Trial Outcomes & Findings for Efficacy Study to Evaluate the Effectiveness of 3 Concentrations of SAR 1118 in Allergic Conjunctivitis (NCT NCT00882687)

NCT ID: NCT00882687

Last Updated: 2021-06-11

Results Overview

Ocular Itching was evaluated by participants and graded with Ophthalmic Research Associates, Inc. (ORA) Scale with the score ranged from 0 to 4 (0=none; 0.5=intermittent tickle in the cornea; 1=intermittent tickle more than just the cornea; 1.5=intermittent all-over tickling sensation; 2=mild conscious itch without desire to rub; 2.5=moderate, diffuse continuous itch with desire to rub; 3=severe itch with desire to rub; 3.5=severe itch improved with minimal rubbing; 4=incapacitating itch with an irresistible urge to rub) with 0.5 point increments allowed, and lower scores indicates lesser ocular itching. CAC is an initial titration challenge to determine the appropriate allergen and lowest concentration of allergen that produced a positive bilateral allergic response for each subject, defined as ≥ 2 score (0-4 point scale) in ocular itching and conjunctival redness within 10 minutes of the last titration of allergen.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

60 participants

Primary outcome timeframe

Baseline to Day 7 (7 minutes post CAC 6)

Results posted on

2021-06-11

Participant Flow

Participant milestones

Participant milestones
Measure
Lifitegrast 0.1%
Lifitegrast 1.0%
Lifitegrast 5.0%
Placebo
Overall Study
STARTED
15
15
15
15
Overall Study
COMPLETED
13
13
12
13
Overall Study
NOT COMPLETED
2
2
3
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy Study to Evaluate the Effectiveness of 3 Concentrations of SAR 1118 in Allergic Conjunctivitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lifitegrast 0.1%
n=15 Participants
Lifitegrast 1.0%
n=15 Participants
Lifitegrast 5.0%
n=15 Participants
Placebo
n=15 Participants
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
41.67 years
STANDARD_DEVIATION 15.207 • n=5 Participants
37.67 years
STANDARD_DEVIATION 12.613 • n=7 Participants
45.33 years
STANDARD_DEVIATION 15.891 • n=5 Participants
39.13 years
STANDARD_DEVIATION 12.212 • n=4 Participants
40.95 years
STANDARD_DEVIATION 14.019 • n=21 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
6 Participants
n=4 Participants
29 Participants
n=21 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
10 Participants
n=7 Participants
6 Participants
n=5 Participants
9 Participants
n=4 Participants
31 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline to Day 7 (7 minutes post CAC 6)

Population: Intent-to-treat (ITT) population with last observation carried forward (LOCF)

Ocular Itching was evaluated by participants and graded with Ophthalmic Research Associates, Inc. (ORA) Scale with the score ranged from 0 to 4 (0=none; 0.5=intermittent tickle in the cornea; 1=intermittent tickle more than just the cornea; 1.5=intermittent all-over tickling sensation; 2=mild conscious itch without desire to rub; 2.5=moderate, diffuse continuous itch with desire to rub; 3=severe itch with desire to rub; 3.5=severe itch improved with minimal rubbing; 4=incapacitating itch with an irresistible urge to rub) with 0.5 point increments allowed, and lower scores indicates lesser ocular itching. CAC is an initial titration challenge to determine the appropriate allergen and lowest concentration of allergen that produced a positive bilateral allergic response for each subject, defined as ≥ 2 score (0-4 point scale) in ocular itching and conjunctival redness within 10 minutes of the last titration of allergen.

Outcome measures

Outcome measures
Measure
Lifitegrast 0.1%
n=15 Participants
Lifitegrast 1.0%
n=15 Participants
Lifitegrast 5.0%
n=15 Participants
Placebo
n=15 Participants
Ocular Itching at Day 7 (7 Minutes Post Conjunctival Allergen Challenge [CAC 6])
2.65 units on a scale
Standard Deviation 0.731
2.68 units on a scale
Standard Deviation 1.096
3.07 units on a scale
Standard Deviation 0.837
2.88 units on a scale
Standard Deviation 0.410

PRIMARY outcome

Timeframe: Baseline to Day 14 (7 minutes post CAC 9)

Population: ITT population with LOCF

Ocular Itching was evaluated by participants and graded with Ophthalmic Research Associates, Inc. (ORA) Scale with the score ranged from 0 to 4 (0=none; 0.5=intermittent tickle in the cornea; 1=intermittent tickle more than just the cornea; 1.5=intermittent all-over tickling sensation; 2=mild conscious itch without desire to rub; 2.5=moderate, diffuse continuous itch with desire to rub; 3=severe itch with desire to rub; 3.5=severe itch improved with minimal rubbing; 4=incapacitating itch with an irresistible urge to rub) with 0.5 point increments allowed, and lower scores indicates lesser ocular itching.

