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Dry Eye SyndromesPhase 3STRIDE 1NCT02813265

Safety and Efficacy of KPI-121 in Subjects With Dry Eye Disease

A Phase 3 study testing KPI-121 0.25% Ophthalmic Suspension in people with Dry Eye Syndromes and Keratoconjunctivitis Sicca, run by Kala Pharmaceuticals, Inc. at 60 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The primary purpose of this study is to determine the efficacy and safety of KPI-121 0.25% ophthalmic suspension compared to vehicle (placebo) in subjects who have a documented clinical diagnosis of dry eye disease. The product will be studied over 14 days, with 1-2 drops instilled in each eye four times daily (QID). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Dry Eye Syndromes, Keratoconjunctivitis Sicca
What is being tested?
KPI-121 0.25% Ophthalmic Suspension
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
918 participants
Where
60 sitesUnited States
Study dates
Jun 2016to Oct 2017
Phase
Phase 3
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have a documented clinical diagnosis of dry eye disease in both eyes

Who cannot join

  • Known hypersensitivity or contraindication to the investigational product(s) or components
  • History of glaucoma, Intraocular Pressure (IOP) >21 mmHg at the screening or randomization visits, or being treated for glaucoma in either eye.
  • Diagnosis of: ongoing ocular infection; severe/serious ocular condition that in judgment of Investigator could confound study assessments or limit compliance; or have been exposed to an investigational drug within 30 days prior to screening.
  • In the opinion of the Investigator or study coordinator, be unwilling or unable to comply with study protocol or unable to successfully instill eye drops.

Trial locations and contacts

60 sites in 1 country.

60 sites in 1 country

United States60 sites
  • Dixon Eye Care

    Albany, Georgia, 31701

  • Sall Research Medical Center

    Artesia, California, 90701

  • Chu Vision Institute

    Bloomington, Minnesota, 55420

  • Florida Eye Microsurgical Institute, Inc.

    Boynton Beach, Florida, 33426

  • Hill Country Eye Center

    Cedar Park, Texas, 78613

  • Mundorf Eye Center

    Charlotte, North Carolina, 28204

  • Lifelong Vision Foundation at Pepose Vision Institute

    Chesterfield, Missouri, 63017

  • Abrams Eye Center

    Cleveland, Ohio, 44115

  • Opthalamic Surgeons & Consultants of Ohio

    Columbus, Ohio, 43215

  • Scott & Christie and Associates, PC

    Cranberry Township, Pennsylvania, 16066

  • Firozvi Research, LLC / North Carolina Eye, Ear, Nose & Throat

    Durham, North Carolina, 27704

  • Bergstrom Eye Research

    Fargo, North Dakota, 58103

  • Eye Center of Northern Colorado, PC

    Fort Collins, Colorado, 80525

  • Eye Associates of Fort Myers

    Fort Myers, Florida, 33901

  • Orange County Ophthalmology Medical Group

    Garden Grove, California, 92843

  • The Eye Center of Southern CT, P.C.

    Hamden, Connecticut, 06518

  • Houston Eye Associates

    Houston, Texas, 77025

  • Midwest Cornea Associates, LLC

    Indianapolis, Indiana, 46290

  • United Medical Research Institute

    Inglewood, California, 90301

  • Jacksoneye, S. C.

    Lake Villa, Illinois, 60046

  • Conestoga Eye

    Lancaster, Pennsylvania, 17601

  • Shettle Eye Research, Inc.

    Largo, Florida, 33773

  • Wellish Vision Institute

    Las Vegas, Nevada, 89119

  • Tanner Clinic

    Layton, Utah, 84041

  • The Eye Clinic of Texas, Affiliate of Houston Eye Associates

    League City, Texas, 77573

  • Lake Travis Eye and Laser Center

    Leander, Texas, 78641

  • Eyecare Arkansas, P.A.

