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Clinical Study to Investigate the Efficacy and Safety of Orally Administered SA001 in Patients With Dry Eye Syndrome.

Primary Purpose

Dry Eye Syndrome

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
SA001 Low dose
SA001 Mid dose
SA001 High dose
Placebo
Sponsored by
Samjin Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye Syndrome

Eligibility Criteria

19 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age over 19
  2. Patient who meets all of the following criteria in at least one of both eyes

    • Fluorescein corneal staining score ≥ 2
    • Schirmer test ≤ 10mm in 5 mins
    • Tear break-up time ≤ 10 secs
  3. Patient who diagnosed with dry eye syndrome at the time of screening and who have dry eye symptoms (dryness, discomfort, foreign body sensation, pain, vision fluctuation, etc.)
  4. Patient who agrees not to use eye drops other than the rescue drugs provided during the clinical trial period
  5. Patient who can understand the clinical trial and voluntarily signs an informed consent

Exclusion Criteria:

  1. Clinically significant ophthalmic diseases not caused by dry eye disease (corneal surface disease, abnormal corneal sensitivity, abnormal tear excess, etc.) that may confuse the interpretation of clinical trial results
  2. In case of being treated with anti-inflammatory therapy for dry eye, such as steroid or non-steroidal anti-inflammatory eye drops, autologous serum eye drops, etc.
  3. In case of administration of steroids or immunosuppressants (azathioprine, tacrolimus, cyclosporine, mofetil mycophenolate, etc.)
  4. Patient who has worn contact lenses within 72 hours prior to screening or need to wear contact lenses during the clinical trial period
  5. A history of intraocular surgery within 90 days prior to screening
  6. Active eye infection symptoms such as anterior uveitis, anterior blepharitis, and Steven-Johnson syndrome
  7. Patient with an eye allergy or who are currently receiving treatment for an allergic eye disease (using antihistamines, etc.)
  8. Autoimmune disease (ex. Sjögren's syndrome, Rheumatoid arthritis, systemic lupus erythematosus, Graves' disease, etc.)
  9. Patient who needs surgery due to surface elevation caused by Meibomian Gland Dysfunction (MGD)
  10. A history of corneal transplantation or neurotrophic keratitis
  11. Patient who has an intraocular pressure of 25 mmHg or higher in one or more of both eyes or have been diagnosed with glaucoma
  12. Patient who has undergone vision correction surgery such as LASIK (Laser-Assisted in Situ Keratomileusis) within 12 months prior to screening
  13. Patient who has undergone silicone lacrimal punctal occlusion or cauterization of the punctum within 90 days prior to screening. However, patient who has undergone collagen lacrimal punctal occlusion can be enrolled.
  14. Hypersensitivity to the ingredients of the investigational product including rebamipide
  15. Clinically significant liver, kidney, nervous system, immune system, respiratory or endocrine disease, blood/tumor disease, cardiovascular disease, mental disease (mood disorder, obsessive-compulsive disorder, etc.) or a history of those diseases
  16. Patient who shows the following examination findings at visit 1 (screening visit)

    • WBC ≤ 4,000/mm3
    • Platelets ≤ 100,000/mm3
    • AST/ALT/ALP ≥ 3 times the upper limit of normal(ULN)
    • Total bilirubin ≥ 1.5 times the upper limit of normal(ULN)
  17. A woman who has a positive Serum hCG test at the screening visit (Visit 1), or who does not agree to use at least one effective contraceptive method that is medically acceptable
  18. Take oral contraceptives during the study period
  19. Pregnant or lactating women
  20. A history of drug or alcohol abuse
  21. Participation in an investigational drug or device trial within 30 days prior to screening
  22. Any condition that, in the opinion of the investigator, would inappropriate to participate in the clinical trial

