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3 Month Study of Alocross Versus Vismed in Adults With Dry Eye Disease Related to Keratitis or Keratoconjunctivitis (ALHENA)

Primary Purpose

Dry Eye Syndromes

Status
Recruiting
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Alocross 0.2% Unit Dose
Vismed
Sponsored by
Santen SAS
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye Syndromes

Eligibility Criteria

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

Inclusion Criteria:

  • Patient eligibility is determined according to the following criteria:

    1. Male or female patient aged 18 years or above.
    2. Patient using artificial tears for at least 3 months prior to the Screening visit.
    3. Patient experiencing at least 2 symptoms of ocular discomfort rated ≥23 mm on the 0 to 100 mm visual analogue scale (VAS) (among itching, eye dryness, sticky feeling, photophobia, pain, burning or stinging, sandy feeling or grittiness, or foreign body sensation) at Screening and Baseline visits.
    4. OSS score (sum of nasal and temporal interpalpebral conjunctival and corneal vital staining) ≥4 and ≤9 on a modified Oxford scale at Screening and Baseline visits in at least one eye.
    5. TBUT of ≤10 seconds at Screening and Baseline visits and/or Schirmer's tear test of ≥3 and ≤9 mm/5 min at Screening visit in the same eye that fulfil inclusion criteria #4.
    6. The patient has signed and dated a written informed consent form prior to the initiation of any study procedures.

Exclusion Criteria:

  • Any patient who meets any of the following criteria (in any eye) will not qualify for entry into the study:

Ocular

  1. CFS score ≥4 on a modified Oxford scale
  2. Ocular hypertension or glaucoma requiring IOP-lowering medication(s)
  3. History of ocular trauma, infection or ocular inflammatory condition within the last 3 months before the screening visit.
  4. Severe blepharitis and/or severe meibomian gland disease
  5. Filamentary keratitis
  6. Any ocular surface anomaly not related to DED
  7. Active ocular infection or history of ocular allergy or ocular herpes
  8. Patient with only one sighted eye or with a best corrected distance visual acuity ≤1/10
  9. Use of any topical ocular treatment other than study device during the study (all non-study topical ocular treatment(s) must be stopped at the screening visit)
  10. Onset of lid hygiene (whatever the method) less than 2 months before the Screening visit
  11. Use of topical corticosteroids one month before the Screening Visit
  12. Use of isotretinoin, ciclosporin, tacrolimus, sirolimus, pimecrolimus or ocular cauterisation procedures 2 months before the screening visit and throughout the study
  13. Use of VISMED® within 6 weeks prior to the screening visit
  14. Refractive surgery (e.g. LASIK, LASEK, PRK) within 6 months and/or any other ocular laser/surgery within 3 months prior to the screening visit and during the study
  15. Insertion of temporary punctal plug(s) within 2 months prior to the Screening visit or permanent occlusion of lacrimal puncta on one or both sides
  16. Known hypersensitivity to any of the components of the study device or investigational products Non-ocular
  17. History of severe systemic allergy
  18. Systemic disease not stabilised within 1 month prior to the screening visit (e.g. diabetes with glycaemia out of range, thyroid dysfunction) or judged by the investigator to be incompatible with the conduct of the study procedures or the interpretation of the study results
  19. Any change of systemic concomitant medication within the month before the screening visit or planned change during the study period, except paracetamol
  20. Pregnancy or lactation at the screening and/or Baseline visit.
  21. Women of childbearing potential not using a medically acceptable, highly effective method of birth control (such as hormonal implants, injectable or oral contraceptives together with condoms, some intrauterine devices, sexual abstinence or vasectomised partner) from the Baseline visit throughout the conduct of the study treatment periods and up to 2 weeks after the study end. Post-menopausal women (two years without menstruation) do not need to use any method of birth control.
  22. Participation in a clinical trial with an investigational substance within the past 30 days prior to Baseline visit.
  23. Participation in another clinical study at the same time as the present study.

