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Efficacy of iLid Cleanser (Avenova) Versus Vehicle on Ocular Skin Flora

Primary Purpose

Sebaceous Gland Diseases, Blepharitis

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
iLid Cleanser
Sponsored by
NovaBay Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Sebaceous Gland Diseases focused on measuring Blepharitis

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female, of any race, at least 6 years of age.
  • Must be eligible for a recommendation to use eye lid cleansing/scrubs for:

    • Signs of acute or chronic blepharitis, such as eye lid debris (sleeves, collorates, flakes, crusting) requiring eye lid cleansing/scrubs, and/or
    • Signs consistent with mild, moderate, or severe meibomian gland disease (MGD) such as dilated and blocked glands with inspissated secretions sluggish or stagnant upon expression.
  • Must be able to read, understand and sign an informed consent form that has been approved by an Institutional Review Board/Ethics Committee. If subject is less than 18 years of age, the informed consent must be signed and dated by subject's legally authorized representative (parent or guardian). Assent to participate should also be obtained from subjects under 18 years of age if required by local regulation.
  • Must agree to comply with the visit schedule and other requirements of the study. The parent or guardian must agree to ensure compliance of subjects less than 18 years of age.
  • Must agree to remove contact lenses, if applicable, for 15 minutes before and after application of the study Investigational Product.
  • Must agree for the duration of the study to refrain from use of makeup/cosmetic products used around the eye(s) such as eye liner, mascara, and/or shadow, foundation or powder. Use of such products is allowed if the eyelid skin area is avoided.

Exclusion Criteria:

  • Presence of signs and symptoms of bacterial or allergic conjunctivitis or allergic dermatitis at the Day 1 Visit.
  • Suspected fungal, viral, Chlamydia or Acanthamoeba infection based on clinical diagnosis.
  • Visual acuity not correctable to 1.0 LogMAR or better (equivalent to Snellen 20/200) in either eye using either a Snellen or ETDRS chart.
  • Use of any topical ocular medications including tear substitutes during study participation.
  • Use of any preserved or non-preserved glaucoma medications during the 14 days prior to Visit 1 and anticipated use during study participation.
  • Presence of nasolacrimal duct obstruction.
  • Presence of a punctal plug in either eye.
  • Any systemic or ocular disease or disorder, complicating factors or structural abnormality that would negatively affect the conduct or outcome of the study.
  • Presence of active inflammation and/or active structural change in the cornea, iris or anterior chamber at the Day 1 visit.
  • Use of any topical ocular or oral antimicrobial agent within the 3 days prior to Day 1 visit.
  • Use of topical ocular corticosteroids or non-steroidal topical ocular anti-inflammatories (NSAIDs), within 3 days prior to study entry and during the trial.
  • Use of RESTASIS® (Cyclosporine Ophthalmic Emulsion) 0.05%) in either eye during the trial.
  • Any current immunosuppressive disorder (e.g., HIV positive), or use of immunosuppressive therapy (including chemotherapy).
  • Participation in any other investigational clinical study within 30 days prior to study enrollment.
  • Any subject who is on staff at the investigational site or is a family member of staff personnel.
  • Additionally, the Investigator or Medical Monitor may declare any subject ineligible for a sound medical reason.

Sites / Locations

  • Ophthalmic Research Consultants of ArizonaRecruiting
  • Turner Eye InstituteRecruiting
  • James D. Branch, MDRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

iLid Cleanser (Avenova)

iLid Cleanser Vehicle

Arm Description

iLid Cleanser - applied 2 times per day for 10 days

iLid Cleanser Vehicle - applied 2 times per day for 10 days

Outcomes

Primary Outcome Measures

Microbiological efficacy
Quantitative assessment of numbers of recoverable bacteria before versus after application of test article

Secondary Outcome Measures

Ocular Signs
lid erythema, lid swelling, lid crusting and debris on lashes, bulbar and palpebral conjunctival injection, and meibomian gland secretions (after expression)

Full Information

First Posted
May 26, 2015
Last Updated
May 27, 2015
Sponsor
NovaBay Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02455895
Brief Title
Efficacy of iLid Cleanser (Avenova) Versus Vehicle on Ocular Skin Flora
Official Title
A Multicenter Randomized, Double-Masked Study Comparing the Efficacy of Novabay iLid Cleanser Versus Vehicle on Ocular Skin Flora
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Unknown status
Study Start Date
May 2015 (undefined)
Primary Completion Date
January 2016 (Anticipated)
Study Completion Date
May 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NovaBay Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to evaluate the effect of Novabay iLid Cleanser, as compared to its Vehicle, on the ocular skin flora. In the pre-randomization phase, subjects will receive a single application of open-label NovaBay iLid Cleanser. In the randomization phase of Stages 1 and 2, subjects will self-treat with masked Investigational Product twice daily for ten (10) days.
Detailed Description
This is an adaptive design, randomized, double-masked, vehicle-controlled, multicenter, parallel group study with two treatment arms: NovaBay iLid Cleanser ("Cleanser") and Cleanser Vehicle ("Vehicle"). The study will be conducted in two Stages, each preceded by a pre-randomization phase. Randomization of Cleanser:Vehicle will be 1:1 and 2:1 in Stages 1 and 2 respectively. In the pre-randomization phase for Stages 1 and 2, subjects who meet all inclusion and no exclusion criteria will be evaluated by clinical examination at a single visit prior to having ocular skin specimens taken before and after treatment with open-label Cleanser. In the randomization phase for both Stages 1 and 2, subjects who meet all inclusion and no exclusion criteria will be randomized and evaluated at three visits: Visit 1: Screening, Day 1 Visit 2: Day 11 (+2) End of Treatment (EOT) Visit 3: Day 18 (±2) Post Treatment Evaluation/Exit Subjects will have ocular skin specimens taken at Visit 1, Day 1. The specimens will be collected before and 20 minutes after the first application of the study Investigational Product performed by study personnel.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sebaceous Gland Diseases, Blepharitis
Keywords
Blepharitis

