Evaluation of Efficacy and Safety of Vismed Gel Multi 0.3% Versus Vismed Multi 0.18% on Treatment of Ocular Dryness
Primary Purpose
Dry Eye
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Vismed gel Multi 0.3% eye drops
Vismed Multi 0.18% 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 moderate to severe 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 to 2 weeks before inclusion (up to 6 times a day).
- Subject with a score ≥ 6 for the 5-Item Dry Eye Questionnaire (DEQ-5)
Subject with at least one eye with:
- Global ocular staining (cornea and conjunctiva) ≥4 and ≤9 on the Oxford scale (0 to 15)
AND one of the following criteria:
- Schirmer test ≥ 3 mm/5 min and ≤ 9 mm/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 CIP, 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 health institution
- Subject who is under guardianship or who is not able to express his/her 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)
- History of ocular trauma, infection or inflammation, not related to dry eye syndrome within the last 3 months prior to the inclusion.
- History of ocular allergy or ocular herpes within the last 12 months.
- Subjects who underwent ocular surgery, including laser surgery, in either eye within the last 6 months.
- Any troubles of the ocular surface not related to dry eye syndrome.
- Subject having used artificial tears in the 6 hours preceding the inclusion visit.
- Use of the following ocular treatments: isotretinoïd, cyclosporine, tacrolimus, sirolimus, pimecrolimus, punctual plugs during the month preceding the inclusion.
- Subjects who have received ocular therapy (either eye) with any ophthalmic medication, except tear substitutes, within 2 weeks prior to study start or expected to receive ocular therapy during the study.
- Any not stabilised 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
Investig. device:Vismed Gel Multi 0.3%
Comparative device: Vismed Multi 0.18%
Arm Description
Vismed gel Multi 0.3% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days
Vismed Multi 0.18% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days
Outcomes
Primary Outcome Measures
Demonstrate the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18% 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
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
Volume tear fluid secretion as assessed by schirmer test
Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed
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
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03645850
Brief Title
Evaluation of Efficacy and Safety of Vismed Gel Multi 0.3% Versus Vismed Multi 0.18% on Treatment of Ocular Dryness
Official Title
Evaluation of the Efficacy and Safety of Vismed® Gel Multi 0.3% Versus Vismed® Multi 0.18% on the Treatment of Moderate to Severe Ocular Dryness
Study Type
Interventional
2. Study Status
Record Verification Date
August 2018
Overall Recruitment Status
Unknown status
Study Start Date
September 1, 2018 (Anticipated)
Primary Completion Date
March 1, 2019 (Anticipated)
Study Completion Date
June 15, 2019 (Anticipated)
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, parallel group study to demonstrate the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18% 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 Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18%, in terms of cornea and conjunctiva staining (Oxford score), on worse eye, between Day 0 and Day 35.
Evaluation of the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18%, in terms of cornea and conjunctiva staining (Oxford score), on worse eye, between Day 0 and Day 35.
Comparison of Day 35 versus Day 0 and Day 84 versus Day 0 for each product and comparison between products for the following parameters:
Evolution of cornea and conjunctiva staining (Oxford score) on worse eye.
Evolution of DEQ-5 score (5-items Dry Eye Questionnaire).
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 over 84 days for both products.
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
Parallel Assignment 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 (Vismed Gel Multi 3% or Vismed Multi 0.18%).
Masking
Investigator
Allocation
Randomized
Enrollment
80 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Investig. device:Vismed Gel Multi 0.3%
Arm Type
Experimental
Arm Description
Vismed gel Multi 0.3% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days
Arm Title
Comparative device: Vismed Multi 0.18%
Arm Type
Active Comparator
Arm Description
Vismed Multi 0.18% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days
Intervention Type
Device
Intervention Name(s)
Vismed gel Multi 0.3% eye drops
Intervention Description
Ophthalmic use. Vismed gel Multi 0.3% eye drops. 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)
Vismed Multi 0.18% 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 Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18% 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
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
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
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 moderate to severe 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 to 2 weeks before inclusion (up to 6 times a day).
Subject with a score ≥ 6 for the 5-Item Dry Eye Questionnaire (DEQ-5)
Subject with at least one eye with:
Global ocular staining (cornea and conjunctiva) ≥4 and ≤9 on the Oxford scale (0 to 15)
AND one of the following criteria:
Schirmer test ≥ 3 mm/5 min and ≤ 9 mm/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 CIP, 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 health institution
Subject who is under guardianship or who is not able to express his/her 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)
History of ocular trauma, infection or inflammation, not related to dry eye syndrome within the last 3 months prior to the inclusion.
History of ocular allergy or ocular herpes within the last 12 months.
Subjects who underwent ocular surgery, including laser surgery, in either eye within the last 6 months.
Any troubles of the ocular surface not related to dry eye syndrome.
Subject having used artificial tears in the 6 hours preceding the inclusion visit.
Use of the following ocular treatments: isotretinoïd, cyclosporine, tacrolimus, sirolimus, pimecrolimus, punctual plugs during the month preceding the inclusion.
Subjects who have received ocular therapy (either eye) with any ophthalmic medication, except tear substitutes, within 2 weeks prior to study start or expected to receive ocular therapy during the study.
Any not stabilised systemic treatment, which can have an effect on performance or safety criteria, at the investigator appreciation.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Aurore Garnier
Phone
0033483322078
Email
aurore.garnier@horus-pharma.fr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Béatrice Cochener-Lamard, Prof
Organizational Affiliation
Hôpital Morvan, Brest, France
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 Efficacy and Safety of Vismed Gel Multi 0.3% Versus Vismed Multi 0.18% on Treatment of Ocular Dryness
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