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A Phase 1/2, RU-101 Ophthalmic Solution in Patients With Severe Dry Eye

Primary Purpose

Dry Eye

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RU-101
Sponsored by
R-Tech Ueno, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye focused on measuring sever dry eye,keratoconjunctivitis sicca

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female patients aged 18 to 80 years.
  2. Patients have had dry eye symptoms at least 4 months.
  3. Patients have the following signs in the worst eye:

    1. Corneal staining score with fluorescein staining ≥ 6/15 with at least one in the central
    2. Conjunctival staining score with Lissamine Green ≥ 2/18
  4. Patients who had been receiving treatment with eye drops of artificial tears, Restasis, or topical steroids but have had insufficient efficacy or have found these products to be intolerable. If using Restasis or topical steroids, patients must agree to a 30-day washout period prior to the first IP dose (Day 0).
  5. Female patients of child bearing potential must agree to have a urine pregnancy test performed at Screening (must be negative) and agree to use a medically acceptable form of birth control (e.g., intrauterine device, birth control pill, patch or subcutaneous implant, condoms, diaphragm, or abstinence) throughout the duration of IP instillation. Women considered capable of becoming pregnant include all females who have experienced menarche and who have not experienced menopause (as defined by amenorrhea for > 12 consecutive months) or have not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation, or bilateral oophorectomy).

Exclusion Criteria:

  1. Presence of anterior eye diseases except dry eye.
  2. Intraocular pressure ≥ 22 mmHg at Screening.
  3. Use of any ophthalmic solutions (including over-the-counter [OTC] solutions), serum eye drops, or contact lenses during the Treatment Phase. Artificial tears are allowed during the Screening Phase but must not be used from the first dose (Day 0) through the Treatment Phase.
  4. Use of eye drops of Restasis or topical steroids within 30 days of the first dose (Day 0).
  5. Use of antihistamines, beta blockers, tricyclic antidepressants, or antidepressants with anticholinergic side effects during the Treatment Phase.
  6. Patients with previous corneal transplantation or laser-assisted in situ keratomileusis (LASIK).
  7. Presence of graft-versus-host disease (GVHD).
  8. Patients who have had other ocular surgery within 3 months prior to the first dose.
  9. Patients with punctal plugs or punctal cautery < 3 months prior to the first dose.
  10. Patients with severe dry eye due to Stevens-Johnson disease or ocular cicatricial pemphigoid.
  11. History of allergy to human serum protein products and/or any history of allergy to yeast.
  12. History of allergies to recombinant products, ophthalmic solutions, any constituents of RU 101, or any solutions planned for use in this study.
  13. Any significant chronic illness that, in the opinion of the Principal Investigator (PI), could interfere with the study parameters.
  14. Use of any investigational product or device within 30 days prior to the Screening Visit or during the study.
  15. Known history of alcohol and/or drug abuse within the past 12 months, which in the opinion of the PI could interfere with study compliance, outcome measures including safety parameters, and/or the general medical condition of the patient.
  16. Those unable in the opinion of the PI to comply fully with the study requirements.

Sites / Locations

  • Virginia Eye Consultants

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

placebo

RU-101

Arm Description

In Stage I, each patient will instill 1 drop of placebo into each eye, 6 times a day with at least 2 hours between each dose, for 28 days (4 weeks; a total of 168 doses to each eye). In Stage II, each patient will instill 1 drop into each eye, 6 times a day with at least 2 hours between each dose, for 84 days (12 weeks; a total of 504 doses to each eye).

In Stage I, each patient will instill 1 drop of RU-101 ophthalmic solution (5%, 10%, or 15%) into each eye, 6 times a day with at least 2 hours between each dose, for 28 days (4 weeks; a total of 168 doses to each eye). In Stage II, each patient will instill 1 drop of RU-101 ophthalmic solution (selected dose from Stage I) into each eye, 6 times a day with at least 2 hours between each dose, for 84 days (12 weeks; a total of 504 doses to each eye).

