Trial Outcomes & Findings for Sodium Hyaluronate Ophthalmic Solution, 0.18% for Treatment of Dry Eye Syndrome (NCT NCT01382225)

NCT ID: NCT01382225

Last Updated: 2013-07-08

Results Overview

The investigator instilled an ophthalmic dye on the eye and rated staining in three areas (cornea, nasal, and temporal conjunctiva). Staining was rated on a 5-point scale from 0 to 4 (0=0% to 4=\>45%). The LGS Total Score (0-12) is the sum of the three individual ratings. A more negative change indicates a greater amount of improvement.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1936 participants

Primary outcome timeframe

Baseline, Day 7

Results posted on

2013-07-08

Participant Flow

Subjects were recruited from 56 investigative sites in the United States.

Of the 1936 subjects enrolled, 268 did not qualify for vehicle run-in and were exited as screen failures. Of the 1668 subjects receiving vehicle run-in, 214 did not qualify for randomization and were exited as screen failures. This reporting group includes the 1454 subjects randomized to receive treatment at Baseline Visit (Day 0).

Participant milestones

Participant milestones
Measure
Sodium Hyaluronate
Run-in, followed by Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
Run-in, followed by Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Overall Study
STARTED
725
729
Overall Study
COMPLETED
711
722
Overall Study
NOT COMPLETED
14
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Sodium Hyaluronate
Run-in, followed by Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
Run-in, followed by Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Overall Study
Adverse Event
3
2
Overall Study
Protocol Violation
2
1
Overall Study
Subject Withdrew Consent
5
2
Overall Study
Other
4
2

Baseline Characteristics

Sodium Hyaluronate Ophthalmic Solution, 0.18% for Treatment of Dry Eye Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sodium Hyaluronate
n=723 Participants
Run-in, followed by Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=727 Participants
Run-in, followed by Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Total
n=1450 Participants
Total of all reporting groups
Age, Customized
18-64 years
402 participants
n=5 Participants
392 participants
n=7 Participants
794 participants
n=5 Participants
Age, Customized
≥65 years
321 participants
n=5 Participants
335 participants
n=7 Participants
656 participants
n=5 Participants
Sex: Female, Male
Female
590 Participants
n=5 Participants
594 Participants
n=7 Participants
1184 Participants
n=5 Participants
Sex: Female, Male
Male
133 Participants
n=5 Participants
133 Participants
n=7 Participants
266 Participants
n=5 Participants
Region of Enrollment
United States
723 participants
n=5 Participants
727 participants
n=7 Participants
1450 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Day 7

Population: Modified Intent-to-Treat (mITT): The set of all randomized subjects who received at least one administration of the allocated product, had baseline efficacy measurement, had at least 1 post-baseline measurement and received the correct formulation of the lissamine green solution.

The investigator instilled an ophthalmic dye on the eye and rated staining in three areas (cornea, nasal, and temporal conjunctiva). Staining was rated on a 5-point scale from 0 to 4 (0=0% to 4=\>45%). The LGS Total Score (0-12) is the sum of the three individual ratings. A more negative change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Change From Baseline in Lissamine Green Staining (LGS) Total Score at Day 7
Baseline
4.9 Units on a scale
Standard Deviation 2.2
4.8 Units on a scale
Standard Deviation 2.1
Change From Baseline in Lissamine Green Staining (LGS) Total Score at Day 7
Change from Baseline at Day 7
-0.8 Units on a scale
Standard Deviation 1.8
-0.7 Units on a scale
Standard Deviation 1.6

PRIMARY outcome

Timeframe: Baseline, Day 7

Population: Modified Intent-to-Treat

The subject completed a questionnaire and rated the frequency of five common dry eye symptoms. Frequency was rated on a 4-point scale from 0 to 3 (0=never to 3=constantly). The GSF Total Score (0-15) is the sum of the five individual ratings. A more negative change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Change From Baseline in Global Symptom Frequency (GSF) Total Score at Day 7
Baseline
8.9 Units on a scale
Standard Deviation 2.3
9.1 Units on a scale
Standard Deviation 2.3
Change From Baseline in Global Symptom Frequency (GSF) Total Score at Day 7
Change from Baseline at Day 7
-1.6 Units on a scale
Standard Deviation 2.6
-1.3 Units on a scale
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Baseline, Day 14

