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Evaluation of Efficacy and Safety of Vismed Gel Multi 0.3% Versus Vismed Multi 0.18% on Treatment of Ocular Dryness

Primary Purpose

Dry Eye

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Vismed gel Multi 0.3% eye drops
Vismed Multi 0.18% eye drops
Sponsored by
Horus Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye

Eligibility Criteria

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

Inclusion Criteria:

  • Sex: male or female.
  • Age: more than 18 years.
  • Subject with a moderate to severe dry eye syndrome needing artificial tears in the 3 months preceding the inclusion.
  • Subject having used only artificial tears without preservative (NaCl 0.9%, Hydrabak®) during 1 to 2 weeks before inclusion (up to 6 times a day).
  • Subject with a score ≥ 6 for the 5-Item Dry Eye Questionnaire (DEQ-5)
  • Subject with at least one eye with:

    • Global ocular staining (cornea and conjunctiva) ≥4 and ≤9 on the Oxford scale (0 to 15)

AND one of the following criteria:

  • Schirmer test ≥ 3 mm/5 min and ≤ 9 mm/5 min OR
  • Sum of 3 measurements of Tear film Break-Up Time (TBUT) ≤ 30s.

    • Subject, having given freely and expressly his/her informed consent.
    • Subject who is able to comply with the study requirements, as defined in the present CIP, at the Investigator's appreciation.
    • In France: subject being affiliated to a health social security system. Female subjects of childbearing potential should use a medically accepted contraceptive regimen since at least 12 weeks before the beginning of the study, during all the study and at least 1 month after the study end.

Exclusion Criteria:

  • Pregnant or nursing woman or planning a pregnancy during the study.
  • Subject deprived of freedom by administrative or legal decision.
  • Subject in a social or health institution
  • Subject who is under guardianship or who is not able to express his/her consent.
  • Subject being in an exclusion period for a previous study.
  • Subject suspected to be non-compliant according to the Investigator's judgment.
  • Subject wearing contact lenses during the study.
  • Far best corrected visual acuity < 1/10
  • Subject with severe ocular dryness with one of these conditions:

    • Eyelid or blinking malfunction
    • Corneal disorders not related to dry eye syndrome
    • Ocular metaplasia
    • Filamentous keratitis
    • Corneal neovascularization
  • Subject with severe meibomian gland dysfunction (MGD)
  • History of ocular trauma, infection or inflammation, not related to dry eye syndrome within the last 3 months prior to the inclusion.
  • History of ocular allergy or ocular herpes within the last 12 months.
  • Subjects who underwent ocular surgery, including laser surgery, in either eye within the last 6 months.
  • Any troubles of the ocular surface not related to dry eye syndrome.
  • Subject having used artificial tears in the 6 hours preceding the inclusion visit.
  • Use of the following ocular treatments: isotretinoïd, cyclosporine, tacrolimus, sirolimus, pimecrolimus, punctual plugs during the month preceding the inclusion.
  • Subjects who have received ocular therapy (either eye) with any ophthalmic medication, except tear substitutes, within 2 weeks prior to study start or expected to receive ocular therapy during the study.
  • Any not stabilised systemic treatment, which can have an effect on performance or safety criteria, at the investigator appreciation.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Investig. device:Vismed Gel Multi 0.3%

    Comparative device: Vismed Multi 0.18%

    Arm Description

    Vismed gel Multi 0.3% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days

    Vismed Multi 0.18% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days

    Outcomes

    Primary Outcome Measures

    Demonstrate the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18% in terms of cornea and conjunctiva staining (Oxford score) on patients with moderate to severe ocular dryness, after 35 days of treatment.
    Assess the ocular surface fluorescein staining score- mean change from Baseline in the study at D35 in ocular surface fluorescein stainig score according to a scale from zero to 15
    To assess the total ocular surface fluorescein staining score at D84
    Mean change from Baseline (D0) in the study eye and D84 in the total ocular surface fluoresceine staining score
    Evolution of DEQ-5 score
    Evolution from Baseline of DEQ-5 questionnaire scores at day 35
    Evolution of DEQ-5 score
    Evolution from Baseline of DEQ-5 questionnaire scores at day 84
    Evolution of Van Bijterveld score ( lissamine green staining)
    Mean change from Baseline ( D0) and D 35 in the total Van Bijterveld score
    Evolution of Van Bijterveld score ( lissamine green staining)
    Mean change from Baseline ( D0) and D 84 in the total Van Bijterveld score
    Volume tear fluid secretion as assessed by schirmer test
    Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed
    Volume tear fluid secretion as assessed by schirmer test
    Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed
    Evolution of Tear film Break-Up Time
    Mean change from Baseline (D0) in the study eye in TFBUT at Day 35
    Evolution of Tear film Break-Up Time
    Mean change from Baseline (D0) in the study eye in TFBUT at Day 84
    Global sum score of dry eye symptoms at visit 3 - mean change from Baseline at visit 3 ( D35)
    Mean change from Baseline in the global sum score of dry eye symptoms at D35 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
    Global sum score of dry eye symptoms at visit 4 - mean change from Baseline at visit 3 ( D84)
    Mean change from Baseline in the global sum score of dry eye symptoms at D84 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
    Global treatment performance score assessed by the investigator at visit 3
    Total Treatment performance score graded from 0 to 4
    Global treatment performance score assessed by the investigator at visit 4
    Total Treatment performance score graded from 0 to 4
    Global treatment performance score assessed by the patient at visit 3
    Total Treatment performance score graded from 0 to 4
    Global treatment performance score assessed by the patient at visit 4
    Total Treatment performance score graded from 0 to 4