    Little Rock, Arkansas, 72205

  • Little Rock Eye Clinic, LLP

    Little Rock, Arkansas, 72205

  • Corneal Consultants of Colorado

    Littleton, Colorado, 80209

  • Apex Eye

    Mason, Ohio, 45040

  • See Clearly Vision

    McLean, Virginia, 22102

  • Total Eye Care, PA

    Memphis, Tennessee, 38119

  • North Valley Eye Medical Group

    Mission Hills, California, 91345

  • Montebello Medical Center, Inc.

    Montebello, California, 90640

  • LoBue Laser and Eye Medical Center

    Murrieta, California, 92562

  • Eye Research Foundation

    Newport Beach, California, 92663

  • Virginia Eye Consultants

    Norfolk, Virginia, 23502

  • Pendleton Eye Center

    Oceanside, California, 92056

  • Stiles EyeCare Excellence and Glaucoma Institute

    Overland Park, Kansas, 66213

  • Atlantic Eye Center

    Palm Coast, Florida, 32137

  • The Eye Center of North Florida

    Panama City, Florida, 32405

  • Matossian Eye Associates

    Pennington, New Jersey, 08534

  • North Bay Eye Associates, Inc.

    Petaluma, California, 94954

  • Cornea and Cataract Consultants of Arizona

    Phoenix, Arizona, 85032

  • UPMC Eye Center

    Pittsburgh, Pennsylvania, 15213

  • Eyecare Center

    Raleigh, North Carolina, 27603

  • Martel Eye Medical Group

    Rancho Cordova, California, 95670

  • Black Hills Regional Eye Institute

    Rapid City, South Dakota, 57701

  • Rochester Ophthalmological Group, PC

    Rochester, New York, 14618

  • Roseburg Research Associates, LLC

    Roseburg, Oregon, 97471

  • Sacramento Eye Consultants

    Sacramento, California, 95815

  • Eye Clinics of South Texas

    San Antonio, Texas, 78209

  • R and R Eye Research, LLC

    San Antonio, Texas, 78229

  • Keystone Research - Medical Center Ophthalmology Associates

    San Antonio, Texas, 78240

  • Schwartz Laser Eye Center

    Scottsdale, Arizona, 85260

  • Cornea Consultants of Albany

    Slingerlands, New York, 12159

  • Ophthalmology Associates

    St Louis, Missouri, 63131

  • Ophthalmology Consultants, Ltd.

    St Louis, Missouri, 63131

  • South Shore Eye Center, LLP

    Wantagh, New York, 11793

  • Clinical Eye Research of Boston

    Winchester, Massachusetts, 01890

Other trials in United States

About this study

Official title: A Phase 3, Double-Masked, Randomized, Controlled Study of KPI-121 0.25% Ophthalmic Suspension Compared to Vehicle in Subjects With Dry Eye Disease

The primary purpose of this study is to determine the efficacy and safety of KPI-121 0.25% ophthalmic suspension compared to vehicle (placebo) in subjects who have a documented clinical diagnosis of dry eye disease. The product will be studied over 14 days, with 1-2 drops instilled in each eye four times daily (QID).

Read the detailed description

This is a Phase 3, multi-center, double-masked, randomized, vehicle-controlled, parallel-group study designed to evaluate the safety and efficacy of KPI-121 0.25% ophthalmic suspension versus vehicle in subjects with dry eye disease.

Being tested
KPI-121 0.25% Ophthalmic Suspension, Vehicle of KPI-121 0.25% Ophthalmic Suspension
Keywords
Ocular Discomfort, Pain, Corticosteroid, Hyperemia, Dry Eye
Medical subject headings
Dry Eye Syndromes, Keratoconjunctivitis Sicca, Pain, Hyperemia

