Tolerability, Safety and Efficacy of Lubricin (150 µg/ml) Eye Drops Versus Sodium Hyaluronate (HA) 0.18% Eye Drops in Patients With Moderate Dry Eye (DE)
Primary Purpose
Dry Eye Syndrome
Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
Lubricin
Sodium Hyaluronate
Sponsored by
About this trial
This is an interventional treatment trial for Dry Eye Syndrome focused on measuring Dry Eye
Eligibility Criteria
Inclusion Criteria:
To be checked at the screening visit (V1) within 7 days before study treatment and confirmed at baseline visit (V2):
- Patients 18 years of age or older.
- Patients with moderate dry eye characterized by at least one eye with signs and symptoms of moderate dry eye (grade 2 or 3 of the 2007 DEWS report)
- Patients diagnosed with dry eye from at least 3 months (current use or recommended use of artificial tears for the treatment of Dry Eye)
- Average VAS score for typical symptoms of Dry Eye (foreign body sensation, burning/stinging, itching, pain, stick feeling, blurred vision and photophobia) ≥ 25 mm;
- Corneal staining score with fluorescein > 3 using the Oxford corneal grading system in the worst performing eye;
- Schirmer test without anaesthesia ≤ 10 mm/5 minutes in the worst performing eye;
- Tear film break-up time (TBUT) ≤ 10 seconds in the worst performing eye
- Best corrected distance visual acuity (BCDVA) score ≥ 0.1 decimal units in both eyes at the time of study enrollment.
- Only patients who satisfy all Informed Consent requirements may be included in the study. The patient and/or his/her legal representative must read, sign and date the Informed Consent document before any study-related procedures are performed. The Informed Consent form signed by patients and/or legal representative must have been approved by the Ethics Committee for the current study.
Exclusion Criteria:
- Patients with a mild Dry Eye condition (severity level 1 according to the Report of the International Dry Eye Workshop -DEWS, 2007)
- Patients with a severe Dry Eye condition (severity level 4 according to the Report of the International Dry Eye Workshop -DEWS, 2007)
- Best corrected distance visual acuity (BCDVA) score of < 0.1 decimal units in either eye at the time of study enrolment
- Evidence of an active ocular infection in either eye
- History or presence of ocular surface disorders not related to dry eye in either eye
- Use of any ocular topical medication other than the study medications for the treatment of ocular diseases including artificial tears during the study period
- Use of topical cyclosporine, topical corticosteroids or any other topical medication for the treatment of dry eye in either eye within 30 days of study enrolment
- History of any ocular surgery (including laser or refractive surgical procedures) in either eye within the 90 days before study enrolment. Ocular surgery will not be allowed during the study treatment period and elective ocular surgery procedures should not be planned during the duration of the follow-up period
- Presence or history of any ocular or systemic disorder or condition that might significantly hinder the efficacy of the study treatment or its evaluation, could possibly interfere with the interpretation of study results, or could be judged by the investigator to be incompatible with the study visit schedule or conduct of trail procedures (e.g. ocular trauma, progressive or degenerative corneal conditions, uveitis, systemic infection.)
- Known hypersensitivity to one of the components of the study or procedural medications
- Participation in another clinical study at the same time as the present study or within 90 days of screening/baseline visit
- History of drug, medication or alcohol abuse or addiction.
Females of childbearing potential (those who are not surgically sterilized or post-menopausal for at least 1 year) are excluded from participation in the study if they meet any one of the following conditions:
- are currently pregnant or,
- have a positive result on the urine pregnancy test at the Screening/Baseline Visit or,
- intend to become pregnant during the study treatment period or,
- are breast-feeding or,
- not willing to use highly effective birth control measures, such as: Hormonal contraceptives - oral, implanted, transdermal, or injected and/or mechanical barrier methods - spermicide in conjunction with a barrier such as a condom or diaphragm or an Intra Uterine Device during the entire course of and 30 days after the study treatment periods.
