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Efficacy of OC-01 Nasal Spray on Goblet Cell and Meibomian Gland Stimulation

Primary Purpose

Dry Eye Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
OC-01 (varenicline) nasal spray
Placebo (vehicle control) nasal spray
Sponsored by
Oyster Point Pharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye Disease

Eligibility Criteria

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

Inclusion Criteria:

  • Have used and/or desired to use an artificial tear substitute for dry eye symptoms within 6 months prior to visit 1.

Exclusion Criteria:

  • Have had any intraocular surgery (such as cataract surgery), extraocular surgery (such as blepharoplasty) in either eye within three months or refractive surgery (e.g. laser-assisted in-situ keratomileusis, laser epithelial keratomileusis, photorefractive keratectomy or corneal implant) within twelve months of Visit 1
  • Have a history or presence of any ocular disorder or condition in either eye that would, in the opinion of the Investigator, likely interfere with the interpretation of the study results or participant safety such as significant corneal or conjunctival scarring; pterygium or nodular pinguecula; current ocular infection, conjunctivitis, or inflammation not associated with dry eye; anterior (epithelial) basement membrane corneal dystrophy or other clinically significant corneal dystrophy or degeneration; ocular herpetic infection; evidence of keratoconus; etc. Blepharitis not requiring treatment and mild meibomian gland disease that are typically associated with DED are allowed.
  • Have a systemic condition or disease not stabilized or judged by the Investigator to be incompatible with participation in the study or with the lengthier assessments required by the study (e.g., current systemic infection, uncontrolled autoimmune disease, uncontrolled immunodeficiency disease, history of myocardial infarction or heart disease, etc.)
  • Have a known hypersensitivity to any of the procedural agents or study drug components
  • Have any condition or history that, in the opinion of the investigator, may interfere with study compliance, outcome measures, safety parameters, and/or the general medical condition of the subject

Sites / Locations

  • Tufts

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

OC-01 (varenicline) nasal spray, 1.2 mg/mL

Placebo (vehicle control) nasal spray

Arm Description

OC-01 (varenicline) nasal spray, 1.2 mg/mL, one time dosing

Placebo (vehicle control) nasal spray, one time dosing

Outcomes

Primary Outcome Measures

Mean Change in Goblet Cell Area
Mean change in Goblet Cell Area with a larger decrease is indicative of a better outcome.
Mean Change in Goblet Cell Perimeter
Mean change in Goblet Cell Perimeter. A larger decrease is indicative of a better outcome.
Change in Meibomian Gland Area, Upper Lid
Change in Meibomian gland area, upper lid. A larger decrease is indicative of a better outcome
Mean Change in Meibomian Gland Area, Lower Lid.
Mean change in Meibomian Gland Area, lower Lid. A larger decrease is indicative of a better outcome.
Mean Change in Meibomian Gland Perimeter, Upper Lid.
Chane in Meibomian Gland Perimeter, upper lid. A larger decrease is indicative of a better outcome.
Mean Change in Meibomian Gland Perimeter, Lower Lid
Mean change in Meibomian Gland Perimeter, lower lid. A larger decrease is indicative of a better outcome.

Secondary Outcome Measures

Full Information

First Posted
September 26, 2018
Last Updated
November 30, 2021
Sponsor
Oyster Point Pharma, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03688802
Brief Title
Efficacy of OC-01 Nasal Spray on Goblet Cell and Meibomian Gland Stimulation
Official Title
A Single-Center, Randomized, Controlled, Masked Clinical Trial to Evaluate the Efficacy of OC-01 Nasal Spray on Goblet Cell and Meibomian Gland Stimulation (The IMPERIAL Study)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
September 25, 2018 (Actual)
Primary Completion Date
September 30, 2019 (Actual)
Study Completion Date
September 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oyster Point Pharma, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this study is to evaluate the safety and effectiveness of OC-01 Nasal Spray as compared to placebo in simulating Goblet Cell and Meibomian Gland function in adult subjects with DED.
Detailed Description
This was a Phase 2, single-center, randomized, masked (including all subjects, investigators, and study site personnel), placebo-controlled study designed to evaluate the safety and efficacy of OC-01 (varenicline) nasal spray in stimulating goblet cell and Meibomian gland function in in adult subjects with DED. Approximately 45 subjects at least 18 years of age with a physicians' diagnosis of DED and meeting all other study eligibility criteria were planned to be randomized to receive a single application of 0.2% (1.2 mg/mL) OC-01 or placebo

