Treatment of Dry Eye Disease Using Pro-ocular™ - A Proof of Concept, Safety, and Efficacy Study
Primary Purpose
Dry Eye Syndrome, Keratoconjunctivitis Sicca
Status
Unknown status
Phase
Phase 2
Locations
Taiwan
Study Type
Interventional
Intervention
Pro-ocular™ Topical Gel
Placebo Topical Gel
Sponsored by
About this trial
This is an interventional treatment trial for Dry Eye Syndrome focused on measuring Dry Eye, Dry Eye Disease, Evaporative Dry Eye, Evaporative Dry Eye Disease, Keratoconjuncitivitis Sicca, Sjogren's Sydrome
Eligibility Criteria
Inclusion Criteria:
- Male or female of any race, at least 20 years of age at Visit 1 Screening.
- Has a subject reported history (including physician diagnosis) of dry eye disease in both eyes for at least 3 months prior to Visit 1.
- Has SANDE score ≥50 in either frequency or severity of symptoms of dryness and/or irritation at Visit 1.
Have all of the following in the same eye at Visit 1:
- Fluorescein Tear Break-Up Time of ≤5 seconds.
- Corneal fluorescein staining score of moderate or more in any field (inferior, superior or central).
- Report a severity score of moderate or more on ocular dryness and at least one of the other symptoms on the GLIA Ocular Surface Disease Symptoms Questionnaire.
- Has provided written informed consent.
- Be able and willing to follow oral and written instructions, including participation in all study assessments and visits.
Exclusion Criteria:
- Comorbidity with other severe or chronic eye conditions that in the judgment of the investigator will interfere with study assessments, such as but not limited to corneal opacities and scars, dystrophies, epithelial scarring, infections, history of blood clots, etc.
- Has infections, or inflammatory skin lesion in or around the dosing area.
- Best corrected visual acuity baseline <20/200.
- Has a condition or history that, in the opinion of the investigator, may interfere significantly with the subject's participation in the study.
- Wear contact lens within 7 days prior to Visit 1.
- Anticipate change of vision correction or anticipate any ocular procedures during study period.
- A woman who is pregnant or testing positive in the blood pregnancy test at screening, nursing an infant, or planning a pregnancy.
- Has a known adverse reaction and/or sensitivity to the study drug or its components.
- Use of topical ocular cyclosporine (e.g. Restasis®), lifitegrast (Xiidra®), diquafosol (Diquas®), eye gels, eye ointments, any administration route of steroids, anti-histamines, antipsychotics, antidepressants and NSAIDs within 30 days prior to Visit 1.
- Routine use (more than once a week) of a chlorinated swimming pool during study period.
- Unwilling or unable to cease using the following medications during the study period (from Visit 1 to Visit 6): Topical ocular cyclosporine (e.g. Restasis®), lifitegrast (Xiidra®), diquafosol (Diquas®), eye gels, eye ointments, any administration route of steroids, anti-histamines, antipsychotics, antidepressants and NSAIDs..
- Unwilling to cease the use of sunscreen and face scrubs on the forehead or eye area during study period.
- Smoke within 3 months prior to Visit 1.
- Ongoing glaucoma treatment within 30 days prior to Visit 1 and during study period.
- Currently enrolled in an investigational drug or device study within 30 days prior to Visit 1 and during study period.
