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Clobetasol Propionate Ophthalmic Nanoemulsion, 0.05% in the Treatment of Inflammation After Cataract Surgery in Pediatric Population (CLOSE-3)

Primary Purpose

Cataracts Infantile

Status
Recruiting
Phase
Phase 3
Locations
Spain
Study Type
Interventional
Intervention
Clobetasol Propionate
Prednisolone acetate ophthalmic suspension, 1%
Sponsored by
Salvat
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cataracts Infantile focused on measuring Cataract surgery, Inflammation, Pain

Eligibility Criteria

0 Months - 3 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male or female, aged 0 to 3 years old (have not had their 4th birthday) on the day of consent. Patients who are candidate for routine, uncomplicated cataract surgery in one eye with or without intraocular lens. Patients whose caregiver(s) is/are able and willing to comply with all treatment and follow-up procedures. Signed informed consent from (ICF) parents or patient's legally authorized representative(s). Patients who have undergone routine, uncomplicated cataract surgery in one eye with or without intraocular lens. Patients with clinical evidence of postoperative inflammation (anterior chamber inflammation grade > 0). Exclusion Criteria: Presence of any active or suspected viral, bacterial, or fungal disease in the study eye. Active uveitis in the study eye. Ocular neoplasia in the study eye. Post-traumatic cataract in the study eye. Suspected permanent low vision or blindness in the fellow non-study eye. The study eye must not be the patient's only good eye. Use of any topical medication in the study eye within 2 days prior to surgery, except for those required for ocular examination or preoperative preparation. Systemic administration of any steroidal anti inflammatory drugs in the previous 2 weeks prior to the surgery. Systemic administration of any non-steroidal anti inflammatory drugs in the previous 48 hours prior to the surgery. Patient or patient's breastfeeding mother who is expected to use corticosteroids (except corticosteroid inhalers and dermatological corticosteroids, as long as they are not used on the eyelids or surrounding area, and oral prednisolone steaglate drops as part of the standard treatment after cataract surgery) or immunosuppressants during the 30 days following cataract surgery. History of steroid-induced increase in IOP in either eye. Patients with glaucoma, ocular hypertension, or those receiving IOP lowering therapy in either eye or systemically. Any current corneal abrasion or ulceration. Known or suspected allergy or hypersensitivity to similar drugs, such as other corticosteroids, or their components. Patients who have had ocular surgery in the study eye within 90 days prior to surgery. History of post-operative unresolved inflammation in the contralateral eye. Presence or history of chronic generalized systemic disease that the Investigator believes may either increase the risk to the subject or confound the results of the study (e.g., Diabetes mellitus, human immunodeficiency virus [HIV], acquired immunodeficiency syndrome [AIDS]). Any concurrent process which, in the opinion of the investigator, could impair patients' safety or limit adherence to the study protocol. Participation in any study of an investigational topical or systemic new drug or device within 30 days prior to screening, or at any time during the study. Prior participation in the study described in this protocol unless the patient wasn't randomized.

Sites / Locations

  • Hospìtal Sant Joan de DeuRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Clobetasol propionate

Prednisolone acetate

Arm Description

One drop of Clobetasol propionate ophthalmic nanoemulsion, 0.05% will be administered of the study eye QID beginning the day after surgery (Day 1) for 14 days followed by a tapering period of 14 days.

One drop of Prednisolone ophthalmic suspension, 1% will be administered of the study eye QID beginning the day after surgery (Day 1) for 14 days followed by a tapering period of 14 days.

Outcomes

Primary Outcome Measures

Assess the safety of Clobetasol propionate ophthalmic nanoemulsion, 0.05% treatment after cataract surgery in pediatric population 0 to 3 years of age, compared to Prednisolone acetate ophthalmic suspension, 1%.
Number, frequency, severity, and relationship to IMP of adverse events (AEs) up to last study visit.

