Safety and Efficacy of KPI-121 in Subjects With Postsurgical Inflammation

NCT ID: NCT02163824

Last Updated: 2021-01-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

380 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2014-12-31

Brief Summary

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The primary purpose of this study is to determine the efficacy and safety of KPI-121 ophthalmic suspension compared to placebo in subjects who have undergone cataract surgery. The efficacy and safety of two different concentrations and two different dosing regimens of KPI-121 are also being assessed.

Detailed Description

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This is a Phase III, multicenter, double-masked, randomized, placebo-controlled, parallel-group study designed to evaluate the efficacy and safety of two doses and two dosing regimens of KPI-121 ophthalmic suspension versus placebo in subjects who require treatment of postoperative anterior ocular inflammation.

Approximately 500 subjects will be screened and up to 402 subjects with one study eye each will be randomized in this study at approximately 25 centers located in the United States. Subjects who experience postoperative inflammation on the first day following routine, uncomplicated, cataract surgery and who meet all other eligibility criteria will be randomized to one of four study groups (0.25% four times daily or 1.0% two times daily) or Placebo A four times daily or Placebo B two times daily. Drug product or placebo will be initiated on the day following surgery and instilled as one to two drops in the study eye according to the assigned dosing regimen for 14 days.

This study will include up to 7 clinic visits (including the surgery day) over 18 to 33 days total study duration. Visit 1 (Screening) will occur between 14 to 1 day(s) prior to surgery, and subjects who meet preoperative screening inclusion/exclusion criteria will be entered into the study. At Visit 2 (Surgery/Day 0) subjects will undergo routine cataract surgery according to the Investigator's normal procedures. Visit 3 (Randomization/Day 1) will occur on the day following surgery.

Following randomization, subjects will be instructed to return to the clinic to be evaluated at Visit 4 (Day 3 +2 day), Visit 5 (Day 8 ±1 day), and Visit 6 (Day 15 ±1 day). The last dose of study product will be administered upon completion of 14 days of evaluation. Following the End of Study Product Use Visit (Visit 6; Day 15 ±1 day), subjects will be asked to return to the clinic on Day 17-19 for Visit 7 (Follow-Up) and will be released from the study.

Conditions

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Ocular Infections, Irritations and Inflammations

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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KPI-121 0.25% QID

KPI-121 0.25% Ophthalmic Suspension dosed 4 times daily for 14 days after routine, uncomplicated surgery for cataract removal and intraocular lens implant.

Group Type ACTIVE_COMPARATOR

KPI-121 0.25%

Intervention Type DRUG

KPI-121 drug product will be supplied as 0.25% as a suspension in identically packaged opaque dropper bottles. KPI-121 drug product is a sterile, aqueous, submicron suspension of loteprednol etabonate.

KPI-121 1.0% BID

KPI-121 1.0% Ophthalmic Suspension dosed 2 times daily for 14 days after routine, uncomplicated surgery for cataract removal and intraocular lens implant.

Group Type ACTIVE_COMPARATOR

KPI-121 1.0%

Intervention Type DRUG

KPI-121 drug product will be supplied as 1.0% as a suspension in identically packaged opaque dropper bottles. KPI-121 drug product is a sterile, aqueous, submicron suspension of loteprednol etabonate.

Vehicle of KPI-121 0.25%

Vehicle of KPI-121 0.25% Ophthalmic Suspension dosed 4 times daily for 14 days after routine, uncomplicated surgery for cataract removal and intraocular lens implant.

Group Type PLACEBO_COMPARATOR

Vehicle of KPI-121 0.25%

Intervention Type DRUG

Placebo control arms will receive the same bottles containing vehicle of KPI-121 including all components at the concentrations used in the KPI-121 drug product with the exception of the active component, loteprednol etabonate.

Vehicle of KPI-121 1.0%

Vehicle of KPI-121 1.0% Ophthalmic Suspension dosed 2 times daily for 14 days after routine, uncomplicated surgery for cataract removal and intraocular lens implant.

