Phase 3
N=753
Treatment of Bacterial Conjunctivitis With SHP640 Compared to PVP-Iodine and Placebo
Bacterial Conjunctivitis
Bottom Line
View on ClinicalTrials.gov: NCT03004924 ↗Enrolled (actual)
753
Serious AEs
0.0%
Results posted
Oct 2019
Primary outcome: Primary: Number of Participants With Clinical Resolution Among Who Received SHP640 or Placebo on Day 5 — 111; 0; 95 Participants — p=0.127
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- SHP640 (Drug); PVP-I 0.6% (Drug); Placebo (Drug)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- Shire
- Primary completion
- Oct 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Clinical Resolution Among Who Received SHP640 or Placebo on Day 5 |
111; 0; 95 | 0.127 |
| SECONDARY Number of Participants With Bacterial Eradication Among Who Received SHP640 or Placebo on Day 5 |
94; 0; 102 | 0.500 |
| SECONDARY Number of Participants With Clinical Resolution |
39; 6; 39; 148; 39; 133 | — |
| SECONDARY Number of Participants With Bacterial Eradication |
76; 33; 79; 85; 25; 87 | — |
| SECONDARY Bulbar Conjunctival Injection Score |
1.0; 1.3; 1.1; 0.5; 0.7; 0.7 | — |
| SECONDARY Change From Baseline in the Bulbar Conjunctival Injection Score |
-1.0; -0.8; -0.9; -1.5; -1.3; -1.3 | — |
| SECONDARY Ocular Conjunctival Discharge Score |
0.7; 0.8; 0.7; 0.3; 0.2; 0.4 | — |
| SECONDARY Change From Baseline in the Ocular Conjunctival Discharge Score |
-0.9; -0.8; -0.9; -1.4; -1.4; -1.3 | — |
| SECONDARY Global Clinical Score |
1.7; 2.1; 1.9; 0.8; 0.9; 1.0 | — |
| SECONDARY Change From Baseline in the Global Clinical Score |
-1.9; -1.6; -1.8; -2.9; -2.8; -2.6 | — |
| SECONDARY Number of Participants With Modified Clinical Resolution |
100; 28; 93; 166; 48; 143 | — |
| SECONDARY Number of Participants With Expanded Clinical Resolution |
155; 46; 154; 185; 54; 171 | — |
| SECONDARY Time to Clinical Resolution |
5; 6; 8 | — |
| SECONDARY Number of Participants Who Used Rescue Medication |
2; 3; 4 | — |
| SECONDARY Number of Participants With Treatment-emergent Adverse Events (TEAEs) |
106; 43; 61 | — |
Summary
The purpose of this study is to determine if an investigational treatment is effective compared with placebo and PVP-Iodine in the treatment of adults and children with bacterial conjunctivitis.
Eligibility Criteria
Inclusion Criteria
- An understanding, ability, and willingness to fully comply with study procedures and restrictions (by the parent(s), guardian, or legally authorized representative, if applicable).
- Ability to voluntarily provide written, signed, and dated (personally or via a parent(s), guardian, or legally authorized representative(s) informed consent (and assent, if applicable) to participate in the study.
- Participants of any age at Visit 1 (Note: participants less than ( =) 37 weeks gestational age at birth).
- Have a negative AdenoPlus® test in both eyes within 24 hours of Visit 1 or at Visit 1.
- Have a clinical diagnosis of suspected bacterial conjunctivitis in at least 1 eye confirmed by the presence of the following minimal clinical signs and symptoms in that same eye:
- Report presence of signs and/or symptoms of bacterial conjunctivitis for less than or equal to ( = 1 on 0-4 scale of Bulbar Conjunctival Injection Scale
- Ocular conjunctival discharge: a grade of >= 1 (mild) on a 0-3 scale of Ocular Conjunctival Discharge Scale
- Be willing to discontinue contact lens wear for the duration of the study.
- Have a Best Corrected Visual Acuity (BCVA) of 0.60 logMAR or better in each eye as measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart. BCVA will be assessed by an age appropriate method in accordance with the AAP Policy Statement for Visual System Assessment in Infants, Children, and Young Adults by Pediatricians (Donahue and Baker, 2016; American Academy of Pediatrics, 2016). The policy statement recommends formal vision screening can begin at 3 years of age. VA measurements for children under the age of 3 will be done at the discretion of the investigator. If not done, child should be able to fixate on and follow a moving object, except participants = 30 days prior to enrollment) use of inhaled and nasal corticosteroids is allowed, given no anticipated change in dose for the duration of the study. Topical dermal steroids are allowed except in the periocular area.
- Have used non-corticosteroid immunosuppressive agents within <= 14 days of Day 1.
- Have used any topical ophthalmic products, including tear substitutes, and over-the-counter preparations such as lid scrubs, within 2 hours of Visit 1 and be unable to discontinue all topical ophthalmic products for the duration of the study. Use of hot or cold compresses is also not permitted during the study.
- Have any significant ocular disease (eg, Sjogren's syndrome) or any uncontrolled systemic disease or debilitating disease (eg, cardiovascular disease, hypertension, sexually transmitted diseases/infections, diabetes, or cystic fibrosis) that may affect the study parameters, per investigator's discretion.
- Any known history of immunodeficiency disorder or known active conditions predisposing to immunodeficiency, such as human immunodeficiency virus, hepatitis B or C, evidence of active hepatitis A (anti-hepatitis A virus immunoglobulin M), or organ or bone marrow transplantation.
- Within 30 days prior to the first dose of investigational product:
- Have used an investigational product or device, or
- Have been enrolled in a clinical study (including vaccine studies) that, in the investigator's opinion, may impact this Shire-sponsored study.
Data sourced from ClinicalTrials.gov (NCT03004924). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.