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A Phase IV, Randomized, Parallel Group, Investigator-Masked Evaluation of the Effect of Loteprednol Etabonate Ophthalmic Gel 0.5% on the Initiation of Dry Eye Treatment With Restasis®

Primary Purpose

Dry Eye Disease

Status
Withdrawn
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Loteprednol etabonate
Artificial Tears
Restasis
Sponsored by
Edward Holland, MD
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye Disease focused on measuring Dry Eye

Eligibility Criteria

21 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Provide written informed consent prior to any study-related procedures and provide Health Insurance Portability and Accountability Act (HIPAA) authorization.
  2. Are between the ages of 21 and 80 inclusive.
  3. Have not worn contact lenses for at least 1 month prior to the study and agrees not to wear contact lenses during the study.
  4. Have been on stable oral medications for 1 month prior to the study.
  5. Are in generally good and stable overall health.
  6. Are a woman of child bearing potential (WOCBP) who is not pregnant or lactating and not sexually active (i.e. abstinent) at Visit 1 and willing to remain so through Visit 4. Alternatively, a WOCBP who is not abstinent must have been using an acceptable method of birth control for at least 4 weeks prior to Visit 1 and throughout the study.
  7. Are women who have undergone one of the following sterilization procedures at least 1 month prior to Visit 1:

    1. Bilateral tubal ligation
    2. Hysterectomy
    3. Hysterectomy with unilateral or bilateral oophorectomy.
    4. Bilateral oophorectomy
  8. Are likely to comply with the eye drop regime, study guidelines, and study visits.

Exclusion Criteria:

  1. Have a history of Stevens-Johnson Syndrome or ocular pemphigoid.
  2. Have had punctual plugs inserted or removed; or punctual cautery 3 months prior to Visit 1/Screening and Baseline Visit and throughout the study.
  3. Have had intra-ocular surgery within 6 months prior to the Visit 1/Screening and Baseline Visit.
  4. Have a history of liver disease.
  5. Be pregnant or lactating.
  6. Have severe clinical vitamin deficiencies or a history of vitamin overdose.
  7. Have a highly variable vitamin intake.
  8. Wear contact lenses.
  9. Have unstable use of systemic or topical medications known to create dry eye.
  10. Have corneal pathology, which could, of itself, cause an ocular surface disorder.
  11. Have used glaucoma medications, topical or oral within 30 days of Visit 1/Screening and Baseline Visit.
  12. Have unstable diabetes mellitus.
  13. Have an allergy or sensitivity to Lotemax® Gel, Restasis®, or non-preservative artificial tears.
  14. Have used topical steroids or Restasis® within 1 month prior to the Screening and Baseline Visit and throughout the study, except the study medication provided per the protocol.
  15. Have a condition for which steroid use would be contraindicated (e.g. viral infection).
  16. Use other topical ocular agents other than tear replacements within 1 week prior to the Screening and Baseline Visit and throughout the study.
  17. Have been exposed to an investigational drug within the preceding 30 days.
  18. In the opinion of the investigator or study coordinator, be unwilling or unable to comply with the study protocol or unable to successfully instill eye drops.

Sites / Locations

  • Cincinnati Eye Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Loteprednol etabonate + Restasis

Artificial Tears + Restasis

Arm Description

Loteprednol Etabonate Ophthalmic Gel 0.5%, BID 30 days Restasis, BID 45 days

Artificial Tears, BID 30 days Restasis, BID 45 days

Outcomes

Primary Outcome Measures

Fluorescein corneal staining scores

Secondary Outcome Measures

Lissamine green conjunctival staining

Full Information

First Posted
January 3, 2014
Last Updated
March 17, 2015
Sponsor
Edward Holland, MD
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1. Study Identification

Unique Protocol Identification Number
NCT02028312
Brief Title
A Phase IV, Randomized, Parallel Group, Investigator-Masked Evaluation of the Effect of Loteprednol Etabonate Ophthalmic Gel 0.5% on the Initiation of Dry Eye Treatment With Restasis®
Study Type
Interventional