Sites / Locations

  • Cabinet D'Ophtalmologie Foch
  • Chru Brest Hopital MorvanRecruiting
  • Cabinet Liberal
  • Hopital Edouard Herriot - Pavillon C
  • Institut Ophtalmologique Ouest Jules VerneRecruiting
  • Hopital Pasteur 2
  • Fondation Rothschild
  • Hopital Necker - OphtalmologieRecruiting
  • Chu Toulouse - Hopital Purpan
  • Chru Bretonneau Tours
  • Hopitaux Universitaires Paris-Sud - Hopital Bicetre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Alocross

Vismed

Arm Description

Cross-linked HA 0.2% + Aloe Vera 0.1% solution (N=40) Posology: One Drop in each eye 4 times daily for 84 days

HA 0.18% hyaluronic solution (N40) Posology: One Drop in each eye 4 times daily for 84 days

Outcomes

Primary Outcome Measures

Change of ocular surface staining (OSS) score between baseline and Day 28.
The primary endpoint of the study is the difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of ocular surface staining (OSS) score between baseline and D28. An OSS higher than 0 is considered to be abnormal and may be a sign of KCS. But scores of 1 or 2 can also represent a late staining artifact if interpretation of the fluorescein corneal staining pattern is delayed beyond 8 minutes. Because this could lead to a high level of misclassification, an abnormal OSS is defined as being a score of 3 or above.

Secondary Outcome Measures

Change of ocular surface staining (OSS) score between baseline and Day 84
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in change of OSS score between baseline and Day 84. An OSS higher than 0 is considered to be abnormal and may be a sign of KCS. But scores of 1 or 2 can also represent a late staining artifact if interpretation of the fluorescein corneal staining pattern is delayed beyond 8 minutes. Because this could lead to a high level of misclassification, an abnormal OSS is defined as being a score of 3 or above.
The change of ocular stainings (corneal fluorescein staining (CFS) and clearing and conjunctival staining) between baseline and Day 28 and between baseline and Day 84
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in change of ocular stainings (corneal fluorescein staining (CFS) and clearing and conjunctival staining) Staining using fluorescein will be graded using the modified Oxford scale (7-point ordinal scale, score 0, 0.5, and 1 to 5 per area [cornea + nasal and temporal conjunctiva]) for cornea and conjunctiva separately, On this modified scale, the score 0 corresponds to no staining dots and the score 0.5 corresponds to one staining dot per area. A CFS grade of 0 represents complete corneal clearing.
The change of ocular discomfort symptoms on Visual Analogue Scale
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of ocular discomfort symptoms according to the Visual Analogue Scale (VAS) Patient experiencing at least 2 symptoms of ocular discomfort rated ≥23 mm on the 0 to 100 mm visual analogue scale (VAS) (among itching, eye dryness, sticky feeling, photophobia, pain, burning or stinging, sandy feeling or grittiness, or foreign body sensation) at Screening and Baseline visits.
The change tear breakup time (TBUT)
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of tear breakup time (TBUT) Generally, >10 seconds is thought to be normal,(10, 11, 12) 5 to 10 seconds, marginal, and < 5 seconds is considered low. A short tear break-up time is a sign of a poor tear film and the longer it takes the more stable the tear film.
The change in Schirmer's tear test
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of Schirmer's tear test Healthy eyes are considered to leave each strip of paper containing more than 10 millimeters of moisture. Less than 10 millimeters of moisture indicates probable dry eye syndrome.
The secondary endpoints are the difference between patients treated with ALOCROSS® and patients treated with VISMED® in:
The overall efficacy evaluation of the investigator The study investigator at each centre will conduct an overall assessment of the effect of the study device on improvement in the patients DED using the following rating scale: 0 = Unsatisfactory 1 = Not very satisfactory 2 = Satisfactory 3 = Very satisfactory
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in:
The change of subjective assessments evaluation by the patient. The patient will rate his global evaluation of efficacy using the same rating scale as the Investigator. The patients complete a subjective assessment of the effect of the study device on improvement in their DED using the following rating scale: 0 = Unsatisfactory 1 = Not very satisfactory 2 = Satisfactory 3 = Very satisfactory

