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Dry Eye SyndromePhase 4087LATAMFIVNCT03223909

Efficacy and Safety of the Ophthalmic Solution PRO-087 Versus Systane ® Ultra and Ultra Preservative Free (087LATAMFIV)

A Phase 4 study testing PRO-087, Systane Ultra and Systane Ultra Preservative Free in people with Dry Eye Syndrome, run by Laboratorios Sophia S.A de C.V. at 1 site in Mexico.

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

Efficacy and Safety of the Ophthalmic Solution PRO-087 versus Systane ® Ultra and Systane ® Ultra Preservative Free on the Tear Film Dysfunction Syndrome from Mild to Moderate Clinical trial To evaluate the effectiveness of preservative-free ophthalmic formulation PRO-087 (by Laboratorios Sophia, S.A. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Dry Eye Syndrome
What is being tested?
PRO-087, Systane Ultra and Systane Ultra Preservative Free
Could I receive a placebo?
No, everyone receives an active treatment
How many people
326 participants
Where
1 siteMexico
Study dates
13 Oct 2016to 16 Dec 2018
Phase
Phase 4
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • >18 to < 90 years old
  • Both sexes
  • Mild to moderate tear film dysfunction clinical diagnose
  • Mild to moderate clinical stage of the disease
  • TBUT > 5 sec. and < 10 sec.
  • Schirmer: > 4 mm and < 14 mm
Show all 9Show fewer
  • OSDI < 30 points
  • Corneal staining < grade III on the Oxford scale
  • Availability to go to each revision when indicated.

Who cannot join

  • General Criteria
  • Subjects with topical and/or systemic medication or mechanical devices that interfere determinedly on the results of the study (such as topical immunomodulators, punctal plugs, corticosteroids, preservative artificial tears, contact lenses).
  • Subjects (females) with active sexual life that do not use a contraceptive method.
  • Female subjects who are pregnant or lactating
  • Female subjects with a positive urine pregnancy test
  • Positive drug addictions* (verbal interrogatory)
Show all 27Show fewer
  • Subjects who have participated on any other research clinical trials on the last 40 days
  • Subjects legal or mentally disabled to give an informed consent for participating on this study
  • Subjects who can't comply with the appointments or with every protocol requirement.
  • Criteria related with ophthalmic ailments
  • Serious tear film dysfunction syndrome TBUT < 5 s Schirmer: < 4 mm OSDI > 30 pints Corneal staining > grade III on the Oxford scale
  • Non perforated corneal ulcer
  • Perforated corneal ulcer
  • Autoimmune corneal ulcer
  • Ocular surface scarring diseases
  • Ocular surface or annexes metaplastic lesions
  • Fibro vascular proliferation lesions on the conjunctival and/or corneal surface (i.e.: pterygium)
  • Concomitant chronic inflammatory diseases on any ocular structure
  • Acute or infectious inflammatory disease
  • Corneal disease potentially requiring a treatment during the following 3 months
  • Use of topical or systemic drug products classified as forbidden
  • Ocular surgical procedures 3 months before the protocol inclusion
  • Treatments or procedures indicated on the tear film dysfunction treatment, as punctal silicone plugs.
  • Posterior segment diseases requiring a treatment or threatening the visual prognosis
  • Retinal diseases potentially requiring treatment during the following 3 months
  • History of penetrating keratoplasty.
  • Soft or hard contact lenses use during the last month from inclusion day

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • Fernando Rodriguez Sixtos Higuera

    Irapuato, Guanajuato, 36670

Other trials in Mexico

About this study

Official title: Efficacy and Safety of the Ophthalmic Solution PRO-087 Versus Systane ® Ultra and Systane ® Ultra Preservative Free on Tear Film Dysfunction Syndrome From Mild to Moderate

Efficacy and Safety of the Ophthalmic Solution PRO-087 versus Systane ® Ultra and Systane ® Ultra Preservative Free on the Tear Film Dysfunction Syndrome from Mild to Moderate Clinical trial To evaluate the effectiveness of preservative-free ophthalmic formulation PRO-087 (by Laboratorios Sophia, S.A. de C.V.) to restore the anatomical and physiological characteristics of the ocular surface, as well as its distribution and the characteristics of the mild to moderate tear film dysfunction syndrome compared to Systane ® Ultra and Ultra Systane ® preservative free (by Laboratorios Alcon, S.A. de C.V.).

