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Dry Eye SyndromesPhase 2NCT01135511

A Phase II, Dose Ranging Study Of CP-690,550 Eye Drops In Patients With Dry Eye Disease

A Phase 2 study testing CP-690,550 Eye drops and Sodium Hyaluronate in people with Dry Eye Syndromes, run by Pfizer at 28 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to evaluate dose-response, efficacy and safety of CP-690,550 eye drops in patients with dry eye disease. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Dry Eye Syndromes
What is being tested?
CP-690,550 Eye drops and Sodium Hyaluronate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
285 participants
Where
28 sitesin 2 countries
Study dates
Jul 2010to Apr 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjective symptoms of dry eye for at least 6 months
  • Signs of moderate to severe dry eye (corneal staining score and schirmer test without anesthesia)

Who cannot join

  • Women who are nursing, pregnant or planning pregnancy during the study
  • Participation in other studies within 30 days of screening visit
  • Ocular disorders that may confound interpretation of study results

Trial locations and contacts

28 sites in 2 countries.

28 sites in 2 countries

Japan22 sites
  • Pfizer Investigational Site

    Chiba, Japan

  • Pfizer Investigational Site

    Chiyoda-ku, Tokyo

  • Pfizer Investigational Site

    Fuji, Shizuoka

  • Pfizer Investigational Site

    Fukuoka, Fukuoka

  • Pfizer Investigational Site

    Hamura, Tokyo

  • Pfizer Investigational Site

    Ichinomiya, Aichi-ken

  • Pfizer Investigational Site

    Kyoto, Kyoto

  • Pfizer Investigational Site

    Minato-ku, Tokyo

  • Pfizer Investigational Site

    Narashino, Chiba

  • Pfizer Investigational Site

    Numazu, Shizuoka

  • Pfizer Investigational Site

    Ohta-ku, Tokyo

  • Pfizer Investigational Site

    Osaka, Osaka

  • Pfizer Investigational Site

    Shizuoka, Shizuoka

  • Pfizer Investigational Site

    Sumida-ku, Tokyo

  • Pfizer Investigational Site

    Susono, Shizuoka

  • Pfizer Investigational Site

    Tachikawa, Tokyo

  • Pfizer Investigational Site

    Taito-ku, Tokyo

  • Pfizer Investigational Site

    Tokyo, Japan

  • Pfizer Investigational Site

    Tokyo

  • Pfizer Investigational Site

    Urayasu, Chiba

  • Pfizer Investigational Site

    Yokohama, Kanagawa

  • Pfizer Investigational Site

    Yokohama, Kangawa

Other trials in Japan

South Korea6 sites
  • Pfizer Investigational Site

    Gwangju, 501-757

  • Pfizer Investigational Site

    Seoul, 110-744

  • Pfizer Investigational Site

    Seoul, 120-752

  • Pfizer Investigational Site

    Seoul, 136-705

  • Pfizer Investigational Site

    Seoul, 137-701

  • Pfizer Investigational Site

    Seoul

Other trials in South Korea

About this study

Official title: A Phase II, Prospective, Randomized, Double Masked/Investigator Masked, Vehicle And Comparator (Sodium Hyaluronate Eye Drops) Controlled, Dose Ranging Study Of CP-690,550 Eye Drops In Subjects With Dry Eye Disease

The purpose of the study is to evaluate dose-response, efficacy and safety of CP-690,550 eye drops in patients with dry eye disease.

Being tested
CP-690,550 Eye drops, CP-690,550 Eye drops-vehicle, Sodium Hyaluronate
Keywords
Dry eye
Medical subject headings
Dry Eye Syndromes

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CP-690,550 Eye dropsDrug

    Ophthalmic topical solution, low dose, dosed once/day, 8 weeks

  • CP-690,550 Eye dropsDrug

    Ophthalmic topical solution, medium dose, dosed once/day, 8 weeks

  • CP-690,550 Eye dropsDrug

    Ophthalmic topical solution, high dose, dosed once/day, 8 weeks

  • CP-690,550 Eye drops-vehicleDrug

    Ophthalmic topical solution, vehicle, dosed once/day, 8 weeks

  • Sodium HyaluronateDrug

    Ophthalmic topical solution, dosed 6 times/day, 8 weeks

Study groups in NCT01135511
Study groupRoleWhat they receive
Treatment 1ExperimentalNot described
Receives: Drug: CP-690,550 Eye drops
Treatment 2ExperimentalNot described
Receives: Drug: CP-690,550 Eye drops
Treatment 3ExperimentalNot described
Receives: Drug: CP-690,550 Eye drops
Treatment 4Placebo comparatorNot described
Receives: Drug: CP-690,550 Eye drops-vehicle
Treatment 5Active comparatorNot described
Receives: Drug: Sodium Hyaluronate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in Corneal Staining Scores for Study Eye From Baseline at Week 8

    Based on the National Eye Institute (NEI) dry eye clinical trials workshop, the cornea was divided into 5 different zones. Each corneal zone was graded independently using a 0 to 3 grading scale:0=none, 1=slight, 2=moderate, 3=severe. Sum of scores of each zone led to total score. Total score range: 0 to 15, higher score indicated greater staining. Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: score at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 8

