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Study to Assess the Safety, Tolerability and Efficacy of Bilastine Ophthalmic Solution 0.6% in Children

Primary Purpose

Allergic Conjunctivitis

Status
Completed
Phase
Phase 3
Locations
Spain
Study Type
Interventional
Intervention
Bilastine
Placebo
Sponsored by
Faes Farma, S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Conjunctivitis

Eligibility Criteria

2 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 1. Male or female patients from 2 to under 18 years of age at V1a.
  • 2. Documented history of AC before V1a.
  • 3. Documented positive skin prick test and/or positive validated IgE test to seasonal (e.g. grass, ragweed, and/ or tree pollen) and/or perennial allergen (e.g. cat dander, dog dander, dust mites and/ or cockroach) within 6 months before V1a or a positive skin prick test at V1a.
  • 4. Signs and symptoms of AC, i.e. tearing, itching and redness, that are likely to continue for the next weeks. Minimum score of four (in at least one eye) on an 11-item numeric rating scale in at least one of three categories at V1a.
  • 5. Understanding of functioning and willingness to use e-diary at V1b and throughout study duration.
  • 6. Willing to comply in all aspects of the study, including:

    1. use of IMP from V1b to V5a
    2. attending scheduled visits and completing telephone interviews.
  • 7. Signed age-appropriate assent form (in participants 12 years of age and older) and written informed consent by the LAR in all cases. If a patient turns 18 years old during the clinical trial, a new written informed consent form will be provided and signed by the patient if he/she is willing to continue participating in the study.
  • 8. Be able to self-administer eye drops satisfactorily or have a caregiver or LAR routinely available for this purpose. If a caregiver or LAR will be in charge of administering eye drops then he/she must attend Visit 1b, in order to be trained for administration of eye drops on-site.
  • 9. For females of childbearing potential only: willingness to perform pregnancy tests, acceptance to use highly effective methods of birth control throughout the study duration. Highly effective methods of birth control include: combined hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device (IUD), intrauterine hormone-releasing system (IUS), bilateral tubal occlusion, vasectomised partner (provided that partner is the sole sexual partner of the clinical trial participant and has documentation of azoospermia) or sexual abstinence (if defined as refraining from heterosexual intercourse during the entire period of risk associated with the clinical trial treatment). The investigator is responsible for determining whether the subject has adequate birth control for study participation.

Exclusion Criteria:

  • 1. History of known contraindications or sensitivities to the use of the IMPs or any of their components.
  • 2. History of intraocular surgery within the previous 2 years before V1a, or planned surgery during study participation and within 2 weeks after follow-up.
  • 3. History of ocular trauma (within the previous 6 months before V1a).
  • 4. History or clinical evidence of ocular herpes simplex or ocular herpes zoster infectious disease within the previous year before V1a.
  • 5. History of any clinically significant external ocular disease within 30 days before V1a.
  • 6. Presence of dry eye, active blepharitis, active Meibomian gland dysfunction, active rosacea affecting the ocular surface/ lid margin, active or chronic follicular conjunctivitis, preauricular adenopathy, or any other ocular or periocular abnormality that may affect study outcome at V1a.
  • 7. Known history of recurrent corneal erosion syndrome (idiopathic or secondary to dry eye).
  • 8. History of treatment failure to topical antihistamines.
  • 9. Prior (within 2 years before V1a), current or anticipated anti-allergy immunotherapy.
  • 10. Prior (within 4 weeks before V1a), current or anticipated corticosteroid treatment (systemic or local, in case of depot-corticosteroids: within 6 weeks before V1a).
  • 11. Prior (within 1 week before V1a), current or anticipated use of any ophthalmic agents (including artificial tears), except IMPs (starting at V1b).
  • 12. Wearing of contact lenses 24 hours before ophthalmologic tests (V1a) and during clinical trial participation until V6.
  • 13. Prior (within 2 weeks before V1a), current or anticipated systemic or intranasal treatment for allergic rhinitis.
  • 14. Persons committed to an institution by virtue of an order issued either by the judicial or other authorities.
  • 15. Pregnant woman, breastfeeding woman or woman planning a pregnancy.
  • 16. Body weight below the 5th percentile for their age (patients 10 years of age or younger only).
  • 17. Patient has received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 30 days before V1a or is currently enrolled in an investigational interventional study.
  • 18. Any condition that, in the opinion of the investigator, may jeopardise the clinical trial conduct according to the protocol. (For example, evidence of diseases, medications or laboratory abnormalities that could alter the conduct of the study).