Secondary Outcome Measures

Assess the efficacy on ocular inflammation of Clobetasol propionate ophthalmic nanoemulsion, 0.05% treatment after cataract surgery in pediatric population 0 to 3 years of age, compared to Prednisolone acetate ophthalmic suspension, 1%.
Percentage of patients with anterior chamber inflammation of grade 0. Anterior chamber inflammation is graded on a 5-point scale: 0 = None: Clear anterior chamber with no visible clouding (Tyndall effect and cells combined). Red reflex normal. = Mild: Mild anterior chamber clouding. Clear iris pattern on visualization. Red reflex normal. = Moderate: Moderate anterior chamber clouding. = Severe: Severe anterior chamber clouding. Iris pattern not clearly visualized. Red reflex diminished. = Very severe: Severe anterior chamber clouding with a white and/or milky appearance of the anterior chamber. Red reflex absent or severely diminished.
Assess the efficacy on pain of Clobetasol propionate ophthalmic nanoemulsion, 0.05% treatment after cataract surgery in pediatric population 0 to 3 years of age, compared to Prednisolone acetate ophthalmic suspension, 1%.
Change in the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale Score. Each of the five categories (F) Face; (L) Legs; (A) Activity; (C) Cry; (C) Consolability is scored from 0-2, which results in a total score between zero and ten.

Full Information

First Posted
January 23, 2023
Last Updated
February 1, 2023
Sponsor
Salvat
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1. Study Identification

Unique Protocol Identification Number
NCT05724446
Brief Title
Clobetasol Propionate Ophthalmic Nanoemulsion, 0.05% in the Treatment of Inflammation After Cataract Surgery in Pediatric Population
Acronym
CLOSE-3
Official Title
A Phase 3, Multicenter, Randomized, Evaluator-blinded Clinical Trial to Assess the Safety and Efficacy of Clobetasol Propionate Ophthalmic Nanoemulsion, 0.05% Compared to Prednisolone Acetate, 1% in the Treatment of Inflammation After Cataract Surgery in Pediatric Population 0 to 3 Years of Age (CLOSE-3)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 12, 2022 (Actual)
Primary Completion Date
August 31, 2024 (Anticipated)
Study Completion Date
August 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Salvat