Full Information

First Posted
December 4, 2020
Last Updated
May 15, 2023
Sponsor
Santen SAS
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1. Study Identification

Unique Protocol Identification Number
NCT04685109
Brief Title
3 Month Study of Alocross Versus Vismed in Adults With Dry Eye Disease Related to Keratitis or Keratoconjunctivitis
Acronym
ALHENA
Official Title
A 3-month, Prospective, Multicentre, Investigator-masked, Parallel-group, Active-controlled, Randomised, Non-inferiority Study in Adult Patients With Moderate to Severe Dry Eye Disease Related to Keratitis or Keratoconjunctivitis
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 11, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Santen SAS

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is a prospective, multicentre, parallel-group, active-controlled, non-inferiority study conducted in adult patients with moderate-to-severe dry eye disease (DED) related to keratitis or keratoconjunctivitis. This study is conducted at a national level, in France. The patients will be randomised to receive ALOCROSS® or the reference treatment, VISMED® (ratio 1:1) in an investigator-masked fashion
Detailed Description
Primary: • To compare the ocular efficacy of ALOCROSS® with that of VISMED® in patients with moderate to severe DED related to keratitis or keratoconjunctivitis after a 4-week treatment period (Day 28). Secondary: To compare the ocular efficacy of ALOCROSS® with that of VISMED® in patients with moderate to severe DED related to keratitis or keratoconjunctivitis over a 12-week treatment period To evaluate the ocular tolerability and safety of ALOCROSS® versus VISMED® in patients with moderate to severe DED related to keratitis or keratoconjunctivitis throughout the duration of treatment

