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Dry Eye DiseasePhase 1/2NCT04139122

Safety, PK and Efficacy Study of SJP-0132 in Subjects With Dry Eye Disease

A Phase 1/2 study testing SJP-0132 in people with Dry Eye Disease and Dry Eye Syndrome, run by Senju Pharmaceutical Co., Ltd. at 1 site in United States.

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

This is the first study in humans to evaluate the effectiveness of SJP-0132 in the treatment of dry eye disease. This study will evaluate the safety, tolerability, efficacy, and pharmacokinetics of single- and multiple-dose regimens of SJP-0132 in subjects with dry eye disease Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Dry Eye Disease, Dry Eye Syndrome
What is being tested?
SJP-0132
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
89 participants
Where
1 siteUnited States
Study dates
5 Oct 2019to 3 Mar 2020
Phase
Phase 1/2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Body mass index (BMI) within 18.5 to 30.0 kg/m2 (inclusive) and body weight between 45 kg and 100 kg
  • Generally healthy as determined by medical history, physical examinations, clinical laboratory examination, and ophthalmologic examinations performed at Screening
  • Have a subject reported history of Dry Eye Disease in both eyes for at least 6 months prior to Screening
  • Non-smoker or ex-smoker for >12 months

Who cannot join

  • Have clinically significant systemic or ophthalmic disease
  • Has a positive serum pregnancy test at Screening or urine pregnancy test
  • Have had significant blood loss or have donated or received one or more units (450 mL) of blood or plasma within 30 days before randomization
  • Have used or anticipates use of any prescription or over-the-counter medication, including topical medications such as ophthalmic solutions, nasal drops or spray, vitamins, alternative and complementary medicines (including herbal formulations) within 14 days or 5 half-lives (whichever is longer) before randomization or at any time during the study
  • Use or anticipates use of prescribed dry eye medications within 28 days prior to randomization or at any time during the study
  • Have used or anticipates use CYP3A4 inducers, such as St. John's Wort, within 14 days before randomization or at any time during the study.
Show all 16Show fewer
  • Have consumed red wine, grapefruit or grapefruit juice, Seville oranges, star fruit, or any products containing these items, or any foods that may inhibit CYP3A4, within 48 hours before randomization and throughout the duration of the study
  • Have a positive urine alcohol or urine drug test at Screening or Day -1
  • Contact lens wearers who cannot discontinue the wear over the trial period
  • Have undergone eye surgery (including laser surgery) within the last 12 months or whom the Investigator considers unsuitable
  • Have a best corrected visual acuity (BCVA) worse than 20/100 in either eye
  • History of permanent punctal occlusion (cautery or laser) or current use of punctal plugs
  • Any corneal abnormality or disease which might impact normal tear film spreading
  • Active or history of significant corneal disease
  • Known allergy or sensitivity to fluorescein, lissamine green or any of the study medications
  • Other protocol-defined Inclusion/Exclusion Criteria may apply

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Senju Investigational Site

    Cypress, California, 90630

Other trials in United States

About this study

Official title: A Randomized, Double-Masked, Single-Center, Placebo-Controlled Single and Multiple Ascending Dose Study to Assess Safety, Tolerability, Pharmacokinetics, and Efficacy of SJP-0132 in Subjects With Dry Eye Disease

This is the first study in humans to evaluate the effectiveness of SJP-0132 in the treatment of dry eye disease. This study will evaluate the safety, tolerability, efficacy, and pharmacokinetics of single- and multiple-dose regimens of SJP-0132 in subjects with dry eye disease

Being tested
SJP-0132, Placebo
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.

  • SJP-0132Drug

    SJP-0132 is administered as an eye drop

  • PlaceboDrug

    Placebo is administered as an eye drop

Study groups in NCT04139122
Study groupRoleWhat they receive
Cohort 1-4: SJP-0132ExperimentalEach cohort will receive a single dose of 1 of 4 strengths of SJP-0132
Receives: Drug: SJP-0132
Cohort 1-4: PlaceboPlacebo comparatorSingle dose of placebo
Receives: Drug: Placebo
Cohort 5-6: SJP-0132ExperimentalCohort 5 SJP-0132 will receive the second maximum acceptable dose from Cohorts 1-4 for 4 weeks. Cohort 6 SJP-0132 will receive the maximum acceptable dose from Cohorts 1-4 for 4 weeks
Receives: Drug: SJP-0132
Cohort 5-6: PlaceboPlacebo comparatorMultiple dose placebo for 4 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants With Adverse Events by Severity in Each Cohort

    Number of participants with adverse events by severity are summarize in each cohort. Adverse events are reported as Treatment-Emergent Adverse Events (TEAEs), which are defined as any event not present before exposure to the study drug or any event already presented that worsened in either intensity or frequency after exposure to the study drug.

    Measured: Day 2 for cohort 1-4, Day 29 for cohort 5-6

  2. Number of Subjects With Abnormal Changes in Laboratory Parameters, Vital Signs, and/or Physical and Ophthalmologic Observations in Each Cohort

    Clinical laboratory parameters include hematology, clinical chemistry, urinalysis, and serology. Vital signs include diastolic blood pressure, systolic blood pressure, heart rate, respiratory rate, and body temperature. Ophthalmologic observations include examination of visual acuity, slit lamp biomicroscopy, Schirmer I, intraocular pressure, and ophthalmoscopy.

    Measured: Day 2 for cohort 1-4, Day 29 for cohort 5-6

  3. Maximum Plasma Concentration (Cmax)

    The results are from the maximum plasma concentration (Cmax) on Day 1. The blood for pharmacokinetics assessment was collected at 0, 0.25, 0.5, 1, 2, 4, 8, and 12 hours after dosing on Day 1 for Cohorts 1 to 4. The blood for pharmacokinetics assessment was collected at 0, 0.25, 0.5, 1, 2, and 4 hours after dosing on Day 1 for Cohorts 5 and 6.

