miami Florida United States 33143
10 Central Florida Eye Institute Ocala Florida United States 34474
11 Center for Sight Sarasota Florida United States 34239
12 Clayton Eye Center Morrow Georgia United States 30260
13 Silverstein Eye Centers Louisville Kentucky United States 40206
14 The Eye Care Institute Louisville Kentucky United States 40206
15 Specialized Eye Care Baltimore Maryland United States 21210
16 James D. Branch Winston-Salem North Carolina United States 27101
17 Devers Eye Institute Portland Oregon United States 97210
18 Scott & Christie and Associates, PC Cranberry Township Pennsylvania United States 16066
19 Medical University of South Carolina Charleston South Carolina United States 29425
20 Total Eye Care, PA Memphis Tennessee United States 38119
21 Cataract and Glaucoma Center El Paso Texas United States 79902
22 University of Texas Medical Branch Galveston Texas United States 77555
23 R and R Eye Research, LLC San Antonio Texas United States 78229
24 Medical Center Ophthalmology Associates San Antonio Texas United States 78240
25 Hoopes Durrie Rivera Research, LLC Draper Utah United States 84020

Sponsors and Collaborators

  • Allergan

Investigators

  • Study Director: Haixia Liu, Allergan

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Allergan
ClinicalTrials.gov Identifier:
NCT02780115
Other Study ID Numbers:
  • 199201-010
First Posted:
May 23, 2016
Last Update Posted:
Dec 22, 2020
Last Verified:
Nov 1, 2020
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail Randomization and treatment assignment were based on a randomization scheme prepared by Allergan Biostatistics prior to the start of the study.
Arm/Group Title Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Arm/Group Description Vehicle dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Lower Dose and AGN-190584 Lower Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Medium Dose and AGN-190584 Medium Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in both eyes administered once daily during office visits 1 through 5. Dominant eye dosed with Vehicle. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in nondominant eye. Treatment administered once daily during office visits 1 through 5.
Period Title: Overall Study
STARTED 28 30 30 32 31
COMPLETED 28 29 29 31 30
NOT COMPLETED 0 1 1 1 1

Baseline Characteristics

Arm/Group Title Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose Total
Arm/Group Description Vehicle dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Lower Dose and AGN-190584 Lower Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Medium Dose and AGN-190584 Medium Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in both eyes administered once daily during office visits 1 through 5. Dominant eye dosed with Vehicle. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in nondominant eye. Treatment administered once daily during office visits 1 through 5. Total of all reporting groups
Overall Participants 28 30 30 32 31 151
Age (Years) [Median (Standard Deviation) ]
Median (Standard Deviation) [Years]
48.3
(3.9)
49.4
(2.7)
47.9
(3.9)
49.2
(3.8)
48.1
(3.4)
48.6
(3.6)
Sex: Female, Male (Count of Participants)
Female
19
67.9%
20
66.7%
18
60%
25
78.1%
23
74.2%
105
69.5%
Male
9
32.1%
10
33.3%
12
40%
7
21.9%
8
25.8%
46
30.5%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
9
32.1%
10
33.3%
11
36.7%
9
28.1%
14
45.2%
53
35.1%
Not Hispanic or Latino
19
67.9%
20
66.7%
19
63.3%
23
71.9%
17
54.8%
98
64.9%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
1
3.6%
1
3.3%
0
0%
0
0%
0
0%
2
1.3%
Asian
0
0%
1
3.3%
0
0%
0
0%
1
3.2%
2
1.3%
Native Hawaiian or Other Pacific Islander
1
3.6%
0
0%
0
0%
0
0%
0
0%
1
0.7%
Black or African American
3
10.7%
5
16.7%
5
16.7%
8
25%
4
12.9%
25
16.6%
White
23
82.1%
23
76.7%
25
83.3%
23
71.9%
26
83.9%
120
79.5%
More than one race
0
0%
0
0%
0
0%
1
3.1%
0
0%
1
0.7%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Baseline UNVA severity (Count of Participants)
≤ 20/80
20
71.4%
20
66.7%
18
60%
19
59.4%
22
71%
99
65.6%
> 20/80
8
28.6%
10
33.3%
12
40%
13
40.6%
9
29%
52
34.4%

Outcome Measures

1. Primary Outcome
Title Weighted Average Change From Baseline in Uncorrected Near Visual Acuity (UNVA) Letters in the Nondominant Eye
Description UNVA is assessed without corrective lenses in the non-dominant eye. UNVA is measured using an eye chart and is reported as the number of lines read correctly. The lower the number of lines read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of lines read correctly means that vision has improved.
Time Frame Baseline, Day 28