Sites / Locations
- Tri-Service General Hospital, National Defense Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Pro-ocular™
Placebo
Arm Description
Pro-ocular™ Topical Gel
Placebo Topical Gel
Outcomes
Primary Outcome Measures
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Change in corneal (central) fluorescein staining score
Change from baseline in score on a visual analog scale (0-10 worst)
Secondary Outcome Measures
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Change from baseline in SANDE symptoms global score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Change from baseline in SANDE symptoms global score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Change from baseline in SANDE symptoms global score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Change from baseline in SANDE symptoms global score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Change from baseline in SANDE symptoms severity score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Change from baseline in SANDE symptoms severity score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Change from baseline in SANDE symptoms severity score (0-100 worst)
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Change from baseline in SANDE symptoms severity score (0-100 worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Change in Tear Film Grading by TearScan examination
Change from baseline in tear film grade (0-3 best)
Change in Tear Film Grading by TearScan examination
Change from baseline in tear film grade (0-3 best)
Change in Tear Film Grading by TearScan examination
Change from baseline in tear film grade (0-3 best)
Change in Tear Film Grading by TearScan examination
Change from baseline in tear film grade (0-3 best)
Change in Tear Film Grading by TearScan examination
Change from baseline in tear film grade (0-3 best)
Change in Meibography score by Keratograph®
Change from baseline using Grades 0 to 3 (0 no loss to 3 >2/3 loss)
Change in Tear Meniscus Height (TMH) by Keratograph®
Change from baseline in mm TMH (higher is better)
Change in Tear Meniscus Height (TMH) by Keratograph®
Change from baseline in mm TMH (higher is better)
Change in Tear Meniscus Height (TMH) by Keratograph®
Change from baseline in mm TMH (higher is better)
Change in Tear Meniscus Height (TMH) by Keratograph®
Change from baseline in mm TMH (higher is better)
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Change from baseline in NIKBUT in seconds (longer is better)
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Change from baseline in NIKBUT in seconds (longer is better)
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Change from baseline in NIKBUT in seconds (longer is better)
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Change from baseline in NIKBUT in seconds (longer is better)
Change in Bulbar redness score by Keratograph®
Change from baseline in Bulbar redness score (highest is worst)
Change in Bulbar redness score by Keratograph®
Change from baseline in Bulbar redness score (highest is worst)
Change in Bulbar redness score by Keratograph®
Change from baseline in Bulbar redness score (highest is worst)
Change in Bulbar redness score by Keratograph®
Change from baseline in Bulbar redness score (highest is worst)
Change in tear film osmolarity by TearLab™ osmolarity system
Change from baseline in mOsms/L (higher value is worse)
Change in tear film osmolarity by TearLab™ osmolarity system
Change from baseline in mOsms/L (higher value is less sensitive)
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Change from baseline in mm Hg (higher is less sensitive)
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Change from baseline in mm Hg (higher is less sensitive)
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Change from baseline in mm Hg (higher is less sensitive)
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Change from baseline in mm Hg (higher is less sensitive)
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Change from baseline in mm Hg (higher is less sensitive)
Change in Fluorescein Tear Break-Up Time (FBUT)
Change from baseline in FBUT in seconds (longer is better)
Change in Fluorescein Tear Break-Up Time (FBUT)
Change from baseline in FBUT in seconds (longer is better)
Change in Fluorescein Tear Break-Up Time (FBUT)
Change from baseline in FBUT in seconds (longer is better)
Change in Fluorescein Tear Break-Up Time (FBUT)
Change from baseline in FBUT in seconds (longer is better)
Change in corneal (central) fluorescein staining score
Change from baseline in central corneal fluorescein staining score (0-10 worst)
Change in corneal (central) fluorescein staining score
Change from baseline in central corneal fluorescein staining score (0-10 worst)
Change in corneal (central) fluorescein staining score
Change from baseline in central corneal fluorescein staining score (0-10 worst)
Change in corneal (inferior) fluorescein staining score
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Change in corneal (inferior) fluorescein staining score
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Change in corneal (inferior) fluorescein staining score
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Change in corneal (inferior) fluorescein staining score
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Change in corneal (superior) fluorescein staining score
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Change in corneal (superior) fluorescein staining score
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Change in corneal (superior) fluorescein staining score
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Change in corneal (superior) fluorescein staining score
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Change in corneal fluorescein staining sum of scores
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Change in corneal fluorescein staining sum of scores
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Change in corneal fluorescein staining sum of scores
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Change in corneal fluorescein staining sum of scores
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Change in conjunctival fluorescein staining sum of scores
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Change in conjunctival fluorescein staining sum of scores
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Change in conjunctival fluorescein staining sum of scores
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Change in conjunctival fluorescein staining sum of scores
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Change in lissamine green staining (corneal and conjunctival) sum of scores
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores
Change in lissamine green staining (corneal and conjunctival) sum of scores
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores (higher is worse)
Change in lissamine green staining (corneal and conjunctival) sum of scores
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores (higher is worse)
Change in lissamine green staining (corneal and conjunctival) sum of scores
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores (higher is worse)
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Change from baseline in conjunctival hyperemia score (0-10 worst)
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Change from baseline in conjunctival hyperemia score (0-10 worst)
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Change from baseline in conjunctival hyperemia score (0-10 worst)
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Change from baseline in conjunctival hyperemia score (0-10 worst)
Full Information
NCT ID
NCT04884217
First Posted
May 10, 2021
Last Updated
May 12, 2021
Sponsor
PharmaDax Inc.