Sites / Locations
- Dipartimento "Organi di Senso" Università La Sapienza- Policlinico Umberto I
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Lubricin
Sodium Hyaluronate
Arm Description
Lubricin 150 μg/ml eye drops solution
Sodium hyaluronate 0.18% eye drops
Outcomes
Primary Outcome Measures
PTAE (pre-treatment adverse events)
Pre-treatment Adverse Events
Foreign body sensation (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Foreign body sensation (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Burning/Stinging (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Burning/Stinging (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Itching (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Itching (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Pain (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Pain (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Sticky feeling (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Sticky feeling (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Blurred vision (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Blurred vision (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Photophobia (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
Photophobia (VAS for Local Ocular Tolerability)
VAS for Local Ocular Tolerability
TEAE (treatment-emergent adverse events)
Treatment-emergent Adverse Events
TEAE (treatment-emergent adverse events)
Treatment-emergent Adverse Events
TEAE (treatment-emergent adverse events)
Treatment-emergent Adverse Events
TEAE (treatment-emergent adverse events)
Treatment-emergent Adverse Events
Secondary Outcome Measures
Corneal fluorescein surface staining (Oxford score)
Corneal fluorescein surface staining (Oxford score)
Corneal fluorescein surface staining (Oxford score)
Corneal fluorescein surface staining (Oxford score)
Corneal fluorescein surface staining (Oxford score)
Corneal fluorescein surface staining (Oxford score)
TFBUT (Tear Film Break Up Time)
Tear Film Break Up Time
TFBUT (Tear Film Break Up Time)
Tear Film Break Up Time
TFBUT (Tear Film Break Up Time)
Tear Film Break Up Time
SANDE (Symptom Assessment in Dry Eye)
Symptom Assessment in Dry Eye
SANDE (Symptom Assessment in Dry Eye)
Symptom Assessment in Dry Eye
SANDE (Symptom Assessment in Dry Eye)
Symptom Assessment in Dry Eye
Schirmer Test I (without anaesthesia)
Schirmer's test I (without anaesthesia)
Schirmer Test I (without anaesthesia)
Schirmer's test I (without anaesthesia)
Schirmer Test I (without anaesthesia)
Schirmer's test I (without anaesthesia)
Best corrected distance visual acuity (ETDRS Score)
Best corrected distance visual acuity
Best corrected distance visual acuity (ETDRS Score)
Best corrected distance visual acuity
Best corrected distance visual acuity (ETDRS Score)
Best corrected distance visual acuity
Full Information
NCT ID
NCT02507934
First Posted
July 23, 2015
Last Updated
January 26, 2016
Sponsor
Dompé Farmaceutici S.p.A
1. Study Identification
Unique Protocol Identification Number
NCT02507934
Brief Title
Tolerability, Safety and Efficacy of Lubricin (150 µg/ml) Eye Drops Versus Sodium Hyaluronate (HA) 0.18% Eye Drops in Patients With Moderate Dry Eye (DE)
Official Title
A 2 Week, Randomized, Double-masked, Controlled, Parallel Group and 1 Week Follow-up Study to Evaluate Tolerability, Safety and Efficacy of Lubricin (150 µg/ml) Eye Drops Versus Sodium Hyaluronate (HA) 0.18% Eye Drops in Patients With Moderate Dry Eye (DE)
Study Type
Interventional
2. Study Status
Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
June 2015 (undefined)
Primary Completion Date
August 2015 (Actual)
Study Completion Date
September 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dompé Farmaceutici S.p.A
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Dry eye is a multifactorial disease of the tears and ocular surface that results in symptoms of discomfort, visual disturbance, and tear film instability with potential damage to the ocular surface. It is accompanied by increased osmolarity of the tear film and inflammation of the ocular surface.
Lubricin is a mucin-like glycoprotein originally discovered in synovial fluid, as a secreted product of cells that line the joint tissues, which is present at the surface of articular cartilage and it has been investigated on its roles at the ocular surface, in normal and pathologic conditions such as dry eye.
The objective of the study is to assess the tolerability, safety and efficacy of Lubricin eye drops solution administered over 4 weeks versus sodium hyaluronate (Na-HY) eye drops solution in subjects with moderate dry eye.
Detailed Description
Dry eye, or keratoconjunctivitis sicca, is a chronic inflammatory condition of the ocular surface that may cause severe symptoms an 2007 international dry eye workshop (DEWS) defined the disease as follows: "Dry eye is a multifactorial disease of the tears and oc symptoms of discomfort, visual disturbance, and tear film instability with potential damage to the ocular surface. It is accompanied the tear film and inflammation of the ocular surface".
Lubricin is a mucin-like glycoprotein originally discovered in synovial fluid, as a secreted product of cells that line the joint tissues, surface of articular cartilage.
In vitro studies have shown that lubricin in saline buffer acts as a lubricant between various surfaces, as well as in synovial fluid, pr lubricin is a principal lubricating protein in joints. Besides the lubricating property, lubricin has been shown to exert anti-adhesive ac dissipation, and a protective effect on underlying cells.
Lubricin has been investigated on its roles at the ocular surface, in normal and pathologic conditions such as dry eye. In fact, Lubricin is the protein with most potent lubricant and anti-adhesive properties present on the ocular surface and on meibomian gland. The presence on the ocular surface was first described by the team of Sullivan D.
Based on the available preclinical studies lubricin may be an important barrier to the development of corneal and conjunctival epitheliopathies in dry eyes and its use as a novel lubricating and anti-adhesive eye drop is under investigation in this clinical investigation. A clinical investigation is currently ongoing to demonstrate that a Lubricin 150 µg/ml eye drop formulation is non-inferior to an ocular surface lubricant sodium hyaluronate 0.13%.
