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Sodium Hyaluronate Ophthalmic Solution, 0.18% for Treatment of Dry Eye Syndrome

Primary Purpose

Dry Eye Syndrome

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Sodium Hyaluronate Ophthalmic Solution, 0.18%
Vehicle
Sponsored by
Alcon Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye Syndrome focused on measuring Dry eyes, Ocular discomfort

Eligibility Criteria

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

Inclusion Criteria:

  • Documented history of dry eyes for at least 3 months.
  • Ocular discomfort due to dry eyes.
  • Presence of corneal and conjunctival staining.
  • Other protocol-defined inclusion criteria may apply.

Exclusion Criteria:

  • Women who are pregnant or lactating.
  • Contact lens wear within 1 week before Screening and during the study.
  • Ocular surgery (of any type, including laser surgery) or ocular trauma within the 4 months prior to Screening.
  • Punctal plugs or punctal occlusion initiated within 3 months of screening
  • Other protocol-defined exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Sodium Hyaluronate

    Vehicle

    Arm Description

    Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days

    Inactive ingredients, 1-2 drops instilled in each eye 3-6 times a day for 14 days

    Outcomes

    Primary Outcome Measures

    Change From Baseline in Lissamine Green Staining (LGS) Total Score at Day 7
    The investigator instilled an ophthalmic dye on the eye and rated staining in three areas (cornea, nasal, and temporal conjunctiva). Staining was rated on a 5-point scale from 0 to 4 (0=0% to 4=>45%). The LGS Total Score (0-12) is the sum of the three individual ratings. A more negative change indicates a greater amount of improvement.
    Change From Baseline in Global Symptom Frequency (GSF) Total Score at Day 7
    The subject completed a questionnaire and rated the frequency of five common dry eye symptoms. Frequency was rated on a 4-point scale from 0 to 3 (0=never to 3=constantly). The GSF Total Score (0-15) is the sum of the five individual ratings. A more negative change indicates a greater amount of improvement.

    Secondary Outcome Measures

    Change From Baseline in LGS Total Score at Day 14
    The investigator instilled an ophthalmic dye on the eye and rated staining in three areas (cornea, nasal, and temporal conjunctiva). Staining was rated on a 5-point scale from 0 to 4 (0=0% to 4=>45%). The LGS Total Score (0-12) is the sum of the three individual ratings. A more negative change indicates a greater amount of improvement.
    Change From Baseline in GSF Total Score at Day 14
    The subject completed a questionnaire and rated the frequency of five common dry eye symptoms. Frequency was rated on a 4-point scale from 0 to 3 (0=never to 3=constantly). The GSF Total Score (0-15) is the sum of the five individual ratings. A more negative change indicates a greater amount of improvement.
    Percentage Change From Baseline in Corneal Fluorescein Staining (CFS) Total Score
    The investigator instilled an ophthalmic dye on the eye and rated corneal staining by type, extent/surface area, and depth. Each staining was rated on a 5-point scale from 0 to 4 (0=no staining/0% to 4=patch/>45%/immediate diffuse stromal glow). The CFS Total Score (0-12) is the sum of the three individual ratings. A more negative percentage change indicates a greater amount of improvement.
    Percentage Change From Baseline in Schirmer I Score
    The investigator placed a paper strip on the eye under the lower lid and left it in place for 5 minutes. The Schirmer I Score was the length of the strip wetted by the tears (0-35 millimeters). A more positive percentage change indicates a greater amount of improvement.
    Percentage Change From Baseline in Global Symptom Intensity (GSI) Total Score
    The subject completed a questionnaire and rated the intensity of five common dry eye symptoms. Intensity was rated on a visual analog scale from 0-100 (0=no symptoms to 100=severe symptoms). The GSI Total Score (0 to 500) is the sum of the five individual ratings. A more negative percentage change indicates a greater amount of improvement.
    Percentage Change From Baseline in Global Symptom Composite Index (GSCI) Score
    For each of 5 common dry eye symptoms, the frequency (0-3) and intensity (0-100) scores were multiplied to obtain the symptom score (0-300). The 5 symptom scores were summed to obtain the Global Symptom Composite Index Score (0-1500). A more negative percentage change indicates a greater amount of improvement.
    Proportion of Improved Scores on the Global Impact on Dry Eye Syndrome on Daily Life (GIDL) Rating
    The subject was asked on a questionnaire, "Please consider how your dry eyes feel when doing daily activities such as working on the computer, watching television, reading, and driving. Based on this, please rate the impact of your dry eye symptoms on your daily life," and responded on a 4-point scale from 0-3 (0=Absent to 3=Severe). Improved was defined as a change in score of <0 from baseline. Proportion is reported as a percentage of participants. A greater percentage of subjects reporting a lower score indicates an improvement.