Outcome measures

Outcome measures
Measure
Lifitegrast 0.1%
n=15 Participants
Lifitegrast 1.0%
n=15 Participants
Lifitegrast 5.0%
n=15 Participants
Placebo
n=15 Participants
Ocular Itching at Day 14 (7 Minutes Post CAC 9)
2.28 units on a scale
Standard Deviation 1.043
2.50 units on a scale
Standard Deviation 1.191
2.63 units on a scale
Standard Deviation 0.968
2.12 units on a scale
Standard Deviation 0.737

PRIMARY outcome

Timeframe: Baseline to Day 7 (20 minutes post CAC 6)

Population: ITT population with LOCF

Conjunctival Redness was evaluated by an investigator with slit lamp and graded with ORA Scale with the score ranged from 0 to 4 (0=none; 1=mild-slightly dilated blood vessels; color of vessels is typically pink; can be quadrantal; 2=moderate-more apparent dilation of blood vessels; vessel color is more intense (redder); involves the majority of the vessel bed; 3=severe-numerous and obvious dilated blood vessels; in the absence of chemosis the color is deep red, may be less red or pink in presence of chemosis, is not quadrantic; 4=extremely severe-large, numerous, dilated blood vessels characterized by unusually severe deep red color, regardless of grade of chemosis, which involves the entire vessel bed) with 0.5 point increments allowed, and lower scores indicates reduction in the conjunctival redness.

Outcome measures

Outcome measures
Measure
Lifitegrast 0.1%
n=15 Participants
Lifitegrast 1.0%
n=15 Participants
Lifitegrast 5.0%
n=15 Participants
Placebo
n=15 Participants
Conjunctival Redness at Day 7 (20 Minutes Post CAC 6)
2.27 units on a scale
Standard Deviation 0.458
2.48 units on a scale
Standard Deviation 0.406
2.57 units on a scale
Standard Deviation 0.477
2.52 units on a scale
Standard Deviation 0.427

PRIMARY outcome

Timeframe: Baseline to Day 14 (20 minutes post CAC 9)

Population: ITT population with LOCF

Conjunctival Redness was evaluated by an investigator with slit lamp and graded with ORA Scale with the score ranged from 0 to 4 (0=none; 1=mild-slightly dilated blood vessels; color of vessels is typically pink; can be quadrantal; 2=moderate-more apparent dilation of blood vessels; vessel color is more intense (redder); involves the majority of the vessel bed; 3=severe-numerous and obvious dilated blood vessels; in the absence of chemosis the color is deep red, may be less red or pink in presence of chemosis, is not quadrantic; 4=extremely severe-large, numerous, dilated blood vessels characterized by unusually severe deep red color, regardless of grade of chemosis, which involves the entire vessel bed) with 0.5 point increments allowed, and lower scores indicates reduction in the conjunctival redness.

Outcome measures

Outcome measures
Measure
Lifitegrast 0.1%
n=15 Participants
Lifitegrast 1.0%
n=15 Participants
Lifitegrast 5.0%
n=15 Participants
Placebo
n=15 Participants
Conjunctival Redness at Day 14 (20 Minutes Post CAC 9)
1.92 units on a scale
Standard Deviation 0.686
2.42 units on a scale
Standard Deviation 0.397
2.38 units on a scale
Standard Deviation 0.399
2.17 units on a scale
Standard Deviation 0.652

SECONDARY outcome

Timeframe: Baseline to Day 6 (CAC 4), Day 13 (CAC 7) 7 minutes post CAC

Population: ITT population with LOCF

Ocular Itching was evaluated by participants and graded with Ophthalmic Research Associates, Inc. (ORA) Scale with the score ranged from 0 to 4 (0=none; 0.5=intermittent tickle in the cornea; 1=intermittent tickle more than just the cornea; 1.5=intermittent all-over tickling sensation; 2=mild conscious itch without desire to rub; 2.5=moderate, diffuse continuous itch with desire to rub; 3=severe itch with desire to rub; 3.5=severe itch improved with minimal rubbing; 4=incapacitating itch with an irresistible urge to rub) with 0.5 point increments allowed, and lower scores indicates lesser ocular itching.

