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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
Horus Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye

Eligibility Criteria

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

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

    First Posted
    April 24, 2018
    Last Updated
    May 4, 2018
    Sponsor
    Horus Pharma
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    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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