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IIT Assessing OC-01Nasal Spray on Symptoms of DED Following CXL

Primary Purpose

Dry Eye Disease

Status
Not yet recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
OC-01 (varenicline 1.2mg/ml) nasal spray vs Placebo
Placebo (vehicle) nasal spray
Sponsored by
Vance Thompson Vision - MT
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 SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Be willing and able to sign the informed consent form

    • Be at least 18 to 50 years of age at the screening visit
    • Have best corrected manifest refraction between 20/40 to 20/100
    • Remove contact lenses 2 weeks prior to surgical procedure and continue until end of study with the exception of scleral lens wearers that have no better option for correcting visual acuity
    • Have planned corneal collagen crosslinking for treatment of keratoconus or corneal ectasia
    • Be literate and able to complete questionnaires independently
    • Be able and willing to use the study drug and participate in all study assessments and visits Have sufficient hand strength, in the opinion of the Investigator, to be able to independently administer the study drug
    • Have provided verbal and written informed consent
    • If a female is of childbearing potential, they must: use an acceptable means of birth control (acceptable methods of contraception include: hormonal - oral, implantable, injectable, or transdermal contraceptives, mechanical - spermicide in conjunction with a barrier such as a diaphragm or condom, IUD, or surgical sterilization of partner), and have a negative urine pregnancy test on Baseline/Screening Day

Exclusion Criteria:

  • Have presence of corneal pathology that may interfere with CXL outcomes

    • At time of screening have had temporary plugs placed in the past 1 month or currently have permanent punctal plugs in place
    • Active infectious, ocular, or systemic disease
    • Have a history of ocular inflammation or macular edema
    • Have chronic or recurrent epistaxis, coagulation disorders or other conditions that, in the opinion of the Investigator, may lead to clinically significant risk of increased bleeding
    • Have had nasal or sinus surgery (including history of application of nasal cautery) or significant trauma to these areas
    • Have a vascularized polyp, severely deviated septum, chronic recurrent nosebleeds, or severe nasal obstruction as confirmed by intranasal examination performed at Visit 1.
    • Be currently treated with nasal continuous positive airway pressure
    • Have had blepharoplasty in either eye
    • Have had a corneal transplant in either eye
    • Have a history of seizures or other factors that lower the subject's seizure threshold.
    • 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 current concomitant use of a nicotinic acetylcholine receptor agonist [Nicoderm®, Nicorette®, Nicotrol NS® (nicotine), Tabex®, Desmoxan® (cytisine), and Chantix® (varenicline)] within the previous 30 days of Visit 1 and during the treatment period.
    • Have active or uncontrolled, severe (at the discretion of the investigator):

      • Systemic allergy
      • Chronic seasonal allergies at risk of being active during the study treatment period
      • Rhinitis or sinusitis requiring treatment such as antihistamines, decongestants, oral or aerosol steroids at the Screening Visit or be expected to require treatment during the treatment period of the study
    • Untreated nasal infection at Visit 1
    • 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
    • Be currently enrolled in an investigational drug or device study or have used an investigational drug or device within 30 days prior to Visit 1 and during the treatment period.
    • Be a female who is pregnant, nursing, or planning a pregnancy at Visit 1. Be a woman of childbearing potential who is not using an acceptable means of birth control; acceptable methods of contraception include: hormonal - oral, implantable, injectable, or transdermal contraceptives; mechanical - spermicide in conjunction with a barrier such as a diaphragm or condom; IUD; or surgical sterilization of partner.

Sites / Locations

  • Vance Thompson Vision-MT

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

OC-01

Placebo

Arm Description

(varenicline 1.2mg/ml) nasal spray

(vehicle) nasal spray

Outcomes

Primary Outcome Measures

NEI VFQ-25 Questionnaire
questionnaire assesses effect of visual impairment on the patient's current health-related quality of life, including questions dealing with irritation in and around the eye. The score on a scale is from 0 to 100 points. A score of 0 is the worst score and a score of 100 is the best score and means the patient has no vision problems
Corneal Epithelial Healing
Corneal epithelial healing rate at days 2 (48 hours), 3 (72 hours), 4 (96 hours) after creation of 9mm epithelial defect as measured by a masked physician

Secondary Outcome Measures

Dryness Scoring
Mean change in eye dryness score (EDS) as measured by the Visual Analogue Scale (VAS) from baseline over time to Day 28 (1 month postoperatively CXL) as measured by masked evaluator
Corneal Fluorescein Staining
Mean change in corneal fluorescein staining from baseline to Day 0 (surgical day) and Day 7 to Day 28 (1-month postoperative CXL) as evaluated by masked physician
Tear Break Up Time
Mean change in tear break up time (TBUT) from baseline to Day 0 (surgical day) and Day 7 to Day 28 (1-month postoperative CXL)
Adverse Events
Incidence and severity of adverse events

