Treatment Safety and Efficacy of Pro-ocular™ 1% for Chronic Ocular Graft Following Allogeneic HSCT.
Primary Purpose
Chronic Ocular Graft-versus-host Disease
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Pro-ocular™ topical gel
Placebo topical gel
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Ocular Graft-versus-host Disease
Eligibility Criteria
Inclusion Criteria:
- Male or female of any race, at least 18 years of age at Visit 1 Screening.
- Has the diagnosis of chronic ocular GvHD.
- Has an NIH Consensus Eye Score of at least 2.
- On the GLIA Ocular Surface Disease Symptoms Questionnaire at Screening, has ocular discomfort at a severity score of moderate or more, and at least one other symptom at a severity of moderate or more.
- One or more signs from the list of chronic ocular GvHD signs below
- Has provided verbal and written informed consent.
- Be able and willing to follow oral and written instructions, including participation in all study assessments and visits.
Exclusion Criteria:
- Wearing scleral or contact lenses within the last month, or those who plan to start wearing scleral or contact lenses during the study.
- Anticipate major changes in systemic GvHD management during study period.
- Comorbidity with other severe or chronic eye conditions that in the judgment of the investigator will interfere with study assessments, such as but not limited to retinal detachment, recent ocular surgery, Bell's palsy, active trigeminal neuritis or trigeminal neuralgia.
- Anticipate change of vision correction or anticipate any ocular procedures during study period.
- A woman who is pregnant, nursing an infant, or planning a pregnancy.
- A woman of childbearing potential who has a positive urine pregnancy test at Visit 1, or who does not use an adequate method of birth control throughout the study period.
- Has a known adverse reaction and/or sensitivity to the study drug or its components.
- Unwilling to cease the use of sunscreen on the forehead or eye area.
- Intraocular pressure >22 mm Hg at screening visit with or without ongoing glaucoma treatment.
- Currently enrolled in an investigational drug or device study for chronic ocular GvHD.
Sites / Locations
- Massachusetts Eye and Ear Longwood
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Pro-ocular™
Placebo
Arm Description
Pro-ocular™ 1% topical gel applied dermally to forehead twice daily, morning and before bedtime.
Vehicle topical gel without active ingredient applied dermally to forehead twice daily, morning and before bedtime.
Outcomes
Primary Outcome Measures
Ocular pain from Glia OSD Symptoms Questionnaire
Change in ocular pain score
Ocular discomfort
Change in ocular discomfort score
Ocular discomfort
Change in ocular discomfort score
Corneal fluorescein staining
Change in fluorescein staining score
Conjunctival staining
Change in conjunctival staining score
Secondary Outcome Measures
Modified SANDE
Change in SANDE score
Modified SANDE
Change in SANDE score
Modified SANDE
Change in SANDE score
Glia OSD Symptoms Questionnaire
Change in total score
Glia OSD Symptoms Questionnaire
Change in total score
Glia OSD Symptoms Questionnaire
Change in total score
Glia OSD Symptoms Questionnaire
Change in total score
Tear Film
Change in tear film score
Tear Film
Change in tear film score
Tear Film
Change in tear film score
Tear Film
Change in tear film score
Conjunctival staining
Change in conjunctival staining score
Lid margin
Change in lid margin abnormality score
Lid margin
Change in lid margin abnormality score
Ocular pain from Glia OSD Symptoms Questionnaire
Change in ocular pain score
Ocular pain from Glia OSD Symptoms Questionnaire
Change in ocular pain score
Ocular pain from Glia OSD Symptoms Questionnaire
Change in ocular pain score
Ocular discomfort
Change in ocular discomfort score
Ocular discomfort
Change in ocular discomfort score
Corneal fluorescein staining
Change in fluorescein staining score
NIH Chronic GvHD Eye Score
Change in eye score
NIH Chronic GvHD Eye Score
Change in eye score
NIH Chronic GvHD Eye Score
Change in eye score
Full Information
NCT ID
NCT03990051
First Posted
June 11, 2019
Last Updated
March 23, 2023
Sponsor
Glia, LLC
Collaborators
ORA, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03990051
Brief Title
Treatment Safety and Efficacy of Pro-ocular™ 1% for Chronic Ocular Graft Following Allogeneic HSCT.
Official Title
Treatment Safety and Efficacy Using Pro-ocular™ 1% for Chronic Ocular Graft-versus-host Disease (GvHD) Following Allogeneic Hematopoietic Stem Cell Transplantation.
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
October 17, 2019 (Actual)
Primary Completion Date
October 31, 2021 (Actual)
Study Completion Date
November 19, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Glia, LLC
Collaborators
ORA, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
To evaluate the safety and efficacy of Pro-ocular™ 1% topical gel administered twice daily for 70 days in reducing or eliminating symptoms and signs of chronic ocular GvHD.
Detailed Description
Ocular graft versus host disease presents a most severe form of ocular surface disease that compromises quality of life of afflicted allogeneic hematopoietic transplantation patients.
A controlled study is necessary to verify findings obtained to date in isolated patients. Currently available ophthalmic solutions and suspensions, drugs and devices largely have not been effective in alleviating the suffering of chronic ocular GvHD patients. Thus, this is an unmet need that Pro-ocular™ topical gel can fulfill.
Potential benefits: Decrease or cessation of adverse ocular symptoms and signs of chronic ocular GvHD, reduction or elimination of the need for other topical ocular therapeutic treatments for chronic ocular GvHD, and restoration of quality of life.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Ocular Graft-versus-host Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
The double-masked phase involves placebo controlled administration of study drug for 70 days or 10 weeks. Subsequently the placebo group will receive the active study drug of 42 days or 6 weeks. Long term open label phase to 27 months.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Randomized double-masked parallel treatment assignment will be made using a block design at the ratio of 2:1, study drug:placebo, (22 subjects:11 subjects). This 70-day double-masked phase will be followed by 6 weeks open-label active drug treatment of the subjects previously on placebo.