What participants receive

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

  • KPI-121 0.25% Ophthalmic SuspensionDrug

    Also called Loteprednol etabonate

  • Vehicle of KPI-121 0.25% Ophthalmic SuspensionDrug

    Also called Placebo

Study groups in NCT02813265
Study groupRoleWhat they receive
KPI-121 0.25% Ophthalmic SuspensionActive comparatorNot described
Receives: Drug: KPI-121 0.25% Ophthalmic Suspension
Vehicle of KPI-121 0.25% Ophthalmic SuspensionPlacebo comparatorNot described
Receives: Drug: Vehicle of KPI-121 0.25% Ophthalmic Suspension

What is being measured

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

  1. Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)

    Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

  2. Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15)

    Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

  3. Change From Baseline/Visit 2 (Day 1) in Corneal Fluorescein Staining Score at Visit 4 (Day 15)

    Comparison of mean corneal fluorescein staining between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using methods developed by the National Eye Institute (NEI) Dry Eye Workshop in evaluating 5 regions of the cornea (superior, inferior, nasal, temporal and central) using a 0-3 grading scale, where 0 = no visible staining, 1 = Mild, 2 = moderate and 3 = severe.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

  4. Change From Baseline/Visit 2 (Day 1) Ocular Discomfort Severity at Visit 4 (Day 15) in the Subgroup of Participants With More Severe Ocular Discomfort

    Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse, in a sub-group of participants with more severe ocular discomfort at baseline.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

Secondary outcomes (9)
  1. Change in Conjunctival Hyperemia Scores at Visit 4 (Day 15) in the Subgroup of Participants With More Severe Ocular Discomfort at Baseline (Day 1)

    Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

  2. Proportion of Subjects With ≥1 Improvement in Conjunctival Hyperemia at Visit 4 (Day 15)

    Proportion of subjects with ≥1 improvement from baseline in conjunctival hyperemia scores. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

  3. Change From Baseline/Visit 2 (Day 1) Conjunctival Hyperemia Scores at Visit 4 (Day 15) for the Mean of All Regions (Nasal, Temporal, Frontal)

    Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

  4. Change in Ocular Discomfort Severity Scores Prior to Visit 3 (Day 8) Minus the Mean of the Scores to Baseline/Visit 2 (Day 1)

    Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)

  5. Change in Ocular Discomfort Severity Scores Prior to Visit 3 (Day 8) Minus Baseline/Visit 2 (Day 1) in the Subgroup of Participants With More Severe Ocular Discomfort.

    Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)

  6. Change in Ocular Discomfort Severity Scores on Day 4 (Diary) Minus Baseline/Visit 2 (Day 1)

    Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)

  7. Change in Ocular Discomfort Severity Scores on Day 4 Day 4 (Diary) Minus Baseline/Visit 2 (Day 1) in the Subgroup of Participants With More Severe Ocular Discomfort

    Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse, in a sub-group of participants with more severe ocular discomfort at baseline.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)

  8. Change From Baseline/Visit 2 (Day 1) in Conjunctival Hyperemia Scores With a Day 1 Conjunctival Hyperemia Score of ≥ 2 in the Subgroup of Participants With More Severe Ocular Discomfort

    Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale in a sub-group of participants with more severe ocular discomfort at baseline.. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.

    Measured: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)

  9. Subjects With a Grade of 0 in Conjunctival Hyperemia Score at Visit 4 (Day 15)

    Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe

    Measured: Visit 4 (Day 15)

Timeline

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

  1. First posted24 Jun 2016 (estimated)
  2. Study startJun 2016
  3. Primary completionOct 2017
  4. Study completionOct 2017

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
918 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02813265
Sponsor's protocol ID
KPI-121-C-006
Acronym
STRIDE 1
Status last verified
Jan 2021
First submitted
21 Jun 2016
Last updated
3 Feb 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing KPI-121 0.25% Ophthalmic Suspension in people with Dry Eye Syndromes and Keratoconjunctivitis Sicca, run by Kala Pharmaceuticals, Inc. at 60 sites in United States.

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 1 inclusion and 4 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 3 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 3 Dec 2020). 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?

Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15) (time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)). The study lists 4 primary outcomes in all. 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 3 Feb 2021.

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