An Evaluation of the Clinical Utility and Safety of the Visant Medical Canalicular Plug
Primary Purpose
Dry Eye
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Visant Medical Canalicular Plug
Commercially available canalicular plug
Sponsored by
About this trial
This is an interventional treatment trial for Dry Eye
Eligibility Criteria
Inclusion Criteria:
- Twenty-two (22) years of age or older
- BCDVA of 20/40 or better in each eye
- Both eyes with a baseline Schirmer's test with anesthetic ≤ 10 mm/5 minutes
- Presence of corneal staining in both eyes in any of the 5 areas defined by the NEI/Industry Workshop Scale
- Baseline OSDI score of at least 23 with no more than 3 responses of "not applicable"
- Patent bilateral lacrimal drainage system as demonstrated by punctal irrigation
- If female, subject must be post-menopausal, medically sterile (e.g hysterectomy, bilateral tubal ligation, bilateral oophorectomy) or have negative urine pregnancy test (UPT) on Day 0 of the study and agree to utilize a medically acceptable form of contraception over the course of the study
- Willing and able to sign informed consent and HIPAA authorization, follow study instructions, and complete all study visits.
Exclusion Criteria:
- Use of ophthalmic cyclosporine (Restasis) within 6 months or lifitegrast (Xiidra) within 3 months prior to Day 0 in either eye
- History of surgical punctal occlusion (e.g., cautery), canalicular infection or canalicular surgery in either eye
- Corneal transplant in either eye
- Ocular surgery (such as cataract surgery or LASIK) in either eye within six months of the Baseline Visit
- A systemic condition or disease not stabilized or judged by the investigator to be incompatible with participation in the study (e.g. current systemic infection, uncontrolled autoimmune disease, uncontrolled immunodeficiency disease)
- The history or presence of any ocular disorder or condition in either eye that, in the opinion of the investigator, would interfere with the interpretation of the study results (e.g., significant corneal or conjunctival scarring, pterygium or nodular pinguecula; current ocular infection (except mild blepharitis), conjunctivitis or inflammation not associated with dry eye; anterior (epithelial) basement membrane corneal dystrophy or other clinically significant corneal dystrophy or degeneration; history of ocular herpetic infection; evidence of keratoconus; lid or lacrimal cancer
- Active severe systemic allergy, seasonal allergies, rhinitis or sinusitis requiring treatment (i.e., antihistamines, decongestants, oral or aerosol steroids)
- Use of steroids, including administration by systemic or topical ocular routes (dermatologic steroids not applied to the eyelids and inhaled steroids are allowed)
- Participation in a clinical trial during the past 30 days
- Women who are pregnant, planning a pregnancy, or nursing at study entry
Sites / Locations
- Schwartz Laser Eye Center
- Eye Research Foundation, Inc.
- Andover Eye Associates
- Piedmont Eye, Inc.
- See Clearly Vision
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Visant Medical Canalicular Plug
Commercially available canalicular plug
Arm Description
Bilateral placement of the Visant Canalicular Plug inserted on Day 1
Bilateral placement of commercially available canalicular plug inserted on Day 1
Outcomes
Primary Outcome Measures
Mean change in Schirmer's score from baseline to Month 3 compared to commercially available plug
Non-inferiority hypothesis. Higher Score using this continuous variable equates to larger tear film
Secondary Outcome Measures
Proportion of responders achieving improvement from Baseline in Ocular Surface Disease Index (OSDI) score by a Minimal Clinically Important Difference (MCID).
Non-inferiority hypothesis. Scale of 0-100. Lower OSDI score means fewer symptoms.
Mean change in tear meniscus height from baseline
Null hypothesis of no improvement from baseline. Larger measurement equates to larger tear film.
Mean change in OSDI score from baseline
Null hypothesis of no improvement from baseline. Non-inferiority hypothesis. Scale of 0-100. Lower OSDI score means fewer symptoms.
Mean change in corneal staining score from baseline (NEI workshop scale)
Null hypothesis of no improvement from baseline. Scale is 0-15. More staining is associated with more severe dry eye.
Mean change in tear meniscus height from baseline
Null hypothesis of no improvement from baseline. Larger measurement equates to larger tear film.
