Phase 2
N=150
An 8-week Study to Evaluate Safety and Efficacy of NGF Eye Drops Solution Versus Vehicle in Patients With Dry Eye
Dry Eye
Bottom Line
View on ClinicalTrials.gov: NCT03019627 ↗Enrolled (actual)
150
Serious AEs
3.3%
Results posted
Feb 2019
Primary outcome: Primary: Symptom Assessment in Dry Eye (SANDE) Scores — -38.8; -34.0; -32.2; -31.07 units on a scale — p==0.428
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- NGF (Drug); Vehicle (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Dompé Farmaceutici S.p.A
- Primary completion
- Aug 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Symptom Assessment in Dry Eye (SANDE) Scores |
-38.8; -34.0; -32.2; -31.07 | =0.428 |
| SECONDARY SANDE Scores |
-22.1; -20.4; -39.6; -34.6; -44.8; -28.2 | =0.783 |
| SECONDARY Cornea Vital Staining |
-3.5; -3.0; -4.2; -4.4; -4.4; -5.1 | =0.046 sig |
| SECONDARY Conjunctival Vital Staining |
-4.7; -4.1; -6.7; -5.9; -7.2; -7.0 | =0.265 |
| SECONDARY Change in Tear Film Break-up Time (TFBUT) |
0.4; 0.8; 0.5; 0.7; 0.5; 0.9 | =0.323 |
| SECONDARY Change From Baseline in Wetting Distance |
2.4; -3.1 | =0.003 sig |
Summary
The primary objective of this study was to assess the efficacy and safety of rhNGF when administered as eye drops to patients with dry eye
The secondary objectives of this study were:
* To assess change from baseline in Symptom Assessment In Dry Eye (SANDE) scores (without imputation), corneal and conjunctival staining according to National Eye Institute (NEI) scale, and in Tear Film Break-up Time (TFBUT) and Schirmer test I, following 4 and 8 weeks of treatment.
* To assess change in levels of inflammatory biomarker matrix metallopeptidase 9 (MMP-9) in tears following 8 weeks of treatment.
* To assess the incidence and frequency of treatment-emergent adverse events (TEAEs) following 8 weeks of treatment.
Eligibility Criteria
Inclusion Criteria
- Patients (male or female) must be ≥ 18 years of age.
- Patients must be diagnosed with any type of dry eye (e.g. Meibomian Gland Dysfunction, Blepharitis, Keratoconjunctivitis sicca etc) at least 3 months before enrollment.
- Patients must present dry eye pathology characterized by the following clinical features:
- Corneal and/or conjunctival staining with fluorescein and lissamine green using National Eye Institute (NEI) grading system > 3
- Mean Symptom Assessment in Dry Eye (SANDE) questionnaire ≥30
- Schirmer test without anesthesia 0.
- Active or recent diagnosis of malignancy (i.e., currently under chemo/radiotherapy).
- Systemic disease not stabilized within 1 month before baseline visit (e.g., uncontrolled diabetes; thyroid malfunction) or judged by the Investigator to be incompatible with the study (e.g., current systemic infections) or with a condition incompatible with the frequent assessment required by the study.
- Patients who have had a serious adverse reaction or significant hypersensitivity to any drug or chemically related compounds, or had a clinically significant allergy to drugs, foods, amide local anesthetics, or other materials, including commercial artificial tears containing carboxymethylcellulose (CMC) (in the opinion of the Investigator).
- Use of topical cyclosporine, topical corticosteroids, or any other topical medication for the treatment of dry eye in either eye until the day of study enrollment.
- Contact lenses or punctal plug use during the study (previous use not an exclusion criteria, but must be discontinued at the baseline visit.
- An anticipated need of additional systemic treatments for dry eye during the study (all prior treatment must be continued for the entire duration of the study).
- Females of childbearing potential (those who are not surgically sterilized or postmenopausal for at least 1 year) are excluded from participation in the study if they meet any one of the following conditions:
- are currently pregnant or,
- have a positive result at the urine pregnancy test (Baseline/Day 0) or,
- intend to become pregnant during the study treatment period or,
- are breast-feeding or,
- are not willing to use highly effective birth control measures, such as: hormonal contraceptives - oral, implanted, transdermal, or injected - and/or mechanical barrier methods - spermicide in conjunction with a barrier such as a condom or diaphragm or a intrauterine device (IUD) - during the entire course of and 30 days after the study treatment periods.
- History of drug addiction or alcohol abuse.
- Any prior ocular surgery (including refractive palpebral and cataract surgery) if within 90 days before the screening visit.
- Participation in a clinical trial with a new active substance during the past 30 days.
- Participation in another clinical trial study at the same time as the present study.
Data sourced from ClinicalTrials.gov (NCT03019627). 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.