Up to now, there are no known anticipated adverse events associated with the use of lubricin, anyway the occurrence of side effect It must be considered that topical treatment with lubricin or hyaluronic acid could cause local irritation or allergic reactions. There ar contraindications to the use of lubricin or hyaluronic acid eye drops. All examinations and assessments that will be carried out durin invasive, are commonly used in the management of subjects with dry eye and pose no risk to the subjects. There are no known co lubricin or hyaluronic acid eye drops. . No data are available about the embryo and fetal toxicity, therefore the experimental treatment will not be allowed to pregnant women or nursing mothers and women of childbearing potential not using appropriate birth control methods.
The objective of this study is to evaluate tolerability, safety and efficacy of Lubricin 150 µg/ml eye drops when compared to a widely used commercial 0.18% sodium hyaluronate eye drop formulation in moderate dry eye patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Eye Syndrome
Keywords
Dry Eye
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Lubricin
Arm Type
Experimental
Arm Description
Lubricin 150 μg/ml eye drops solution
Arm Title
Sodium Hyaluronate
Arm Type
Active Comparator
Arm Description
Sodium hyaluronate 0.18% eye drops
Intervention Type
Device
Intervention Name(s)
Lubricin
Intervention Description
Lubricin 150 µg/ml eye drops
Intervention Type
Device
Intervention Name(s)
Sodium Hyaluronate
Intervention Description
Sodium hyaluronate 0.18% eye drops
Primary Outcome Measure Information:
Title
PTAE (pre-treatment adverse events)
Description
Pre-treatment Adverse Events
Time Frame
Screening
Title
Foreign body sensation (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Baseline (Day 1)
Title
Foreign body sensation (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Day 14
Title
Burning/Stinging (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Baseline (Day 1)
Title
Burning/Stinging (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Day 14
Title
Itching (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Baseline (Day 1)
Title
Itching (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Day 14
Title
Pain (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Baseline (Day 1)
Title
Pain (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Day 14
Title
Sticky feeling (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Baseline (Day 1)
Title
Sticky feeling (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Day 14
Title
Blurred vision (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Baseline (Day 1)
Title
Blurred vision (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Day 14
Title
Photophobia (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Baseline (Day 1)
Title
Photophobia (VAS for Local Ocular Tolerability)
Description
VAS for Local Ocular Tolerability
Time Frame
Day 14
Title
TEAE (treatment-emergent adverse events)
Description
Treatment-emergent Adverse Events
Time Frame
Baseline (Day 1)
Title
TEAE (treatment-emergent adverse events)
Description
Treatment-emergent Adverse Events
Time Frame
Day 7
Title
TEAE (treatment-emergent adverse events)
Description
Treatment-emergent Adverse Events
Time Frame
Day 14
Title
TEAE (treatment-emergent adverse events)
Description
Treatment-emergent Adverse Events
Time Frame
Follo-up (Day 21)
Secondary Outcome Measure Information:
Title
Corneal fluorescein surface staining (Oxford score)
Description
Corneal fluorescein surface staining (Oxford score)
Time Frame
Screening
Title
Corneal fluorescein surface staining (Oxford score)
Description
Corneal fluorescein surface staining (Oxford score)
Time Frame
Baseline (Day 1)
Title
Corneal fluorescein surface staining (Oxford score)
Description
Corneal fluorescein surface staining (Oxford score)
Time Frame
Day 14
Title
TFBUT (Tear Film Break Up Time)
Description
Tear Film Break Up Time
Time Frame
Screening
Title
TFBUT (Tear Film Break Up Time)
Description
Tear Film Break Up Time
Time Frame
Baseline (Day 1)
Title
TFBUT (Tear Film Break Up Time)
Description
Tear Film Break Up Time
Time Frame
Day 14
Title
SANDE (Symptom Assessment in Dry Eye)
Description
Symptom Assessment in Dry Eye
Time Frame
Screening
Title
SANDE (Symptom Assessment in Dry Eye)
Description
Symptom Assessment in Dry Eye
Time Frame
Baseline (Day 1)
Title
SANDE (Symptom Assessment in Dry Eye)
Description
Symptom Assessment in Dry Eye
Time Frame
Day 14
Title
Schirmer Test I (without anaesthesia)
Description
Schirmer's test I (without anaesthesia)
Time Frame
Screening
Title
Schirmer Test I (without anaesthesia)
Description
Schirmer's test I (without anaesthesia)
Time Frame
Baseline (Day 1)
Title
Schirmer Test I (without anaesthesia)
Description
Schirmer's test I (without anaesthesia)
Time Frame
Day 14
Title
Best corrected distance visual acuity (ETDRS Score)
Description
Best corrected distance visual acuity
Time Frame
Screening
Title
Best corrected distance visual acuity (ETDRS Score)
Description
Best corrected distance visual acuity
Time Frame
Baseline (Day 1)
Title
Best corrected distance visual acuity (ETDRS Score)
Description
Best corrected distance visual acuity
Time Frame
Day 14
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
To be checked at the screening visit (V1) within 7 days before study treatment and confirmed at baseline visit (V2):
Patients 18 years of age or older.