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
iLid Cleanser (Avenova)
Arm Type
Active Comparator
Arm Description
iLid Cleanser - applied 2 times per day for 10 days
Arm Title
iLid Cleanser Vehicle
Arm Type
Placebo Comparator
Arm Description
iLid Cleanser Vehicle - applied 2 times per day for 10 days
Intervention Type
Device
Intervention Name(s)
iLid Cleanser
Other Intervention Name(s)
Avenova
Intervention Description
Application of iLid Cleanser to reduce bacterial load on the lid and lash margins
Primary Outcome Measure Information:
Title
Microbiological efficacy
Description
Quantitative assessment of numbers of recoverable bacteria before versus after application of test article
Time Frame
20 minutes after application of test article
Secondary Outcome Measure Information:
Title
Ocular Signs
Description
lid erythema, lid swelling, lid crusting and debris on lashes, bulbar and palpebral conjunctival injection, and meibomian gland secretions (after expression)
Time Frame
Assessed on Visit 1(Day 1), Visit 2 (Day 11) and Visit 3 (Day 18)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, of any race, at least 6 years of age. Must be eligible for a recommendation to use eye lid cleansing/scrubs for: Signs of acute or chronic blepharitis, such as eye lid debris (sleeves, collorates, flakes, crusting) requiring eye lid cleansing/scrubs, and/or Signs consistent with mild, moderate, or severe meibomian gland disease (MGD) such as dilated and blocked glands with inspissated secretions sluggish or stagnant upon expression. Must be able to read, understand and sign an informed consent form that has been approved by an Institutional Review Board/Ethics Committee. If subject is less than 18 years of age, the informed consent must be signed and dated by subject's legally authorized representative (parent or guardian). Assent to participate should also be obtained from subjects under 18 years of age if required by local regulation. Must agree to comply with the visit schedule and other requirements of the study. The parent or guardian must agree to ensure compliance of subjects less than 18 years of age. Must agree to remove contact lenses, if applicable, for 15 minutes before and after application of the study Investigational Product. Must agree for the duration of the study to refrain from use of makeup/cosmetic products used around the eye(s) such as eye liner, mascara, and/or shadow, foundation or powder. Use of such products is allowed if the eyelid skin area is avoided. Exclusion Criteria: Presence of signs and symptoms of bacterial or allergic conjunctivitis or allergic dermatitis at the Day 1 Visit. Suspected fungal, viral, Chlamydia or Acanthamoeba infection based on clinical diagnosis. Visual acuity not correctable to 1.0 LogMAR or better (equivalent to Snellen 20/200) in either eye using either a Snellen or ETDRS chart. Use of any topical ocular medications including tear substitutes during study participation. Use of any preserved or non-preserved glaucoma medications during the 14 days prior to Visit 1 and anticipated use during study participation. Presence of nasolacrimal duct obstruction. Presence of a punctal plug in either eye. Any systemic or ocular disease or disorder, complicating factors or structural abnormality that would negatively affect the conduct or outcome of the study. Presence of active inflammation and/or active structural change in the cornea, iris or anterior chamber at the Day 1 visit. Use of any topical ocular or oral antimicrobial agent within the 3 days prior to Day 1 visit. Use of topical ocular corticosteroids or non-steroidal topical ocular anti-inflammatories (NSAIDs), within 3 days prior to study entry and during the trial. Use of RESTASIS® (Cyclosporine Ophthalmic Emulsion) 0.05%) in either eye during the trial. Any current immunosuppressive disorder (e.g., HIV positive), or use of immunosuppressive therapy (including chemotherapy). Participation in any other investigational clinical study within 30 days prior to study enrollment. Any subject who is on staff at the investigational site or is a family member of staff personnel. Additionally, the Investigator or Medical Monitor may declare any subject ineligible for a sound medical reason.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
David W Stroman, Ph.D.
Phone
510-899-8813
Email
dstroman@novabay.com
First Name & Middle Initial & Last Name or Official Title & Degree
Katy Najafi-Tagol, MD
Phone
415-577-7090
Email
knajafi@novabay.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David W. Stroman, Ph.D.
Organizational Affiliation
NovaBay Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Ophthalmic Research Consultants of Arizona
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Andrea Sarich
Phone
602-549-2020
Email
sarich.andrea@gmail.com
First Name & Middle Initial & Last Name & Degree
Arthur Epstein, OD
Facility Name
Turner Eye Institute
City
San Leandro
State/Province
California
ZIP/Postal Code
94577
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Erika Chang
Phone
800-339-2733
Email
echang@turnereye.com
First Name & Middle Initial & Last Name & Degree
Chirag Patel, MD
Facility Name
James D. Branch, MD
City
Winston Salem
State/Province
North Carolina
ZIP/Postal Code
27101
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elaine Acosta
Phone
336-721-4711
Email
emaeye@hotmail.com
First Name & Middle Initial & Last Name & Degree
James Branch, MD

12. IPD Sharing Statement

Learn more about this trial

Efficacy of iLid Cleanser (Avenova) Versus Vehicle on Ocular Skin Flora

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