Outcome measures

Outcome measures
Measure
Lifitegrast 0.1%
n=15 Participants
Lifitegrast 1.0%
n=15 Participants
Lifitegrast 5.0%
n=15 Participants
Placebo
n=15 Participants
Ocular Itching at Day 6 (CAC 4), 5 (CAC 7)
Visit 5: 7 minutes post CAC 7
2.42 units on a scale
Standard Deviation 1.084
2.62 units on a scale
Standard Deviation 0.778
2.63 units on a scale
Standard Deviation 0.972
2.38 units on a scale
Standard Deviation 0.388
Ocular Itching at Day 6 (CAC 4), 5 (CAC 7)
Visit 3: 7 minutes post CAC 4
2.83 units on a scale
Standard Deviation 0.564
2.37 units on a scale
Standard Deviation 0.886
3.02 units on a scale
Standard Deviation 0.644
2.82 units on a scale
Standard Deviation 0.395

SECONDARY outcome

Timeframe: Baseline to Day 6 (CAC 4), Day 13 (CAC 7) at 20 minutes post CAC

Population: ITT population with LOCF

Conjunctival Redness was evaluated by an investigator with slit lamp and graded with ORA Scale with the score ranged from 0 to 4 (0=none; 1=mild-slightly dilated blood vessels; color of vessels is typically pink; can be quadrantal; 2=moderate-more apparent dilation of blood vessels; vessel color is more intense (redder); involves the majority of the vessel bed; 3=severe-numerous and obvious dilated blood vessels; in the absence of chemosis the color is deep red, may be less red or pink in presence of chemosis, is not quadrantic; 4=extremely severe-large, numerous, dilated blood vessels characterized by unusually severe deep red color, regardless of grade of chemosis, which involves the entire vessel bed) with 0.5 point increments allowed, and lower scores indicates reduction in the conjunctival redness.

Outcome measures

Outcome measures
Measure
Lifitegrast 0.1%
n=15 Participants
Lifitegrast 1.0%
n=15 Participants
Lifitegrast 5.0%
n=15 Participants
Placebo
n=15 Participants
Conjunctival Redness at Day 6 (CAC 4), 5 (CAC 7)
Visit 5: 20 minutes post CAC 7
1.37 units on a scale
Standard Deviation 0.911
2.15 units on a scale
Standard Deviation 0.749
1.62 units on a scale
Standard Deviation 1.026
1.77 units on a scale
Standard Deviation 0.863
Conjunctival Redness at Day 6 (CAC 4), 5 (CAC 7)
Visit 3: 20 minutes post CAC 4
1.82 units on a scale
Standard Deviation 0.594
2.15 units on a scale
Standard Deviation 0.725
2.25 units on a scale
Standard Deviation 0.605
2.25 units on a scale
Standard Deviation 0.433

Adverse Events

Lifitegrast 0.1%

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Lifitegrast 1.0%

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Lifitegrast 5.0%

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lifitegrast 0.1%
n=15 participants at risk
Lifitegrast 1.0%
n=15 participants at risk
Lifitegrast 5.0%
n=15 participants at risk
Placebo
n=15 participants at risk
Injury, poisoning and procedural complications
Traumatic haematoma
0.00%
0/15 • Up to Day 16
0.00%
0/15 • Up to Day 16
0.00%
0/15 • Up to Day 16
6.7%
1/15 • Number of events 1 • Up to Day 16

Other adverse events

Other adverse events
Measure
Lifitegrast 0.1%
n=15 participants at risk
Lifitegrast 1.0%
n=15 participants at risk
Lifitegrast 5.0%
n=15 participants at risk
Placebo
n=15 participants at risk
Eye disorders
Eye Disorders
26.7%
4/15 • Number of events 7 • Up to Day 16
40.0%
6/15 • Number of events 11 • Up to Day 16
60.0%
9/15 • Number of events 16 • Up to Day 16
0.00%
0/15 • Up to Day 16
General disorders
General Discomfort and Administration Site Conditions
26.7%
4/15 • Number of events 5 • Up to Day 16
13.3%
2/15 • Number of events 3 • Up to Day 16
40.0%
6/15 • Number of events 10 • Up to Day 16
40.0%
6/15 • Number of events 7 • Up to Day 16

Additional Information

Study Director

Shire (Note: Lifitegrast was divested to Novartis in 2019)

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
  • Publication restrictions are in place

Restriction type: OTHER