A Phase 3 Efficacy Study of Pilocarpine HCl Ophthalmic Solution (AGN-190584) in Participants With Presbyopia (GEMINI 2)
Presbyopia
About this trial
This is an interventional treatment trial for Presbyopia
Eligibility Criteria
Inclusion Criteria
Subjective complaints of poor near vision that impact activities of daily living
Exclusion Criteria
Uncontrolled systemic disease
Any clinical condition or previous surgery that might affect the absorption, distribution, biotransformation, or excretion of AGN-190584. History of cataract surgery, phakic intraocular lens surgery, corneal inlay surgery, radial keratotomy, or any intraocular surgery. However, participants with history of photorefractive keratectomy (PRK) or laser-assisted in situ keratomileusis (LASIK) with corrected distance visual acuity (CDVA) meeting inclusion criteria will be allowed to enroll.
Known allergy or sensitivity to the study intervention or its components or other cholinergic agonist medications
Concurrent use of any topical ophthalmic medications, including artificial tears, other than the study intervention during the course of the study
Concurrent use of temporary or permanent punctal plugs or history of punctal cautery in one or both eyes
Current enrollment in an investigational drug or device study or participation in such a study within 30 days of entry into this study
Participation in a blood or plasma donation program within 30 days prior to study intervention administration
Severe dry eye disease (defined as total corneal staining ≥ grade 3 on the 5-point Oxford scale and an ocular surface disease index (OSDI) score of > 33) at the screening visit
Corneal abnormalities (including keratoconus, corneal scar, Fuchs' endothelial dystrophy, guttata, or edema) in either eye that are likely to interfere with visual acuity
Narrow iridocorneal angles (Shaffer grade ≤ 2 or lower on gonioscopy examination), history of angle-closure glaucoma, or previous iridotomy
History of iris trauma, Adie's tonic pupil, abnormal pupil shape in either eye, or anisocoria > 1 mm between pupils under mesopic conditions at the screening visit
Lens opacity in either eye that is determined to cause significant disturbance of the central visual axis on screening biomicroscopy
Diagnosis of any type of glaucoma or ocular hypertension
Bifocal or multifocal spectacles or contact lenses for habitual correction. Participants willing to wear study-provided monofocal correction (either spectacles or contact lenses) during the study can be enrolled
Abnormal and clinically significant results according to the investigator or designee, on physical/ophthalmic examination or medical history
Females who are pregnant, nursing, or planning a pregnancy during the study
Sites / Locations
- Eye Center South
- M&M Eye Institute
- Walman Eye Center
- Milton M. Hom, OD, FAAO
- Global Research Management
- Advanced Vision Care
- North Valley Eye Medical Group, Inc.
- Eye Research Foundation
- Corneal Consultants of Colorado
- Benjamin Knox Lambright, MD
- South Florida Vision Center
- Bowden Eye Associates
- Mid Florida Eye Center
- Newsom Eye & Laser Center
- Clayton Eye Center
- The Midwest Center for Sight
- Jacksoneye
- Kannarr Eye Care
- Heart of America Eyecare
- Cincinnati Eye Institute
- Chu Laser Eye Institute
- Silverstein Eye Centers
- Moyes Eye Center
- Tekwani Vision Center
- Amel Youssef, OD
- Debry Medical Services PC
- Bucci Laser Vision
- Waring Vision Institute
- University Eye Surgeons
- Total Eye Care, PA
- Keystone Research ltd. at Texan Eye
- The Cataract and Glaucoma Center
- Texas Eye & Laser Ctr
- Benjamin Travis Dastrup, MD
- Vision Consultants and Surgeons
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Vehicle
Pilocarpine HCl Ophthalmic Solution
Participants received one drop of vehicle in each eye, once daily, for up to 30 days.
Participants received one drop of pilocarpine HCl ophthalmic solution 1.25% in each eye, once daily, for up to 30 days.