Evaluation of the Efficacy and Safety of DM05 Versus Optive™ on the Treatment of Moderate to Severe Ocular Dryness
Primary Purpose
Dry Eye
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
DM05 eye drops
Optive™ eye drops
Sponsored by
About this trial
This is an interventional treatment trial for Dry Eye
Eligibility Criteria
Inclusion Criteria:
- Sex: male or female.
- Age: more than 18 years.
- Subject with a dry eye syndrome needing artificial tears in the 3 months preceding the inclusion.
- Subject having used only artificial tears without preservative (NaCl 0.9%, Hydrabak®) during 1 or 2 weeks before inclusion (at 3 drops per day).
- Diagnosis of moderate to severe ocular dryness defined by a score OSDI (Ocular Surface Disease Index) ≥18.
Subject with at least one eye with:
- Global ocular staining (cornea and conjunctiva) ≥4 and ≤9 (Oxford scale from 0 to 15)
AND one the following criteria:
- Schirmer test ≥ 3mm/5 min and ≤9mm/ 5 min OR
Sum of 3 measurements of Tear film Break-Up Time (TBUT) ≤ 30s.
- Subject, having given freely and expressly his/her informed consent.
- Subject who is able to comply with the study requirements, as defined in the present protocol, at the Investigator's appreciation.
- In France: subject being affiliated to a health social security system.
- Female subjects of childbearing potential should use a medically accepted contraceptive regimen since at least 12 weeks before the beginning of the study, during all the study and at least 1 month after the study end.
Exclusion Criteria:
- Pregnant or nursing woman or planning a pregnancy during the study.
- Subject deprived of freedom by administrative or legal decision.
- Subject in a social or sanitary establishment.
- Major subject who is under guardianship or who is not able to express his consent.
- Subject being in an exclusion period for a previous study.
- Subject suspected to be non-compliant according to the Investigator's judgment.
- Subject wearing contact lenses during the study.
- Far best corrected visual acuity < 1/10
Subject with severe ocular dryness with one of these conditions:
- Eyelid or blinking malfunction
- Corneal disorders not related to dry eye syndrome
- Ocular metaplasia
- Filamentous keratitis
- Corneal neovascularization
- Subject with severe meibomian gland dysfunction (MGD)
- Within the last 3 months prior to the inclusion, history of ocular trauma, infection or inflammation not related to dry eye syndrome.
- Within the last 12 months, history of ocular allergy or ocular herpes.
- Refractive or cataract surgery within the last 6 months.
- Any laser other than refractive surgery within the last 3 months.
- Any troubles of the ocular surface not related to dry eye syndrome.
- Ocular hypertension or glaucoma needing an hypotonic treatment
- Subject having used artificial tears in the 6 hours preceding the inclusion visit.
- Use during the month preceding the inclusion or during the study of: isotretinoïd, cyclosporine, tacrolimus, sirolimus, pimecrolimus, punctual plugs.
- Any not stabilized systemic treatment, which can have an effect on performance or safety criteria, at the investigator appreciation.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
the investigational device: DM05
The comparative device : Optive™
Arm Description
DM05 eye drops, multidose sterile emulsion, will be administered in the DM05 Arm at one to two drops instilled in each eye from 4 to 6 times per day during 84 days
Optive™ eye drops, multidose sterile solution, will be administered in the Optive Arm at one to two drops instilled in each eye from 4 to 6 times per day during 84 days
Outcomes
Primary Outcome Measures
Demonstrate the non-inferiority of DM05 in comparison with OptiveTM, in terms of cornea and conjunctiva staining (Oxford score) on patients with moderate to severe ocular dryness, after 35 days of treatment.
