Intraoperative Floppy Iris Syndrome Undergoing Intraocular Lens Replacement Surgery
Primary Purpose
Intraocular Lens Replacement, Intraoperative Floppy Iris Syndrome
Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Part 1 OMS302
Part 2 OMS302
Part 2 Placebo
Sponsored by

About this trial
This is an interventional treatment trial for Intraocular Lens Replacement
Eligibility Criteria
Inclusion Criteria:
- Competent to provide informed consent.
- Voluntarily provide informed consent and HIPAA Authorization in accordance with local regulations and governing IEC/IRB requirements prior to any procedures or evaluations performed specifically for the sole purpose of the study.
- Indicate they understand and are able, willing, and likely to fully comply with study procedures and restrictions.
- Are male and 18 years of age or older at the time of surgery.
- Are to undergo unilateral primary ILR, under topical anesthesia, with insertion of an intraocular lens.
- Have a best-corrected visual acuity (BCVA) of 20/400 or better in the non-study eye.
- Have an intraocular pressure (IOP) between 5 mm Hg and 22 mm Hg, inclusive, in the study eye.
- Is currently and has been taking tamsulosin (Flomax®) for at least six months.
Exclusion Criteria:
- Hypersensitivity to phenylephrine, ketoprofen, bromfenac, or other NSAIDs, including aspirin.
- Hypersensitivity to tetracaine, lidocaine, ophthalmic viscoelastic devices (such as hydroxypropylmethylcellulose or hyaluronic acid or latex..
- Presence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, endocrine, neurological, psychiatric, respiratory or other medical condition that could increase the risk to the subject as determined by the Investigator.
- Presence of any connective tissue disorder (e.g., lupus, rheumatoid arthritis, fibromyalgia).
- Presence of systolic blood pressure of greater than 170 mmHg or less than 90 mmHg, or diastolic blood pressure of greater than110 mmHg or less than 40 mmHg at the screening visit.
- Use of phenylephrine in the study eye (other than for the screening ophthalmological examination) within seven days prior to the day of surgery.
- Use of monoamine oxidase inhibitors within 21 days prior to the day of surgery.
- Use of pilocarpine in the study eye within seven days prior to the day of surgery.
- Presence of narrow-angle glaucoma or unstable glaucoma.
- Glaucoma being treated with prostaglandins or prostaglandin analogues such as Xalatan®, Lumigan®, Travatan®, and Rescula®, or Alphagan® (brimonidine tartrate) in either eye during the seven days prior to screening and through Day 7 postoperatively.
- Presence of pseudo-capsular exfoliation in either eye.
- History of iritis, or of any ocular trauma with iris damage in the study eye.
- Presence of uncontrolled chronic ocular diseases in either eye that could affect pupil dilation.
- Presence of active corneal pathology in either eye (except superficial punctate keratopathy in the non-study eye).
- Presence of extraocular/intraocular inflammation in either eye.
- Presence of active bacterial and/or viral infection in either eye.
- Participating in any investigational drug or device trial within the 30 days prior to the day of surgery.
- History of intraocular non-laser surgery in the study eye within the three months prior to the day of surgery, or intraocular laser surgery in the study eye within 30 days prior to the day of surgery.
- Presence of any condition that the Investigator believes would put the subject at risk or confound the interpretation of the study data.
- Investigators, employees of the investigative site, and their immediate families. Immediate family is defined as the Investigator's or employees' current spouse, parent, natural or legally adopted child (including a stepchild living in the Investigator's household), grandparent, or grandchild.
- Prior participation in a clinical study of OMS302.
Sites / Locations
- Omeros Investigational Site
- Omeros Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
Part 1 OMS302
Part 2 OMS302
Part 2 Placebo
Arm Description
OMS302 diluted in balanced salt solution (BSS) and administered as irrigation solution
OMS302 diluted in balanced salt solution (BSS) and administered as irrigation solution
Placebo contains 20mM sodium citrate diluted in BSS and administered as irrigation solution.
Outcomes
Primary Outcome Measures
Change in Pupil Diameter
Change in pupil diameter over time from surgical baseline to the end of the surgical procedure determined by video capture during ILR.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02093689
Brief Title
Intraoperative Floppy Iris Syndrome Undergoing Intraocular Lens Replacement Surgery
Official Title
A Phase 3 Randomized, Double-Masked, Placebo-Controlled Study of the Effect of OMS302 on Intraoperative Pupil Diameter in Subjects at High Risk of Intraoperative Floppy Iris Syndrome Undergoing Intraocular Lens Replacement Surgery
Study Type
Interventional
2. Study Status
Record Verification Date
November 2016
Overall Recruitment Status
Terminated
Why Stopped
Pupil measurement methodology determined not appropriate in this population.
Study Start Date
February 2014 (undefined)
Primary Completion Date
August 2014 (Actual)
Study Completion Date
August 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Omeros Corporation
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the effect of OMS302 on the signs of Intraoperative Floppy Iris Syndrome in patients at risk.
Detailed Description
OMS302 is a mydriatic/anti-inflammatory combination investigational drug product being developed for use during intraoperative lens replacement (ILR). This study evaluates the effect of OMS302 on the signs of Floppy Iris Syndrome in subjects with a history of tamsulosin exposure who are undergoing ILR.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intraocular Lens Replacement, Intraoperative Floppy Iris Syndrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Non-Randomized
Enrollment
18 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Part 1 OMS302
Arm Type
Experimental
Arm Description
OMS302 diluted in balanced salt solution (BSS) and administered as irrigation solution
Arm Title
Part 2 OMS302
Arm Type
Experimental
Arm Description
OMS302 diluted in balanced salt solution (BSS) and administered as irrigation solution
Arm Title
Part 2 Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo contains 20mM sodium citrate diluted in BSS and administered as irrigation solution.