Collaborators
Glia, LLC
1. Study Identification
Unique Protocol Identification Number
NCT04884217
Brief Title
Treatment of Dry Eye Disease Using Pro-ocular™ - A Proof of Concept, Safety, and Efficacy Study
Official Title
Treatment of Dry Eye Disease Using Pro-ocular™ - A Proof of Concept, Safety, and Efficacy Study
Study Type
Interventional
2. Study Status
Record Verification Date
May 2021
Overall Recruitment Status
Unknown status
Study Start Date
May 20, 2021 (Anticipated)
Primary Completion Date
October 30, 2021 (Anticipated)
Study Completion Date
December 30, 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PharmaDax Inc.
Collaborators
Glia, LLC
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
To evaluate the safety and efficacy of 1% Pro-ocular topical gel administered twice daily for 12 weeks in treatment of Dry Eye Disease
Detailed Description
Pro-ocular™ 1% topical gel his demonstrated efficacy in rapidly reducing or eliminating dry eye symptoms, and after multiple doses, the signs and symptoms of ocular surface disease including dry eye disease.
Study DE-2 is single center, randomized, double-masked, placebo-controlled, parallel-group study designed to evaluate the safety and efficacy of 1% Pro-ocular topical gel administered twice daily for 12 weeks for treatment of Dry Eye Disease. The approximately 80 subjects will be randomized 1:1, active drug:placebo.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Eye Syndrome, Keratoconjunctivitis Sicca
Keywords
Dry Eye, Dry Eye Disease, Evaporative Dry Eye, Evaporative Dry Eye Disease, Keratoconjuncitivitis Sicca, Sjogren's Sydrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
80 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Pro-ocular™
Arm Type
Active Comparator
Arm Description
Pro-ocular™ Topical Gel
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo Topical Gel
Intervention Type
Drug
Intervention Name(s)
Pro-ocular™ Topical Gel
Other Intervention Name(s)
PG101
Intervention Description
Pro-ocular™ Topical Gel 1% is applied dermally to the forehead twice-daily
Intervention Type
Drug
Intervention Name(s)
Placebo Topical Gel
Intervention Description
Placebo is a toopical gel without active ingredient applied dermally to the forehead twice-daily
Primary Outcome Measure Information:
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Description
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Time Frame
2 weeks
Title
Change in corneal (central) fluorescein staining score
Description
Change from baseline in score on a visual analog scale (0-10 worst)
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Description
Change from baseline in SANDE symptoms global score (0-100 worst)
Time Frame
2 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Description
Change from baseline in SANDE symptoms global score (0-100 worst)
Time Frame
4 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Description
Change from baseline in SANDE symptoms global score (0-100 worst)
Time Frame
8 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Global score
Description
Change from baseline in SANDE symptoms global score (0-100 worst)
Time Frame
12 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Description
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Time Frame
4 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Description
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Time Frame
8 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Frequency score
Description
Change from baseline in SANDE symptoms frequency score (0-100 worst)
Time Frame
12 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Description
Change from baseline in SANDE symptoms severity score (0-100 worst)
Time Frame
2 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Description
Change from baseline in SANDE symptoms severity score (0-100 worst)
Time Frame
4 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Description
Change from baseline in SANDE symptoms severity score (0-100 worst)
Time Frame
8 weeks
Title
Change in SANDE (Symptom Assessment iN Dry Eye) Questionnaire Severity score
Description
Change from baseline in SANDE symptoms severity score (0-100 worst)
Time Frame
12 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Description
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Time Frame
1 hour
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Description
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Time Frame
2 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Description
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Time Frame
4 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Description
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Time Frame
8 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) ocular discomfort score