Population: Modified Intent-to-Treat

The investigator instilled an ophthalmic dye on the eye and rated staining in three areas (cornea, nasal, and temporal conjunctiva). Staining was rated on a 5-point scale from 0 to 4 (0=0% to 4=\>45%). The LGS Total Score (0-12) is the sum of the three individual ratings. A more negative change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Change From Baseline in LGS Total Score at Day 14
Baseline
4.9 Units on a scale
Standard Deviation 2.2
4.8 Units on a scale
Standard Deviation 2.1
Change From Baseline in LGS Total Score at Day 14
Change from Baseline at Day 14
-1.2 Units on a scale
Standard Deviation 2.0
-1.0 Units on a scale
Standard Deviation 1.8

SECONDARY outcome

Timeframe: Baseline, Day 14

Population: Modified Intent-to-Treat

The subject completed a questionnaire and rated the frequency of five common dry eye symptoms. Frequency was rated on a 4-point scale from 0 to 3 (0=never to 3=constantly). The GSF Total Score (0-15) is the sum of the five individual ratings. A more negative change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Change From Baseline in GSF Total Score at Day 14
Baseline
8.9 Units on a scale
Standard Deviation 2.3
9.1 Units on a scale
Standard Deviation 2.3
Change From Baseline in GSF Total Score at Day 14
Change from Baseline at Day 14
-2.3 Units on a scale
Standard Deviation 2.8
-2.2 Units on a scale
Standard Deviation 2.8

SECONDARY outcome

Timeframe: Baseline, up to Day 14

Population: Modified Intent-to-Treat

The investigator instilled an ophthalmic dye on the eye and rated corneal staining by type, extent/surface area, and depth. Each staining was rated on a 5-point scale from 0 to 4 (0=no staining/0% to 4=patch/\>45%/immediate diffuse stromal glow). The CFS Total Score (0-12) is the sum of the three individual ratings. A more negative percentage change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Percentage Change From Baseline in Corneal Fluorescein Staining (CFS) Total Score
Baseline
4.9 Percent change
Standard Deviation 2.1
4.8 Percent change
Standard Deviation 2.0
Percentage Change From Baseline in Corneal Fluorescein Staining (CFS) Total Score
Change from Baseline at Day 7
-10.0 Percent change
Standard Deviation 40.3
-10.4 Percent change
Standard Deviation 36.9
Percentage Change From Baseline in Corneal Fluorescein Staining (CFS) Total Score
Change from Baseline at Day 14
-19.3 Percent change
Standard Deviation 46.6
-16.1 Percent change
Standard Deviation 44.1

SECONDARY outcome

Timeframe: Baseline, up to Day 14

Population: Modified Intent-to-Treat

The investigator placed a paper strip on the eye under the lower lid and left it in place for 5 minutes. The Schirmer I Score was the length of the strip wetted by the tears (0-35 millimeters). A more positive percentage change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Percentage Change From Baseline in Schirmer I Score
Baseline
9.7 Percent change
Standard Deviation 8.6
10.1 Percent change
Standard Deviation 8.5
Percentage Change From Baseline in Schirmer I Score
Change from Baseline at Day 14
60.3 Percent change
Standard Deviation 273.2
47.0 Percent change
Standard Deviation 170.7
Percentage Change From Baseline in Schirmer I Score
Change from Baseline at Day 7
52.1 Percent change
Standard Deviation 195.2
40.6 Percent change
Standard Deviation 139.8

SECONDARY outcome

Timeframe: Baseline, up to Day 14

Population: Modified Intent-to-Treat

The subject completed a questionnaire and rated the intensity of five common dry eye symptoms. Intensity was rated on a visual analog scale from 0-100 (0=no symptoms to 100=severe symptoms). The GSI Total Score (0 to 500) is the sum of the five individual ratings. A more negative percentage change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Percentage Change From Baseline in Global Symptom Intensity (GSI) Total Score
Baseline
294.2 Percent change
Standard Deviation 80.8
295.8 Percent change
Standard Deviation 82.5
Percentage Change From Baseline in Global Symptom Intensity (GSI) Total Score
Change from Baseline at Day 7
-18.9 Percent change
Standard Deviation 34.1
-15.4 Percent change
Standard Deviation 34.5
Percentage Change From Baseline in Global Symptom Intensity (GSI) Total Score
Change from Baseline at Day 14
-31.6 Percent change
Standard Deviation 37.7
-26.9 Percent change
Standard Deviation 38.4