Mean change in OSDI score from baseline
Null hypothesis of no improvement from baseline. Non-inferiority hypothesis. Scale of 0-100. Lower OSDI score means fewer symptoms.
Mean change in corneal staining score from baseline (NEI workshop scale)
Null hypothesis of no improvement from baseline. Scale is 0-15. More staining is associated with more severe dry eye.
Mean change in tear break up time from baseline
Null hypothesis of no improvement from baseline. Increased time equates to more stable tear film
Mean change in Schirmer score from baseline
Null hypothesis of no improvement from baseline. Higher Score using this continuous variable equates to larger tear film
Mean change in tear break up time from baseline
Null hypothesis of no improvement from baseline. Increased time equates to more stable tear film
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04817085
Brief Title
An Evaluation of the Clinical Utility and Safety of the Visant Medical Canalicular Plug
Official Title
Prospective Multicenter, Randomized, Double-Masked, Controlled Trial to Evaluate Clinical Utility and Safety of the Visant Medical Canalicular Device in Subjects Who Are Candidates for Occlusion With Punctal or Canalicular Plugs
Study Type
Interventional
2. Study Status
Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
October 6, 2020 (Actual)
Primary Completion Date
February 9, 2022 (Actual)
Study Completion Date
February 9, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Visant Medical, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is designed to evaluate the clinical utility and safety of the Visant Medical Canalicular Plug compared to a commercially available canalicular plug.
Detailed Description
The objective of this study is to evaluate the clinical utility and safety of the Visant Medical Canalicular Plug compared to a commercially available canalicular plug over 6 months of subject follow-up.
Study subjects who are eligible for enrollment and have provided written informed consent will be randomized in a 2:1 ratio (i.e., 2 subjects randomized to the Visant Medical Canalicular Plug for every 1 subject randomized to a commercially available canalicular plug). All study subjects will be treated bilaterally with plugs placed in the inferior canaliculi.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Eye
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
All study subjects will receive treatment. Study subjects will be randomized (2:1 ratio) with 2 subjects randomized to receive the Visant Medical Canalicular Plug for every 1 subject randomized to receive the commercially available canalicular plug.
Masking
ParticipantOutcomes Assessor
Masking Description
Subjects will be masked to their assignment to either the treatment or control group. Clinical personnel who perform clinical assessments will also be masked to the subjects' assignment to either the treatment or control group ("masked evaluators"). The eye care professional who inserts the test and control devices will not be masked and will not be eligible to perform follow-up evaluations.
Allocation
Randomized
Enrollment
156 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Visant Medical Canalicular Plug
Arm Type
Experimental
Arm Description
Bilateral placement of the Visant Canalicular Plug inserted on Day 1
Arm Title
Commercially available canalicular plug
Arm Type
Active Comparator
Arm Description
Bilateral placement of commercially available canalicular plug inserted on Day 1
Intervention Type
Device
Intervention Name(s)
Visant Medical Canalicular Plug
Intervention Description
Plug is inserted into the inferior canaliculi and assessed for 6 months
Intervention Type
Device
Intervention Name(s)
Commercially available canalicular plug
Intervention Description
Plug is inserted into the inferior canaliculi and assessed for 6 months
Primary Outcome Measure Information:
Title
Mean change in Schirmer's score from baseline to Month 3 compared to commercially available plug
Description
Non-inferiority hypothesis. Higher Score using this continuous variable equates to larger tear film
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Proportion of responders achieving improvement from Baseline in Ocular Surface Disease Index (OSDI) score by a Minimal Clinically Important Difference (MCID).
Description
Non-inferiority hypothesis. Scale of 0-100. Lower OSDI score means fewer symptoms.
Time Frame
3 months
Title
Mean change in tear meniscus height from baseline
Description
Null hypothesis of no improvement from baseline. Larger measurement equates to larger tear film.
Time Frame
Month 3
Title
Mean change in OSDI score from baseline
Description
Null hypothesis of no improvement from baseline. Non-inferiority hypothesis. Scale of 0-100. Lower OSDI score means fewer symptoms.
Time Frame
Month 3
Title
Mean change in corneal staining score from baseline (NEI workshop scale)
Description
Null hypothesis of no improvement from baseline. Scale is 0-15. More staining is associated with more severe dry eye.
