NCT02813265

Brief 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).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
918

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jun 2016

Shorter than P25 for phase_3

Geographic Reach
1 country

60 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2016

Completed
20 days until next milestone

First Submitted

Initial submission to the registry

June 21, 2016

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 24, 2016

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2017

Completed
3.2 years until next milestone

Results Posted

Study results publicly available

December 3, 2020

Completed
Last Updated

February 3, 2021

Status Verified

January 1, 2021

Enrollment Period

1.3 years

First QC Date

June 21, 2016

Results QC Date

September 21, 2020

Last Update Submit

January 19, 2021

Conditions

Keywords

Ocular DiscomfortPainCorticosteroidHyperemiaDry Eye

Outcome Measures

Primary Outcomes (4)

  • 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.

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

  • 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.

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

  • 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.

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

  • 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.

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

Secondary Outcomes (9)

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

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

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

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

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

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

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

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

  • 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.

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

  • +4 more secondary outcomes

Study Arms (2)

KPI-121 0.25% Ophthalmic Suspension

ACTIVE COMPARATOR
Drug: KPI-121 0.25% Ophthalmic Suspension

Vehicle of KPI-121 0.25% Ophthalmic Suspension

PLACEBO COMPARATOR
Drug: Vehicle of KPI-121 0.25% Ophthalmic Suspension

Interventions

Also known as: Loteprednol etabonate
KPI-121 0.25% Ophthalmic Suspension
Also known as: Placebo
Vehicle of KPI-121 0.25% Ophthalmic Suspension

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

  • 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.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (60)

Cornea and Cataract Consultants of Arizona

Phoenix, Arizona, 85032, United States

Location

Schwartz Laser Eye Center

Scottsdale, Arizona, 85260, United States

Location

Eyecare Arkansas, P.A.

Little Rock, Arkansas, 72205, United States

Location

Little Rock Eye Clinic, LLP

Little Rock, Arkansas, 72205, United States

Location

Sall Research Medical Center

Artesia, California, 90701, United States

Location

Orange County Ophthalmology Medical Group

Garden Grove, California, 92843, United States

Location

United Medical Research Institute

Inglewood, California, 90301, United States

Location

North Valley Eye Medical Group

Mission Hills, California, 91345, United States

Location

Montebello Medical Center, Inc.

Montebello, California, 90640, United States

Location

LoBue Laser and Eye Medical Center

Murrieta, California, 92562, United States

Location

Eye Research Foundation

Newport Beach, California, 92663, United States

Location

Pendleton Eye Center

Oceanside, California, 92056, United States

Location

North Bay Eye Associates, Inc.

Petaluma, California, 94954, United States

Location

Martel Eye Medical Group

Rancho Cordova, California, 95670, United States

Location

Sacramento Eye Consultants

Sacramento, California, 95815, United States

Location

Eye Center of Northern Colorado, PC

Fort Collins, Colorado, 80525, United States

Location

Corneal Consultants of Colorado

Littleton, Colorado, 80209, United States

Location

The Eye Center of Southern CT, P.C.

Hamden, Connecticut, 06518, United States

Location

Florida Eye Microsurgical Institute, Inc.

Boynton Beach, Florida, 33426, United States

Location

Eye Associates of Fort Myers

Fort Myers, Florida, 33901, United States

Location

Shettle Eye Research, Inc.

Largo, Florida, 33773, United States

Location

Atlantic Eye Center

Palm Coast, Florida, 32137, United States

Location

The Eye Center of North Florida

Panama City, Florida, 32405, United States

Location

Dixon Eye Care

Albany, Georgia, 31701, United States

Location

Jacksoneye, S. C.

Lake Villa, Illinois, 60046, United States

Location

Midwest Cornea Associates, LLC

Indianapolis, Indiana, 46290, United States

Location

Stiles EyeCare Excellence and Glaucoma Institute

Overland Park, Kansas, 66213, United States

Location

Clinical Eye Research of Boston

Winchester, Massachusetts, 01890, United States

Location

Chu Vision Institute

Bloomington, Minnesota, 55420, United States

Location

Lifelong Vision Foundation at Pepose Vision Institute

Chesterfield, Missouri, 63017, United States

Location

Ophthalmology Associates

St Louis, Missouri, 63131, United States

Location

Ophthalmology Consultants, Ltd.

St Louis, Missouri, 63131, United States

Location

Wellish Vision Institute

Las Vegas, Nevada, 89119, United States

Location

Matossian Eye Associates

Pennington, New Jersey, 08534, United States

Location

Rochester Ophthalmological Group, PC

Rochester, New York, 14618, United States

Location

Cornea Consultants of Albany

Slingerlands, New York, 12159, United States

Location

South Shore Eye Center, LLP

Wantagh, New York, 11793, United States

Location

Mundorf Eye Center

Charlotte, North Carolina, 28204, United States

Location

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

Durham, North Carolina, 27704, United States

Location

Eyecare Center

Raleigh, North Carolina, 27603, United States

Location

Bergstrom Eye Research

Fargo, North Dakota, 58103, United States

Location

Abrams Eye Center

Cleveland, Ohio, 44115, United States

Location

Opthalamic Surgeons & Consultants of Ohio

Columbus, Ohio, 43215, United States

Location

Apex Eye

Mason, Ohio, 45040, United States

Location

Roseburg Research Associates, LLC

Roseburg, Oregon, 97471, United States

Location

Scott & Christie and Associates, PC

Cranberry Township, Pennsylvania, 16066, United States

Location

Conestoga Eye

Lancaster, Pennsylvania, 17601, United States

Location

UPMC Eye Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Black Hills Regional Eye Institute

Rapid City, South Dakota, 57701, United States

Location

Total Eye Care, PA

Memphis, Tennessee, 38119, United States

Location

Hill Country Eye Center

Cedar Park, Texas, 78613, United States

Location

Houston Eye Associates

Houston, Texas, 77025, United States

Location

The Eye Clinic of Texas, Affiliate of Houston Eye Associates

League City, Texas, 77573, United States

Location

Lake Travis Eye and Laser Center

Leander, Texas, 78641, United States

Location

Eye Clinics of South Texas

San Antonio, Texas, 78209, United States

Location

R and R Eye Research, LLC

San Antonio, Texas, 78229, United States

Location

Keystone Research - Medical Center Ophthalmology Associates

San Antonio, Texas, 78240, United States

Location

Tanner Clinic

Layton, Utah, 84041, United States

Location

See Clearly Vision

McLean, Virginia, 22102, United States

Location

Virginia Eye Consultants

Norfolk, Virginia, 23502, United States

Location

MeSH Terms

Conditions

Dry Eye SyndromesKeratoconjunctivitis SiccaPainHyperemia

Interventions

Loteprednol Etabonate

Condition Hierarchy (Ancestors)

Lacrimal Apparatus DiseasesEye DiseasesKeratoconjunctivitisConjunctivitisConjunctival DiseasesKeratitisCorneal DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

AndrostadienesAndrostenesAndrostanesSteroidsFused-Ring CompoundsPolycyclic Compounds

Results Point of Contact

Title
VP, Clinical Development
Organization
Kala Pharmaceuticals, Inc

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 21, 2016

First Posted

June 24, 2016

Study Start

June 1, 2016

Primary Completion

October 1, 2017

Study Completion

October 1, 2017

Last Updated

February 3, 2021

Results First Posted

December 3, 2020

Record last verified: 2021-01

Locations