3 Month Study of Cationorm Pro Versus Vismed in Adults With Dry Eye Disease Related to Keratitis or Keratoconjunctivitis (PROSIKA)
Primary Purpose
Dry Eye Syndromes
Status
Recruiting
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Cationorm Pro
Vismed
Sponsored by
About this trial
This is an interventional treatment trial for Dry Eye Syndromes
Eligibility Criteria
Inclusion 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:
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. -
Sites / Locations
- Cabinet Liberal
- CHRU Bretonneau
- Gabinet Okulistyczny
- Szpital SW. Rozy
- 5th MILITARY CLINICAL HOSPITAL IN KRAKOW
- Klinika Okulistyki i Onkologii Okulistycznej
- Centro de Oftalmologia BarraquerRecruiting
- Hospital Clinic of BarcelonaRecruiting
- Hospital Unniversitario DonostiaRecruiting
- El Instituto Ofalmológico Quirónsalud ZaragozaRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Cationorm Pro
Vismed
Arm Description
Cationorm Pro is an ophthalmic sterile unpreserved eye drops emulsion (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 Cationorm Pro® 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 Cationorm Pro® 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 conjunctival staining) between baseline and Day 28 and between baseline and Day 84
The difference between patients treated with Cationorm Pro® and patients treated with VISMED® in change of ocular stainings (corneal fluorescein staining (CFS) 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 Cationorm Pro® 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 Cationorm Pro® 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 Cationorm Pro® 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 Cationorm Pro® and patients treated with VISMED® in the change of 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
= Not very satisfactory
= Satisfactory
= Very satisfactory
The difference between patients treated with Cationorm Pro® 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.
A subjective assessment is completed of the effect of the study device on improvement in their DED using the following rating scale:
0 = Unsatisfactory
= Not very satisfactory
= Satisfactory
= Very satisfactory
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04701086
Brief Title
3 Month Study of Cationorm Pro Versus Vismed in Adults With Dry Eye Disease Related to Keratitis or Keratoconjunctivitis
Acronym
PROSIKA
Official Title
A 3-month, Prospective, Multicentre, Investigator-masked, Parallel-group, Active-controlled, Randomised, Non-inferiority Study to Compare the Efficacy & Tolerability of CATIONORM PRO® & VISMED® in Patients With Mod-to-severe Dry Eye Disease
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 30, 2021 (Actual)
Primary Completion Date
October 31, 2023 (Anticipated)
Study Completion Date
October 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
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 to be conducted in France, Poland and Spain.
The patients will be randomised to receive Cationorm Pro® or the reference treatment, VISMED® (ratio 1:1) in an investigator-masked fashion
Detailed Description
Primary:
• To compare the ocular efficacy of Cationorm Pro® 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 Cationorm Pro® 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 Cationorm Pro® 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
Cationorm Pro
Arm Type
Experimental
Arm Description
Cationorm Pro is an ophthalmic sterile unpreserved eye drops emulsion (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)
Cationorm Pro
Other Intervention Name(s)
Ocutears Pro+
Intervention Description
Eye Drops
Intervention Type
Device
Intervention Name(s)
Vismed
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 Cationorm Pro® 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 Cationorm Pro® 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 conjunctival staining) between baseline and Day 28 and between baseline and Day 84
Description
The difference between patients treated with Cationorm Pro® and patients treated with VISMED® in change of ocular stainings (corneal fluorescein staining (CFS) 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 Cationorm Pro® 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 Cationorm Pro® 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 Cationorm Pro® 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 Cationorm Pro® and patients treated with VISMED® in the change of overall efficacy evaluation of the investigator
Description
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
= Not very satisfactory
= Satisfactory
= Very satisfactory
Time Frame
after 12 weeks of treatment (84 days)
Title
The difference between patients treated with Cationorm Pro® and patients treated with VISMED® in the change of subjective assessments evaluation by the patient.
Description
The patient will rate his global evaluation of efficacy using the same rating scale as the Investigator.
A subjective assessment is completed of the effect of the study device on improvement in their DED using the following rating scale:
0 = Unsatisfactory
= Not very satisfactory
= Satisfactory
= 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:
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:
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 Liberal
City
La Rochefoucauld
Country
France
Individual Site Status
Withdrawn
Facility Name
CHRU Bretonneau
City
Tours
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Gabinet Okulistyczny
City
Bielsko-Biala
Country
Poland
Individual Site Status
Completed
Facility Name
Szpital SW. Rozy
City
Krakow
Country
Poland
Individual Site Status
Completed
Facility Name
5th MILITARY CLINICAL HOSPITAL IN KRAKOW
City
Kraków
Country
Poland
Individual Site Status
Completed
Facility Name
Klinika Okulistyki i Onkologii Okulistycznej
City
Kraków
Country
Poland
Individual Site Status
Withdrawn
Facility Name
Centro de Oftalmologia Barraquer
City
Barcelona
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jose Lamarca Mateu
Facility Name
Hospital Clinic of Barcelona
City
Barcelona
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria Teresa Sainz De La Maza
Facility Name
Hospital Unniversitario Donostia
City
Donostia
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Javier Mendicute
Facility Name
El Instituto Ofalmológico Quirónsalud Zaragoza
City
Zaragoza
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Antonio Mateo
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
3 Month Study of Cationorm Pro Versus Vismed in Adults With Dry Eye Disease Related to Keratitis or Keratoconjunctivitis
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