Outcomes

Primary Outcome Measures

Occular Adverse Events
The number of participants with a change from baseline in the following symptoms: intraocular pressure (IOP)-The IOP assessment will be done using either a Goldmann applanation tonometer or digital tonometer. slit lamp biomicroscopy fundoscopy-A dilated fundoscopic examination including evaluation of the vitreous, optic nerve, macula and retina will be performed and any abnormalities will be evaluated on a 4-point scale (1-4; slight, moderate, severe, or very severe

Secondary Outcome Measures

Symptoms
The number of participants with a change from baseline in the following symptoms: Symptom Assessment in Dry Eye (SANDE) Ocular Surface Disease Index (OSDI) Visual acuity (Early Treatment Diabetic Retinopathy Study [ETDRS] chart, high and 10% low contrast)
Signs
The number of participants with a change from baseline in the following signs: Tear break-up time (TBUT) Corneal staining with fluorescein Conjunctival staining with Lissamine Green Corneal sensitivity Schirmer test
Non-Occular Adverse Events
Number of AEs will be measured (vital signs, physical examination results, safety laboratory results, 12-lead electrocardiogram (ECG), and IP comfort assessment.

Full Information

First Posted
April 12, 2013
Last Updated
September 9, 2019
Sponsor
R-Tech Ueno, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01843894
Brief Title
A Phase 1/2, RU-101 Ophthalmic Solution in Patients With Severe Dry Eye
Official Title
A Phase 1/2, First-in-Human, Double-Masked, Placebo-Controlled, Dose-Escalation Study Evaluating the Safety, Tolerability, and Efficacy of RU-101 Ophthalmic Solution in Patients With Severe Dry Eye
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
R-Tech Ueno, Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Objectives: Primary To determine the safety and tolerability of escalating doses of RU-101 for 4 weeks in patients with severe dry eye Secondary To explore the efficacy of RU-101 To explore optimal endpoints for future studies
Detailed Description
This is a Phase 1/2, first-in-human, multicenter, dose escalation, double-masked, placebo controlled study consisting of two stages. In Stage I, 3 cohorts are planned to evaluate escalating doses of RU 101 ophthalmic solution, instilled 6 times daily into each eye for 4 weeks (28 days). Each cohort will comprise 4 patients randomized 3:1 to RU-101 or placebo. A masked safety data review will be performed prior to each dose escalation to determine if any dose limiting toxicities (DLTs) occurred and to define the MTD or highest dose to be used in Stage II. In Stage II, an expanded cohort will receive the dose defined in Stage I (MTD or highest dose if MTD is not reached), instilled 6 times daily into each eye for 12 weeks (84 days). The expanded cohort will comprise approximately 96 patients randomized 1:1 to RU-101 or placebo, provided in a double-masked manner.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Eye
Keywords
sever dry eye,keratoconjunctivitis sicca

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
104 (Actual)