Sites / Locations

  • Hospital Universitario de Cruces
  • Instituto Oftálmologico Quironsalud A Coruña
  • Hospital Universitari German Trias i Pujol (HGTiP),
  • Hospital Universitari Dexeus
  • Hospital Universitari Vall D'Hebron
  • Hospital General La Mancha Centro
  • Clínica Universidad de Navarra (CUN)- Sede Madrid
  • Hospital Universitario Quirónsalud Madrid
  • Hospital Quirónsalud Marbella
  • Hospital Quirónsalud Málaga
  • Hospital Universitario Central de Asturias
  • Clínica Juaneda
  • Clínica Universidad de Navarra
  • Hospital Universitario Donostia
  • Hospital de Dia Quirónsalud Ave María
  • Hospital Quirón Valencia
  • Hospital Universitario Dr. Peset Aleixandre
  • Hospital Universitario Araba

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Bilastine

Placebo

Arm Description

Daily instillation of one drop in each eye of Bilastine ophthalmic solution 0.6% for 8 weeks.

Daily instillation of one drop in each eye of placebo for 8 weeks.

Outcomes

Primary Outcome Measures

Incidence of related ocular treatment-emergent adverse events (ocular r-TEAEs)
It will be reported the incidence of related ocular treatment-emergent adverse events (ocular r-TEAEs) as primary safety endpoint.

Secondary Outcome Measures

Incidence of treatment-emergent adverse events (TEAEs)
It will be reported the incidence of treatment-emergent adverse events (TEAEs)
Incidence of ocular treatment-emergent adverse events (ocular TEAEs)
It will be reported the incidence of ocular treatment-emergent adverse events (ocular TEAEs)
Incidence of related treatment-emergent adverse events (r-TEAEs)
It will be reported the incidence of related treatment-emergent adverse events (r-TEAEs)
Incidence of abnormal clinical findings from ophthalmic examinations after instillation of IMP
It will be reported the incidence of abnormal clinical findings from ophthalmic examinations after instillation of IMP. Ophthalmic examination will consist of: Best-corrected visual acuity test with age-appropriate techniques Slit lamp biomicroscopy Intraocular pressure in children who can cooperate with the test and do not require general anaesthesia Non-dilated fundus examination
Mean peak ocular discomfort score after on-site instillation of IMP
Potential peak ocular discomfort caused by IMPs will be evaluated separately for each eye by the patient, with the aid of LAR if required, immediately upon instillation, on an 11-item numeric rating scale (from 0 to 10), which will include age-appropriate visual scales for children.
Mean ocular burning, stinging, tearing, blurring and stickiness scores after on-site instillation of IMP
Ocular tolerability (burning, stinging, tearing, blurring, and stickiness) of IMPs will be assessed separately for each eye by the patient with the aid of LAR if required,on an 11-item numeric rating scale (from 0 to 10), which will include age-appropriate visual scales for children.
Absolute value as well as absolute and relative changes from baseline of average daily total eye symptoms score (TESS) over the entire 8-week treatment period
The total eye symptoms score (TESS) based on the patient's e-diary is defined as the sum of the ocular itching, redness, and tearing scores. For each patient the worst daily sum of ratings will be selected for analysis. Additional exploratory analyses will be performed for each ocular symptom using the mean results of both eyes.
Absolute value as well as absolute and relative changes from baseline of average daily TESS at each week of the 8-week treatment period
The total eye symptoms score (TESS) based on the patient's e-diary is defined as the sum of the ocular itching, redness, and tearing scores. For each patient the worst daily sum of ratings will be selected for analysis. Additional exploratory analyses will be performed for each ocular symptom using the mean results of both eyes.
Absolute value as well as absolute and relative changes from baseline of average daily itching, redness and tearing scores over the entire 8-week treatment period
The average value for both eyes in each single symptom score will be used.
Absolute value as well as absolute and relative changes from baseline of average daily itching, redness and tearing scores at each week of the 8-week treatment period
The average value for both eyes in each single symptom score will be used.
For seasonal allergic conjunctivitis (SAC) patients only, the average daily TESS over the 2-week period of peak total eye symptoms score
For SAC patients, the average daily TESS and single symptom scores over the 2-week period of peak TESS and the 2-week period of peak single symptom scores, respectively, will be analysed using ANOVA.
For seasonal allergic conjunctivitis (SAC) patients only, the average daily itching, redness and tearing scores over the 2-week period of peak symptoms score
For SAC patients,the average daily itching, redness and tearing scores over the 2-week period of peak symptoms scores, respectively, will be analysed using ANOVA.