Sites / Locations

  • Seoul St. Mary's Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Group 1

Group 2

Group 3

Placebo

Arm Description

SA001 Low dose

SA001 Mid dose

SA001 High dose

Placebo

Outcomes

Primary Outcome Measures

Change in Fluorescein Corneal Staining(FCS) score from baseline to Day 84

Secondary Outcome Measures

Change in Fluorescein Corneal Staining(FCS) score from baseline to Day 14, Day 28 and Day 56
Change in Lissamine Green Conjunctival Staining(LGCS) score from baseline to Day 14, Day 28, Day 56 and Day 84
Change in Schirmer Test score from baseline to Day 14, Day 28, Day 56 and Day 84
Change in Tear Break-Up Time(TBUT) from baseline to Day 14, Day 28, Day 56 and Day 84
Change in Standard Patient Evaluation of Eye Dryness questionnaire(SPEED) from baseline to Day 14, Day 28, Day 56 and Day 84
Total number of artificial tears use during the 12 weeks of treatment period

Full Information

First Posted
October 26, 2018
Last Updated
March 4, 2022
Sponsor
Samjin Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03723798
Brief Title
Clinical Study to Investigate the Efficacy and Safety of Orally Administered SA001 in Patients With Dry Eye Syndrome.
Official Title
A Multicenter, Placebo Controlled, 4-group Parallel Randomized, Double Blind, Phase II Study to Evaluate the Efficacy and Safety of Orally Administered SA001 in Patients With Dry Eye Syndrome.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
November 8, 2017 (Actual)
Primary Completion Date
October 1, 2018 (Actual)
Study Completion Date
October 8, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Samjin Pharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a phase 2, multicenter, double-blind, placebo control, randomized study to evaluate the efficacy and safety of orally administered SA001 compared to placebo in patients with Dry Eye Syndrome. The clinical trial consists of a wash-out period of 14 days, a treatment period of 12 weeks, and a follow-up period of 1 week after administration of the Investigational Product. If the subject voluntarily signs the informed consent form(ICF), the investigator conducts screening tests and check medical history to evaluate the subject's suitability. As a result of the screening test, eligible subjects should stop using the prior medication for dry eye syndrome during the 14 days of observation period, and if necessary, subjects can use rescue drug(artificial tears) for the first 11 days, and then discontinue all eye drops including rescue drug(artificial tears) for 3 days. And all of these subjects will be randomized in a 1:1:1:1 ratio to receive 3 different doses of investigational product (SA001 or placebo) everyday for 12 weeks. During the treatment period, If necessary, subjects can use the rescue drug (artificial tears), and the number of administration of rescue drug is limited to 3 times a day, and when used, the administration time should be recorded in the subject's diary. Subjects should visit to the study site on 2, 4, 8 and 12 weeks after starting dosing investigational product. Efficacy evaluation results are collected from both eyes, and the primary evaluation variable is analyzed using the test results collected from 'Worse eye' (the eye with the worse keratoconjunctival staining result among both eyes). Worse eye will be determined at the baseline visit and, if the results of both eyes are the same, the test result of the left eye is used.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Eye Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
172 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
SA001 Low dose
Arm Title
Group 2
Arm Type
Experimental
Arm Description
SA001 Mid dose
Arm Title
Group 3
Arm Type
Experimental
Arm Description
SA001 High dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
SA001 Low dose
Intervention Description
3 tablets b.i.d for 12 weeks
Intervention Type
Drug
Intervention Name(s)
SA001 Mid dose
Intervention Description
3 tablets b.i.d for 12 weeks
Intervention Type
Drug
Intervention Name(s)
SA001 High dose
Intervention Description
3 tablets b.i.d for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
3 tablets b.i.d for 12 weeks
Primary Outcome Measure Information:
Title
Change in Fluorescein Corneal Staining(FCS) score from baseline to Day 84
Time Frame
Baseline(Day0) and Day 84
Secondary Outcome Measure Information:
Title
Change in Fluorescein Corneal Staining(FCS) score from baseline to Day 14, Day 28 and Day 56
Time Frame
Baseline(Day0), Day 14, Day 28 and Day 56
Title
Change in Lissamine Green Conjunctival Staining(LGCS) score from baseline to Day 14, Day 28, Day 56 and Day 84
Time Frame
Baseline(Day0), Day 14, Day 28, Day 56 and Day 84
Title
Change in Schirmer Test score from baseline to Day 14, Day 28, Day 56 and Day 84
Time Frame
Baseline(Day0), Day 14, Day 28, Day 56 and Day 84
Title
Change in Tear Break-Up Time(TBUT) from baseline to Day 14, Day 28, Day 56 and Day 84
Time Frame
Baseline(Day0), Day 14, Day 28, Day 56 and Day 84
Title
Change in Standard Patient Evaluation of Eye Dryness questionnaire(SPEED) from baseline to Day 14, Day 28, Day 56 and Day 84
Time Frame
Baseline(Day0), Day 14, Day 28, Day 56 and Day 84
Title
Total number of artificial tears use during the 12 weeks of treatment period
Time Frame
Day 84