2. Study Status

Record Verification Date
March 2015
Overall Recruitment Status
Withdrawn
Why Stopped
Per Sponsor
Study Start Date
January 2014 (undefined)
Primary Completion Date
February 2016 (Anticipated)
Study Completion Date
June 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Edward Holland, MD

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A pilot study to evaluate the impact of Lotemax® Gel (loteprednol etabonate ophthalmic gel 0.5%) on the initiation of Restasis® (cyclosporine ophthalmic emulsion 0.05%) therapy in subjects with dry eye.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Loteprednol etabonate + Restasis
Arm Type
Active Comparator
Arm Description
Loteprednol Etabonate Ophthalmic Gel 0.5%, BID 30 days Restasis, BID 45 days
Arm Title
Artificial Tears + Restasis
Arm Type
Placebo Comparator
Arm Description
Artificial Tears, BID 30 days Restasis, BID 45 days
Intervention Type
Drug
Intervention Name(s)
Loteprednol etabonate
Intervention Type
Drug
Intervention Name(s)
Artificial Tears
Intervention Type
Drug
Intervention Name(s)
Restasis
Primary Outcome Measure Information:
Title
Fluorescein corneal staining scores
Time Frame
60 Days
Secondary Outcome Measure Information:
Title
Lissamine green conjunctival staining
Time Frame
60 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provide written informed consent prior to any study-related procedures and provide Health Insurance Portability and Accountability Act (HIPAA) authorization. Are between the ages of 21 and 80 inclusive. Have not worn contact lenses for at least 1 month prior to the study and agrees not to wear contact lenses during the study. Have been on stable oral medications for 1 month prior to the study. Are in generally good and stable overall health. Are a woman of child bearing potential (WOCBP) who is not pregnant or lactating and not sexually active (i.e. abstinent) at Visit 1 and willing to remain so through Visit 4. Alternatively, a WOCBP who is not abstinent must have been using an acceptable method of birth control for at least 4 weeks prior to Visit 1 and throughout the study. Are women who have undergone one of the following sterilization procedures at least 1 month prior to Visit 1: Bilateral tubal ligation Hysterectomy Hysterectomy with unilateral or bilateral oophorectomy. Bilateral oophorectomy Are likely to comply with the eye drop regime, study guidelines, and study visits. Exclusion Criteria: Have a history of Stevens-Johnson Syndrome or ocular pemphigoid. Have had punctual plugs inserted or removed; or punctual cautery 3 months prior to Visit 1/Screening and Baseline Visit and throughout the study. Have had intra-ocular surgery within 6 months prior to the Visit 1/Screening and Baseline Visit. Have a history of liver disease. Be pregnant or lactating. Have severe clinical vitamin deficiencies or a history of vitamin overdose. Have a highly variable vitamin intake. Wear contact lenses. Have unstable use of systemic or topical medications known to create dry eye. Have corneal pathology, which could, of itself, cause an ocular surface disorder. Have used glaucoma medications, topical or oral within 30 days of Visit 1/Screening and Baseline Visit. Have unstable diabetes mellitus. Have an allergy or sensitivity to Lotemax® Gel, Restasis®, or non-preservative artificial tears. Have used topical steroids or Restasis® within 1 month prior to the Screening and Baseline Visit and throughout the study, except the study medication provided per the protocol. Have a condition for which steroid use would be contraindicated (e.g. viral infection). Use other topical ocular agents other than tear replacements within 1 week prior to the Screening and Baseline Visit and throughout the study. Have been exposed to an investigational drug within the preceding 30 days. In the opinion of the investigator or study coordinator, be unwilling or unable to comply with the study protocol or unable to successfully instill eye drops.
Facility Information:
Facility Name
Cincinnati Eye Institute
City
Edgewood
State/Province
Kentucky
ZIP/Postal Code
41017
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Phase IV, Randomized, Parallel Group, Investigator-Masked Evaluation of the Effect of Loteprednol Etabonate Ophthalmic Gel 0.5% on the Initiation of Dry Eye Treatment With Restasis®

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