    Secondary Outcome Measures

    Full Information

    First Posted
    August 22, 2018
    Last Updated
    August 22, 2018
    Sponsor
    Horus Pharma
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03645850
    Brief Title
    Evaluation of Efficacy and Safety of Vismed Gel Multi 0.3% Versus Vismed Multi 0.18% on Treatment of Ocular Dryness
    Official Title
    Evaluation of the Efficacy and Safety of Vismed® Gel Multi 0.3% Versus Vismed® Multi 0.18% on the Treatment of Moderate to Severe Ocular Dryness
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2018
    Overall Recruitment Status
    Unknown status
    Study Start Date
    September 1, 2018 (Anticipated)
    Primary Completion Date
    March 1, 2019 (Anticipated)
    Study Completion Date
    June 15, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Horus Pharma

    4. Oversight

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

    5. Study Description

    Brief Summary
    This study is a multicentric, comparative, randomized, investigator-blinded, parallel group study to demonstrate the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18% in terms of cornea and conjunctiva staining (Oxford score) on patients with moderate to severe ocular dryness, after 35 days of treatment.
    Detailed Description
    Evaluation of the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18%, in terms of cornea and conjunctiva staining (Oxford score), on worse eye, between Day 0 and Day 35. Evaluation of the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18%, in terms of cornea and conjunctiva staining (Oxford score), on worse eye, between Day 0 and Day 35. Comparison of Day 35 versus Day 0 and Day 84 versus Day 0 for each product and comparison between products for the following parameters: Evolution of cornea and conjunctiva staining (Oxford score) on worse eye. Evolution of DEQ-5 score (5-items Dry Eye Questionnaire). Evolution of Van Bijsterveld score (Lissamine green staining) in worse eye. Evolution of Schirmer test result in worse eye. Evolution of Tear film Break-Up Time (TBUT) in worse eye. Evolution of ocular dryness severity by evaluation of each main symptom by the patient and total score of all symptoms Evaluation of treatment performance by the investigator and the patient. Evaluation of the average frequency of use over 84 days for both products.