Full Information

First Posted
March 1, 2021
Last Updated
March 15, 2023
Sponsor
Faes Farma, S.A.
Collaborators
Dynamic Science S.L.
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1. Study Identification

Unique Protocol Identification Number
NCT04810390
Brief Title
Study to Assess the Safety, Tolerability and Efficacy of Bilastine Ophthalmic Solution 0.6% in Children
Official Title
Multi-centre, Randomised, Double Blind, Placebo-controlled, Parallel, Phase III Study to Assess the Safety, Tolerability and Efficacy of Bilastine Ophthalmic Solution 0.6% in Children
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
March 26, 2021 (Actual)
Primary Completion Date
November 30, 2022 (Actual)
Study Completion Date
November 30, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Faes Farma, S.A.
Collaborators
Dynamic Science S.L.

4. Oversight

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

5. Study Description

Brief Summary
This is a multi-centre, randomised, double blind, placebo-controlled, parallel-group, phase III study to assess the safety, tolerability and efficacy of Bilastine ophthalmic solution 0.6% in children with a documented history of seasonal allergic conjunctivitis (SAC) or perennial allergic conjunctivitis (PAC).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Conjunctivitis

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Bilastine
Arm Type
Experimental
Arm Description
Daily instillation of one drop in each eye of Bilastine ophthalmic solution 0.6% for 8 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Daily instillation of one drop in each eye of placebo for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Bilastine
Intervention Description
Ophthalmic solution 0.6%
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Ophthalmic solution
Primary Outcome Measure Information:
Title
Incidence of related ocular treatment-emergent adverse events (ocular r-TEAEs)
Description
It will be reported the incidence of related ocular treatment-emergent adverse events (ocular r-TEAEs) as primary safety endpoint.
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Incidence of treatment-emergent adverse events (TEAEs)
Description
It will be reported the incidence of treatment-emergent adverse events (TEAEs)
Time Frame
8 weeks
Title
Incidence of ocular treatment-emergent adverse events (ocular TEAEs)
Description
It will be reported the incidence of ocular treatment-emergent adverse events (ocular TEAEs)
Time Frame
8 weeks
Title
Incidence of related treatment-emergent adverse events (r-TEAEs)
Description
It will be reported the incidence of related treatment-emergent adverse events (r-TEAEs)
Time Frame
8 weeks
Title
Incidence of abnormal clinical findings from ophthalmic examinations after instillation of IMP
Description
It will be reported the incidence of abnormal clinical findings from ophthalmic examinations after instillation of IMP. Ophthalmic examination will consist of: Best-corrected visual acuity test with age-appropriate techniques Slit lamp biomicroscopy Intraocular pressure in children who can cooperate with the test and do not require general anaesthesia Non-dilated fundus examination
Time Frame
8 weeks
Title
Mean peak ocular discomfort score after on-site instillation of IMP
Description
Potential peak ocular discomfort caused by IMPs will be evaluated separately for each eye by the patient, with the aid of LAR if required, immediately upon instillation, on an 11-item numeric rating scale (from 0 to 10), which will include age-appropriate visual scales for children.
Time Frame
8 weeks
Title
Mean ocular burning, stinging, tearing, blurring and stickiness scores after on-site instillation of IMP
Description
Ocular tolerability (burning, stinging, tearing, blurring, and stickiness) of IMPs will be assessed separately for each eye by the patient with the aid of LAR if required,on an 11-item numeric rating scale (from 0 to 10), which will include age-appropriate visual scales for children.
Time Frame
8 weeks
Title
Absolute value as well as absolute and relative changes from baseline of average daily total eye symptoms score (TESS) over the entire 8-week treatment period
Description