Controlled, randomized, double-blind, masked clinical study, comparing the safety and efficacy of preservative-free PR0-087 vs Systane Ultra with preservative and Systane Ultra preservative free, in subjects with mild to moderate tear film dysfunction syndrome, for a period of 90 days plus 15 days of remote surveillance, in which one of the three agents will be administered (PR0-087, Systane® Ultra or Systane® Ultra preservative free) with a q.i.d. dosage. in both eyes, with regular follow-up visits (5 overall).

Best-corrected visual acuity Intraocular pressure Ocular surface Anterior segment examination Posterior segment examination Tear film break-up time Schirmer test Corneal epithelization Goblet cells count Adverse events Subjects with a clinical diagnosis of mild to moderate tear film dysfunction syndrome between 18 and 90 years old, without concomitant eye diseases nor requiring different treatments of any of the three interventions in this study They will be randomized in 3 groups where PRO-087, Systane® Ultra o Systane® Ultra preservative free will be administered.

Read the detailed description

Design Controlled, double-blind, randomized, clinical trial comparing the safety and efficacy parameters between a group of subjects with a diagnose of mild to moderate tear film dysfunction syndrome under a regimen of ophthalmic solution lubricant drops PRO-087 versus subject under Systane® Ultra or Systane® Ultra preservative free, with the same diagnosis, with a follow-up of 90 days

MAIN OBJECTIVE:

To evaluate the effectiveness of preservative-free ophthalmic formulation PRO-087 (by Laboratorios Sophia, S.A. de C.V.) to restore the anatomical and physiological characteristics of the ocular surface, as well as its distribution and the characteristics of the mild to moderate tear film dysfunction syndrome compared to Systane ® Ultra and Ultra Systane ® preservative free (by Laboratorios Alcon, S.A. de C.V.).

SPECIFIC OBJECTIVES:

To evaluate the safety of the preservative-free ophthalmic formulation PRO-087 (by Laboratorios Sophia, S.A. de C.V.) on the corneal and conjunctival epithelium, intraocular pressure, and structures of anterior and posterior segment in patients with tear film dysfunction syndrome from mild to moderate.

To determine the correlation between improvement of clinical status and perceived improvement of symptoms of each participant in each study group.

To compare the qualitative and quantitative histological status of the ocular surface before and after the pharmacological intervention in each study group to determine the evolution under the intervention of PRO-087.

To evaluate the quantitative rating of tear film production by the Schirmer Test throughout the study.

To qualitatively assess the tear film production by measuring the tear film break-up time stained with fluorescein and cobalt filter.

Blinding:

The double-blind study is a procedure in which the patient and the treating doctor ignore to which intervention group the study patient was assigned. To achieve the blinding of both the drug in research and both comparator drugs, these will be labeled in the same way (masking). Besides the figure of an unblinded pharmacist, who is responsible for the delivery of the medication to the patient, will be added. Blinding codes are protected by an outsider appointed by the study sponsor. The codes are also available in the research center (fully sealed), so that they can be consulted by the investigator in case a subject presents a serious adverse event, prior authorization from the study sponsor; the blinding also continues rigorous during the data analysis and interpretation.

patients with tear film dysfunction, classified as mild to moderate, will be included and randomized into 3 groups; the first being treated with PRO-087 ophthalmic solution, the second with Systane® Ultra ophthalmic solution, and the third with ophthalmic solution Systane® Ultra preservative free.

Pharmacological Intervention

The pharmacological intervention will be the instillation of the ophthalmic solution in the bottom of the conjunctival sac during the waking period, in any of the following study groups:

  1. Preservative free PRO-087 ophthalmic solution. Dropper bottle. Multidose 1 drop every 4 hours for 90 days.
  2. Systane® Ultra ophthalmic solution. Dropper bottle. Multidose. 1 drop every 4 hours for 90 days.
  3. Systane ® Ultra preservative free ophthalmic solution. Single-use vials. 1 drop every 4 hours for 90 days.
Being tested
PRO-087, Systane Ultra, Systane Ultra Preservative Free
Keywords
dry eye, Chondroitin sulfate, Ocular lubricants
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.

  • PRO-087Drug

    Also called Chondroitin sulfate, sodium hyaluronate

    0.1% sodium hyaluronate, free-preservative 0.18% chondroitin sulphate

  • Systane UltraDrug

    Also called polyethylene glycol 400, propylene glycol

    Is a sterile solution containing polyethylene glycol 400, propylene glycol, hydroxypropyl-guar, sorbitol, aminomethylpropanol, boric acid, potassium chloride, sodium chloride and POLYQUAD® (poly-hydronium chloride) 0.001% as preservative.

