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Dry EyePhase 3VELOS-3NCT05109702

A Study to Assess the Efficacy and Safety of Tanfanercept (HL036) Ophthalmic Solution in Participants With Dry Eye

A Phase 3 study testing 0.25% Tanfanercept Ophthalmic Solution in people with Dry Eye, run by HanAll BioPharma Co., Ltd. at 10 sites 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

The objective of this study was to compare the safety and efficacy of tanfanercept ophthalmic solution 0.25% with placebo for the treatment of the signs and symptoms of dry eye. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Dry Eye
What is being tested?
0.25% Tanfanercept Ophthalmic Solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
260 participants
Where
10 sitesUnited States
Study dates
18 Nov 2021to 6 May 2022
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 participant-reported history of dry eye for at least 6 months prior to Visit 1
  • Have a history of use or desire to use eye drops for dry eye symptoms within 6 months of Visit 1
  • Have a best-corrected visual acuity (BCVA) of 0.7 minimum angle of resolution (logMAR) or better (Snellen equivalent score of 20/100 or better) in each eye at Visit 1
  • Report a score of ≥ 2 according to the Ora Calibra® ocular discomfort \& 4-symptom questionnaire in at least one of the dry eye symptoms at Visits 1 and 2
  • Have a Schirmer's Test score of ≤ 10 millimeter (mm) and ≥ 1 mm in at least one eye at Visits 1 and 2
  • Have a corneal fluorescein staining score ≥ 2 according to the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining in at least 1 of the corneal regions (inferior, superior, or central) in at least 1 eye at Visits 1 and 2
  • Have a conjunctival redness score ≥ 1 according to the Ora Calibra® conjunctival redness for dry eye scale in at least 1 eye at Visits 1 and 2

Who cannot join

  • Have any clinically significant slit lamp findings at Visit 1 that may include active blepharitis, meibomian gland dysfunction, lid margin inflammation or active ocular allergies that require therapeutic treatment, and/or in the opinion of the investigator may interfere with study parameters
  • Be diagnosed with an ongoing ocular infection (bacterial, viral, or fungal), or active ocular inflammation at Visit 1
  • Have worn contact lenses within 7 days of Visit 1 or anticipate using contact lenses during the study
  • Have previously had laser-assisted in situ keratomileusis (LASIK) surgery within the last 12 months
  • Have used any cyclosporine-containing drops (such as Restasis®, Cequa®), or lifitegrast ophthalmic solution (Xiidra®) within 60 days of Visit 1
  • Have any previous experience using TNF inhibitor ophthalmic solutions, such Tanfanercept Ophthalmic Solution
  • Be currently taking any topical ophthalmic prescription (including medications for glaucoma) or over-the-counter (OTC) solutions, artificial tears, gels or scrubs, and cannot discontinue these medications for the duration of the trial (excluding medications allowed for the conduct of the study)
  • Be a woman who is pregnant, nursing or planning a pregnancy

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Scott & Christie and Associates, PC

    Cranberry Township, Pennsylvania, 16066

  • Oculus Research, Inc.

    Garner, North Carolina, 27529

  • Global Research Management

    Glendale, California, 91204

  • Center For Sight

    Henderson, Nevada, 89052

  • The Eye Care Institute - Butchertown Clinical Trials

    Louisville, Kentucky, 40206

  • Eye Research Foundation, Inc.

    Newport Beach, California, 92663

  • Cornea & Cataract Consultants of Arizona

    Phoenix, Arizona, 85032

  • Andover Eye Associates: Raynham

    Raynham, Massachusetts, 02767

  • Advancing Vision Research, LLC.

    Smyrna, Tennessee, 37072

  • Andover Eye Associates: Warwick

    Warwick, Rhode Island, 02886

Other trials in United States

About this study

Official title: A Phase 3, Multicenter, Randomized, Double Masked and Placebo-Controlled Study Evaluating the Efficacy and Safety of Tanfanercept (HL036) Ophthalmic Solution 0.25% Compared to Placebo in Subjects With Dry Eye

The objective of this study was to compare the safety and efficacy of tanfanercept ophthalmic solution 0.25% with placebo for the treatment of the signs and symptoms of dry eye.

Conditions
Dry Eye
Being tested
0.25% Tanfanercept Ophthalmic Solution, 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.

  • 0.25% Tanfanercept Ophthalmic SolutionDrug

    Also called HL036

    Tanfanercept ophthalmic solution.

  • PlaceboDrug

    Placebo vehicle solution.