Description
Change from baseline in GLIA OSDSQ ocular discomfort score (0-10 worst)
Time Frame
12 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Description
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Time Frame
1 hour
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Description
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Time Frame
2 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Description
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Time Frame
4 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Description
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Time Frame
8 weeks
Title
Change in GLIA (Ocular Surface Disease Symptoms Questionnaire) sum of scores
Description
Change from baseline in GLIA OSDSQ sum of scores (highest worst)
Time Frame
12 weeks
Title
Change in Tear Film Grading by TearScan examination
Description
Change from baseline in tear film grade (0-3 best)
Time Frame
1 hour
Title
Change in Tear Film Grading by TearScan examination
Description
Change from baseline in tear film grade (0-3 best)
Time Frame
2 weeks
Title
Change in Tear Film Grading by TearScan examination
Description
Change from baseline in tear film grade (0-3 best)
Time Frame
4 weeks
Title
Change in Tear Film Grading by TearScan examination
Description
Change from baseline in tear film grade (0-3 best)
Time Frame
8 weeks
Title
Change in Tear Film Grading by TearScan examination
Description
Change from baseline in tear film grade (0-3 best)
Time Frame
12 weeks
Title
Change in Meibography score by Keratograph®
Description
Change from baseline using Grades 0 to 3 (0 no loss to 3 >2/3 loss)
Time Frame
12 weeks
Title
Change in Tear Meniscus Height (TMH) by Keratograph®
Description
Change from baseline in mm TMH (higher is better)
Time Frame
1 hour
Title
Change in Tear Meniscus Height (TMH) by Keratograph®
Description
Change from baseline in mm TMH (higher is better)
Time Frame
4 weeks
Title
Change in Tear Meniscus Height (TMH) by Keratograph®
Description
Change from baseline in mm TMH (higher is better)
Time Frame
8 weeks
Title
Change in Tear Meniscus Height (TMH) by Keratograph®
Description
Change from baseline in mm TMH (higher is better)
Time Frame
12 weeks
Title
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Description
Change from baseline in NIKBUT in seconds (longer is better)
Time Frame
1 hour
Title
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Description
Change from baseline in NIKBUT in seconds (longer is better)
Time Frame
4 weeks
Title
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Description
Change from baseline in NIKBUT in seconds (longer is better)
Time Frame
8 weeks
Title
Change in Non-Invasive Keratograph® Tear Break-Up Time (NIKBUT)
Description
Change from baseline in NIKBUT in seconds (longer is better)
Time Frame
12 weeks
Title
Change in Bulbar redness score by Keratograph®
Description
Change from baseline in Bulbar redness score (highest is worst)
Time Frame
1 hour
Title
Change in Bulbar redness score by Keratograph®
Description
Change from baseline in Bulbar redness score (highest is worst)
Time Frame
4 weeks
Title
Change in Bulbar redness score by Keratograph®
Description
Change from baseline in Bulbar redness score (highest is worst)
Time Frame
8 weeks
Title
Change in Bulbar redness score by Keratograph®
Description
Change from baseline in Bulbar redness score (highest is worst)
Time Frame
12 weeks
Title
Change in tear film osmolarity by TearLab™ osmolarity system
Description
Change from baseline in mOsms/L (higher value is worse)
Time Frame
1 hour
Title
Change in tear film osmolarity by TearLab™ osmolarity system
Description
Change from baseline in mOsms/L (higher value is less sensitive)
Time Frame
2 weeks
Title
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Description
Change from baseline in mm Hg (higher is less sensitive)
Time Frame
1 hour
Title
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Description
Change from baseline in mm Hg (higher is less sensitive)
Time Frame
2 weeks
Title
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Description
Change from baseline in mm Hg (higher is less sensitive)
Time Frame
4 weeks
Title
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Description
Change from baseline in mm Hg (higher is less sensitive)
Time Frame
8 weeks
Title
Change in corneal sensitivity using Cochet-Bonnet esthesiometer
Description
Change from baseline in mm Hg (higher is less sensitive)
Time Frame
12 weeks
Title
Change in Fluorescein Tear Break-Up Time (FBUT)
Description
Change from baseline in FBUT in seconds (longer is better)
Time Frame
1 hour
Title
Change in Fluorescein Tear Break-Up Time (FBUT)
Description
Change from baseline in FBUT in seconds (longer is better)