Time Frame
Month 3
Title
Mean change in tear meniscus height from baseline
Description
Null hypothesis of no improvement from baseline. Larger measurement equates to larger tear film.
Time Frame
Month 6
Title
Mean change in OSDI score from baseline
Description
Null hypothesis of no improvement from baseline. Non-inferiority hypothesis. Scale of 0-100. Lower OSDI score means fewer symptoms.
Time Frame
Month 6
Title
Mean change in corneal staining score from baseline (NEI workshop scale)
Description
Null hypothesis of no improvement from baseline. Scale is 0-15. More staining is associated with more severe dry eye.
Time Frame
Month 6
Title
Mean change in tear break up time from baseline
Description
Null hypothesis of no improvement from baseline. Increased time equates to more stable tear film
Time Frame
Month 3
Title
Mean change in Schirmer score from baseline
Description
Null hypothesis of no improvement from baseline. Higher Score using this continuous variable equates to larger tear film
Time Frame
Month 6
Title
Mean change in tear break up time from baseline
Description
Null hypothesis of no improvement from baseline. Increased time equates to more stable tear film
Time Frame
Month 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Twenty-two (22) years of age or older
BCDVA of 20/40 or better in each eye
Both eyes with a baseline Schirmer's test with anesthetic ≤ 10 mm/5 minutes
Presence of corneal staining in both eyes in any of the 5 areas defined by the NEI/Industry Workshop Scale
Baseline OSDI score of at least 23 with no more than 3 responses of "not applicable"
Patent bilateral lacrimal drainage system as demonstrated by punctal irrigation
If female, subject must be post-menopausal, medically sterile (e.g hysterectomy, bilateral tubal ligation, bilateral oophorectomy) or have negative urine pregnancy test (UPT) on Day 0 of the study and agree to utilize a medically acceptable form of contraception over the course of the study
Willing and able to sign informed consent and HIPAA authorization, follow study instructions, and complete all study visits.
Exclusion Criteria:
Use of ophthalmic cyclosporine (Restasis) within 6 months or lifitegrast (Xiidra) within 3 months prior to Day 0 in either eye
History of surgical punctal occlusion (e.g., cautery), canalicular infection or canalicular surgery in either eye
Corneal transplant in either eye
Ocular surgery (such as cataract surgery or LASIK) in either eye within six months of the Baseline Visit
A systemic condition or disease not stabilized or judged by the investigator to be incompatible with participation in the study (e.g. current systemic infection, uncontrolled autoimmune disease, uncontrolled immunodeficiency disease)
The history or presence of any ocular disorder or condition in either eye that, in the opinion of the investigator, would interfere with the interpretation of the study results (e.g., significant corneal or conjunctival scarring, pterygium or nodular pinguecula; current ocular infection (except mild blepharitis), conjunctivitis or inflammation not associated with dry eye; anterior (epithelial) basement membrane corneal dystrophy or other clinically significant corneal dystrophy or degeneration; history of ocular herpetic infection; evidence of keratoconus; lid or lacrimal cancer
Active severe systemic allergy, seasonal allergies, rhinitis or sinusitis requiring treatment (i.e., antihistamines, decongestants, oral or aerosol steroids)
Use of steroids, including administration by systemic or topical ocular routes (dermatologic steroids not applied to the eyelids and inhaled steroids are allowed)
Participation in a clinical trial during the past 30 days
Women who are pregnant, planning a pregnancy, or nursing at study entry
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roger Albright
Organizational Affiliation
Ora Clinical Research Organization
Official's Role
Study Director
Facility Information:
Facility Name
Schwartz Laser Eye Center
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85260
Country
United States
Facility Name
Eye Research Foundation, Inc.
City
Newport Beach
State/Province
California
ZIP/Postal Code
92663
Country
United States
Facility Name
Andover Eye Associates
City
Andover
State/Province
Massachusetts
ZIP/Postal Code
01810
Country
United States
Facility Name
Piedmont Eye, Inc.
City
Lynchburg
State/Province
Virginia
ZIP/Postal Code
24502
Country
United States
Facility Name
See Clearly Vision
City
McLean
State/Province
Virginia
ZIP/Postal Code
22102
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
An Evaluation of the Clinical Utility and Safety of the Visant Medical Canalicular Plug
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