Study groups in NCT05109702
Study groupRoleWhat they receive
Placebo Run-inOtherParticipants self-administered placebo ocular drops, twice daily (BID) in both eyes for 14 days in the Placebo Run-in Period.
Receives: Drug: Placebo
0.25% Tanfanercept Ophthalmic SolutionExperimentalParticipants self-administered tanfanercept 0.25 percent (%) ophthalmic solution as topical ophthalmic drops, BID for up to 8 weeks in Treatment Period.
Receives: Drug: 0.25% Tanfanercept Ophthalmic Solution
PlaceboPlacebo comparatorParticipants self-administered tanfanercept placebo (vehicle solution) solution as topical ophthalmic drops, BID for up to 8 weeks in Treatment Period.
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Central Corneal Staining Score (CCSS) at Day 57

    CCSS was graded using the Ora Calibra® Corneal and Conjunctival Fluorescein Staining Scale. The Ora Calibra® Corneal and Conjunctival Staining Scale ranged 0 = None, 1 = Trace, 2 = Mild, 3 = Moderate, and 4 = Severe; lower score indicated improvement.

    Measured: Baseline, Day 57 (Week 8)

  2. Change From Baseline in Eye Dryness Score (EDS) Assessed by Visual Analogue Scale at Day 57

    Eye dryness score was scored on a Visual Analogue Scale (VAS) that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline, Day 57 (Week 8)

Secondary outcomes (33)
  1. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Central Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  2. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Superior Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  3. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Inferior Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  4. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Temporal Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  5. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Nasal Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  6. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Corneal Sum

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement. Fluorescein total staining score for corneal regions was derived as the sum of the reported scores for the inferior, superior, and central regions. Total score ranged between 0 to 12, and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  7. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Conjunctival Sum

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement. Fluorescein total staining score for conjunctival regions was derived the sum of the reported scores for the nasal and temporal regions. Total score ranged between 0 to 8, and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  8. Change From Baseline in Fluorescein Staining at Weeks 1, 2, 4, and 8: Total Staining

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of fluorescein staining. The score ranged from 0 to 4 (0=none and 4=severe), and lower score indicated improvement. Fluorescein total staining score for corneal and conjunctival regions was derived as the sum of the reported scores for the inferior, superior, central, temporal, and nasal regions. Total score ranged between 0 to 20, and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  9. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Central Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  10. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Superior Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  11. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Inferior Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  12. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Temporal Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  13. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Nasal Region

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  14. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Corneal Sum

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement. Lissamine Green total staining score for corneal regions was derived as the sum of the reported scores for the inferior, superior, and central regions. Total score ranged between 0 to 12,and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  15. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Conjunctival Sum

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement. Lissamine Green total staining score for conjunctival regions was derived as the sum of the reported scores for the nasal and temporal regions. Total score ranged between 0 to 8, and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  16. Change From Baseline in Conjunctival Lissamine Green Staining at Weeks 1, 2, 4, and 8 : Total Staining

    The score for individual region was assessed by the Ora Calibra® corneal and conjunctival staining scale for grading of lissamine green staining. The score ranges from 0 to 4 (0=none and 4=severe), and lower score indicates improvement. Lissamine Green total staining score for corneal and conjunctival regions was derived as the sum of the reported scores for the inferior, superior, central, nasal, and temporal regions. Total score ranged between 0 to 20, and lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  17. Change From Baseline in Conjunctival Redness Score at Weeks 1, 2, 4, and 8

    It was evaluated by the Ora Calibra® conjunctival redness scale for dry eye. The score ranged from 0 to 4 (0=none and 4=severe), where lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  18. Change From Baseline in Schirmer's Test Score at Weeks 2, 4, and 8

    The Schirmer test strip was placed in the lower temporal lid margin of each eye. Participants were instructed to close their eyes and after 5 minutes had elapsed, the length of moistened area of schirmer strip was recorded (millimeter [mm]) for each eye.

    Measured: Baseline; Weeks 2, 4, and 8

  19. Change From Baseline in Tear Film Break-up Time at Weeks 1, 2, 4, and 8

    Sodium fluorescein solution was instilled into each eye and participants were instructed to blinked several times. The time it took to form micelles from the time that the eye is opened was noted.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  20. Change From Baseline in Visual Analogue Scale at Weeks 1, 2, 4, and 8 : Burning/Stinging

    Participants rated ocular symptom of burning/stinging by placing a vertical mark on VAS that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline; Weeks 1, 2, 4, and 8

  21. Change From Baseline in Visual Analogue Scale at Weeks 1, 2, 4, and 8 : Foreign Body Sensation

    Participants rated ocular symptom of foreign body sensation by placing a vertical mark on VAS that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline; Weeks 1, 2, 4, and 8

  22. Change From Baseline in Visual Analogue Scale at Weeks 1, 2, 4, and 8 : Itching

    Participants rated ocular symptom of itching by placing a vertical mark on VAS that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline; Weeks 1, 2, 4, and 8

  23. Change From Baseline in Visual Analogue Scale at Weeks 1, 2, 4, and 8 : Blurred Vision

    Participants rated ocular symptom of blurred vision by placing a vertical mark on VAS that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline; Weeks 1, 2, 4, and 8

  24. Change From Baseline in Visual Analogue Scale at Weeks 1, 2, 4, and 8 : Eye Dryness

    Participants rated ocular symptom of eye dryness by placing a vertical mark on VAS that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline; Weeks 1, 2, 4, and 8

  25. Change From Baseline in Visual Analogue Scale at Weeks 1, 2, 4, and 8 : Photophobia

    Participants rated ocular symptom of photophobia by placing a vertical mark on VAS that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline; Weeks 1, 2, 4, and 8

  26. Change From Baseline in Visual Analogue Scale at Weeks 1, 2, 4, and 8 : Pain

    Participants rated ocular symptom of pain by placing a vertical mark on VAS that ranged from 0%-100% (0=no discomfort; 100=maximal discomfort).

