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Loteprednol Etabonate Opthalmic Suspension for the Treatment of Dry Eye

Primary Purpose

Dry Eye

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
loteprednol etabonate ophthalmic suspension, 0.5%
loteprednol etabonate ophthalmic suspension, 0.5%
vehicle of loteprednol etabonate
Sponsored by
Bausch & Lomb Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • at least 18 years of age or older
  • able and willing to follow instructions, including participation in study assessments and able be present for the required study visits for the duration of the study
  • If female and of childbearing potential, were not pregnant, nursing, or planning a pregnancy. Women of childbearing potential were required to have a negative urine pregnancy test at the pre-screen visit and had to agree to use an acceptable method of mechanical or hormonal contraceptive for the duration of the study
  • a diagnosis of dry eye
  • a history of intermittent or regular artificial tear use within the past 3 months
  • best corrected visual acuity (BCVA) of +0.7 or better assessed by Early Treatment of Diabetic Retinopathy Study (ETDRS) scale in one or both eyes
  • a fluorescein staining score of ≥ 1+ in at least one region in at least one eye at Visit 1 and before CAE exposure at Visits 2 and 3 OR a fluorescein staining score of ≥ 1+ in at least one region in at least one eye at Visit 1 and before CAE exposure at Visits 2 and 3 with a conjunctival redness score of ≥ 1.5+ at Visit 1 and before CAE exposure at Visits 2 and 3 in at least one eye
  • Demonstrated a response when exposed to the CAE at Visits 2 and 3

Exclusion Criteria:

  • clinically significant blepharitis or Meibomian Gland Dysfunction (MGD) or lid margin inflammation, particularly if systemic or topical medications were currently being used to treat any of these diagnoses
  • diagnosed with an on-going ocular infection (bacterial, viral, or fungal), or active ocular inflammation (e.g. follicular conjunctivitis), or preauricular lymphadenopathy, particularly if systemic or topical medications were currently being used to treat any of these diagnoses
  • Reported an ocular discomfort score of 4+ in both eyes at time 0 of CAE exposure at Visits 2 or 3
  • Wore contact lenses and refused to remove them for the duration of the study
  • previous laser in situ keratomileusis (LASIK) surgery
  • currently taking any topical ophthalmic prescription (including medications for glaucoma) or over-the-counter (OTC) solutions, artificial tears, gels or scrubs and could not discontinue these medications for the duration of the study
  • presently taking any medication known to cause ocular drying that had not been a stable dose for at least 30 days
  • currently taking oral antihistamines that could not be discontinued during the study
  • a systemic disease, uncontrolled medical condition that in the opinion of the investigator could interfere with study measurements or subject compliance
  • received another experimental drug or device within 30 days prior to screening

Sites / Locations

  • Ophthalmic Research Associates

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Loteprednol Etabonate TID

Loteprednol Etabonate QID

Vehicle

Arm Description

loteprednol etabonate ophthalmic suspension, 0.5%, TID

loteprednol etabonate ophthalmic suspension, 0.5%, QID

vehicle of loteprednol etabonate

Outcomes

Primary Outcome Measures

Ocular discomfort during CAE exposure
Corneal and conjunctival staining and conjunctival redness

Secondary Outcome Measures

Corneal and conjunctival staining and conjunctival redness
Blink rate, Tear film break-up time (TFBUT), and Ocular Protection Index (OPI)
Ocular discomfort

Full Information

First Posted
November 19, 2007
Last Updated
July 14, 2011
Sponsor
Bausch & Lomb Incorporated
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1. Study Identification

Unique Protocol Identification Number
NCT00560638
Brief Title
Loteprednol Etabonate Opthalmic Suspension for the Treatment of Dry Eye
Official Title
A Double-Masked, Randomized, Placebo-Controlled Study of Loteprednol Etabonate Ophthalmic Suspension, 0.5% for the Treatment of Dry Eye Used Either TID or QID for a 2 Week Period
Study Type
Interventional

2. Study Status

Record Verification Date
July 2011
Overall Recruitment Status
Completed
Study Start Date
November 2005 (undefined)
Primary Completion Date
February 2006 (Actual)
Study Completion Date
February 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Bausch & Lomb Incorporated