Intervention Type
Drug
Intervention Name(s)
Part 1 OMS302
Intervention Description
OMS302 drug product will be supplied as a sterile, clear colorless liquid, free from particulates of foreign matter. Each vial contains a nominal 4.5-mL solution containing 60.75 mM phenylephrine HCl (12.37 mg/mL) and 11.25 mM ketorolac trometamol (4.24 mg/mL) formulated in a 20 mM sodium citrate buffer (pH 6.3 ± 0.5). For administration to patients, 4.0 mL of the drug product is added to a 500-mL bottle of commercially available irrigation solution.
Intervention Type
Drug
Intervention Name(s)
Part 2 OMS302
Intervention Description
OMS302 drug product will be supplied as a sterile, clear colorless liquid, free from particulates of foreign matter. Each vial contains a nominal 4.5-mL solution containing 60.75 mM phenylephrine HCl (12.37 mg/mL) and 11.25 mM ketorolac trometamol (4.24 mg/mL) formulated in a 20 mM sodium citrate buffer (pH 6.3 ± 0.5). For administration to patients, 4.0 mL of the drug product is added to a 500-mL bottle of commercially available irrigation solution.
Intervention Type
Drug
Intervention Name(s)
Part 2 Placebo
Intervention Description
Placebo drug product is a sterile, clear colorless liquid, free from particulates of foreign matter. Each vial contains a nominal 4.5 mL of solution containing 20 mM sodium citrate buffer (pH 6.3 ± 0.5). For administration to patients, 4.0 mL of the drug product is added to a 500-mL bottle of commercially available irrigation solution.
Primary Outcome Measure Information:
Title
Change in Pupil Diameter
Description
Change in pupil diameter over time from surgical baseline to the end of the surgical procedure determined by video capture during ILR.
Time Frame
Intraoperative
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Competent to provide informed consent.
Voluntarily provide informed consent and HIPAA Authorization in accordance with local regulations and governing IEC/IRB requirements prior to any procedures or evaluations performed specifically for the sole purpose of the study.
Indicate they understand and are able, willing, and likely to fully comply with study procedures and restrictions.
Are male and 18 years of age or older at the time of surgery.
Are to undergo unilateral primary ILR, under topical anesthesia, with insertion of an intraocular lens.
Have a best-corrected visual acuity (BCVA) of 20/400 or better in the non-study eye.
Have an intraocular pressure (IOP) between 5 mm Hg and 22 mm Hg, inclusive, in the study eye.
Is currently and has been taking tamsulosin (Flomax®) for at least six months.
Exclusion Criteria:
Hypersensitivity to phenylephrine, ketoprofen, bromfenac, or other NSAIDs, including aspirin.
Hypersensitivity to tetracaine, lidocaine, ophthalmic viscoelastic devices (such as hydroxypropylmethylcellulose or hyaluronic acid or latex..
Presence of clinically significant gastrointestinal, cardiovascular, hepatic, renal, hematological, endocrine, neurological, psychiatric, respiratory or other medical condition that could increase the risk to the subject as determined by the Investigator.
Presence of any connective tissue disorder (e.g., lupus, rheumatoid arthritis, fibromyalgia).
Presence of systolic blood pressure of greater than 170 mmHg or less than 90 mmHg, or diastolic blood pressure of greater than110 mmHg or less than 40 mmHg at the screening visit.
Use of phenylephrine in the study eye (other than for the screening ophthalmological examination) within seven days prior to the day of surgery.
Use of monoamine oxidase inhibitors within 21 days prior to the day of surgery.
Use of pilocarpine in the study eye within seven days prior to the day of surgery.
Presence of narrow-angle glaucoma or unstable glaucoma.
Glaucoma being treated with prostaglandins or prostaglandin analogues such as Xalatan®, Lumigan®, Travatan®, and Rescula®, or Alphagan® (brimonidine tartrate) in either eye during the seven days prior to screening and through Day 7 postoperatively.
Presence of pseudo-capsular exfoliation in either eye.
History of iritis, or of any ocular trauma with iris damage in the study eye.
Presence of uncontrolled chronic ocular diseases in either eye that could affect pupil dilation.
Presence of active corneal pathology in either eye (except superficial punctate keratopathy in the non-study eye).
Presence of extraocular/intraocular inflammation in either eye.
Presence of active bacterial and/or viral infection in either eye.
Participating in any investigational drug or device trial within the 30 days prior to the day of surgery.
History of intraocular non-laser surgery in the study eye within the three months prior to the day of surgery, or intraocular laser surgery in the study eye within 30 days prior to the day of surgery.
Presence of any condition that the Investigator believes would put the subject at risk or confound the interpretation of the study data.
Investigators, employees of the investigative site, and their immediate families. Immediate family is defined as the Investigator's or employees' current spouse, parent, natural or legally adopted child (including a stepchild living in the Investigator's household), grandparent, or grandchild.
Prior participation in a clinical study of OMS302.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steve Whitaker, MD
Organizational Affiliation
Omeros Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Omeros Investigational Site
City
Vienna
Country
Austria
Facility Name
Omeros Investigational Site
City
Bochum
Country
Germany
12. IPD Sharing Statement
Plan to Share IPD
No
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Intraoperative Floppy Iris Syndrome Undergoing Intraocular Lens Replacement Surgery
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