4. Oversight

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

5. Study Description

Brief Summary
Multicenter, randomized, evaluator-blinded clinical trial compared to Prednisolone acetate, 1% in the treatment of inflammation and pain after cataract surgery in pediatric population. This study will assess the safety of Clobetasol propionate ophthalmic nanoemulsion, 0.05% to that of Prednisolone acetate, 1% when administering one drop four times a day (QID) for 14 days followed by a tapering period of 14 days after cataract surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataracts Infantile
Keywords
Cataract surgery, Inflammation, Pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Clobetasol propionate
Arm Type
Experimental
Arm Description
One drop of Clobetasol propionate ophthalmic nanoemulsion, 0.05% will be administered of the study eye QID beginning the day after surgery (Day 1) for 14 days followed by a tapering period of 14 days.
Arm Title
Prednisolone acetate
Arm Type
Active Comparator
Arm Description
One drop of Prednisolone ophthalmic suspension, 1% will be administered of the study eye QID beginning the day after surgery (Day 1) for 14 days followed by a tapering period of 14 days.
Intervention Type
Drug
Intervention Name(s)
Clobetasol Propionate
Other Intervention Name(s)
SVT-15473
Intervention Description
Clobetasol propionate ophthalmic nanoemulsion 0.05 % is an oil-in-water (O/W), clear or slightly yellowish nanoemulsion containing the active ingredient clobetasol propionate at a concentration of 0.05% weight per weight (w/w).
Intervention Type
Drug
Intervention Name(s)
Prednisolone acetate ophthalmic suspension, 1%
Intervention Description
Microfine sterile ophthalmic suspension of dense and whitish appearance.
Primary Outcome Measure Information:
Title
Assess the safety of Clobetasol propionate ophthalmic nanoemulsion, 0.05% treatment after cataract surgery in pediatric population 0 to 3 years of age, compared to Prednisolone acetate ophthalmic suspension, 1%.
Description
Number, frequency, severity, and relationship to IMP of adverse events (AEs) up to last study visit.
Time Frame
Day 43
Secondary Outcome Measure Information:
Title
Assess the efficacy on ocular inflammation of Clobetasol propionate ophthalmic nanoemulsion, 0.05% treatment after cataract surgery in pediatric population 0 to 3 years of age, compared to Prednisolone acetate ophthalmic suspension, 1%.
Description
Percentage of patients with anterior chamber inflammation of grade 0. Anterior chamber inflammation is graded on a 5-point scale: 0 = None: Clear anterior chamber with no visible clouding (Tyndall effect and cells combined). Red reflex normal. = Mild: Mild anterior chamber clouding. Clear iris pattern on visualization. Red reflex normal. = Moderate: Moderate anterior chamber clouding. = Severe: Severe anterior chamber clouding. Iris pattern not clearly visualized. Red reflex diminished. = Very severe: Severe anterior chamber clouding with a white and/or milky appearance of the anterior chamber. Red reflex absent or severely diminished.
Time Frame
Day 15
Title
Assess the efficacy on pain of Clobetasol propionate ophthalmic nanoemulsion, 0.05% treatment after cataract surgery in pediatric population 0 to 3 years of age, compared to Prednisolone acetate ophthalmic suspension, 1%.
Description
Change in the Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale Score. Each of the five categories (F) Face; (L) Legs; (A) Activity; (C) Cry; (C) Consolability is scored from 0-2, which results in a total score between zero and ten.
Time Frame
Day 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Months
Maximum Age & Unit of Time
3 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, aged 0 to 3 years old (have not had their 4th birthday) on the day of consent. Patients who are candidate for routine, uncomplicated cataract surgery in one eye with or without intraocular lens. Patients whose caregiver(s) is/are able and willing to comply with all treatment and follow-up procedures. Signed informed consent from (ICF) parents or patient's legally authorized representative(s). Patients who have undergone routine, uncomplicated cataract surgery in one eye with or without intraocular lens. Patients with clinical evidence of postoperative inflammation (anterior chamber inflammation grade > 0). Exclusion Criteria: Presence of any active or suspected viral, bacterial, or fungal disease in the study eye. Active uveitis in the study eye. Ocular neoplasia in the study eye. Post-traumatic cataract in the study eye. Suspected permanent low vision or blindness in the fellow non-study eye. The study eye must not be the patient's only good eye. Use of any topical medication in the study eye within 2 days prior to surgery, except for those required for ocular examination or preoperative preparation. Systemic administration of any steroidal anti inflammatory drugs in the previous 2 weeks prior to the surgery. Systemic administration of any non-steroidal anti inflammatory drugs in the previous 48 hours prior to the surgery. Patient or patient's breastfeeding mother who is expected to use corticosteroids (except corticosteroid inhalers and dermatological corticosteroids, as long as they are not used on the eyelids or surrounding area, and oral prednisolone steaglate drops as part of the standard treatment after cataract surgery) or immunosuppressants during the 30 days following cataract surgery. History of steroid-induced increase in IOP in either eye. Patients with glaucoma, ocular hypertension, or those receiving IOP lowering therapy in either eye or systemically. Any current corneal abrasion or ulceration. Known or suspected allergy or hypersensitivity to similar drugs, such as other corticosteroids, or their components. Patients who have had ocular surgery in the study eye within 90 days prior to surgery. History of post-operative unresolved inflammation in the contralateral eye. Presence or history of chronic generalized systemic disease that the Investigator believes may either increase the risk to the subject or confound the results of the study (e.g., Diabetes mellitus, human immunodeficiency virus [HIV], acquired immunodeficiency syndrome [AIDS]). Any concurrent process which, in the opinion of the investigator, could impair patients' safety or limit adherence to the study protocol. Participation in any study of an investigational topical or systemic new drug or device within 30 days prior to screening, or at any time during the study. Prior participation in the study described in this protocol unless the patient wasn't randomized.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Enrique Jimenez
Phone
+34 933946400
Email
ejimenez@svt.com
Facility Information:
Facility Name
Hospìtal Sant Joan de Deu
City
Barcelone
ZIP/Postal Code
08950
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marta Morales, MD

12. IPD Sharing Statement

Learn more about this trial

Clobetasol Propionate Ophthalmic Nanoemulsion, 0.05% in the Treatment of Inflammation After Cataract Surgery in Pediatric Population

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