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Study of the Safety and Tolerability of P 321 Ophthalmic Solution in Subjects With Dry Eye Disease

Primary Purpose

Dry Eye Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
P-321 Ophthalmic Solution
P-321 Ophthalmic Solution placebo
Sponsored by
Parion Sciences
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 disease

Eligibility Criteria

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

Inclusion Criteria:

  • Individuals of both genders and any race will be eligible for study participation if they:

    1. Provide written informed consent.
    2. Are 18 - 80 years of age.
    3. Corneal fluorescein staining score ≥2/15 on the NEI/Industry scale
    4. Conjunctival lissamine staining score of ≥ 2/18 on the NEI/Industry scale
    5. Schirmer <10mm/5min
    6. Are willing and able to follow instructions and can be present for the required study visits for the duration of the study.
    7. Female patients of child bearing potential must have a negative urine pregnancy test at Screening and agree to use a medically acceptable form of birth control. Male subjects who are sexually active must be willing to use highly effective contraception (i.e., less than 1% failure rate) during heterosexual intercourse from Day 1 through completion of the study.
    8. Have a history of Dry Eye Disease in both eyes supported by a previous clinical diagnosis or have a self-reported history of subjective complaints for at least 4 months prior to Screening, low tear volume, and ocular staining.
    9. Have documented history of topical lubricants at least daily or the desire to use topical lubricants in the past 4 months.
    10. Have normal lid anatomy

Exclusion Criteria:

  • Individuals are not eligible for study participation if:

    1. Have anterior segment eye disease except primary dry eye.
    2. Patients with an identifiable or suspected secondary dry eye, i.e., a documented or likely systemic, ocular, pharmacologic, post-traumatic, post-surgical, or external cause for dry eye symptoms or ocular surface staining.
    3. Patients with current punctal plugs, punctal occlusion, or history of nasolacrimal duct obstruction are excluded.
    4. Have a history of glaucoma or intraocular pressure (IOP) > 25 mmHg at the Screening Visit (Visit 1) or a history of elevated IOP within the past year prior to Visit 1
    5. Contact lenses wear in the previous 30 days or during the Treatment Phase of the study.
    6. Use of lid scrubs (including baby shampoos)
    7. Known hypersensitivity to the study investigational medicinal product, or formulation excipients, including amiloride or related drugs or allergies to the components of the study drug.
    8. Any significant chronic illness that, in the opinion of the Principal Investigator (PI), could interfere with the study parameters.
    9. Use of any investigational product or device within 30 days prior to the Screening Visit or during the study.
    10. Those unable in the opinion of the PI to comply fully with the study requirements or complete the study.

Sites / Locations

  • Sall Research Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

P-321

P-321 Ophthalmic Solution Placebo

Arm Description

P-321 Ophthalmic Solution

P-321 Ophthalmic Solution Placebo

Outcomes

Primary Outcome Measures

Number of subjects with adverse events
One primary objective of this trial is to assess the safety of P-321 Ophthalmic Solution versus placebo in subjects with moderate dry eye disease at 14 days (Cohorts 1-4) and 28 days (Cohort 4 only).
Changes from baseline in 14 days in visual acuity.
Change from baseline at 14 days in visual acuity.
Change from baseline at 28 days in visual acuity for Cohort 4 only.
Change from baseline at 28 days in visual acuity for Cohort 4 only.
Changes from baseline at 14 days in corneal staining.
Changes from baseline at 14 days in corneal staining.
Changes from baseline at 28 days in corneal staining for cohort 4 only.
Changes from baseline at 28 days in corneal staining for cohort 4 only.
Changes from baseline at 14 days in conjunctival staining.
Changes from baseline at 14 days in conjunctival staining.
Changes from baseline at 28 days in conjunctival staining for Cohort 4 only.
Changes from baseline at 28 days in conjunctival staining for Cohort 4 only.
Changes from baseline at 14 days in intraocular pressure.
Changes from baseline at 14 days in intraocular pressure.
Changes from baseline at 28 days in intraocular pressure. for Cohort 4 only.
Changes from baseline at 28 days in intraocular pressure. for Cohort 4 only.
Changes from baseline at 14 days in ophthalmoscopy.
Changes from baseline at 14 days in ophthalmoscopy.
Changes from baseline at 28 days in ophthalmoscopy for Cohort 4 only.
Changes from baseline at 28 days in ophthalmoscopy for Cohort 4 only.