Assess the ocular surface fluorescein staining score- mean change from Baseline in the study at D35 in ocular surface fluorescein stainig score according to a scale from zero to 15
Secondary Outcome Measures
To assess the total ocular surface fluorescein staining score at D84
Mean change from Baseline (D0) in the study eye and D84 in the total ocular surface fluoresceine staining score
Evolution of DEQ-5 score
Evolution from Baseline of DEQ-5 questionnaire scores at day 35
Evolution of DEQ-5 score
Evolution from Baseline of DEQ-5 questionnaire scores at day 84
Evolution of Van Bijterveld score ( lissamine green staining)
Mean change from Baseline ( D0) and D 35 in the total Van Bijterveld score
Evolution of Van Bijterveld score ( lissamine green staining)
Mean change from Baseline ( D0) and D 84 in the total Van Bijterveld score
Volume tear fluid secretion as assessed by schirmer test
Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed by schirmer test, at day 35
Volume tear fluid secretion as assessed by schirmer test
Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed by schirmer test, at day 84
Evolution of Tear film Break-Up Time
Mean change from Baseline (D0) in the study eye in TFBUT at Day 35
Evolution of Tear film Break-Up Time
Mean change from Baseline (D0) in the study eye in TFBUT at Day 84
Global sum score of dry eye symptoms at visit 3 - mean change from Baseline at visit 3 ( D35)
Mean change from Baseline in the global sum score of dry eye symptoms at D35 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
Global sum score of dry eye symptoms at visit 4 - mean change from Baseline at visit 3 ( D84)
Mean change from Baseline in the global sum score of dry eye symptoms at D84 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
Global treatment performance score assessed by the investigator at visit 3
Total Treatment performance score graded from 0 to 4
Global treatment performance score assessed by the investigator at visit 4
Total Treatment performance score graded from 0 to 4
Global treatment performance score assessed by the patient at visit 3
Total Treatment performance score graded from 0 to 4
Global treatment performance score assessed by the patient at visit 4
Total Treatment performance score graded from 0 to 4
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03517748
Brief Title
Evaluation of the Efficacy and Safety of DM05 Versus Optive™ on the Treatment of Moderate to Severe Ocular Dryness
Official Title
Evaluation of the Efficacy and Safety of DM05 Versus Optive™ on the Treatment of Moderate to Severe Ocular Dryness
Study Type
Interventional
2. Study Status
Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
December 1, 2016 (Actual)
Primary Completion Date
January 2, 2018 (Actual)
Study Completion Date
March 30, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Horus Pharma
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study is a multicentric, comparative, randomized, investigator-blinded, in parallel groups study to demonstrate the non-inferiority of DM05 in comparison with Optive™, in terms of cornea and conjunctiva staining (Oxford score) on patients with moderate to severe ocular dryness, after 35 days of treatment.
Detailed Description
Evaluation of the non-inferiority of DM05 in comparison with OptiveTM, in terms of cornea and conjunctiva staining (Oxford score), on worse eye, between D0 and D35.
Comparison of D35 versus D0 and D84 versus D0 for each product and comparison between products for the following parameters:
Evolution of cornea and conjunctiva staining (Oxford score) on worse eye.
Evolution of OSDI score (Ocular Surface Disease Index).
Evolution of Van Bijsterveld score (Lissamine green staining) in worse eye.
Evolution of Schirmer test result in worse eye.
Evolution of Tear film Break-Up Time (TBUT) in worse eye.
Evolution of ocular dryness severity by evaluation of each main symptom by the patient and total score of all symptoms
Evaluation of treatment performance by the investigator and the patient.
Evaluation of the average frequency of use during 84 days for DM05 and OptiveTM.
Selection visit: D-14 to D-7
Wash-out period: 1 to 2 weeks with preservative-free 0.9% NaCl at 3 drops per day (Hydrabak®):
D0 : inclusion visit Follow-up visits: D35, D84
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Eye
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Because the comparator will be in commercial packaging, the blinding of the subject is not possible.
However, the study will be blinded for the investigator: evaluations will be done by an independent investigator, different than the person who will distribute the product. Subjects will be identified by a patient number. Each patient number will be associated to a treatment number, according to a randomization list provided before the beginning of the clinical investigation, and randomized either in one of both treatment groups (DM05 or Optive®).
Masking
Investigator
Allocation
Randomized
Enrollment
80 (Actual)
8. Arms, Groups, and Interventions
Arm Title
the investigational device: DM05
Arm Type
Experimental
Arm Description
DM05 eye drops, multidose sterile emulsion, will be administered in the DM05 Arm at one to two drops instilled in each eye from 4 to 6 times per day during 84 days
Arm Title
The comparative device : Optive™
Arm Type
Active Comparator
Arm Description
Optive™ eye drops, multidose sterile solution, will be administered in the Optive Arm at one to two drops instilled in each eye from 4 to 6 times per day during 84 days
Intervention Type
Device
Intervention Name(s)
DM05 eye drops
Intervention Description
Ophthalmic use. One to two drops instilled in each eye from 4 to 6 times per day during 84 days of treatment.
Intervention Type
Device
Intervention Name(s)
Optive™ eye drops
Intervention Description
Ophthalmic use. One to two drops instilled in each eye from 4 to 6 times per day during 84 days of treatment.
Primary Outcome Measure Information:
Title
Demonstrate the non-inferiority of DM05 in comparison with OptiveTM, in terms of cornea and conjunctiva staining (Oxford score) on patients with moderate to severe ocular dryness, after 35 days of treatment.