    Measured: Baseline; Weeks 1, 2, 4, and 8

  27. Change From Baseline in Ocular Surface Disease Index (OSDI) at Weeks 1, 2, 4, and 8

    OSDI was a simple 12-question survey that rated the severity of the participant's dry eye disease based on the symptoms. Each question response ranged from 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. Total OSDI score = (Sum of all answered questions) * 25/ (number of questions answered); which ranged from 0 to 100, with higher score representing greater disability.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  28. Change From Baseline in Ora Calibra® Ocular Discomfort Scale at Weeks 1, 2, 4, and 8

    It was assessed by the Ora Calibra® ocular discomfort scale. The score ranged from 0 to 4 (0=none and 4=severe), where lower score indicated improvement.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  29. Change From Baseline in Ora Calibra® Ocular Discomfort & 4-Symptom Questionnaire at Weeks 1, 2, 4, and 8 : Burning Discomfort

    Ora Calibra® ocular discomfort \& 4-symptom questionnaire for dry eye included rating of the severity of 5 symptoms: ocular discomfort, burning, dryness, grittiness, and stinging.

    Participants rated the severity of burning at all scheduled visits on 0 to 5 scale, where 0=none and 5=severe. Higher score represent higher severity.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  30. Change From Baseline in Ora Calibra® Ocular Discomfort & 4-Symptom Questionnaire at Weeks 1, 2, 4, and 8 : Dryness Discomfort

    Ora Calibra® ocular discomfort \& 4-symptom questionnaire for dry eye included rating of the severity of 5 symptoms: ocular discomfort, burning, dryness, grittiness, and stinging.

    Participants rated the severity of dryness at all scheduled visits on 0 to 5 scale, where 0=none and 5=severe. Higher score represent higher severity.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  31. Change From Baseline in Ora Calibra® Ocular Discomfort & 4-Symptom Questionnaire at Weeks 1, 2, 4, and 8 : Grittiness Discomfort

    Ora Calibra® ocular discomfort \& 4-symptom questionnaire for dry eye included rating of the severity of 5 symptoms: ocular discomfort, burning, dryness, grittiness, and stinging.

    Participants rated the severity of grittiness at all scheduled visits on 0 to 5 scale, where 0=none and 5=severe. Higher score represent higher severity.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  32. Change From Baseline in Ora Calibra® Ocular Discomfort & 4-Symptom Questionnaire at Weeks 1, 2, 4, and 8 : Stinging Discomfort

    Ora Calibra® ocular discomfort \& 4-symptom questionnaire for dry eye included rating of the severity of 5 symptoms: ocular discomfort, burning, dryness, grittiness, and stinging.

    Participants rated the severity of stinging at all scheduled visits on 0 to 5 scale, where 0=none and 5=severe. Higher score represent higher severity.

    Measured: Baseline; Weeks 1, 2, 4, and 8

  33. Ora Calibra® Drop Comfort Assessment at Week 1

    Ora Calibra® drop comfort scale ranged from 0 to 10. A score of 0 indicated comfortable and 10 indicated uncomfortable. Lower score indicated better comfort level. Immediately Upon Instillation, 1 Minute Post Instillation and 2 Minutes Post Instillation at Week 1

    Measured: Week 1

Timeline

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

  1. First posted5 Nov 2021
  2. Study start18 Nov 2021
  3. Primary completion6 May 2022
  4. Study completion6 May 2022

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
260 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05109702
Sponsor's protocol ID
HL036-DED-US-P302
Acronym
VELOS-3
Status last verified
Oct 2023
First submitted
27 Oct 2021
Last updated
23 Oct 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Mangwani-Mordani S, Goodman CF, Galor A. Novel Treatments for Chronic Ocular Surface Pain. Cornea. 2023 Mar 1;42(3):261-271. doi: 10.1097/ICO.0000000000003193. Epub 2022 Dec 19.

    PubMed 36729473

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 0.25% Tanfanercept Ophthalmic Solution in people with Dry Eye, run by HanAll BioPharma Co., Ltd. at 10 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 7 inclusion and 8 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 23 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 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 23 Oct 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?

Change From Baseline in Central Corneal Staining Score (CCSS) at Day 57 (time frame: Baseline, Day 57 (Week 8)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05109702, which also lists 1 linked publication.

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 23 Oct 2023.

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