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
OC-01 (varenicline) nasal spray, 1.2 mg/mL
Arm Type
Active Comparator
Arm Description
OC-01 (varenicline) nasal spray, 1.2 mg/mL, one time dosing
Arm Title
Placebo (vehicle control) nasal spray
Arm Type
Placebo Comparator
Arm Description
Placebo (vehicle control) nasal spray, one time dosing
Intervention Type
Drug
Intervention Name(s)
OC-01 (varenicline) nasal spray
Intervention Description
OC-01 (varenicline) nasal spray
Intervention Type
Drug
Intervention Name(s)
Placebo (vehicle control) nasal spray
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Mean Change in Goblet Cell Area
Description
Mean change in Goblet Cell Area with a larger decrease is indicative of a better outcome.
Time Frame
Baseline (pre-treatment), 1 day (post treatment)
Title
Mean Change in Goblet Cell Perimeter
Description
Mean change in Goblet Cell Perimeter. A larger decrease is indicative of a better outcome.
Time Frame
Baseline (pre-treatment), 1 day (post treatment)
Title
Change in Meibomian Gland Area, Upper Lid
Description
Change in Meibomian gland area, upper lid. A larger decrease is indicative of a better outcome
Time Frame
Baseline (pre-treatment), 1 day (post treatment)
Title
Mean Change in Meibomian Gland Area, Lower Lid.
Description
Mean change in Meibomian Gland Area, lower Lid. A larger decrease is indicative of a better outcome.
Time Frame
Baseline (pre-treatment), 1 day (post treatment)
Title
Mean Change in Meibomian Gland Perimeter, Upper Lid.
Description
Chane in Meibomian Gland Perimeter, upper lid. A larger decrease is indicative of a better outcome.
Time Frame
Baseline (pre-treatment), 1 day (post treatment)
Title
Mean Change in Meibomian Gland Perimeter, Lower Lid
Description
Mean change in Meibomian Gland Perimeter, lower lid. A larger decrease is indicative of a better outcome.
Time Frame
Baseline (pre-treatment), 1 day (post treatment)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have used and/or desired to use an artificial tear substitute for dry eye symptoms within 6 months prior to visit 1. Exclusion Criteria: Have had any intraocular surgery (such as cataract surgery), extraocular surgery (such as blepharoplasty) in either eye within three months or refractive surgery (e.g. laser-assisted in-situ keratomileusis, laser epithelial keratomileusis, photorefractive keratectomy or corneal implant) within twelve months of Visit 1 Have a history or presence of any ocular disorder or condition in either eye that would, in the opinion of the Investigator, likely interfere with the interpretation of the study results or participant safety such as significant corneal or conjunctival scarring; pterygium or nodular pinguecula; current ocular infection, conjunctivitis, or inflammation not associated with dry eye; anterior (epithelial) basement membrane corneal dystrophy or other clinically significant corneal dystrophy or degeneration; ocular herpetic infection; evidence of keratoconus; etc. Blepharitis not requiring treatment and mild meibomian gland disease that are typically associated with DED are allowed. Have a systemic condition or disease not stabilized or judged by the Investigator to be incompatible with participation in the study or with the lengthier assessments required by the study (e.g., current systemic infection, uncontrolled autoimmune disease, uncontrolled immunodeficiency disease, history of myocardial infarction or heart disease, etc.) Have a known hypersensitivity to any of the procedural agents or study drug components Have any condition or history that, in the opinion of the investigator, may interfere with study compliance, outcome measures, safety parameters, and/or the general medical condition of the subject
Facility Information:
Facility Name
Tufts
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35653029
Citation
Dieckmann GM, Cox SM, Lopez MJ, Ozmen MC, Yavuz Saricay L, Bayrakutar BN, Binotti WW, Henry E, Nau J, Hamrah P. A Single Administration of OC-01 (Varenicline Solution) Nasal Spray Induces Short-Term Alterations in Conjunctival Goblet Cells in Patients with Dry Eye Disease. Ophthalmol Ther. 2022 Aug;11(4):1551-1561. doi: 10.1007/s40123-022-00530-x. Epub 2022 Jun 2.
Results Reference
derived

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Efficacy of OC-01 Nasal Spray on Goblet Cell and Meibomian Gland Stimulation

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