Allocation
Randomized
Enrollment
33 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Pro-ocular™
Arm Type
Experimental
Arm Description
Pro-ocular™ 1% topical gel applied dermally to forehead twice daily, morning and before bedtime.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Vehicle topical gel without active ingredient applied dermally to forehead twice daily, morning and before bedtime.
Intervention Type
Drug
Intervention Name(s)
Pro-ocular™ topical gel
Intervention Description
Topical gel for forehead dermal application
Intervention Type
Drug
Intervention Name(s)
Placebo topical gel
Intervention Description
Topical gel for forehead dermal application
Primary Outcome Measure Information:
Title
Ocular pain from Glia OSD Symptoms Questionnaire
Description
Change in ocular pain score
Time Frame
1 hour
Title
Ocular discomfort
Description
Change in ocular discomfort score
Time Frame
1 hour
Title
Ocular discomfort
Description
Change in ocular discomfort score
Time Frame
2 weeks
Title
Corneal fluorescein staining
Description
Change in fluorescein staining score
Time Frame
10 weeks
Title
Conjunctival staining
Description
Change in conjunctival staining score
Time Frame
10 weeks
Secondary Outcome Measure Information:
Title
Modified SANDE
Description
Change in SANDE score
Time Frame
2 weeks
Title
Modified SANDE
Description
Change in SANDE score
Time Frame
6, 10 weeks
Title
Modified SANDE
Description
Change in SANDE score
Time Frame
10 weeks
Title
Glia OSD Symptoms Questionnaire
Description
Change in total score
Time Frame
1 hour
Title
Glia OSD Symptoms Questionnaire
Description
Change in total score
Time Frame
2 weeks
Title
Glia OSD Symptoms Questionnaire
Description
Change in total score
Time Frame
6 weeks
Title
Glia OSD Symptoms Questionnaire
Description
Change in total score
Time Frame
10 weeks
Title
Tear Film
Description
Change in tear film score
Time Frame
1 hour
Title
Tear Film
Description
Change in tear film score
Time Frame
2 weeks
Title
Tear Film
Description
Change in tear film score
Time Frame
6 weeks
Title
Tear Film
Description
Change in tear film score
Time Frame
10 weeks
Title
Conjunctival staining
Description
Change in conjunctival staining score
Time Frame
6
Title
Lid margin
Description
Change in lid margin abnormality score
Time Frame
6 weeks
Title
Lid margin
Description
Change in lid margin abnormality score
Time Frame
10 weeks
Title
Ocular pain from Glia OSD Symptoms Questionnaire
Description
Change in ocular pain score
Time Frame
2 weeks
Title
Ocular pain from Glia OSD Symptoms Questionnaire
Description
Change in ocular pain score
Time Frame
10 weeks
Title
Ocular pain from Glia OSD Symptoms Questionnaire
Description
Change in ocular pain score
Time Frame
6 weeks
Title
Ocular discomfort
Description
Change in ocular discomfort score
Time Frame
6 weeks
Title
Ocular discomfort
Description
Change in ocular discomfort score
Time Frame
10 weeks
Title
Corneal fluorescein staining
Description
Change in fluorescein staining score
Time Frame
6 weeks
Title
NIH Chronic GvHD Eye Score
Description
Change in eye score
Time Frame
2 weeks
Title
NIH Chronic GvHD Eye Score
Description
Change in eye score
Time Frame
6 weeks
Title
NIH Chronic GvHD Eye Score
Description
Change in eye score
Time Frame
10 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female of any race, at least 18 years of age at Visit 1 Screening.
Has the diagnosis of chronic ocular GvHD.
Has an NIH Consensus Eye Score of at least 2.
On the GLIA Ocular Surface Disease Symptoms Questionnaire at Screening, has ocular discomfort at a severity score of moderate or more, and at least one other symptom at a severity of moderate or more.
One or more signs from the list of chronic ocular GvHD signs below
Has provided verbal and written informed consent.
Be able and willing to follow oral and written instructions, including participation in all study assessments and visits.
Exclusion Criteria:
Wearing scleral or contact lenses within the last month, or those who plan to start wearing scleral or contact lenses during the study.
Anticipate major changes in systemic GvHD management during study period.
Comorbidity with other severe or chronic eye conditions that in the judgment of the investigator will interfere with study assessments, such as but not limited to retinal detachment, recent ocular surgery, Bell's palsy, active trigeminal neuritis or trigeminal neuralgia.
Anticipate change of vision correction or anticipate any ocular procedures during study period.
A woman who is pregnant, nursing an infant, or planning a pregnancy.
A woman of childbearing potential who has a positive urine pregnancy test at Visit 1, or who does not use an adequate method of birth control throughout the study period.
Has a known adverse reaction and/or sensitivity to the study drug or its components.
Unwilling to cease the use of sunscreen on the forehead or eye area.
Intraocular pressure >22 mm Hg at screening visit with or without ongoing glaucoma treatment.
Currently enrolled in an investigational drug or device study for chronic ocular GvHD.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhonghui K Luo, MD, PhD
Organizational Affiliation
Massachusetts Eye and Ear, Longwood
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts Eye and Ear Longwood
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
Data may be shared with other investigators if Phase 3 study follows.
Learn more about this trial
Treatment Safety and Efficacy of Pro-ocular™ 1% for Chronic Ocular Graft Following Allogeneic HSCT.
We'll reach out to this number within 24 hrs