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a single-center, randomized, double-masked, placebo-controlled, parallel-group, 4-visit, CAE (Controlled Adverse Environment) study lasting approximately 4 weeks. Subjects were randomized to receive loteprednol etabonate ophthalmic suspension, 0.5% or placebo (vehicle of loteprednol etabonate ophthalmic suspension, 0.5%) and instructed to dose bilaterally either TID or QID according to randomization.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Eye

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
119 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Loteprednol Etabonate TID
Arm Type
Experimental
Arm Description
loteprednol etabonate ophthalmic suspension, 0.5%, TID
Arm Title
Loteprednol Etabonate QID
Arm Type
Experimental
Arm Description
loteprednol etabonate ophthalmic suspension, 0.5%, QID
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
vehicle of loteprednol etabonate
Intervention Type
Drug
Intervention Name(s)
loteprednol etabonate ophthalmic suspension, 0.5%
Other Intervention Name(s)
Lotemax
Intervention Description
TID
Intervention Type
Drug
Intervention Name(s)
loteprednol etabonate ophthalmic suspension, 0.5%
Other Intervention Name(s)
Lotemax
Intervention Description
QID
Intervention Type
Drug
Intervention Name(s)
vehicle of loteprednol etabonate
Intervention Description
TID or BID according to the randomization
Primary Outcome Measure Information:
Title
Ocular discomfort during CAE exposure
Time Frame
during CAE exposure
Title
Corneal and conjunctival staining and conjunctival redness
Time Frame
After CAE exposure
Secondary Outcome Measure Information:
Title
Corneal and conjunctival staining and conjunctival redness
Time Frame
before CAE exposure
Title
Blink rate, Tear film break-up time (TFBUT), and Ocular Protection Index (OPI)
Time Frame
before after CAE exposure
Title
Ocular discomfort
Time Frame
collected in patient diaries

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: at least 18 years of age or older able and willing to follow instructions, including participation in study assessments and able be present for the required study visits for the duration of the study If female and of childbearing potential, were not pregnant, nursing, or planning a pregnancy. Women of childbearing potential were required to have a negative urine pregnancy test at the pre-screen visit and had to agree to use an acceptable method of mechanical or hormonal contraceptive for the duration of the study a diagnosis of dry eye a history of intermittent or regular artificial tear use within the past 3 months best corrected visual acuity (BCVA) of +0.7 or better assessed by Early Treatment of Diabetic Retinopathy Study (ETDRS) scale in one or both eyes a fluorescein staining score of ≥ 1+ in at least one region in at least one eye at Visit 1 and before CAE exposure at Visits 2 and 3 OR a fluorescein staining score of ≥ 1+ in at least one region in at least one eye at Visit 1 and before CAE exposure at Visits 2 and 3 with a conjunctival redness score of ≥ 1.5+ at Visit 1 and before CAE exposure at Visits 2 and 3 in at least one eye Demonstrated a response when exposed to the CAE at Visits 2 and 3 Exclusion Criteria: clinically significant blepharitis or Meibomian Gland Dysfunction (MGD) or lid margin inflammation, particularly if systemic or topical medications were currently being used to treat any of these diagnoses diagnosed with an on-going ocular infection (bacterial, viral, or fungal), or active ocular inflammation (e.g. follicular conjunctivitis), or preauricular lymphadenopathy, particularly if systemic or topical medications were currently being used to treat any of these diagnoses Reported an ocular discomfort score of 4+ in both eyes at time 0 of CAE exposure at Visits 2 or 3 Wore contact lenses and refused to remove them for the duration of the study previous laser in situ keratomileusis (LASIK) surgery currently taking any topical ophthalmic prescription (including medications for glaucoma) or over-the-counter (OTC) solutions, artificial tears, gels or scrubs and could not discontinue these medications for the duration of the study presently taking any medication known to cause ocular drying that had not been a stable dose for at least 30 days currently taking oral antihistamines that could not be discontinued during the study a systemic disease, uncontrolled medical condition that in the opinion of the investigator could interfere with study measurements or subject compliance received another experimental drug or device within 30 days prior to screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gail Torkildsen, MD
Organizational Affiliation
Ophthalmic Research Associates, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ophthalmic Research Associates
City
Andover
State/Province
Massachusetts
ZIP/Postal Code
01810
Country
United States

12. IPD Sharing Statement

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Loteprednol Etabonate Opthalmic Suspension for the Treatment of Dry Eye

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