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Phase III Efficacy and Safety Clinical Study of UF-021 for Treatment of Retinitis Pigmentosa

Primary Purpose

Retinitis Pigmentosa

Status
Terminated
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
UF-021
Placebo
Sponsored by
R-Tech Ueno, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Retinitis Pigmentosa focused on measuring UF-021, unoprostone, rp

Eligibility Criteria

20 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age: 20 years or more, 70 years or less (at obtaining informed consent)
  2. Medical examination classification: Outpatients
  3. Observation, examination, and surveillance in accordance with the study protocol are judged to be feasible.
  4. ETDRS visual acuity test is judged to be feasible at a distance of 4 meters.
  5. HFA (10-2) test is judged to be feasible by investigator.
  6. Goldmann perimetry shows concentric central visual field loss (including a ring scotoma) with the central 30 degrees or less.
  7. The difference in the mean retinal sensitivity at four central points must be less than 3 dB between two reliable measurements with HFA (10-2) (SITA-Standard) conducted within 31 days and both values are worse than 30 dB.(When this criterion is not met after two tests, a 3rd measurement will be implemented within 31 days from the 2nd test. The difference between the 3rd reliable measurement value and the 1st or 2nd measurements must be less than 3 dB, and both values are worse than 30 dB; the most recent data will be regarded as the data acquired before instillation.)

Exclusion Criteria:

  1. Judged to have difficulty by investigator for visiting the hospital and returning home safely over the study period.
  2. Planning to undergo an ophthalmic operation for eye for efficacy evaluation during study period.
  3. Current treatment for glaucoma or ocular hypertension.
  4. Prior ophthalmectomy or evisceration of an eye
  5. Intraocular surgery within the past five months.
  6. History of allergy to drugs (instillation narcotics, fluorescein, etc.) that will be used during the clinical study, and to drugs similar to the investigational product
  7. Complications of diabetic retinopathy.
  8. Complications of external eye inflammation, infectious diseases, or severe dry eye.
  9. Use of isopropyl unoprostone in the past or present.
  10. Use of the following drugs within 31 days before obtaining informed consent. Calcium antagonists, Dark adaptation improvement drug (helenien)
  11. Participation in UF-021 phase Ⅱ trial (including subjects assigned to the placebo group).
  12. Participation in other clinical studies within the past 6 months (However, any subject who has not been administered an investigational product will be accepted)
  13. Pregnancy or the possibility of becoming pregnant. Currently breastfeeding. Childbearing patients who wish to become pregnant during the clinical study period and are not using appropriate contraceptive measures.
  14. Cone-rod dystrophy where cone function was primarily impaired
  15. History of optic nerve disease in the eye for efficacy evaluation
  16. Complications of a moderate or more severe (grade 3 of the Emery classification) central cataract, an anterior subcapsular cataract, a posterior subcapsular cataract, and posterior capsule opacification that may exert a major influence on visual acuity in the eye for efficacy evaluation

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

- UF-021

- Placebo

Arm Description

UF-021 is experimental code for isopropyl unoprostone

Outcomes

Primary Outcome Measures

Changes in the value of the mean retinal sensitivity at four central points through HFA (10-2)

Secondary Outcome Measures

- Changes in the value of the retinal sensitivity through HFA (10-2) (MD value, mean retinal sensitivity at 12 central points /24 central points /68 central points)
- Changes in the value of the ETDRS visual acuity
- Changes in the VFQ-25 (composite 8) value
- Changes in the Goldmann visual field area within V4e isopter
- Changes in the value of retinal thickness through OCT

Full Information

First Posted
January 23, 2013
Last Updated
January 27, 2016
Sponsor
R-Tech Ueno, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01786395
Brief Title
Phase III Efficacy and Safety Clinical Study of UF-021 for Treatment of Retinitis Pigmentosa
Official Title
Phase III Clinical Study of UF-021 for Retinitis Pigmentosa - Evaluation for a Comparative Double Masked Placebo Controlled Study Period and a Continuous Administration Period
Study Type
Interventional

2. Study Status

Record Verification Date
March 2013
Overall Recruitment Status
Terminated
Study Start Date
March 2013 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
R-Tech Ueno, Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is a multicenter trial performed in Japan, consisting of a comparative study period and a continuous administration period. Effect of 0.15% UF-021 eye drops on improvement in central retinal sensitivity with HFA will be verified in 52 weeks comparative study period by a placebo-controlled, double-masked study in patients with retinitis pigmentosa. The safety of same eye drops will also be examined in 52 weeks continuous administration period, in all the patients who completed the comparative study period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Retinitis Pigmentosa
Keywords
UF-021, unoprostone, rp

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
202 (Actual)