The total eye symptoms score (TESS) based on the patient's e-diary is defined as the sum of the ocular itching, redness, and tearing scores. For each patient the worst daily sum of ratings will be selected for analysis. Additional exploratory analyses will be performed for each ocular symptom using the mean results of both eyes.
Time Frame
8 weeks
Title
Absolute value as well as absolute and relative changes from baseline of average daily TESS at each week of the 8-week treatment period
Description
The total eye symptoms score (TESS) based on the patient's e-diary is defined as the sum of the ocular itching, redness, and tearing scores. For each patient the worst daily sum of ratings will be selected for analysis. Additional exploratory analyses will be performed for each ocular symptom using the mean results of both eyes.
Time Frame
8 weeks
Title
Absolute value as well as absolute and relative changes from baseline of average daily itching, redness and tearing scores over the entire 8-week treatment period
Description
The average value for both eyes in each single symptom score will be used.
Time Frame
8 weeks
Title
Absolute value as well as absolute and relative changes from baseline of average daily itching, redness and tearing scores at each week of the 8-week treatment period
Description
The average value for both eyes in each single symptom score will be used.
Time Frame
8 weeks
Title
For seasonal allergic conjunctivitis (SAC) patients only, the average daily TESS over the 2-week period of peak total eye symptoms score
Description
For SAC patients, the average daily TESS and single symptom scores over the 2-week period of peak TESS and the 2-week period of peak single symptom scores, respectively, will be analysed using ANOVA.
Time Frame
8 weeks
Title
For seasonal allergic conjunctivitis (SAC) patients only, the average daily itching, redness and tearing scores over the 2-week period of peak symptoms score
Description
For SAC patients,the average daily itching, redness and tearing scores over the 2-week period of peak symptoms scores, respectively, will be analysed using ANOVA.
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1. Male or female patients from 2 to under 18 years of age at V1a. 2. Documented history of AC before V1a. 3. Documented positive skin prick test and/or positive validated IgE test to seasonal (e.g. grass, ragweed, and/ or tree pollen) and/or perennial allergen (e.g. cat dander, dog dander, dust mites and/ or cockroach) within 6 months before V1a or a positive skin prick test at V1a. 4. Signs and symptoms of AC, i.e. tearing, itching and redness, that are likely to continue for the next weeks. Minimum score of four (in at least one eye) on an 11-item numeric rating scale in at least one of three categories at V1a. 5. Understanding of functioning and willingness to use e-diary at V1b and throughout study duration. 6. Willing to comply in all aspects of the study, including: use of IMP from V1b to V5a attending scheduled visits and completing telephone interviews. 7. Signed age-appropriate assent form (in participants 12 years of age and older) and written informed consent by the LAR in all cases. If a patient turns 18 years old during the clinical trial, a new written informed consent form will be provided and signed by the patient if he/she is willing to continue participating in the study. 8. Be able to self-administer eye drops satisfactorily or have a caregiver or LAR routinely available for this purpose. If a caregiver or LAR will be in charge of administering eye drops then he/she must attend Visit 1b, in order to be trained for administration of eye drops on-site. 9. For females of childbearing potential only: willingness to perform pregnancy tests, acceptance to use highly effective methods of birth control throughout the study duration. Highly effective methods of birth control include: combined hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device (IUD), intrauterine hormone-releasing system (IUS), bilateral tubal occlusion, vasectomised partner (provided that partner is the sole sexual partner of the clinical trial participant and has documentation of azoospermia) or sexual abstinence (if defined as refraining from heterosexual intercourse during the entire period of risk associated with the clinical trial treatment). The investigator is responsible for determining whether the subject has adequate birth control for study participation. Exclusion Criteria: 1. History of known contraindications or sensitivities to the use of the IMPs or any of their components. 