Outcome Measure Data

Analysis Population Description
Modified Intent-to-Treat (mITT) population: all randomized patients who were randomized with a baseline and at least 1 post baseline assessment of mesopic, high contrast, UNVA.
Arm/Group Title Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Arm/Group Description Vehicle dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Lower Dose and AGN-190584 Lower Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Medium Dose and AGN-190584 Medium Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in both eyes administered once daily during office visits 1 through 5. Dominant eye dosed with Vehicle. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in nondominant eye. Treatment administered once daily during office visits 1 through 5.
Measure Participants 28 30 30 32 31
Least Squares Mean (Standard Error) [letters correctly read]
3.00
(1.03)
4.96
(1.00)
7.77
(1.00)
7.54
(0.97)
7.81
(1.02)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1663
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter LS Mean Diff
Estimated Value 1.96
Confidence Interval (2-Sided) 95%
-0.83 to 4.74
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0009
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter LS Mean Diff
Estimated Value 4.77
Confidence Interval (2-Sided) 95%
1.98 to 7.56
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0014
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter LS Mean Diff
Estimated Value 4.54
Confidence Interval (2-Sided) 95%
1.79 to 7.29
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter LS Mean Diff
Estimated Value 4.81
Confidence Interval (2-Sided) 95%
2.03 to 7.58
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Number of Participants Experiencing One or More Treatment Emergent Adverse Events (TEAEs)
Description A Treatment Emergent Adverse Event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. An Adverse Drug Reaction was a harmful and unintended reaction that is incurred during routine administration or use of the drug, whose causal relationship with the drug cannot be excluded.
Time Frame up to 65 days

Outcome Measure Data

Analysis Population Description
Modified Intent-to-Treat (mITT) population: all randomized patients who were randomized with a baseline and at least 1 post baseline assessment of mesopic, high contrast, UNVA.
Arm/Group Title Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Arm/Group Description Vehicle dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Lower Dose and AGN-190584 Lower Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Medium Dose and AGN-190584 Medium Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in both eyes administered once daily during office visits 1 through 5. Dominant eye dosed with Vehicle. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in nondominant eye. Treatment administered once daily during office visits 1 through 5.
Measure Participants 28 30 30 32 31
Count of Participants [Participants]
8
28.6%
12
40%
15
50%
15
46.9%
10
32.3%

Adverse Events

Time Frame Adverse Events were collected for up to 65 days.
Adverse Event Reporting Description Safety population: All patients who received ≥ 1 administration of study treatment
Arm/Group Title Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Arm/Group Description Vehicle dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Lower Dose and AGN-190584 Lower Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Medium Dose and AGN-190584 Medium Dose dosed in both eyes administered once daily during office visits 1 through 5. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in both eyes administered once daily during office visits 1 through 5. Dominant eye dosed with Vehicle. Fixed combinations of AGN-199201 Higher Dose and AGN-190584 Higher Dose dosed in nondominant eye. Treatment administered once daily during office visits 1 through 5.
All Cause Mortality
Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/28 (0%) 0/30 (0%) 0/30 (0%) 0/32 (0%) 0/31 (0%)
Serious Adverse Events
Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/28 (0%) 0/30 (0%) 0/30 (0%) 0/32 (0%) 0/31 (0%)
Other (Not Including Serious) Adverse Events
Cohort 1: Vehicle Control Cohort 2: AGN-199201 Lower Dose and AGN-190584 Lower Dose Cohort 3: AGN-199201 Medium Dose and AGN-190584 Medium Dose Cohort 4: AGN-199201 Higher Dose and AGN-190584 Higher Dose Cohort 5: Vehicle, AGN-199201 Higher Dose and AGN-190584 Higher Dose
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 7/28 (25%) 8/30 (26.7%) 10/30 (33.3%) 11/32 (34.4%) 7/31 (22.6%)
Eye disorders
Vision blurred 0/28 (0%) 2/30 (6.7%) 3/30 (10%) 3/32 (9.4%) 2/31 (6.5%)
General disorders
Instillation site pruritus 0/28 (0%) 4/30 (13.3%) 0/30 (0%) 1/32 (3.1%) 2/31 (6.5%)
Instillation site foreign body sensation 3/28 (10.7%) 3/30 (10%) 1/30 (3.3%) 0/32 (0%) 1/31 (3.2%)
Instillation site pain 3/28 (10.7%) 4/30 (13.3%) 1/30 (3.3%) 3/32 (9.4%) 1/31 (3.2%)
Instillation site lacrimation 3/28 (10.7%) 3/30 (10%) 2/30 (6.7%) 1/32 (3.1%) 0/31 (0%)
Infections and infestations
Upper respiratory tract infection 1/28 (3.6%) 0/30 (0%) 5/30 (16.7%) 1/32 (3.1%) 1/31 (3.2%)
Nervous system disorders
Headache 3/28 (10.7%) 5/30 (16.7%) 6/30 (20%) 10/32 (31.3%) 6/31 (19.4%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

A 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 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo

Results Point of Contact

Name/Title Therapeutic Area Head
Organization Allergan
Phone 714-246-4500
Email IR-CTRegistration@allergan.com
Responsible Party:
Allergan
ClinicalTrials.gov Identifier:
NCT02780115
Other Study ID Numbers:
  • 199201-010
First Posted:
May 23, 2016
Last Update Posted:
Dec 22, 2020
Last Verified:
Nov 1, 2020