Secondary Outcome Measures

Measure plasma P-321 concentrations
Drug plasma concentrations will be evaluated pre-dose 0.5, 1, 2, 4, and 6 hours post dosing on Days 1 and 15 and pre-dose on Day 8.
Measure urine concentrations of P-321
Drug urine concentrations will be evaluated at Day 1 and Day 15.
Measure tear concentrations of P-321
Drug tear concentrations will be evaluated at all visits post dose.
Measure plasma P-321 concentrations in Cohort 4
Measure plasma P-321 concentrations in Cohort 4
Measure urine concentrations of P-321 in Cohort 4
Measure urine concentrations of P-321 in Cohort 4
Measure tear concentrations of P-321 in Cohort 4
Measure tear concentrations of P-321 in Cohort 4

Full Information

First Posted
August 28, 2014
Last Updated
May 1, 2015
Sponsor
Parion Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT02242032
Brief Title
Study of the Safety and Tolerability of P 321 Ophthalmic Solution in Subjects With Dry Eye Disease
Official Title
A Double-Masked, Randomized, Placebo-Controlled Dose Escalation Study of the Safety and Tolerability of P 321 Ophthalmic Solution in Subjects With Dry Eye Disease
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
March 2015 (Actual)
Study Completion Date
March 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Parion Sciences

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and tolerability of P-321 Ophthalmic Solution in subjects with mild to moderate dry eye disease.
Detailed Description
This is a single-center, dose escalation, randomized, double-masked, placebo-controlled, Phase 1/2a trial designed to evaluate the safety and tolerability of P-321 Ophthalmic Solution in subjects with mild to moderate dry eye for up to 4-weeks of treatment and up to 8 scheduled in clinic visits. This study will conduct a consecutive dose escalation of the following concentrations of P-321 Ophthalmic Solution given two times a day via ocular instillation: 0.0005% (Cohort 1), 0.0015% (Cohort 2), 0.005% (Cohort 3), and 0.01% (Cohort 4). Up to 48 subjects will be enrolled in four consecutive cohorts. Subjects will be randomized to P-321 Ophthalmic Solution or placebo in a 3:1 ratio. Safety and tolerability assessments, drug plasma concentrations and drug urine concentrations will be evaluated throughout the study in all cohorts.