8. Arms, Groups, and Interventions

Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
In Stage I, each patient will instill 1 drop of placebo into each eye, 6 times a day with at least 2 hours between each dose, for 28 days (4 weeks; a total of 168 doses to each eye). In Stage II, each patient will instill 1 drop into each eye, 6 times a day with at least 2 hours between each dose, for 84 days (12 weeks; a total of 504 doses to each eye).
Arm Title
RU-101
Arm Type
Experimental
Arm Description
In Stage I, each patient will instill 1 drop of RU-101 ophthalmic solution (5%, 10%, or 15%) into each eye, 6 times a day with at least 2 hours between each dose, for 28 days (4 weeks; a total of 168 doses to each eye). In Stage II, each patient will instill 1 drop of RU-101 ophthalmic solution (selected dose from Stage I) into each eye, 6 times a day with at least 2 hours between each dose, for 84 days (12 weeks; a total of 504 doses to each eye).
Intervention Type
Biological
Intervention Name(s)
RU-101
Intervention Description
Recombinant human serum albumin
Primary Outcome Measure Information:
Title
Occular Adverse Events
Description
The number of participants with a change from baseline in the following symptoms: intraocular pressure (IOP)-The IOP assessment will be done using either a Goldmann applanation tonometer or digital tonometer. slit lamp biomicroscopy fundoscopy-A dilated fundoscopic examination including evaluation of the vitreous, optic nerve, macula and retina will be performed and any abnormalities will be evaluated on a 4-point scale (1-4; slight, moderate, severe, or very severe
Time Frame
56 dyas (stage1) 112 days (stage 2)
Secondary Outcome Measure Information:
Title
Symptoms
Description
The number of participants with a change from baseline in the following symptoms: Symptom Assessment in Dry Eye (SANDE) Ocular Surface Disease Index (OSDI) Visual acuity (Early Treatment Diabetic Retinopathy Study [ETDRS] chart, high and 10% low contrast)
Time Frame
28days (stage 1) 3 months (stage2)
Title
Signs
Description
The number of participants with a change from baseline in the following signs: Tear break-up time (TBUT) Corneal staining with fluorescein Conjunctival staining with Lissamine Green Corneal sensitivity Schirmer test
Time Frame
28days (stage 1) 3 months (stage2)
Title
Non-Occular Adverse Events
Description
Number of AEs will be measured (vital signs, physical examination results, safety laboratory results, 12-lead electrocardiogram (ECG), and IP comfort assessment.
Time Frame
56 dyas (stage1) 112 days (stage 2)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female patients aged 18 to 80 years. Patients have had dry eye symptoms at least 4 months. Patients have the following signs in the worst eye: Corneal staining score with fluorescein staining ≥ 6/15 with at least one in the central Conjunctival staining score with Lissamine Green ≥ 2/18 Patients who had been receiving treatment with eye drops of artificial tears, Restasis, or topical steroids but have had insufficient efficacy or have found these products to be intolerable. If using Restasis or topical steroids, patients must agree to a 30-day washout period prior to the first IP dose (Day 0). Female patients of child bearing potential must agree to have a urine pregnancy test performed at Screening (must be negative) and agree to use a medically acceptable form of birth control (e.g., intrauterine device, birth control pill, patch or subcutaneous implant, condoms, diaphragm, or abstinence) throughout the duration of IP instillation. Women considered capable of becoming pregnant include all females who have experienced menarche and who have not experienced menopause (as defined by amenorrhea for > 12 consecutive months) or have not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation, or bilateral oophorectomy). Exclusion Criteria: Presence of anterior eye diseases except dry eye. Intraocular pressure ≥ 22 mmHg at Screening. Use of any ophthalmic solutions (including over-the-counter [OTC] solutions), serum eye drops, or contact lenses during the Treatment Phase. Artificial tears are allowed during the Screening Phase but must not be used from the first dose (Day 0) through the Treatment Phase. Use of eye drops of Restasis or topical steroids within 30 days of the first dose (Day 0). Use of antihistamines, beta blockers, tricyclic antidepressants, or antidepressants with anticholinergic side effects during the Treatment Phase. Patients with previous corneal transplantation or laser-assisted in situ keratomileusis (LASIK). Presence of graft-versus-host disease (GVHD). Patients who have had other ocular surgery within 3 months prior to the first dose. Patients with punctal plugs or punctal cautery < 3 months prior to the first dose. Patients with severe dry eye due to Stevens-Johnson disease or ocular cicatricial pemphigoid. History of allergy to human serum protein products and/or any history of allergy to yeast. History of allergies to recombinant products, ophthalmic solutions, any constituents of RU 101, or any solutions planned for use in this study. Any significant chronic illness that, in the opinion of the Principal Investigator (PI), could interfere with the study parameters. Use of any investigational product or device within 30 days prior to the Screening Visit or during the study. Known history of alcohol and/or drug abuse within the past 12 months, which in the opinion of the PI could interfere with study compliance, outcome measures including safety parameters, and/or the general medical condition of the patient. Those unable in the opinion of the PI to comply fully with the study requirements.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Sheppard, MD
Organizational Affiliation
Virginia Ehe Consultants
Official's Role
Principal Investigator
Facility Information:
Facility Name
Virginia Eye Consultants
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
22655-5342
Country
United States

12. IPD Sharing Statement

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A Phase 1/2, RU-101 Ophthalmic Solution in Patients With Severe Dry Eye

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