Patients with moderate dry eye characterized by at least one eye with signs and symptoms of moderate dry eye (grade 2 or 3 of the 2007 DEWS report)
Patients diagnosed with dry eye from at least 3 months (current use or recommended use of artificial tears for the treatment of Dry Eye)
Average VAS score for typical symptoms of Dry Eye (foreign body sensation, burning/stinging, itching, pain, stick feeling, blurred vision and photophobia) ≥ 25 mm;
Corneal staining score with fluorescein > 3 using the Oxford corneal grading system in the worst performing eye;
Schirmer test without anaesthesia ≤ 10 mm/5 minutes in the worst performing eye;
Tear film break-up time (TBUT) ≤ 10 seconds in the worst performing eye
Best corrected distance visual acuity (BCDVA) score ≥ 0.1 decimal units in both eyes at the time of study enrollment.
Only patients who satisfy all Informed Consent requirements may be included in the study. The patient and/or his/her legal representative must read, sign and date the Informed Consent document before any study-related procedures are performed. The Informed Consent form signed by patients and/or legal representative must have been approved by the Ethics Committee for the current study.
Exclusion Criteria:
Patients with a mild Dry Eye condition (severity level 1 according to the Report of the International Dry Eye Workshop -DEWS, 2007)
Patients with a severe Dry Eye condition (severity level 4 according to the Report of the International Dry Eye Workshop -DEWS, 2007)
Best corrected distance visual acuity (BCDVA) score of < 0.1 decimal units in either eye at the time of study enrolment
Evidence of an active ocular infection in either eye
History or presence of ocular surface disorders not related to dry eye in either eye
Use of any ocular topical medication other than the study medications for the treatment of ocular diseases including artificial tears during the study period
Use of topical cyclosporine, topical corticosteroids or any other topical medication for the treatment of dry eye in either eye within 30 days of study enrolment
History of any ocular surgery (including laser or refractive surgical procedures) in either eye within the 90 days before study enrolment. Ocular surgery will not be allowed during the study treatment period and elective ocular surgery procedures should not be planned during the duration of the follow-up period
Presence or history of any ocular or systemic disorder or condition that might significantly hinder the efficacy of the study treatment or its evaluation, could possibly interfere with the interpretation of study results, or could be judged by the investigator to be incompatible with the study visit schedule or conduct of trail procedures (e.g. ocular trauma, progressive or degenerative corneal conditions, uveitis, systemic infection.)
Known hypersensitivity to one of the components of the study or procedural medications
Participation in another clinical study at the same time as the present study or within 90 days of screening/baseline visit
History of drug, medication or alcohol abuse or addiction.
Females of childbearing potential (those who are not surgically sterilized or post-menopausal for at least 1 year) are excluded from participation in the study if they meet any one of the following conditions:
are currently pregnant or,
have a positive result on the urine pregnancy test at the Screening/Baseline Visit or,
intend to become pregnant during the study treatment period or,
are breast-feeding or,
not willing to use highly effective birth control measures, such as: Hormonal contraceptives - oral, implanted, transdermal, or injected and/or mechanical barrier methods - spermicide in conjunction with a barrier such as a condom or diaphragm or an Intra Uterine Device during the entire course of and 30 days after the study treatment periods.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aessandro Lambiase, MD
Organizational Affiliation
Dipartimento "Organi di Senso" Università La Sapienza- Policlinico Umberto I ROME
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dipartimento "Organi di Senso" Università La Sapienza- Policlinico Umberto I
City
Rome
ZIP/Postal Code
00161
Country
Italy
12. IPD Sharing Statement
Citations:
PubMed Identifier
27614318
Citation
Lambiase A, Sullivan BD, Schmidt TA, Sullivan DA, Jay GD, Truitt ER 3rd, Bruscolini A, Sacchetti M, Mantelli F. A Two-Week, Randomized, Double-masked Study to Evaluate Safety and Efficacy of Lubricin (150 mug/mL) Eye Drops Versus Sodium Hyaluronate (HA) 0.18% Eye Drops (Vismed(R)) in Patients with Moderate Dry Eye Disease. Ocul Surf. 2017 Jan;15(1):77-87. doi: 10.1016/j.jtos.2016.08.004. Epub 2016 Sep 8.
Results Reference
derived
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Tolerability, Safety and Efficacy of Lubricin (150 µg/ml) Eye Drops Versus Sodium Hyaluronate (HA) 0.18% Eye Drops in Patients With Moderate Dry Eye (DE)
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