Full Information

First Posted
October 7, 2021
Last Updated
November 15, 2021
Sponsor
Vance Thompson Vision - MT
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1. Study Identification

Unique Protocol Identification Number
NCT05136924
Brief Title
IIT Assessing OC-01Nasal Spray on Symptoms of DED Following CXL
Official Title
A Randomized, Controlled, Double-Masked, Two-Arm Investigator-Initiated Study to Assess the Efficacy of OC-01 (Varenicline) Nasal Spray on Signs and Symptoms of Dry Eye Disease in Subjects Following Corneal Collagen Crosslinking (CXL)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Not yet recruiting
Study Start Date
December 1, 2021 (Anticipated)
Primary Completion Date
June 1, 2022 (Anticipated)
Study Completion Date
June 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vance Thompson Vision - MT

4. Oversight

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

5. Study Description

Brief Summary
A Randomized, Controlled, Double-Masked, Two-Arm Investigator-Initiated study to Assess the Efficacy of OC-01 (varenicline) Nasal Spray on signs and symptoms of Dry Eye Disease in subjects following Corneal Collagen Crosslinking (CXL)
Detailed Description
Rationale for Study Design This study is a single center, prospective, randomized, controlled, double-masked, two-arm investigator-initiated study to investigate the efficacy of OC-01 on signs and symptoms of dry eye disease in subjects following corneal collagen crosslinking (CXL). 2. STUDY OBJECTIVES 2.1 Primary Objective Mean change in NEI VFQ-25 from baseline to Day 0, Day 7, and Day 28 (1-month postoperative CXL) Coneal epithelial healing rate at days 2 (48 hours), 3 (72 hours), 4 (96 hours) after creation of 9 mm corneal epithelial defect as evaluated by masked physician 2.2 Secondary Objectives Mean change in eye dryness score (EDS) as measured by the Visual Analogue Scale (VAS) from baseline overtime to Day 28 (1 month postoperatively CXL) as measured by masked evaluator Mean change in corneal fluorescein staining from baseline to Day 0 (surgical day) and Day 0 to Day 28 (1-month postoperative CXL) as evaluated by masked physician Mean change in tear break up time (TBUT) from baseline to Day 0 (surgical day) and day 0 to day 28 (1-month postoperative CXL) Incidence and severity of adverse events