    Full Information

    First Posted
    June 9, 2011
    Last Updated
    May 20, 2013
    Sponsor
    Alcon Research
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01382225
    Brief Title
    Sodium Hyaluronate Ophthalmic Solution, 0.18% for Treatment of Dry Eye Syndrome
    Official Title
    A Phase 3 Multicenter, Randomized, Controlled, Double-Masked Study of Safety and Efficacy of Sodium Hyaluronate Ophthalmic Solution, 0.18% in Dry Eye Syndrome
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    July 2011 (undefined)
    Primary Completion Date
    May 2012 (Actual)
    Study Completion Date
    May 2012 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Alcon Research

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study was to determine if Sodium Hyaluronate, 0.18% is effective in treating the signs and symptoms of dry eye disease.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Dry Eye Syndrome
    Keywords
    Dry eyes, Ocular discomfort

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    1936 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Sodium Hyaluronate
    Arm Type
    Experimental
    Arm Description
    Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
    Arm Title
    Vehicle
    Arm Type
    Placebo Comparator
    Arm Description
    Inactive ingredients, 1-2 drops instilled in each eye 3-6 times a day for 14 days
    Intervention Type
    Drug
    Intervention Name(s)
    Sodium Hyaluronate Ophthalmic Solution, 0.18%
    Intervention Type
    Other
    Intervention Name(s)
    Vehicle
    Intervention Description
    Inactive ingredients used as run-in and placebo comparator
    Primary Outcome Measure Information:
    Title
    Change From Baseline in Lissamine Green Staining (LGS) Total Score at Day 7
    Description
    The investigator instilled an ophthalmic dye on the eye and rated staining in three areas (cornea, nasal, and temporal conjunctiva). Staining was rated on a 5-point scale from 0 to 4 (0=0% to 4=>45%). The LGS Total Score (0-12) is the sum of the three individual ratings. A more negative change indicates a greater amount of improvement.
    Time Frame
    Baseline, Day 7
    Title
    Change From Baseline in Global Symptom Frequency (GSF) Total Score at Day 7
    Description
    The subject completed a questionnaire and rated the frequency of five common dry eye symptoms. Frequency was rated on a 4-point scale from 0 to 3 (0=never to 3=constantly). The GSF Total Score (0-15) is the sum of the five individual ratings. A more negative change indicates a greater amount of improvement.
    Time Frame
    Baseline, Day 7
    Secondary Outcome Measure Information:
    Title
    Change From Baseline in LGS Total Score at Day 14
    Description
    The investigator instilled an ophthalmic dye on the eye and rated staining in three areas (cornea, nasal, and temporal conjunctiva). Staining was rated on a 5-point scale from 0 to 4 (0=0% to 4=>45%). The LGS Total Score (0-12) is the sum of the three individual ratings. A more negative change indicates a greater amount of improvement.
    Time Frame
    Baseline, Day 14
    Title
    Change From Baseline in GSF Total Score at Day 14
    Description
    The subject completed a questionnaire and rated the frequency of five common dry eye symptoms. Frequency was rated on a 4-point scale from 0 to 3 (0=never to 3=constantly). The GSF Total Score (0-15) is the sum of the five individual ratings. A more negative change indicates a greater amount of improvement.
    Time Frame
    Baseline, Day 14
    Title
    Percentage Change From Baseline in Corneal Fluorescein Staining (CFS) Total Score
    Description
    The investigator instilled an ophthalmic dye on the eye and rated corneal staining by type, extent/surface area, and depth. Each staining was rated on a 5-point scale from 0 to 4 (0=no staining/0% to 4=patch/>45%/immediate diffuse stromal glow). The CFS Total Score (0-12) is the sum of the three individual ratings. A more negative percentage change indicates a greater amount of improvement.
    Time Frame
    Baseline, up to Day 14
    Title
    Percentage Change From Baseline in Schirmer I Score
    Description
    The investigator placed a paper strip on the eye under the lower lid and left it in place for 5 minutes. The Schirmer I Score was the length of the strip wetted by the tears (0-35 millimeters). A more positive percentage change indicates a greater amount of improvement.
    Time Frame
    Baseline, up to Day 14
    Title
    Percentage Change From Baseline in Global Symptom Intensity (GSI) Total Score
    Description
    The subject completed a questionnaire and rated the intensity of five common dry eye symptoms. Intensity was rated on a visual analog scale from 0-100 (0=no symptoms to 100=severe symptoms). The GSI Total Score (0 to 500) is the sum of the five individual ratings. A more negative percentage change indicates a greater amount of improvement.
    Time Frame
    Baseline, up to Day 14
    Title
    Percentage Change From Baseline in Global Symptom Composite Index (GSCI) Score
    Description
    For each of 5 common dry eye symptoms, the frequency (0-3) and intensity (0-100) scores were multiplied to obtain the symptom score (0-300). The 5 symptom scores were summed to obtain the Global Symptom Composite Index Score (0-1500). A more negative percentage change indicates a greater amount of improvement.
    Time Frame
    Baseline, up to Day 14
    Title
    Proportion of Improved Scores on the Global Impact on Dry Eye Syndrome on Daily Life (GIDL) Rating
    Description
    The subject was asked on a questionnaire, "Please consider how your dry eyes feel when doing daily activities such as working on the computer, watching television, reading, and driving. Based on this, please rate the impact of your dry eye symptoms on your daily life," and responded on a 4-point scale from 0-3 (0=Absent to 3=Severe). Improved was defined as a change in score of <0 from baseline. Proportion is reported as a percentage of participants. A greater percentage of subjects reporting a lower score indicates an improvement.
    Time Frame
    Baseline, Up to Day 14

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Documented history of dry eyes for at least 3 months. Ocular discomfort due to dry eyes. Presence of corneal and conjunctival staining. Other protocol-defined inclusion criteria may apply. Exclusion Criteria: Women who are pregnant or lactating. Contact lens wear within 1 week before Screening and during the study. Ocular surgery (of any type, including laser surgery) or ocular trauma within the 4 months prior to Screening. Punctal plugs or punctal occlusion initiated within 3 months of screening Other protocol-defined exclusion criteria may apply.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Michela Montecchi-Palmer, BS
    Organizational Affiliation
    Alcon Research
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Sodium Hyaluronate Ophthalmic Solution, 0.18% for Treatment of Dry Eye Syndrome

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