Group Type PLACEBO_COMPARATOR

Vehicle of KPI-121 1.0%

Intervention Type DRUG

Placebo control arms will receive the same bottles containing vehicle of KPI-121 including all components at the concentrations used in the KPI-121 drug product with the exception of the active component, loteprednol etabonate.

Interventions

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KPI-121 0.25%

KPI-121 drug product will be supplied as 0.25% as a suspension in identically packaged opaque dropper bottles. KPI-121 drug product is a sterile, aqueous, submicron suspension of loteprednol etabonate.

Intervention Type DRUG

KPI-121 1.0%

KPI-121 drug product will be supplied as 1.0% as a suspension in identically packaged opaque dropper bottles. KPI-121 drug product is a sterile, aqueous, submicron suspension of loteprednol etabonate.

Intervention Type DRUG

Vehicle of KPI-121 0.25%

Placebo control arms will receive the same bottles containing vehicle of KPI-121 including all components at the concentrations used in the KPI-121 drug product with the exception of the active component, loteprednol etabonate.

Intervention Type DRUG

Vehicle of KPI-121 1.0%

Placebo control arms will receive the same bottles containing vehicle of KPI-121 including all components at the concentrations used in the KPI-121 drug product with the exception of the active component, loteprednol etabonate.

Intervention Type DRUG

Other Intervention Names

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KPI-121 0.25% Ophthalmic Suspension Loteprednol etabonate 0.25% KPI-121 1.0% Ophthalmic Suspension Loteprednol etabonate 1.0% Vehicle of KPI-121 0.25% Ophthalmic Suspension Vehicle of KPI-121 1.0% Ophthalmic Suspension

Eligibility Criteria

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Inclusion Criteria

* Candidates for routine, uncomplicated cataract surgery
* In Investigator's opinion, potential postoperative Snellen Distance VA by pinhole method of at least 20/200 in study eye.

Exclusion Criteria

* Known hypersensitivity/contraindication to study product(s) or components.
* History of glaucoma, 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; severe/serious systemic disease or uncontrolled medical condition that in judgment of Investigator could confound study assessments or limit compliance; or have been exposed to an investigational drug within the 30 days prior to screening or 19 days following surgery.
* In the opinion of Investigator or study coordinator, be unwilling or unable to comply with study protocol or unable to successfully instill eye drops.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kala Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sall Research Medical Center

Artesia, California, United States

Site Status

North Valley Eye Medical Group

Mission Hills, California, United States

Site Status

Martel Eye Medical Group

Rancho Cordova, California, United States

Site Status

Wolstan & Goldberg Eye Associates

Torrance, California, United States

Site Status

Clayton Eye Center

Morrow, Georgia, United States

Site Status

Price Vision Group

Indianapolis, Indiana, United States

Site Status

John-Kenyon American Eye Institute

New Albany, Indiana, United States

Site Status

Taustine Eye Center

Louisville, Kentucky, United States

Site Status

Tauber Eye Center

Kansas City, Missouri, United States

Site Status

Tekwani Vision Center

St Louis, Missouri, United States

Site Status

Ophthalmology Associates

St Louis, Missouri, United States

Site Status

Ophthalmology Consultants

St Louis, Missouri, United States

Site Status

Las Vegas Physicians Research Group

Henderson, Nevada, United States

Site Status

Raymond Fong, MDPC

New York, New York, United States

Site Status

Rochester Ophthalmological Group, PC

Rochester, New York, United States

Site Status

Cornerstone Eye Care

High Point, North Carolina, United States

Site Status

Cincinnati Eye Institute

Cincinnati, Ohio, United States

Site Status

The Eye Center of Columbus

Columbus, Ohio, United States

Site Status

Westside Research, LLC

Spartanburg, South Carolina, United States

Site Status

The Eye Clinic of Texas, Affiliate of Houston Eye Associates

League City, Texas, United States

Site Status

R&R Eye Research, LLC

San Antonio, Texas, United States

Site Status

Kozlovsky Delay & Winter Eye Consultants, LLC

San Antonio, Texas, United States

Site Status

Virginia Eye Consultants

Norfolk, Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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KPI-121-C-001

Identifier Type: -

Identifier Source: org_study_id

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