Time Frame
4 weeks
Title
Change in Fluorescein Tear Break-Up Time (FBUT)
Description
Change from baseline in FBUT in seconds (longer is better)
Time Frame
8 weeks
Title
Change in Fluorescein Tear Break-Up Time (FBUT)
Description
Change from baseline in FBUT in seconds (longer is better)
Time Frame
12 weeks
Title
Change in corneal (central) fluorescein staining score
Description
Change from baseline in central corneal fluorescein staining score (0-10 worst)
Time Frame
2 weeks
Title
Change in corneal (central) fluorescein staining score
Description
Change from baseline in central corneal fluorescein staining score (0-10 worst)
Time Frame
8 weeks
Title
Change in corneal (central) fluorescein staining score
Description
Change from baseline in central corneal fluorescein staining score (0-10 worst)
Time Frame
12 weeks
Title
Change in corneal (inferior) fluorescein staining score
Description
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Time Frame
2 weeks
Title
Change in corneal (inferior) fluorescein staining score
Description
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Time Frame
4 weeks
Title
Change in corneal (inferior) fluorescein staining score
Description
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Time Frame
8 weeks
Title
Change in corneal (inferior) fluorescein staining score
Description
Change from baseline in inferior corneal fluorescein staining score (0-10 worst)
Time Frame
12 weeks
Title
Change in corneal (superior) fluorescein staining score
Description
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Time Frame
2 weeks
Title
Change in corneal (superior) fluorescein staining score
Description
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Time Frame
4 weeks
Title
Change in corneal (superior) fluorescein staining score
Description
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Time Frame
8 weeks
Title
Change in corneal (superior) fluorescein staining score
Description
Change from baseline in superior corneal fluorescein staining score (0-10 worst)
Time Frame
12 weeks
Title
Change in corneal fluorescein staining sum of scores
Description
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Time Frame
2 weeks
Title
Change in corneal fluorescein staining sum of scores
Description
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Time Frame
4 weeks
Title
Change in corneal fluorescein staining sum of scores
Description
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Time Frame
8 weeks
Title
Change in corneal fluorescein staining sum of scores
Description
Change from baseline in corneal fluorescein staining sum of scores (0-30 worst)
Time Frame
12 weeks
Title
Change in conjunctival fluorescein staining sum of scores
Description
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Time Frame
2 weeks
Title
Change in conjunctival fluorescein staining sum of scores
Description
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Time Frame
4 weeks
Title
Change in conjunctival fluorescein staining sum of scores
Description
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Time Frame
8 weeks
Title
Change in conjunctival fluorescein staining sum of scores
Description
Change from baseline in conjunctival fluorescein staining sum of scores (0-30 worst)
Time Frame
12 weeks
Title
Change in lissamine green staining (corneal and conjunctival) sum of scores
Description
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores
Time Frame
2 weeks
Title
Change in lissamine green staining (corneal and conjunctival) sum of scores
Description
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores (higher is worse)
Time Frame
4 weeks
Title
Change in lissamine green staining (corneal and conjunctival) sum of scores
Description
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores (higher is worse)
Time Frame
8 weeks
Title
Change in lissamine green staining (corneal and conjunctival) sum of scores
Description
Change from baseline in lissamine green staining (corneal and conjunctival) sum of scores (higher is worse)
Time Frame
12 weeks
Title
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Description
Change from baseline in conjunctival hyperemia score (0-10 worst)
Time Frame
2 weeks
Title
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Description
Change from baseline in conjunctival hyperemia score (0-10 worst)
Time Frame
4 weeks
Title
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Description
Change from baseline in conjunctival hyperemia score (0-10 worst)
Time Frame
8 weeks
Title
Change in conjunctival hyperemia (by slit lamp biomicroscopy)
Description
Change from baseline in conjunctival hyperemia score (0-10 worst)
Time Frame
12 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female of any race, at least 20 years of age at Visit 1 Screening.