  • Systane Ultra Preservative FreeDrug

    Also called Polyethylene Glycol 400 0.4%, Propylene Glycol 0.3%

    Polyethylene Glycol 400 0.4%Lubricant, Propylene Glycol 0.3% Lubricant,

Study groups in NCT03223909
Study groupRoleWhat they receive
PRO-087 PFExperimentalPreservative free (PF) PRO-087 ophthalmic solution. Dropper bottle. Multidose 1 drop every 4 hours for 90 days.
Receives: Drug: PRO-087
Systane UltraActive comparatorSystane Ultra ophthalmic solution, Dropper bottle, Multidose. 1 drop every 4 hours for 90 days.
Receives: Drug: Systane Ultra
Systane Ultra PFActive comparatorSystane Ultra, preservative free ophthalmic solution, single-use vials. 1 drop every 4 hours for 90 days.
Receives: Drug: Systane Ultra Preservative Free

What is being measured

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

  1. Visual Acuity

    Best-corrected visual acuity

    Measured: Change from Baseline visual acuity at 90 days

Secondary outcomes (7)
  1. Corneal Epithelization Defects With Rose of Bengal

    Percentage of the damaged epithelium of the ocular surface, reduction of staining according to the oxford scale.

    Measured: Final Visit (day 90)

  2. Tear Film Break-up Time (TBUT)

    Tear breakup time (TBUT) is a clinical test used to assess for evaporative dry eye disease. To measure TBUT, fluorescein is instilled into the patient's tear film and the patient is asked not to blink while the tear film is observed under a broad beam of cobalt blue illumination. The TBUT is recorded as the number of seconds that elapse between the last blink and the appearance of the first dry spot in the tear film, as seen in this progression of these slit lamps photos over time. A TBUT under 10 seconds is considered abnormal

    Measured: Base line and Final Visit (day 90)

  3. Schirmer Test

    Schirmer's test determines whether the eye produces enough tears to keep it moist. This test is used when a person experiences very dry eyes or excessive watering of the eyes. It poses no risk to the subject. A negative (more than 10 mm of moisture on the filter paper in 5 minutes) test result is normal. Both eyes normally secrete the same amount of tears.

    Measured: Base line and Final Visit (day 90)

  4. Adverse Events

    Presence of adverse events modifying some of the abovementioned criteria or others, evaluated as serious.

    Measured: 90 days

  5. Ocular Surface Disease Index (OSDI)

    The OSDI, which was created to order to quickly assess the symptoms of ocular irritation in dry eye disease and how they affect functioning related to vision. This 12-item questionnaire assesses dry eye symptoms and the effects it has on vision-related function in the past of the patient's life. The questionnaire has 3 subscales: ocular symptoms, vision-related function, and environmental triggers. Patients rate their responses on a 0 to 4 scale with 0 corresponding to "none of the time" and 4 corresponding to "all of the time." A final score is calculated which ranges from 0 to 100 with scores 0 to 12 representing normal, 13 to 22 representing mild dry eye disease, 23 to 32 representing moderate dry eye disease, and greater than 33 representing severe dry eye disease.

    Measured: Change from Baseline OSDI at 90 days

  6. Goblet Cells Population

    Increase of 20% from baseline

    Measured: Change from Baseline Goblet cells population at 90 days

  7. Corneal Epithelization Defects With Fluorescein

    Percentage of the damaged epithelium of the ocular surface, reduction of staining according to the oxford scale.

    Measured: Final Visit (day 90)

Timeline

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

  1. First posted21 Jul 2017
  2. Study start13 Oct 2016
  3. Primary completion16 Oct 2018
  4. Study completion16 Dec 2018

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Controlled, double-blind, randomized, clinical trial comparing the safety and efficacy parameters between a group of subjects with a diagnose of mild to moderate tear film dysfunction syndrome under a regimen of ophthalmic solution lubricant drops PRO-087 versus subject under Systane® Ultra or Systane® Ultra preservative free, with the same diagnosis, with a follow-up of 90 days.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
326 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03223909
Sponsor's protocol ID
SOPH087-0415/IV
Acronym
087LATAMFIV
Status last verified
Oct 2019
First submitted
22 Jun 2017
Last updated
31 Oct 2019
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: For security and laws implemented by the regulatory entity can not share personal data of research subjects.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing PRO-087, Systane Ultra and Systane Ultra Preservative Free in people with Dry Eye Syndrome, run by Laboratorios Sophia S.A de C.V. at 1 site in Mexico.

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 9 inclusion and 27 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 31 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Mexico. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 31 Oct 2019). 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?

Visual Acuity (time frame: Change from Baseline visual acuity at 90 days). 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 31 Oct 2019.

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