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 disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Arm Title
P-321
Arm Type
Experimental
Arm Description
P-321 Ophthalmic Solution
Arm Title
P-321 Ophthalmic Solution Placebo
Arm Type
Placebo Comparator
Arm Description
P-321 Ophthalmic Solution Placebo
Intervention Type
Drug
Intervention Name(s)
P-321 Ophthalmic Solution
Other Intervention Name(s)
P-321
Intervention Type
Drug
Intervention Name(s)
P-321 Ophthalmic Solution placebo
Other Intervention Name(s)
placebo
Intervention Description
Placebo to match P-321 Ophthalmic Solution
Primary Outcome Measure Information:
Title
Number of subjects with adverse events
Description
One primary objective of this trial is to assess the safety of P-321 Ophthalmic Solution versus placebo in subjects with moderate dry eye disease at 14 days (Cohorts 1-4) and 28 days (Cohort 4 only).
Time Frame
Days 0, 1, 2, 8, 15, 22 and 28
Title
Changes from baseline in 14 days in visual acuity.
Description
Change from baseline at 14 days in visual acuity.
Time Frame
Change from baseline at 14 days.
Title
Change from baseline at 28 days in visual acuity for Cohort 4 only.
Description
Change from baseline at 28 days in visual acuity for Cohort 4 only.
Time Frame
Change from baseline at 28 days in visual acuity.
Title
Changes from baseline at 14 days in corneal staining.
Description
Changes from baseline at 14 days in corneal staining.
Time Frame
Changes from baseline at 14 days.
Title
Changes from baseline at 28 days in corneal staining for cohort 4 only.
Description
Changes from baseline at 28 days in corneal staining for cohort 4 only.
Time Frame
Changes from baseline at 28 days.
Title
Changes from baseline at 14 days in conjunctival staining.
Description
Changes from baseline at 14 days in conjunctival staining.
Time Frame
Changes from baseline at 14 days
Title
Changes from baseline at 28 days in conjunctival staining for Cohort 4 only.
Description
Changes from baseline at 28 days in conjunctival staining for Cohort 4 only.
Time Frame
Changes from baseline at 28 days
Title
Changes from baseline at 14 days in intraocular pressure.
Description
Changes from baseline at 14 days in intraocular pressure.
Time Frame
Changes from baseline at 14 days.
Title
Changes from baseline at 28 days in intraocular pressure. for Cohort 4 only.
Description
Changes from baseline at 28 days in intraocular pressure. for Cohort 4 only.
Time Frame
Changes from baseline at 28 days
Title
Changes from baseline at 14 days in ophthalmoscopy.
Description
Changes from baseline at 14 days in ophthalmoscopy.
Time Frame
Changes from baseline at 14 days
Title
Changes from baseline at 28 days in ophthalmoscopy for Cohort 4 only.
Description
Changes from baseline at 28 days in ophthalmoscopy for Cohort 4 only.
Time Frame
Changes from baseline at 28 days
Secondary Outcome Measure Information:
Title
Measure plasma P-321 concentrations
Description
Drug plasma concentrations will be evaluated pre-dose 0.5, 1, 2, 4, and 6 hours post dosing on Days 1 and 15 and pre-dose on Day 8.
Time Frame
Pre-dose 0.5, 1, 2, 4, and 6 hours post dosing on Days 1 and Day 15 and pre-dose on Day 8.
Title
Measure urine concentrations of P-321
Description
Drug urine concentrations will be evaluated at Day 1 and Day 15.
Time Frame
At multiple timepoints throughout the study
Title
Measure tear concentrations of P-321
Description
Drug tear concentrations will be evaluated at all visits post dose.
Time Frame
pre-dose 0.5, 1, 2, 4, and 6 hours post dosing on Day 1 and Day 15 and pre-dose on Day 8.
Title
Measure plasma P-321 concentrations in Cohort 4
Description
Measure plasma P-321 concentrations in Cohort 4
Time Frame
pre-dose on Day 8 and Day 22, and pre-dose, 0.5, 1, 2, 4, 6, 8, and 24 hours post-dose on Day 28
Title
Measure urine concentrations of P-321 in Cohort 4
Description
Measure urine concentrations of P-321 in Cohort 4
Time Frame
Day 28
Title
Measure tear concentrations of P-321 in Cohort 4
Description
Measure tear concentrations of P-321 in Cohort 4
Time Frame
pre-dose on Day 8 and Day 22, and pre-dose, 0.5, 1, 2, 4, 6, 8, and 24 hours post-dose on Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Individuals of both genders and any race will be eligible for study participation if they: Provide written informed consent. Are 18 - 80 years of age. Corneal fluorescein staining score ≥2/15 on the NEI/Industry scale Conjunctival lissamine staining score of ≥ 2/18 on the NEI/Industry scale Schirmer <10mm/5min Are willing and able to follow instructions and can be present for the required study visits for the duration of the study. Female patients of child bearing potential must have a negative urine pregnancy test at Screening and agree to use a medically acceptable form of birth control. Male subjects who are sexually active must be willing to use highly effective contraception (i.e., less than 1% failure rate) during heterosexual intercourse from Day 1 through completion of the study. Have a history of Dry Eye Disease in both eyes supported by a previous clinical diagnosis or have a self-reported history of subjective complaints for at least 4 months prior to Screening, low tear volume, and ocular staining. Have documented history of topical lubricants at least daily or the desire to use topical lubricants in the past 4 months. Have normal lid anatomy Exclusion Criteria: Individuals are not eligible for study participation if: Have anterior segment eye disease except primary dry eye. Patients with an identifiable or suspected secondary dry eye, i.e., a documented or likely systemic, ocular, pharmacologic, post-traumatic, post-surgical, or external cause for dry eye symptoms or ocular surface staining. Patients with current punctal plugs, punctal occlusion, or history of nasolacrimal duct obstruction are excluded. Have a history of glaucoma or intraocular pressure (IOP) > 25 mmHg at the Screening Visit (Visit 1) or a history of elevated IOP within the past year prior to Visit 1 Contact lenses wear in the previous 30 days or during the Treatment Phase of the study. Use of lid scrubs (including baby shampoos) Known hypersensitivity to the study investigational medicinal product, or formulation excipients, including amiloride or related drugs or allergies to the components of the study drug. Any significant chronic illness that, in the opinion of the Principal Investigator (PI), could interfere with the study parameters. Use of any investigational product or device within 30 days prior to the Screening Visit or during the study. Those unable in the opinion of the PI to comply fully with the study requirements or complete the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kenneth Sall, MD
Organizational Affiliation
Sall Research Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sall Research Medical Center
City
Artesia
State/Province
California
ZIP/Postal Code
90701
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of the Safety and Tolerability of P 321 Ophthalmic Solution in Subjects With Dry Eye Disease

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