Description
Assess the ocular surface fluorescein staining score- mean change from Baseline in the study at D35 in ocular surface fluorescein stainig score according to a scale from zero to 15
Time Frame
35 days
Secondary Outcome Measure Information:
Title
To assess the total ocular surface fluorescein staining score at D84
Description
Mean change from Baseline (D0) in the study eye and D84 in the total ocular surface fluoresceine staining score
Time Frame
0 and 84 days
Title
Evolution of DEQ-5 score
Description
Evolution from Baseline of DEQ-5 questionnaire scores at day 35
Time Frame
35 days
Title
Evolution of DEQ-5 score
Description
Evolution from Baseline of DEQ-5 questionnaire scores at day 84
Time Frame
84 days
Title
Evolution of Van Bijterveld score ( lissamine green staining)
Description
Mean change from Baseline ( D0) and D 35 in the total Van Bijterveld score
Time Frame
35 Days
Title
Evolution of Van Bijterveld score ( lissamine green staining)
Description
Mean change from Baseline ( D0) and D 84 in the total Van Bijterveld score
Time Frame
84 days
Title
Volume tear fluid secretion as assessed by schirmer test
Description
Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed by schirmer test, at day 35
Time Frame
35 days
Title
Volume tear fluid secretion as assessed by schirmer test
Description
Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed by schirmer test, at day 84
Time Frame
84 days
Title
Evolution of Tear film Break-Up Time
Description
Mean change from Baseline (D0) in the study eye in TFBUT at Day 35
Time Frame
35 days
Title
Evolution of Tear film Break-Up Time
Description
Mean change from Baseline (D0) in the study eye in TFBUT at Day 84
Time Frame
84 days
Title
Global sum score of dry eye symptoms at visit 3 - mean change from Baseline at visit 3 ( D35)
Description
Mean change from Baseline in the global sum score of dry eye symptoms at D35 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
Time Frame
35 days
Title
Global sum score of dry eye symptoms at visit 4 - mean change from Baseline at visit 3 ( D84)
Description
Mean change from Baseline in the global sum score of dry eye symptoms at D84 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
Time Frame
84 days
Title
Global treatment performance score assessed by the investigator at visit 3
Description
Total Treatment performance score graded from 0 to 4
Time Frame
35 days
Title
Global treatment performance score assessed by the investigator at visit 4
Description
Total Treatment performance score graded from 0 to 4
Time Frame
84 days
Title
Global treatment performance score assessed by the patient at visit 3
Description
Total Treatment performance score graded from 0 to 4
Time Frame
35 days
Title
Global treatment performance score assessed by the patient at visit 4
Description
Total Treatment performance score graded from 0 to 4
Time Frame
84 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Sex: male or female.
Age: more than 18 years.
Subject with a dry eye syndrome needing artificial tears in the 3 months preceding the inclusion.
Subject having used only artificial tears without preservative (NaCl 0.9%, Hydrabak®) during 1 or 2 weeks before inclusion (at 3 drops per day).
Diagnosis of moderate to severe ocular dryness defined by a score OSDI (Ocular Surface Disease Index) ≥18.
Subject with at least one eye with:
Global ocular staining (cornea and conjunctiva) ≥4 and ≤9 (Oxford scale from 0 to 15)
AND one the following criteria:
Schirmer test ≥ 3mm/5 min and ≤9mm/ 5 min OR
Sum of 3 measurements of Tear film Break-Up Time (TBUT) ≤ 30s.
Subject, having given freely and expressly his/her informed consent.
Subject who is able to comply with the study requirements, as defined in the present protocol, at the Investigator's appreciation.
In France: subject being affiliated to a health social security system.
Female subjects of childbearing potential should use a medically accepted contraceptive regimen since at least 12 weeks before the beginning of the study, during all the study and at least 1 month after the study end.
Exclusion Criteria:
Pregnant or nursing woman or planning a pregnancy during the study.
Subject deprived of freedom by administrative or legal decision.
Subject in a social or sanitary establishment.
Major subject who is under guardianship or who is not able to express his consent.
Subject being in an exclusion period for a previous study.
Subject suspected to be non-compliant according to the Investigator's judgment.
Subject wearing contact lenses during the study.
Far best corrected visual acuity < 1/10
Subject with severe ocular dryness with one of these conditions:
Eyelid or blinking malfunction
Corneal disorders not related to dry eye syndrome
Ocular metaplasia
Filamentous keratitis
Corneal neovascularization
Subject with severe meibomian gland dysfunction (MGD)
Within the last 3 months prior to the inclusion, history of ocular trauma, infection or inflammation not related to dry eye syndrome.
Within the last 12 months, history of ocular allergy or ocular herpes.
Refractive or cataract surgery within the last 6 months.
Any laser other than refractive surgery within the last 3 months.
Any troubles of the ocular surface not related to dry eye syndrome.
Ocular hypertension or glaucoma needing an hypotonic treatment
Subject having used artificial tears in the 6 hours preceding the inclusion visit.
Use during the month preceding the inclusion or during the study of: isotretinoïd, cyclosporine, tacrolimus, sirolimus, pimecrolimus, punctual plugs.
Any not stabilized systemic treatment, which can have an effect on performance or safety criteria, at the investigator appreciation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christophe Baudouin, Pr
Organizational Affiliation
Hopital d Ophtalmologie des Quinze-vingts
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
Undecided
IPD Sharing Plan Description
Depending on any journal publication of the results
Learn more about this trial
Evaluation of the Efficacy and Safety of DM05 Versus Optive™ on the Treatment of Moderate to Severe Ocular Dryness
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