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age over 19 Patient who meets all of the following criteria in at least one of both eyes Fluorescein corneal staining score ≥ 2 Schirmer test ≤ 10mm in 5 mins Tear break-up time ≤ 10 secs Patient who diagnosed with dry eye syndrome at the time of screening and who have dry eye symptoms (dryness, discomfort, foreign body sensation, pain, vision fluctuation, etc.) Patient who agrees not to use eye drops other than the rescue drugs provided during the clinical trial period Patient who can understand the clinical trial and voluntarily signs an informed consent Exclusion Criteria: Clinically significant ophthalmic diseases not caused by dry eye disease (corneal surface disease, abnormal corneal sensitivity, abnormal tear excess, etc.) that may confuse the interpretation of clinical trial results In case of being treated with anti-inflammatory therapy for dry eye, such as steroid or non-steroidal anti-inflammatory eye drops, autologous serum eye drops, etc. In case of administration of steroids or immunosuppressants (azathioprine, tacrolimus, cyclosporine, mofetil mycophenolate, etc.) Patient who has worn contact lenses within 72 hours prior to screening or need to wear contact lenses during the clinical trial period A history of intraocular surgery within 90 days prior to screening Active eye infection symptoms such as anterior uveitis, anterior blepharitis, and Steven-Johnson syndrome Patient with an eye allergy or who are currently receiving treatment for an allergic eye disease (using antihistamines, etc.) Autoimmune disease (ex. Sjögren's syndrome, Rheumatoid arthritis, systemic lupus erythematosus, Graves' disease, etc.) Patient who needs surgery due to surface elevation caused by Meibomian Gland Dysfunction (MGD) A history of corneal transplantation or neurotrophic keratitis Patient who has an intraocular pressure of 25 mmHg or higher in one or more of both eyes or have been diagnosed with glaucoma Patient who has undergone vision correction surgery such as LASIK (Laser-Assisted in Situ Keratomileusis) within 12 months prior to screening Patient who has undergone silicone lacrimal punctal occlusion or cauterization of the punctum within 90 days prior to screening. However, patient who has undergone collagen lacrimal punctal occlusion can be enrolled. Hypersensitivity to the ingredients of the investigational product including rebamipide Clinically significant liver, kidney, nervous system, immune system, respiratory or endocrine disease, blood/tumor disease, cardiovascular disease, mental disease (mood disorder, obsessive-compulsive disorder, etc.) or a history of those diseases Patient who shows the following examination findings at visit 1 (screening visit) WBC ≤ 4,000/mm3 Platelets ≤ 100,000/mm3 AST/ALT/ALP ≥ 3 times the upper limit of normal(ULN) Total bilirubin ≥ 1.5 times the upper limit of normal(ULN) A woman who has a positive Serum hCG test at the screening visit (Visit 1), or who does not agree to use at least one effective contraceptive method that is medically acceptable Take oral contraceptives during the study period Pregnant or lactating women A history of drug or alcohol abuse Participation in an investigational drug or device trial within 30 days prior to screening Any condition that, in the opinion of the investigator, would inappropriate to participate in the clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Choun-Ki Joo, M.D.,Ph.D.
Organizational Affiliation
Seoul St. Mary's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Seoul St. Mary's Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Study to Investigate the Efficacy and Safety of Orally Administered SA001 in Patients With Dry Eye Syndrome.

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