Trial Outcomes & Findings for Ketotifen/Naphazoline Ophthalmic Solution in the Conjunctival Allergen Challenge Model of Acute Allergic Conjunctivitis. (NCT NCT00770133)

NCT ID: NCT00770133

Last Updated: 2020-10-27

Results Overview

Ocular itching was evaluated by the participant at 3, 5, and 7 minutes post challenge. Assessments were made using a 0-4 numerical analog scale, allowing 0.5-unit increments (but disallowing 0.25-unit increments), where: 0.0=None and 4.0=Incapacitating itch with an irresistible urge to rub

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

141 participants

Primary outcome timeframe

3, 5, and 7 minutes post challenge at 14 days

Results posted on

2020-10-27

Participant Flow

There were 70 eyes in the KetoNaph group, 72 in the ketotifen group, 70 in the naphazoline group, and 70 in the vehicle group, for a total of 282 eyes (141 subjects).

Participant milestones

Participant milestones
Measure
Ketotifen/Naphazoline
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Overall Study
STARTED
35
36
35
35
Overall Study
COMPLETED
32
35
32
32
Overall Study
NOT COMPLETED
3
1
3
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Ketotifen/Naphazoline Ophthalmic Solution in the Conjunctival Allergen Challenge Model of Acute Allergic Conjunctivitis.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ketotifen/Naphazoline
n=35 Participants
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=36 Participants
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=35 Participants
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
n=35 Participants
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Total
n=141 Participants
Total of all reporting groups
Age, Continuous
36.1 years
n=5 Participants
40.7 years
n=7 Participants
38.2 years
n=5 Participants
38.4 years
n=4 Participants
38.4 years
n=21 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
21 Participants
n=7 Participants
18 Participants
n=5 Participants
18 Participants
n=4 Participants
73 Participants
n=21 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
15 Participants
n=7 Participants
17 Participants
n=5 Participants
17 Participants
n=4 Participants
68 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 3, 5, and 7 minutes post challenge at 14 days

Population: The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challeng assessment.

Ocular itching was evaluated by the participant at 3, 5, and 7 minutes post challenge. Assessments were made using a 0-4 numerical analog scale, allowing 0.5-unit increments (but disallowing 0.25-unit increments), where: 0.0=None and 4.0=Incapacitating itch with an irresistible urge to rub

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
n=70 eyes
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Ocular Itching
3 minutes post-challenge
0.43 score on a scale
Standard Deviation 0.62
0.40 score on a scale
Standard Deviation 0.65
1.60 score on a scale
Standard Deviation 0.92
1.81 score on a scale
Standard Deviation 0.88
Ocular Itching
5 minutes post-challenge
0.65 score on a scale
Standard Deviation 0.76
0.59 score on a scale
Standard Deviation 0.79
1.67 score on a scale
Standard Deviation 1.01
1.96 score on a scale
Standard Deviation 0.94
Ocular Itching
7 minutes post-challenge
0.60 score on a scale
Standard Deviation 0.83
0.56 score on a scale
Standard Deviation 0.87
1.54 score on a scale
Standard Deviation 0.96
1.84 score on a scale
Standard Deviation 1.01

PRIMARY outcome

Timeframe: 7, 15, and 20 minutes post challenge at 14 days

Population: The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challeng assessment.

Conjunctival hyperemia was evaluated by the Investigator at 7, 15, and 20 minutes post challenge. Assessments were completed using a 0-4 numerical analog scale, allowing 0.5-unit increments, where: 0.0=None and 4.0=Extremely severe.

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
n=70 eyes
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Conjunctival Redness
20 minutes post-challenge
1.13 score on a scale
Standard Deviation 1.02
1.88 score on a scale
Standard Deviation 0.89
1.57 score on a scale
Standard Deviation 0.92
2.18 score on a scale
Standard Deviation 0.85
Conjunctival Redness
7 minutes post-challeng
0.89 score on a scale
Standard Deviation 0.87
1.49 score on a scale
Standard Deviation 0.83
1.63 score on a scale
Standard Deviation 0.84
2.06 score on a scale
Standard Deviation 0.77
Conjunctival Redness
15 minutes post-challenge
1.13 score on a scale
Standard Deviation 1.00
1.80 score on a scale
Standard Deviation 0.87
1.69 score on a scale
Standard Deviation 0.89
2.26 score on a scale
Standard Deviation 0.78

SECONDARY outcome

Timeframe: 7, 15, and 20 minutes post challenge at 14 days

Population: This outcome measure was not assessed for the Vehicle group. The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challenge assessment.

Ciliary hyperemia (redness) was evaluated by the Investigator at 7, 15, and 20 minutes post challenge. Assessments were made using the same 0-4 scale, allowing 0.5-unit increments, where: 0.0=None and 4.0=Extremely severe.

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Ciliary Redness
20 minutes post-challenge
1.04 score on a scale
Standard Deviation 1.03
1.76 score on a scale
Standard Deviation 0.94
1.54 score on a scale
Standard Deviation 0.92
Ciliary Redness
7 minutes post-challenge
0.81 score on a scale
Standard Deviation 0.86
1.33 score on a scale
Standard Deviation 0.88
1.49 score on a scale
Standard Deviation 0.89
Ciliary Redness
15 minutes post-challenge
1.05 score on a scale
Standard Deviation 1.05
1.76 score on a scale
Standard Deviation 0.91
1.59 score on a scale
Standard Deviation 0.91

SECONDARY outcome

Timeframe: 7, 15, and 20 minutes post challenge at 14 days

Population: This outcome measure was not assessed for the Vehicle group. The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challenge assessment.