8. Arms, Groups, and Interventions

Arm Title
- UF-021
Arm Type
Experimental
Arm Description
UF-021 is experimental code for isopropyl unoprostone
Arm Title
- Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
UF-021
Other Intervention Name(s)
isopropyl unoprostone (JAN)
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Changes in the value of the mean retinal sensitivity at four central points through HFA (10-2)
Time Frame
baseline and 1 year
Secondary Outcome Measure Information:
Title
- Changes in the value of the retinal sensitivity through HFA (10-2) (MD value, mean retinal sensitivity at 12 central points /24 central points /68 central points)
Time Frame
baseline and 1 year
Title
- Changes in the value of the ETDRS visual acuity
Time Frame
baseline and 1 year
Title
- Changes in the VFQ-25 (composite 8) value
Time Frame
baseline and 1 year
Title
- Changes in the Goldmann visual field area within V4e isopter
Time Frame
baseline and 1 year
Title
- Changes in the value of retinal thickness through OCT
Time Frame
baseline and 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age: 20 years or more, 70 years or less (at obtaining informed consent) Medical examination classification: Outpatients Observation, examination, and surveillance in accordance with the study protocol are judged to be feasible. ETDRS visual acuity test is judged to be feasible at a distance of 4 meters. HFA (10-2) test is judged to be feasible by investigator. Goldmann perimetry shows concentric central visual field loss (including a ring scotoma) with the central 30 degrees or less. The difference in the mean retinal sensitivity at four central points must be less than 3 dB between two reliable measurements with HFA (10-2) (SITA-Standard) conducted within 31 days and both values are worse than 30 dB.(When this criterion is not met after two tests, a 3rd measurement will be implemented within 31 days from the 2nd test. The difference between the 3rd reliable measurement value and the 1st or 2nd measurements must be less than 3 dB, and both values are worse than 30 dB; the most recent data will be regarded as the data acquired before instillation.) Exclusion Criteria: Judged to have difficulty by investigator for visiting the hospital and returning home safely over the study period. Planning to undergo an ophthalmic operation for eye for efficacy evaluation during study period. Current treatment for glaucoma or ocular hypertension. Prior ophthalmectomy or evisceration of an eye Intraocular surgery within the past five months. History of allergy to drugs (instillation narcotics, fluorescein, etc.) that will be used during the clinical study, and to drugs similar to the investigational product Complications of diabetic retinopathy. Complications of external eye inflammation, infectious diseases, or severe dry eye. Use of isopropyl unoprostone in the past or present. Use of the following drugs within 31 days before obtaining informed consent. Calcium antagonists, Dark adaptation improvement drug (helenien) Participation in UF-021 phase Ⅱ trial (including subjects assigned to the placebo group). Participation in other clinical studies within the past 6 months (However, any subject who has not been administered an investigational product will be accepted) Pregnancy or the possibility of becoming pregnant. Currently breastfeeding. Childbearing patients who wish to become pregnant during the clinical study period and are not using appropriate contraceptive measures. Cone-rod dystrophy where cone function was primarily impaired History of optic nerve disease in the eye for efficacy evaluation Complications of a moderate or more severe (grade 3 of the Emery classification) central cataract, an anterior subcapsular cataract, a posterior subcapsular cataract, and posterior capsule opacification that may exert a major influence on visual acuity in the eye for efficacy evaluation
Facility Information:
City
Nagoya
State/Province
Aichi
Country
Japan
City
Hirosaki
State/Province
Aomori
Country
Japan
City
Matsuyama
State/Province
Ehime
Country
Japan
City
Maebashi
State/Province
Gunma
Country
Japan
City
Kure
State/Province
Hiroshima
Country
Japan
City
Sapporo
State/Province
Hokkaido
Country
Japan
City
Kobe
State/Province
Hyogo
Country
Japan
City
Mito
State/Province
Ibaraki
Country
Japan
City
Morioka
State/Province
Iwate
Country
Japan
City
Tsu
State/Province
Mie
Country
Japan
City
Sendai
State/Province
Miyagi
Country
Japan
City
Miyakonojo
State/Province
Miyazaki
Country
Japan
City
Beppu
State/Province
Oita
Country
Japan
City
Tamano
State/Province
Okayama
Country
Japan
City
Osakasayama
State/Province
Osaka
Country
Japan
City
Izumo
State/Province
Shimane
Country
Japan
City
Hamamatsu
State/Province
Shizuoka
Country
Japan
City
Ohtawara
State/Province
Tochigi
Country
Japan
City
Bunkyo-ku
State/Province
Tokyo
Country
Japan
City
Chiyoda-ku
State/Province
Tokyo
Country
Japan
City
Itabashi-ku
State/Province
Tokyo
Country
Japan
City
Minato-ku
State/Province
Tokyo
ZIP/Postal Code
Japan
Country
Japan
City
Mitaka
State/Province
Tokyo
Country
Japan
City
Chuo
State/Province
Yamanashi
Country
Japan
City
Chiba
Country
Japan
City
Fukuoka
Country
Japan
City
Kumamoto
Country
Japan
City
Kyoto
Country
Japan
City
Miyazaki
Country
Japan
City
Okayama
Country
Japan
City
Osaka
Country
Japan
City
Tokushima
Country
Japan
City
Toyama
Country
Japan
City
Wakayama
Country
Japan

12. IPD Sharing Statement

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Phase III Efficacy and Safety Clinical Study of UF-021 for Treatment of Retinitis Pigmentosa

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