Has a subject reported history (including physician diagnosis) of dry eye disease in both eyes for at least 3 months prior to Visit 1.
Has SANDE score ≥50 in either frequency or severity of symptoms of dryness and/or irritation at Visit 1.
Have all of the following in the same eye at Visit 1:
Fluorescein Tear Break-Up Time of ≤5 seconds.
Corneal fluorescein staining score of moderate or more in any field (inferior, superior or central).
Report a severity score of moderate or more on ocular dryness and at least one of the other symptoms on the GLIA Ocular Surface Disease Symptoms Questionnaire.
Has provided written informed consent.
Be able and willing to follow oral and written instructions, including participation in all study assessments and visits.
Exclusion Criteria:
Comorbidity with other severe or chronic eye conditions that in the judgment of the investigator will interfere with study assessments, such as but not limited to corneal opacities and scars, dystrophies, epithelial scarring, infections, history of blood clots, etc.
Has infections, or inflammatory skin lesion in or around the dosing area.
Best corrected visual acuity baseline <20/200.
Has a condition or history that, in the opinion of the investigator, may interfere significantly with the subject's participation in the study.
Wear contact lens within 7 days prior to Visit 1.
Anticipate change of vision correction or anticipate any ocular procedures during study period.
A woman who is pregnant or testing positive in the blood pregnancy test at screening, nursing an infant, or planning a pregnancy.
Has a known adverse reaction and/or sensitivity to the study drug or its components.
Use of topical ocular cyclosporine (e.g. Restasis®), lifitegrast (Xiidra®), diquafosol (Diquas®), eye gels, eye ointments, any administration route of steroids, anti-histamines, antipsychotics, antidepressants and NSAIDs within 30 days prior to Visit 1.
Routine use (more than once a week) of a chlorinated swimming pool during study period.
Unwilling or unable to cease using the following medications during the study period (from Visit 1 to Visit 6): Topical ocular cyclosporine (e.g. Restasis®), lifitegrast (Xiidra®), diquafosol (Diquas®), eye gels, eye ointments, any administration route of steroids, anti-histamines, antipsychotics, antidepressants and NSAIDs..
Unwilling to cease the use of sunscreen and face scrubs on the forehead or eye area during study period.
Smoke within 3 months prior to Visit 1.
Ongoing glaucoma treatment within 30 days prior to Visit 1 and during study period.
Currently enrolled in an investigational drug or device study within 30 days prior to Visit 1 and during study period.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peichun Kuo
Organizational Affiliation
PharmaDax Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Tri-Service General Hospital, National Defense Medical Center
City
Taipei City
ZIP/Postal Code
11490
Country
Taiwan
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Treatment of Dry Eye Disease Using Pro-ocular™ - A Proof of Concept, Safety, and Efficacy Study
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