    Measured: Day 1

  4. Area Under the Plasma Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUC0-last)

    Area under the plasma concentration-time curves (AUCs) for Cohorts 1 to 4 were calculated using the plasma collected at 0, 0.25, 0.5, 1, 2, 4, 8, and 12 hours after dosing on Day 1, and those for Cohorts 5 and 6 were calculated using the plasma collected at 0, 0.25, 0.5, 1, 2, and 4 hours after dosing on Day 1.

    Measured: Day 1

  5. Accumulation Ratio (Rac) After Multiple Dosing

    Plasma were collected at 0, 0.25, 0.5, 1, 2, and 4 hours after dosing on Day 1, pre-dose on Day 2, Day 4 and Day 8. Accumulation ratios calculated as (predose plasma concentration [Ctrough] on Day 4) / (Ctrough on Day 2) and (Ctrough on Day 8) / (Ctrough on Day 2)

    Measured: Day 2, 4, 8

  6. Change From Baseline in Eye Dryness Symptom (VAS) at 4hour on Day 29

    Visual analog scale (VAS): "0" mean none, and "100" mean the worst imaginable for the symptom question.

    Measured: Day 29

  7. Change From Baseline in Corneal Fluorescein Staining (CFS) Score at the Central Zone on Day 29

    Change from baseline of central zone CFS score at the central zone on Day 29. CFS score at the central zone ranged from 0 to 5, where '0' represents no fluorescein staining, and '5' represents severe staining on the cornea. The higher scores mean worse outcomes. Results from the study eye are reported.

    Measured: Day 29

Secondary outcomes (8)
  1. Change From Baseline in Eye Dryness Symptom by Visual Analog Scale (VAS) in Each Timepoints

    Visual analog scale (VAS): "0" mean none, and "100" mean the worst imaginable for the symptom question. Results from pre-dose are reported.

    Measured: Day 29

  2. Change From Baseline in Corneal Fluorescein Staining (CFS) Score at Total Zone in Each Timepoints

    Change from baseline of CFS score at the total zone of pre-dose in each time point.

    Total zone means a summary of central, superior, inferior, nasal, and temporal zones.

    The range of the score in each zone is 0 to 5 points, and the total score is 25 points. The higher scores mean worse outcomes.

    Measured: Day 8, 15, 22, 29

  3. Change From Baseline in Conjunctival Lissamine Green Staining (CLGS) Score at Total Zone in Each Timepoints

    The score in each zone is 0 to 5 points, and the maximum total score is 30 points. The higher scores mean worse outcomes. Results from the study eye are reported.

    Measured: Day 8, 15, 22, 29

  4. Change From Baseline in Lid Wiper Epitheliopathy Score in Each Timepoints

    Lissamine green staining of the lid wiper was graded from 0 to 3. The higher scores mean worse outcomes. Results from the study eye are reported.

    Measured: Day 8, 15, 22, 29

  5. Change From Baseline in Tear Film Break-up Time (TFBUT) in Each Timepoints

    Tear film break-up time is the time taken for the first dry spot to appear on the cornea after a complete blink.

    Measured: Day 8, 15, 22, 29

  6. Change From Baseline in Ocular Surface Disease Index (OSDI)

    The OSDI questionnaire consists of 12 questions regarding ocular symptoms, environmental triggers, and vision-related functioning. The participant was asked to rate each question using a 5-point scale (0 to 4), where 0 = none of the time; 1 = some of the time; 2 = half of the time; 3 = most of the time; and 4 = all of the time. The total OSDI was calculated from the raw scores of each of the 12 questions based on the formula: ([sum of scores for all questions answered] X 25)/([total number of questions answered]).

    The OSDI can range from 0 (normal) to 100 (abnormal).

    Measured: Day 8, 15, 22, 29

  7. Change From Baseline in Dry Eye Questionnaire 5 (DEQ-5) Scores

    The participants rated the frequency on a scale of 0 (never) to 4 (constant) with which they have experienced 3 symptoms (watery eyes, discomfort and dryness). The participant was also asked to rate the intensity of discomfort and dryness on a scale of 0 (never have it) to 5 (very intense). Total DEQ-5 score was the sum of scores for frequency and intensity of dryness and discomfort plus frequency of watery eyes. Maximum score is 22.

    Higher scores mean a worse outcome.

    Measured: Day 29

  8. Change in Matrix Metalloproteinase-9 (MMP-9)

    Levels of the inflammatory marker Matrix Metalloproteinase-9 (MMP-9) were measured in each eye using InflammaDry. The test was recorded as either positive or negative. Results from the study eye are reported.

    Measured: Day 29

Timeline

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

  1. First posted25 Oct 2019
  2. Study start5 Oct 2019
  3. Primary completion3 Mar 2020
  4. Study completion3 Mar 2020

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
89 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04139122
Sponsor's protocol ID
SJP-0132/1-01
Status last verified
Mar 2023
First submitted
14 Oct 2019
Last updated
20 Apr 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing SJP-0132 in people with Dry Eye Disease and Dry Eye Syndrome, run by Senju Pharmaceutical Co., Ltd. at 1 site 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 4 inclusion and 16 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 20 Apr 2023. 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 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 20 Apr 2023). 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?

Number of Participants With Adverse Events by Severity in Each Cohort (time frame: Day 2 for cohort 1-4, Day 29 for cohort 5-6). The study lists 7 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 20 Apr 2023.

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