Secondary outcomes (20)
  1. Changes in Corneal Staining Scores for Study Eye From Baseline

    Based on the National Eye Institute (NEI) dry eye clinical trials workshop, the cornea was divided into 5 different zones. Each corneal zone was graded independently using a 0 to 3 grading scale:0=none, 1=slight, 2=moderate, 3=severe. Sum of scores of each zone led to total score. Total score range: 0 to 15, higher score indicated greater staining. Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: score at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2 and 4

  2. Percentage of Participants Demonstrating 100 Percent Clearing of Corneal Staining for Study Eye

    Percentage of participants demonstrating corneal staining score = 0 which indicates no damage in corneal surface.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: Week 1, 2, 4 and 8

  3. Changes in Conjunctival Staining Scores (Interpalpebral) for Study Eye From Baseline

    Based on the Oxford grading system, the bulbar conjunctiva of each eye was divided into 2 different zones (nasal and temporal). The nasal and temporal bulbar conjunctival zones were each graded independently using a 6-point scale (0 [Absent] to 5 [Severe]). Total score ranged from 0 (Absent) to 10 (severe), higher score=higher damage to eyes due to dryness. Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change = scores at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  4. Changes in Tear Break Up Time (TBUT) for Study Eye From Baseline

    TBUT is the interval between the last complete blink and the first appearance of a dry spot, or disruption in the tear film. Using a stopwatch, the time between last complete blink and first appearance of dry spot was recorded.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: value at observation minus value at baseline. Positive change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  5. Changes in Schirmer Test Values Without Anesthesia for Study Eye From Baseline

    The Schirmer test without anesthesia was used to estimate tear flow stimulated reflexly by insertion of a filter paper strip into the conjunctival sac. The length of wetting (distance from the notch) was recorded in millimeters (to the nearest 0.5 mm). If the wetting line was oblique, the halfway point was used.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: value at observation minus value at baseline. Positive change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  6. Percentage of Participants Who Achieve ≥10 mm Schirmer Test Value Without Anesthesia for Study Eye

    The Schirmer test without anesthesia was used to estimate tear flow stimulated reflexly by insertion of a filter paper strip into the conjunctival sac. The length of wetting (distance from the notch) was recorded in millimeters (to the nearest 0.5 mm). If the wetting line was oblique, the halfway point was used.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: Week 1, 2, 4 and 8

  7. Number of Participants Who Increase of ≥10 mm From Baseline in Schirmer Test Value Without Anesthesia for Study Eye

    The Schirmer test without anesthesia was used to estimate tear flow stimulated reflexly by insertion of a filter paper strip into the conjunctival sac. The length of wetting (distance from the notch) was recorded in millimeters (to the nearest 0.5 mm). If the wetting line was oblique, the halfway point was used.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: Week 1, 2, 4 and 8

  8. Changes in the Ocular Comfort Index (OCI) Total Score From Baseline

    The OCI is a validated instrument developed to measure the frequency and intensity of 6 common dry eye symptoms: dryness, grittiness, stinging, eye tiredness, pain, and itching. It contains 12 questions, each measured on a 7-point rating scale (0 [Never] to 6 [Always], or 0 [Never had it] to 6 [Severe]). Total score ranged from 0 (none) to 72 (severe symptoms). A higher score indicates more severe dry eye symptoms.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: score at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  9. Number of Participants Demonstrating at Least ≥3 Unit Decrease in Ocular Comfort Index (OCI) Total Score From Baseline

    The OCI is a validated instrument developed to measure the frequency and intensity of 6 common dry eye symptoms: dryness, grittiness, stinging, eye tiredness, pain, and itching. It contains 12 questions, each measured on a 7-point rating scale (0 [Never] to 6 [Always], or 0 [Never had it] to 6 [Severe]). Total score ranged from 0 (none) to 72 (severe symptoms). A higher score indicates more severe dry eye symptoms.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change = scores at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Week 1, 2, 4 and 8

  10. Changes in the Ocular Surface Disease Index (OSDI) Total Score From Baseline

    The OSDI is a validated instrument for ocular surface diseases, measuring the ocular symptoms, vision-related function, and environmental triggers.

    The 12 items of the OSDI questionnaire were graded on a scale of 0 [none of the time] to 4 [all of the time]. The total OSDI score was then calculated on the basis of the following formula: OSDI=[(sum of scores for all questions answered) × 100]/[(total number of questions answered) × 4].

    The OSDI is scored on a scale of 0 to 100, with higher scores representing greater disability.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: score at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  11. Changes in the Ocular Surface Disease Index (OSDI) Subscale Score From Baseline: Ocular Symptoms

    The OSDI is a validated instrument for ocular surface diseases, measuring the ocular symptoms, vision-related function, and environmental triggers.

    The 12 items of the OSDI questionnaire were graded on a scale of 0 [the none of time] to 4 [all of the time]. The subscale OSDI score was then calculated on the basis of the following formula: OSDI=[(sum of scores for questions 1 to 3 answered) × 100]/[(total number of questions 1 to 3 answered) × 4].