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
Model Description
OC-01 (varenicline 1.2mg/ml) nasal spray Or Placebo (vehicle) nasal spray
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
A Randomized, Controlled, Double-Masked, Two-Arm Investigator-Initiated studyOC-01 (varenicline 1.2mg/ml) nasal spray Or Placebo (vehicle) nasal spray
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
OC-01
Arm Type
Experimental
Arm Description
(varenicline 1.2mg/ml) nasal spray
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
(vehicle) nasal spray
Intervention Type
Drug
Intervention Name(s)
OC-01 (varenicline 1.2mg/ml) nasal spray vs Placebo
Other Intervention Name(s)
Placebo (vehicle) nasal spray
Intervention Description
OC-01 nasal spray containing varenicline for treatment of signs and symptoms of DED. OC-01 (varenicline) nasal spray activates the trigeminal parasympathetic pathway and stimulates natural tear production to bathe the corneal nerve endings in a protective layer of tear film. In addition, OC-01 (varenicline) acts as a cholinergic agonist and may provide analgesia by activating the trigeminal parasympathetic pathway VS Placebo
Intervention Type
Other
Intervention Name(s)
Placebo (vehicle) nasal spray
Intervention Description
Placebo (vehicle) nasal spray
Primary Outcome Measure Information:
Title
NEI VFQ-25 Questionnaire
Description
questionnaire assesses effect of visual impairment on the patient's current health-related quality of life, including questions dealing with irritation in and around the eye. The score on a scale is from 0 to 100 points. A score of 0 is the worst score and a score of 100 is the best score and means the patient has no vision problems
Time Frame
from baseline to Day 28 (1-month postoperative CXL)
Title
Corneal Epithelial Healing
Description
Corneal epithelial healing rate at days 2 (48 hours), 3 (72 hours), 4 (96 hours) after creation of 9mm epithelial defect as measured by a masked physician
Time Frame
Up to 96 hours after creation of 9mm epithelial defect
Secondary Outcome Measure Information:
Title
Dryness Scoring
Description
Mean change in eye dryness score (EDS) as measured by the Visual Analogue Scale (VAS) from baseline over time to Day 28 (1 month postoperatively CXL) as measured by masked evaluator
Time Frame
from baseline over time to Day 28 (1 month postoperatively CXL)
Title
Corneal Fluorescein Staining
Description
Mean change in corneal fluorescein staining from baseline to Day 0 (surgical day) and Day 7 to Day 28 (1-month postoperative CXL) as evaluated by masked physician
Time Frame
from baseline to Day 0 (surgical day) and Day 7 to Day 28 (1-month postoperative CXL)
Title
Tear Break Up Time
Description
Mean change in tear break up time (TBUT) from baseline to Day 0 (surgical day) and Day 7 to Day 28 (1-month postoperative CXL)
Time Frame
baseline to Day 0 (surgical day) and Day 7 to Day 28 (1-month postoperative CXL)
Title
Adverse Events
Description
Incidence and severity of adverse events
Time Frame
56 days (4 weeks preop and 4 weeks postop)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Be willing and able to sign the informed consent form Be at least 18 to 50 years of age at the screening visit Have best corrected manifest refraction between 20/40 to 20/100 Remove contact lenses 2 weeks prior to surgical procedure and continue until end of study with the exception of scleral lens wearers that have no better option for correcting visual acuity Have planned corneal collagen crosslinking for treatment of keratoconus or corneal ectasia Be literate and able to complete questionnaires independently Be able and willing to use the study drug and participate in all study assessments and visits Have sufficient hand strength, in the opinion of the Investigator, to be able to independently administer the study drug Have provided verbal and written informed consent If a female is of childbearing potential, they must: use an acceptable means of birth control (acceptable methods of contraception include: hormonal - oral, implantable, injectable, or transdermal contraceptives, mechanical - spermicide in conjunction with a barrier such as a diaphragm or condom, IUD, or surgical sterilization of partner), and have a negative urine pregnancy test on Baseline/Screening Day Exclusion Criteria: Have presence of corneal pathology that may interfere with CXL outcomes At time of screening have had temporary plugs placed in the past 1 month or currently have permanent punctal plugs in place Active infectious, ocular, or systemic disease Have a history of ocular inflammation or macular edema Have chronic or recurrent epistaxis, coagulation disorders or other conditions that, in the opinion of the Investigator, may lead to clinically significant risk of increased bleeding Have had nasal or sinus surgery (including history of application of nasal cautery) or significant trauma to these areas Have a vascularized polyp, severely deviated septum, chronic recurrent nosebleeds, or severe nasal obstruction as confirmed by intranasal examination performed at Visit 1. Be currently treated with nasal continuous positive airway pressure Have had blepharoplasty in either eye Have had a corneal transplant in either eye Have a history of seizures or other factors that lower the subject's seizure threshold. 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 current concomitant use of a nicotinic acetylcholine receptor agonist [Nicoderm®, Nicorette®, Nicotrol NS® (nicotine), Tabex®, Desmoxan® (cytisine), and Chantix® (varenicline)] within the previous 30 days of Visit 1 and during the treatment period. Have active or uncontrolled, severe (at the discretion of the investigator): Systemic allergy Chronic seasonal allergies at risk of being active during the study treatment period Rhinitis or sinusitis requiring treatment such as antihistamines, decongestants, oral or aerosol steroids at the Screening Visit or be expected to require treatment during the treatment period of the study Untreated nasal infection at Visit 1 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 Be currently enrolled in an investigational drug or device study or have used an investigational drug or device within 30 days prior to Visit 1 and during the treatment period. Be a female who is pregnant, nursing, or planning a pregnancy at Visit 1. Be a woman of childbearing potential who is not using an acceptable means of birth control; acceptable methods of contraception include: hormonal - oral, implantable, injectable, or transdermal contraceptives; mechanical - spermicide in conjunction with a barrier such as a diaphragm or condom; IUD; or surgical sterilization of partner.
Facility Information:
Facility Name
Vance Thompson Vision-MT
City
Bozeman
State/Province
Montana
ZIP/Postal Code
59718
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Briana Parker, BS
Phone
406-219-0344
Email
briana.parker@vancethompsonvision.com
First Name & Middle Initial & Last Name & Degree
Rachel Hoover
Phone
406 219-0700
Email
rachel.hoover@vancethompsonvision.com
First Name & Middle Initial & Last Name & Degree
Russell Swan, MD
First Name & Middle Initial & Last Name & Degree
Travis Whitt, OD

12. IPD Sharing Statement

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IIT Assessing OC-01Nasal Spray on Symptoms of DED Following CXL

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