2. History of intraocular surgery within the previous 2 years before V1a, or planned surgery during study participation and within 2 weeks after follow-up. 3. History of ocular trauma (within the previous 6 months before V1a). 4. History or clinical evidence of ocular herpes simplex or ocular herpes zoster infectious disease within the previous year before V1a. 5. History of any clinically significant external ocular disease within 30 days before V1a. 6. Presence of dry eye, active blepharitis, active Meibomian gland dysfunction, active rosacea affecting the ocular surface/ lid margin, active or chronic follicular conjunctivitis, preauricular adenopathy, or any other ocular or periocular abnormality that may affect study outcome at V1a. 7. Known history of recurrent corneal erosion syndrome (idiopathic or secondary to dry eye). 8. History of treatment failure to topical antihistamines. 9. Prior (within 2 years before V1a), current or anticipated anti-allergy immunotherapy. 10. Prior (within 4 weeks before V1a), current or anticipated corticosteroid treatment (systemic or local, in case of depot-corticosteroids: within 6 weeks before V1a). 11. Prior (within 1 week before V1a), current or anticipated use of any ophthalmic agents (including artificial tears), except IMPs (starting at V1b). 12. Wearing of contact lenses 24 hours before ophthalmologic tests (V1a) and during clinical trial participation until V6. 13. Prior (within 2 weeks before V1a), current or anticipated systemic or intranasal treatment for allergic rhinitis. 14. Persons committed to an institution by virtue of an order issued either by the judicial or other authorities. 15. Pregnant woman, breastfeeding woman or woman planning a pregnancy. 16. Body weight below the 5th percentile for their age (patients 10 years of age or younger only). 17. Patient has received an investigational drug (including investigational vaccines) or used an invasive investigational medical device within 30 days before V1a or is currently enrolled in an investigational interventional study. 18. Any condition that, in the opinion of the investigator, may jeopardise the clinical trial conduct according to the protocol. (For example, evidence of diseases, medications or laboratory abnormalities that could alter the conduct of the study).
Facility Information:
Facility Name
Hospital Universitario de Cruces
City
Barakaldo
State/Province
Bizkaia
ZIP/Postal Code
48903
Country
Spain
Facility Name
Instituto Oftálmologico Quironsalud A Coruña
City
A Coruña
Country
Spain
Facility Name
Hospital Universitari German Trias i Pujol (HGTiP),
City
Badalona
Country
Spain
Facility Name
Hospital Universitari Dexeus
City
Barcelona
Country
Spain
Facility Name
Hospital Universitari Vall D'Hebron
City
Barcelona
Country
Spain
Facility Name
Hospital General La Mancha Centro
City
Ciudad Real
Country
Spain
Facility Name
Clínica Universidad de Navarra (CUN)- Sede Madrid
City
Madrid
Country
Spain
Facility Name
Hospital Universitario Quirónsalud Madrid
City
Madrid
Country
Spain
Facility Name
Hospital Quirónsalud Marbella
City
Marbella
Country
Spain
Facility Name
Hospital Quirónsalud Málaga
City
Málaga
Country
Spain
Facility Name
Hospital Universitario Central de Asturias
City
Oviedo
Country
Spain
Facility Name
Clínica Juaneda
City
Palma De Mallorca
Country
Spain
Facility Name
Clínica Universidad de Navarra
City
Pamplona
Country
Spain
Facility Name
Hospital Universitario Donostia
City
San Sebastián
Country
Spain
Facility Name
Hospital de Dia Quirónsalud Ave María
City
Sevilla
Country
Spain
Facility Name
Hospital Quirón Valencia
City
Valencia
Country
Spain
Facility Name
Hospital Universitario Dr. Peset Aleixandre
City
Valencia
Country
Spain
Facility Name
Hospital Universitario Araba
City
Vitoria
Country
Spain

12. IPD Sharing Statement

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Study to Assess the Safety, Tolerability and Efficacy of Bilastine Ophthalmic Solution 0.6% in Children

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