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Phase 2 N=150 Randomized Quadruple-blind Treatment

Study of Efficacy and Safety of SAF312 Eye Drops in Subjects With Post-operative Corneal Induced Chronic Pain (CICP)

Chronic Ocular Pain

Enrolled (actual)
150
Serious AEs
0.7%
Results posted
Apr 2024
Primary outcome: Primary: Change From Baseline at Week 12 in Ocular Pain Severity Visual Analog Scale (VAS) — -23.7; -21.7; -25.3 Scores on a scale — p=0.930

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
SAF312 Placebo (Other); SAF312 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Novartis Pharmaceuticals
Primary completion
Jun 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline at Week 12 in Ocular Pain Severity Visual Analog Scale (VAS)
-23.7; -21.7; -25.3 0.930
SECONDARY
Ocular Pain Severity Visual Analog Scale (VAS): Summary Statistics of Change From Baseline at Day 7 and Day 14
-10.89; -11.45; -17.40; -12.20; -14.89; -21.00
SECONDARY
Ocular Pain Frequency Visual Analog Scale (VAS): Summary Statistics of Weekly Mean Change From Baseline to Week 12
-10.22; -9.96; -12.45; -14.38; -12.68; -18.80
SECONDARY
Ocular Pain Assessment Scale (OPAS) Subscale Quality of Life: Summary Statistics of Change From Baseline to Week 12
-1.39; -0.99; -1.52; -1.68; -1.39; -2.00
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Conjunctival Redness - Nasal (Oculus Dexter (OD) = Right Eye)
-0.1; -0.0; -0.1; -0.2; -0.0; 0.0
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Conjunctival Redness - Nasal (Oculus Sinister (OS) = Left Eye)
-0.2; -0.1; -0.2; -0.3; 0.0; -0.1
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Conjunctival Redness - Temporal (Oculus Dexter (OD) = Right Eye)
-0.2; 0.1; -0.1; -0.3; 0.0; -0.1
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Conjunctival Redness - Temporal (Oculus Sinister (OS) = Left Eye)
-0.2; 0.0; -0.1; -0.4; 0.1; 0.1
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Conjunctival Staining (Oculus Dexter (OD) = Right Eye)
0.1; -0.0; -0.1; 0.0; 0.2; -0.2
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Conjunctival Staining (Oculus Sinister (OS) = Left Eye)
0.0; -0.1; -0.2; -0.1; 0.1; -0.1
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Corneal Staining (Oculus Dexter (OD) = Right Eye)
-0.6; -0.7; -0.7; -0.8; -0.1; -0.9
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week - Corneal Staining (Oculus Sinister (OS) = Left Eye)
-0.5; -0.7; -1.0; -0.7; -0.6; -0.6
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week of Tear Production - Schirmer Test (mm) (Oculus Dexter (OD) = Right Eye)
-1.1; -0.3; -0.3; -0.3; -1.4; 0.1
SECONDARY
Ocular Surface Parameters: Summary Statistics of Change From Baseline by Week of Tear Production - Schirmer Test (mm) (Oculus Sinister (OS) = Left Eye)
-0.7; -1.5; 0.6; 0.7; -2.1; 1.4
SECONDARY
Number of Participants With Treatment Emergent Adverse Events
21; 12; 18; 11; 10; 10
SECONDARY
Ocular Treatment Emergent Adverse Events, by Primary System Organ Class (SOC) and Preferred Term (PT)
11; 10; 10; 10; 8; 10
SECONDARY
Summary of Non-ocular Treatment Emergent Adverse Events
13; 4; 13

Summary

The study was designed to demonstrate the safety and efficacy of two dose concentrations of SAF312 eye drops (5 mg/mL and 15 mg/mL) in subjects with CICP persisting at least for 4 months after refractive or cataract surgery and chronicity confirmed during the observational period. The study also determined the optimal dose to carry forward for further development.

Eligibility Criteria

Key Inclusion Criteria

  • Subjects who have undergone refractive surgery (i.e., PRK, LASIK, LASEK, RK, or SMILE) in both eyes or cataract surgery in both eyes, with or without refractive enhancement in one or both eyes, ≥4 months prior to Screening Visit and experiencing persistent ocular surface pain since the surgery, and have been seen by an ophthalmologist or optometrist at least once with complaint of continued ocular pain since surgery.
  • Subjects who demonstrate a ≥ 60% reduction in ocular pain within 5 minutes after instillation of a single topical ocular anesthetic drop at Screening Visit.

At Baseline

  • Subjects with an average pain severity VAS score of ≥ 30 mm based on Daily eDiary for the last 7 days prior to Baseline Visit.
  • Subjects who have reported pain severity >10 mm based on Daily eDiary for > 50% of the days of the observational period (Screening)

Key Exclusion Criteria

  • Use of nerve growth factor eye drops within 14 days of the Screening Visit
  • Seasonal allergic conjunctivitis, or other acute or seasonal ocular diagnosis that are active at the time of Screening or would be active during the course of the study.
  • Any history of ocular herpes simplex virus or herpes zoster virus infection, or other severe ocular conditions such as graft versus host disease, Stevens-Johnson syndrome or sarcoidosis.
  • Presence of any ocular infection (bacterial, viral, or fungal) within 30 days prior to Screening.
  • Chronic topical ocular medications (ie. cyclosporine, lifitegrast) initiated <6 months prior to Screening Visit, or any anticipated change during the study.
  • Use of ocular or nasal corticosteroids within 30 days of Screening Visit.
  • Use of neuromodulatory medications (eg, gabapentin, pregabalin) or opioid use for non-ocular pain within 30 days of Screening Visit.
  • Chronic medications (both over the counter and prescription) that have not been stable for at least 30 days prior to Screening Visit, or any anticipated change in the chronic medication regimen.
  • Subjects requiring hospitalization within 6 months prior to screening for severe psychiatric disorders (e.g. psychosis, schizophrenia, mania, depression) or major psychiatric illness.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04630158). 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.

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