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
PROSPECTIVE, MULTICENTRE, INVESTIGATOR-MASKED, PARALLEL-GROUP, ACTIVE-CONTROLLED, RANDOMISED, NON-INFERIORITY STUDY
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Investigator Masked, unmasked Pharmacist
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Alocross
Arm Type
Experimental
Arm Description
Cross-linked HA 0.2% + Aloe Vera 0.1% solution (N=40) Posology: One Drop in each eye 4 times daily for 84 days
Arm Title
Vismed
Arm Type
Active Comparator
Arm Description
HA 0.18% hyaluronic solution (N40) Posology: One Drop in each eye 4 times daily for 84 days
Intervention Type
Device
Intervention Name(s)
Alocross 0.2% Unit Dose
Intervention Description
Eye Drops
Intervention Type
Device
Intervention Name(s)
Vismed
Other Intervention Name(s)
HA 0.18% hypotonic solution
Intervention Description
Eye drops
Primary Outcome Measure Information:
Title
Change of ocular surface staining (OSS) score between baseline and Day 28.
Description
The primary endpoint of the study is the difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of ocular surface staining (OSS) score between baseline and D28. An OSS higher than 0 is considered to be abnormal and may be a sign of KCS. But scores of 1 or 2 can also represent a late staining artifact if interpretation of the fluorescein corneal staining pattern is delayed beyond 8 minutes. Because this could lead to a high level of misclassification, an abnormal OSS is defined as being a score of 3 or above.
Time Frame
Between Baseline and day 28
Secondary Outcome Measure Information:
Title
Change of ocular surface staining (OSS) score between baseline and Day 84
Description
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in change of OSS score between baseline and Day 84. An OSS higher than 0 is considered to be abnormal and may be a sign of KCS. But scores of 1 or 2 can also represent a late staining artifact if interpretation of the fluorescein corneal staining pattern is delayed beyond 8 minutes. Because this could lead to a high level of misclassification, an abnormal OSS is defined as being a score of 3 or above.
Time Frame
between baseline and Day 14 and between baseline and Day 84
Title
The change of ocular stainings (corneal fluorescein staining (CFS) and clearing and conjunctival staining) between baseline and Day 28 and between baseline and Day 84
Description
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in change of ocular stainings (corneal fluorescein staining (CFS) and clearing and conjunctival staining) Staining using fluorescein will be graded using the modified Oxford scale (7-point ordinal scale, score 0, 0.5, and 1 to 5 per area [cornea + nasal and temporal conjunctiva]) for cornea and conjunctiva separately, On this modified scale, the score 0 corresponds to no staining dots and the score 0.5 corresponds to one staining dot per area. A CFS grade of 0 represents complete corneal clearing.
Time Frame
between baseline and Day 28 and between baseline and Day 84
Title
The change of ocular discomfort symptoms on Visual Analogue Scale
Description
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of ocular discomfort symptoms according to the Visual Analogue Scale (VAS) Patient experiencing at least 2 symptoms of ocular discomfort rated ≥23 mm on the 0 to 100 mm visual analogue scale (VAS) (among itching, eye dryness, sticky feeling, photophobia, pain, burning or stinging, sandy feeling or grittiness, or foreign body sensation) at Screening and Baseline visits.
Time Frame
between baseline and Day 28 and between baseline and Day 84
Title
The change tear breakup time (TBUT)
Description
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of tear breakup time (TBUT) Generally, >10 seconds is thought to be normal,(10, 11, 12) 5 to 10 seconds, marginal, and < 5 seconds is considered low. A short tear break-up time is a sign of a poor tear film and the longer it takes the more stable the tear film.
Time Frame
between baseline and Day 28 and between baseline and Day 84
Title
The change in Schirmer's tear test
Description
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in the change of Schirmer's tear test Healthy eyes are considered to leave each strip of paper containing more than 10 millimeters of moisture. Less than 10 millimeters of moisture indicates probable dry eye syndrome.
Time Frame
between baseline and Day 28 and between baseline and Day 84
Title
The secondary endpoints are the difference between patients treated with ALOCROSS® and patients treated with VISMED® in:
Description
The overall efficacy evaluation of the investigator The study investigator at each centre will conduct an overall assessment of the effect of the study device on improvement in the patients DED using the following rating scale: 0 = Unsatisfactory 1 = Not very satisfactory 2 = Satisfactory 3 = Very satisfactory
Time Frame
after 12 weeks of treatment (84 days)
Title
The difference between patients treated with ALOCROSS® and patients treated with VISMED® in:
Description
The change of subjective assessments evaluation by the patient. The patient will rate his global evaluation of efficacy using the same rating scale as the Investigator. The patients complete a subjective assessment of the effect of the study device on improvement in their DED using the following rating scale: 0 = Unsatisfactory 1 = Not very satisfactory 2 = Satisfactory 3 = Very satisfactory
Time Frame
between baseline and Day 84