SECONDARY outcome

Timeframe: Baseline, up to Day 14

Population: Modified Intent-to-Treat

For each of 5 common dry eye symptoms, the frequency (0-3) and intensity (0-100) scores were multiplied to obtain the symptom score (0-300). The 5 symptom scores were summed to obtain the Global Symptom Composite Index Score (0-1500). A more negative percentage change indicates a greater amount of improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Percentage Change From Baseline in Global Symptom Composite Index (GSCI) Score
Baseline
594.8 Percentage change
Standard Deviation 249.9
608.4 Percentage change
Standard Deviation 258.0
Percentage Change From Baseline in Global Symptom Composite Index (GSCI) Score
Change from Baseline at Day 7
-26.1 Percentage change
Standard Deviation 43.6
-22.4 Percentage change
Standard Deviation 43.2
Percentage Change From Baseline in Global Symptom Composite Index (GSCI) Score
Change from Baseline at Day 14
-40.1 Percentage change
Standard Deviation 44.9
-36.3 Percentage change
Standard Deviation 44.4

SECONDARY outcome

Timeframe: Baseline, Up to Day 14

Population: Modified Intent-to-Treat

The subject was asked on a questionnaire, "Please consider how your dry eyes feel when doing daily activities such as working on the computer, watching television, reading, and driving. Based on this, please rate the impact of your dry eye symptoms on your daily life," and responded on a 4-point scale from 0-3 (0=Absent to 3=Severe). Improved was defined as a change in score of \<0 from baseline. Proportion is reported as a percentage of participants. A greater percentage of subjects reporting a lower score indicates an improvement.

Outcome measures

Outcome measures
Measure
Sodium Hyaluronate
n=643 Participants
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=648 Participants
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Proportion of Improved Scores on the Global Impact on Dry Eye Syndrome on Daily Life (GIDL) Rating
Day 7
31.0 Percentage of Participants
26.5 Percentage of Participants
Proportion of Improved Scores on the Global Impact on Dry Eye Syndrome on Daily Life (GIDL) Rating
Day 14
42.7 Percentage of Participants
38.0 Percentage of Participants

Adverse Events

Sodium Hyaluronate

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

Vehicle

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

Serious adverse events

Serious adverse events
Measure
Sodium Hyaluronate
n=723 participants at risk
Sodium Hyaluronate Ophthalmic Solution, 0.18%, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Vehicle
n=727 participants at risk
Vehicle, 1-2 drops instilled in each eye 3-6 times a day for 14 days
Gastrointestinal disorders
Gastritis
0.14%
1/723 • Adverse events were collected for the duration of the study. The safety population includes all randomized subjects who receive exposure to study medication or had potential exposure.
0.00%
0/727 • Adverse events were collected for the duration of the study. The safety population includes all randomized subjects who receive exposure to study medication or had potential exposure.
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/723 • Adverse events were collected for the duration of the study. The safety population includes all randomized subjects who receive exposure to study medication or had potential exposure.
0.14%
1/727 • Adverse events were collected for the duration of the study. The safety population includes all randomized subjects who receive exposure to study medication or had potential exposure.
Psychiatric disorders
Mania
0.00%
0/723 • Adverse events were collected for the duration of the study. The safety population includes all randomized subjects who receive exposure to study medication or had potential exposure.
0.14%
1/727 • Adverse events were collected for the duration of the study. The safety population includes all randomized subjects who receive exposure to study medication or had potential exposure.

Other adverse events

Adverse event data not reported

Additional Information

Michela Montecchi-Palmer, Clinical Project Lead

Alcon Research, Ltd.

Phone: 1-888-451-3937

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor reserves the right of prior review of any publication or presentation of information related to the study.
  • Publication restrictions are in place

Restriction type: OTHER