    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
    Parallel Assignment Because the comparator will be in commercial packaging, the blinding of the subject is not possible. However, the study will be blinded for the investigator: evaluations will be done by an independent investigator, different than the person who will distribute the product. Subjects will be identified by a patient number. Each patient number will be associated to a treatment number, according to a randomization list provided before the beginning of the clinical investigation, and randomized either in one of both treatment groups (Vismed Gel Multi 3% or Vismed Multi 0.18%).
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Investig. device:Vismed Gel Multi 0.3%
    Arm Type
    Experimental
    Arm Description
    Vismed gel Multi 0.3% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days
    Arm Title
    Comparative device: Vismed Multi 0.18%
    Arm Type
    Active Comparator
    Arm Description
    Vismed Multi 0.18% eye drops: 1 to 2 drops in each eye between 4 and 6 times per day during 84 days
    Intervention Type
    Device
    Intervention Name(s)
    Vismed gel Multi 0.3% eye drops
    Intervention Description
    Ophthalmic use. Vismed gel Multi 0.3% eye drops. One to two drops instilled in each eye from 4 to 6 times per day during 84 days of treatment.
    Intervention Type
    Device
    Intervention Name(s)
    Vismed Multi 0.18% eye drops
    Intervention Description
    Ophthalmic use. One to two drops instilled in each eye from 4 to 6 times per day during 84 days of treatment.
    Primary Outcome Measure Information:
    Title
    Demonstrate the non-inferiority of Vismed® Gel Multi 0.3% in comparison with Vismed® Multi 0.18% in terms of cornea and conjunctiva staining (Oxford score) on patients with moderate to severe ocular dryness, after 35 days of treatment.
    Description
    Assess the ocular surface fluorescein staining score- mean change from Baseline in the study at D35 in ocular surface fluorescein stainig score according to a scale from zero to 15
    Time Frame
    35 days
    Title
    To assess the total ocular surface fluorescein staining score at D84
    Description
    Mean change from Baseline (D0) in the study eye and D84 in the total ocular surface fluoresceine staining score
    Time Frame
    0 and 84 days
    Title
    Evolution of DEQ-5 score
    Description
    Evolution from Baseline of DEQ-5 questionnaire scores at day 35
    Time Frame
    35 days
    Title
    Evolution of DEQ-5 score
    Description
    Evolution from Baseline of DEQ-5 questionnaire scores at day 84
    Time Frame
    84 days
    Title
    Evolution of Van Bijterveld score ( lissamine green staining)
    Description
    Mean change from Baseline ( D0) and D 35 in the total Van Bijterveld score
    Time Frame
    35 Days
    Title
    Evolution of Van Bijterveld score ( lissamine green staining)
    Description
    Mean change from Baseline ( D0) and D 84 in the total Van Bijterveld score
    Time Frame
    84 days
    Title
    Volume tear fluid secretion as assessed by schirmer test
    Description
    Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed
    Time Frame
    35 days
    Title
    Volume tear fluid secretion as assessed by schirmer test
    Description
    Mean change from Baseline ( D0) in Volume tear fluid secretion as assessed
    Time Frame
    84 days
    Title
    Evolution of Tear film Break-Up Time
    Description
    Mean change from Baseline (D0) in the study eye in TFBUT at Day 35
    Time Frame
    35 days
    Title
    Evolution of Tear film Break-Up Time
    Description
    Mean change from Baseline (D0) in the study eye in TFBUT at Day 84
    Time Frame
    84 days
    Title
    Global sum score of dry eye symptoms at visit 3 - mean change from Baseline at visit 3 ( D35)
    Description
    Mean change from Baseline in the global sum score of dry eye symptoms at D35 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
    Time Frame
    35 days
    Title
    Global sum score of dry eye symptoms at visit 4 - mean change from Baseline at visit 3 ( D84)
    Description
    Mean change from Baseline in the global sum score of dry eye symptoms at D84 : discomfort,burning, stinging,eye dryness sensation, itching,foreign body sensation,photophobia, blurred vision.Each graded from 0 to 10
    Time Frame
    84 days
    Title
    Global treatment performance score assessed by the investigator at visit 3
    Description
    Total Treatment performance score graded from 0 to 4
    Time Frame
    35 days
    Title
    Global treatment performance score assessed by the investigator at visit 4
    Description
    Total Treatment performance score graded from 0 to 4
    Time Frame
    84 days
    Title
    Global treatment performance score assessed by the patient at visit 3
    Description
    Total Treatment performance score graded from 0 to 4
    Time Frame
    35 days
    Title
    Global treatment performance score assessed by the patient at visit 4
    Description
    Total Treatment performance score graded from 0 to 4
    Time Frame
    84 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Sex: male or female. Age: more than 18 years. Subject with a moderate to severe dry eye syndrome needing artificial tears in the 3 months preceding the inclusion. Subject having used only artificial tears without preservative (NaCl 0.9%, Hydrabak®) during 1 to 2 weeks before inclusion (up to 6 times a day). Subject with a score ≥ 6 for the 5-Item Dry Eye Questionnaire (DEQ-5) Subject with at least one eye with: Global ocular staining (cornea and conjunctiva) ≥4 and ≤9 on the Oxford scale (0 to 15) AND one of the following criteria: Schirmer test ≥ 3 mm/5 min and ≤ 9 mm/5 min OR Sum of 3 measurements of Tear film Break-Up Time (TBUT) ≤ 30s. Subject, having given freely and expressly his/her informed consent. Subject who is able to comply with the study requirements, as defined in the present CIP, at the Investigator's appreciation. In France: subject being affiliated to a health social security system. Female subjects of childbearing potential should use a medically accepted contraceptive regimen since at least 12 weeks before the beginning of the study, during all the study and at least 1 month after the study end. Exclusion Criteria: Pregnant or nursing woman or planning a pregnancy during the study. Subject deprived of freedom by administrative or legal decision. Subject in a social or health institution Subject who is under guardianship or who is not able to express his/her consent. Subject being in an exclusion period for a previous study. Subject suspected to be non-compliant according to the Investigator's judgment. Subject wearing contact lenses during the study. Far best corrected visual acuity < 1/10 Subject with severe ocular dryness with one of these conditions: Eyelid or blinking malfunction Corneal disorders not related to dry eye syndrome Ocular metaplasia Filamentous keratitis Corneal neovascularization Subject with severe meibomian gland dysfunction (MGD) History of ocular trauma, infection or inflammation, not related to dry eye syndrome within the last 3 months prior to the inclusion. History of ocular allergy or ocular herpes within the last 12 months. Subjects who underwent ocular surgery, including laser surgery, in either eye within the last 6 months. Any troubles of the ocular surface not related to dry eye syndrome. Subject having used artificial tears in the 6 hours preceding the inclusion visit. Use of the following ocular treatments: isotretinoïd, cyclosporine, tacrolimus, sirolimus, pimecrolimus, punctual plugs during the month preceding the inclusion. Subjects who have received ocular therapy (either eye) with any ophthalmic medication, except tear substitutes, within 2 weeks prior to study start or expected to receive ocular therapy during the study. Any not stabilised systemic treatment, which can have an effect on performance or safety criteria, at the investigator appreciation.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Aurore Garnier
    Phone
    0033483322078
    Email
    aurore.garnier@horus-pharma.fr
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Béatrice Cochener-Lamard, Prof
    Organizational Affiliation
    Hôpital Morvan, Brest, France
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided
    IPD Sharing Plan Description
    Depending on any journal publication of the results

    Learn more about this trial

    Evaluation of Efficacy and Safety of Vismed Gel Multi 0.3% Versus Vismed Multi 0.18% on Treatment of Ocular Dryness

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