    The OSDI is scored on a scale of 0 to 100, with higher scores representing greater disability.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: score at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  12. Changes in the Ocular Surface Disease Index (OSDI) Subscale Score From Baseline: Vision-Related Function

    The OSDI is a validated instrument for ocular surface diseases, measuring the ocular symptoms, vision-related function, and environmental triggers.

    The 12 items of the OSDI questionnaire were graded on a scale of 0 [none of the time] to 4 [all of the time]. The subscale OSDI score was then calculated on the basis of the following formula: OSDI=[(sum of scores for questions 4 to 9 answered) × 100]/[(total number of questions 4 to 9 answered) × 4].

    Thus, the OSDI is scored on a scale of 0 to 100, with higher scores representing greater disability.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: score at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  13. Changes in the Ocular Surface Disease Index (OSDI) Subscale Score From Baseline: Environmental Triggers

    The OSDI is a validated instrument for ocular surface diseases, measuring the ocular symptoms, vision-related function, and environmental triggers.

    The 12 items of the OSDI questionnaire were graded on a scale of 0 [none of the time] to 4 [all of the time]. The subscale OSDI score was then calculated on the basis of the following formula: OSDI=[(sum of scores for questions 10 to 12 answered) × 100]/[(total number of questions 10 to 12 answered) × 4].

    The OSDI is scored on a scale of 0 to 100, with higher scores representing greater disability.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Change: score at observation minus score at baseline. Negative change from baseline indicated improvement.

    Measured: Baseline, Week 1, 2, 4 and 8

  14. Percentage of Participants Demonstrating ≥10 Unit Decrease in Ocular Surface Disease Index (OSDI) Total Score From Baseline

    The OSDI is a validated instrument for ocular surface diseases, measuring the ocular symptoms, vision-related function, and environmental triggers.

    The 12 items of the OSDI questionnaire were graded on a scale of 0 [none of the time] to 4 [all of the time]. The total OSDI score was then calculated on the basis of the following formula: OSDI=[(sum of scores for all questions answered) × 100]/[(total number of questions answered) × 4].

    The OSDI is scored on a scale of 0 to 100, with higher scores representing greater disability.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: Week 1, 2, 4 and 8

  15. Number of Participants Evaluable for Time to Achievement of 100% Clearing of Corneal Staining for Study Eye

    Based on the National Eye Institute (NEI) dry eye clinical trials workshop, the cornea was divided into 5 different zones. Each corneal zone was graded independently using a 0 to 3 grading scale. The maximum possible staining score is 15, higher score indicated greater staining.

    100% Clearing of Corneal Staining means corneal staining score = 0. Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: Week 8

  16. Number of Participants Evaluable for Time to Achievement of ≥10 mm Schirmer Wetting Score Without Anesthesia for Study Eye

    The Schirmer test without anesthesia was used to estimate tear flow stimulated reflexly by insertion of a filter paper strip into the conjunctival sac.

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: Week 8

  17. Number of Participants Evaluable for Time to Achievement of ≥3 Unit Decrease in OCI Scores

    The OCI is a validated instrument developed to measure the frequency and intensity of 6 common dry eye symptoms: dryness, grittiness, stinging, eye tiredness, pain, and itching. It contains 12 questions, each measured on a 7-point rating scale (0 [Never] to 6 [Always], or 0 [Never had it] to 6 [Severe]). Negative change from baseline indicated improvement. Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: Week 8

  18. Number of Participants With Ocular Adverse Events (AEs)by Severity

    Counts of participants who had treatment-emergent adverse events (TEAEs), defined as newly occurring or worsening after first dose. Ocular AEs are the events which are localized in the ocular region. Participants with multiple occurrences of an AE within a category were counted once within the category.

    Measured: 8 weeks

  19. Number of Participants With Nonocular Adverse Events (AEs) by Severity

    Counts of participants who had treatment-emergent nonocular AEs, defined as newly occurring or worsening after first dose. Participants with multiple occurrences of an AE within a category were counted once within the category.

    Measured: 8 weeks

  20. Summary of Maximum Severity of Ocular Tolerability Assessments Post Baseline for Study Eye: Number of Participants in Each Severity Scale

    Ocular tolerability was assessed for the 5 symptoms (burning sensation, blurred vision, ocular discomfort, pain, tearing), based on a 4-point severity scale (none, minor, moderate, and severe).

    Results from study eye are reported. The study eye was defined as the eye with the worse (higher) corneal staining score at baseline.

    Measured: 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jun 2010 (estimated)
  2. Study startJul 2010
  3. Primary completionApr 2011
  4. Study completionApr 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
285 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01135511
Sponsor's protocol ID
A3921072
Status last verified
Mar 2013
First submitted
1 Jun 2010
Last updated
7 May 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CP-690,550 Eye drops and Sodium Hyaluronate in people with Dry Eye Syndromes, run by Pfizer at 28 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 May 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Japan, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 May 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Corneal Staining Scores for Study Eye From Baseline at Week 8 (time frame: Baseline, Week 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2013.

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