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient eligibility is determined according to the following criteria: Male or female patient aged 18 years or above. Patient using artificial tears for at least 3 months prior to the Screening visit. Patient experiencing at least 2 symptoms of ocular discomfort rated ≥23 mm on the 0 to 100 mm visual analogue scale (VAS) (among itching, eye dryness, sticky feeling, photophobia, pain, burning or stinging, sandy feeling or grittiness, or foreign body sensation) at Screening and Baseline visits. OSS score (sum of nasal and temporal interpalpebral conjunctival and corneal vital staining) ≥4 and ≤9 on a modified Oxford scale at Screening and Baseline visits in at least one eye. TBUT of ≤10 seconds at Screening and Baseline visits and/or Schirmer's tear test of ≥3 and ≤9 mm/5 min at Screening visit in the same eye that fulfil inclusion criteria #4. The patient has signed and dated a written informed consent form prior to the initiation of any study procedures. Exclusion Criteria: Any patient who meets any of the following criteria (in any eye) will not qualify for entry into the study: Ocular CFS score ≥4 on a modified Oxford scale Ocular hypertension or glaucoma requiring IOP-lowering medication(s) History of ocular trauma, infection or ocular inflammatory condition within the last 3 months before the screening visit. Severe blepharitis and/or severe meibomian gland disease Filamentary keratitis Any ocular surface anomaly not related to DED Active ocular infection or history of ocular allergy or ocular herpes Patient with only one sighted eye or with a best corrected distance visual acuity ≤1/10 Use of any topical ocular treatment other than study device during the study (all non-study topical ocular treatment(s) must be stopped at the screening visit) Onset of lid hygiene (whatever the method) less than 2 months before the Screening visit Use of topical corticosteroids one month before the Screening Visit Use of isotretinoin, ciclosporin, tacrolimus, sirolimus, pimecrolimus or ocular cauterisation procedures 2 months before the screening visit and throughout the study Use of VISMED® within 6 weeks prior to the screening visit Refractive surgery (e.g. LASIK, LASEK, PRK) within 6 months and/or any other ocular laser/surgery within 3 months prior to the screening visit and during the study Insertion of temporary punctal plug(s) within 2 months prior to the Screening visit or permanent occlusion of lacrimal puncta on one or both sides Known hypersensitivity to any of the components of the study device or investigational products Non-ocular History of severe systemic allergy Systemic disease not stabilised within 1 month prior to the screening visit (e.g. diabetes with glycaemia out of range, thyroid dysfunction) or judged by the investigator to be incompatible with the conduct of the study procedures or the interpretation of the study results Any change of systemic concomitant medication within the month before the screening visit or planned change during the study period, except paracetamol Pregnancy or lactation at the screening and/or Baseline visit. Women of childbearing potential not using a medically acceptable, highly effective method of birth control (such as hormonal implants, injectable or oral contraceptives together with condoms, some intrauterine devices, sexual abstinence or vasectomised partner) from the Baseline visit throughout the conduct of the study treatment periods and up to 2 weeks after the study end. Post-menopausal women (two years without menstruation) do not need to use any method of birth control. Participation in a clinical trial with an investigational substance within the past 30 days prior to Baseline visit. Participation in another clinical study at the same time as the present study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Julia L Martin, BSc
Phone
+447483081798
Email
julia.martin@santen.com
Facility Information:
Facility Name
Cabinet D'Ophtalmologie Foch
City
Bordeaux
Country
France
Individual Site Status
Withdrawn
Facility Name
Chru Brest Hopital Morvan
City
Brest
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Beatrice Cochener Lamard
Facility Name
Cabinet Liberal
City
La Rochefoucauld
Country
France
Individual Site Status
Completed
Facility Name
Hopital Edouard Herriot - Pavillon C
City
Lyon
Country
France
Individual Site Status
Completed
Facility Name
Institut Ophtalmologique Ouest Jules Verne
City
Nantes
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Camille Bosc
Facility Name
Hopital Pasteur 2
City
Nice
Country
France
Individual Site Status
Withdrawn
Facility Name
Fondation Rothschild
City
Paris
Country
France
Individual Site Status
Withdrawn
Facility Name
Hopital Necker - Ophtalmologie
City
Paris
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dominique Bremond-Gignac
Facility Name
Chu Toulouse - Hopital Purpan
City
Toulouse
Country
France
Individual Site Status
Withdrawn
Facility Name
Chru Bretonneau Tours
City
Tours
Country
France
Individual Site Status
Withdrawn
Facility Name
Hopitaux Universitaires Paris-Sud - Hopital Bicetre
City
Le Kremlin-Bicêtre
State/Province
Île-de-France
ZIP/Postal Code
94270
Country
France
Individual Site Status
Completed

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

3 Month Study of Alocross Versus Vismed in Adults With Dry Eye Disease Related to Keratitis or Keratoconjunctivitis

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