Episcleral hyperemia (redness) was evaluated by the Investigator at 7, 15, and 20 minutes post challenge. Assessments were made using the same 0-4 scale, allowing 0.5-unit increments, where: 0.0=None and 4.0=Extremely severe.

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Episcleral Redness
15 minutes post-challenge
1.17 score on a scale
Standard Deviation 1.01
1.76 score on a scale
Standard Deviation 0.88
1.68 score on a scale
Standard Deviation 0.94
Episcleral Redness
7 minutes post-challenge
0.91 score on a scale
Standard Deviation 0.89
1.51 score on a scale
Standard Deviation 0.85
1.65 score on a scale
Standard Deviation 0.86
Episcleral Redness
20 minutes post-challenge
1.15 score on a scale
Standard Deviation 1.03
1.88 score on a scale
Standard Deviation 0.90
1.60 score on a scale
Standard Deviation 0.94

SECONDARY outcome

Timeframe: 7, 15, and 20 minutes post challenge at 14 days

Population: This outcome measure was not assessed for the Vehicle group. The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challenge assessment.

Chemosis was evaluated by the Investigator at 7, 15, and 20 minutes post challenge on a 0-4 numerical analog scale, allowing 0.5-unit increments, where: 0.0=None and 4.0=Extremely severe.

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Chemosis
7 minutes post-challenge
0.27 score on a scale
Standard Deviation 0.33
0.28 score on a scale
Standard Deviation 0.30
0.39 score on a scale
Standard Deviation 0.40
Chemosis
15 minutes post-challenge
0.34 score on a scale
Standard Deviation 0.38
0.46 score on a scale
Standard Deviation 0.47
0.54 score on a scale
Standard Deviation 0.55
Chemosis
20 minutes post-challenge
0.39 score on a scale
Standard Deviation 0.41
0.49 score on a scale
Standard Deviation 0.46
0.54 score on a scale
Standard Deviation 0.58

SECONDARY outcome

Timeframe: 7, 15, and 20 minutes post challenge at 14 days

Population: This outcome measure was not assessed for the Vehicle group. The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challenge assessment.

Lid swelling was evaluated by the participant at 7, 15, and 20 minutes post challenge on a 0-3 numerical analog scale, with 0.5-unit increments disallowed, where: 0.0=None and 3.0=Severe.

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Eyelid Swelling
15 minutes post-challenge
0.2 score on a scale
Standard Error 0.5
0.2 score on a scale
Standard Error 0.4
0.2 score on a scale
Standard Error 0.4
Eyelid Swelling
7 minutes post-challenge
0.2 score on a scale
Standard Error 0.4
0.2 score on a scale
Standard Error 0.4
0.2 score on a scale
Standard Error 0.4
Eyelid Swelling
20 minutes post-challenge
0.2 score on a scale
Standard Error 0.5
0.2 score on a scale
Standard Error 0.4
0.2 score on a scale
Standard Error 0.4

SECONDARY outcome

Timeframe: 7, 15, and 20 minutes post challenge at 14 days

Population: This outcome measure was not assessed for the Vehicle group. The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challenge assessment.

Tearing was evaluated by the participant at 7, 15, and 20 minutes post challenge. Tearing was recorded as either absent or present.

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Percentage of Eyes With hTearing
7 minutes post-challenge
7 eyes
11 eyes
13 eyes
Percentage of Eyes With hTearing
15 minutes post-challenge
4 eyes
9 eyes
12 eyes
Percentage of Eyes With hTearing
20 minutes post-challenge
5 eyes
6 eyes
11 eyes

SECONDARY outcome

Timeframe: 7, 15, and 20 minutes post challenge at 14 days

Population: This outcome measure was not assessed for the Vehicle group. The intent to treat population consisted of participants who were randomized, received investigational treatment, and had at least 1 post-challenge assessment.

Ocular mucous discharge was evaluated by the Investigator at 7, 15, and 20 minutes post challenge. Mucous discharged was recorded as either absent or present.

Outcome measures

Outcome measures
Measure
Ketotifen/Naphazoline
n=68 eyes
Ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen/naphazoline: One drop of ketotifen fumarate 0.025% and naphazoline HCl 0.05% ophthalmic solution at visit 3 and visit 4.
Ketotifen
n=72 eyes
Ketotifen ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Ketotifen: One drop of ketotifen fumarate 0.025% ophthalmic solution at visits 3 and 4.
Naphazoline
n=68 eyes
Naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Naphazoline: One drop of naphazoline HCl 0.05% ophthalmic solution at visits 3 and 4.
Vehicle
Vehicle of ketotifen/naphazoline ophthalmic solution administered in either the right eye, left eye or both eyes at visit 3 and visit 4. Vehicle: One drop of vehicle ophthalmic solution at visit 3 and visit 4.
Percentage of Eyes With Ocular Mucus Discharge
7 minutes post-challenge
0 eyes
0 eyes
0 eyes
Percentage of Eyes With Ocular Mucus Discharge
15 minutes post-challenge
0 eyes
0 eyes
0 eyes
Percentage of Eyes With Ocular Mucus Discharge
20 minutes post-challenge
0 eyes
0 eyes
0 eyes

Adverse Events

Ketotifen/Naphazoline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ketotifen

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Naphazoline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Vehicle

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Study Director

Bausch Health

Phone: 908-300-9920

Results disclosure agreements

  • Principal investigator is a sponsor employee Contact sponsor directly for details.
  • Publication restrictions are in place

Restriction type: OTHER