Trial Outcomes & Findings for A Study to Evaluate Efficacy and Safety of Lifitegrast in Subjects With Dry Eye (OPUS-3) (NCT NCT02284516)

NCT ID: NCT02284516

Last Updated: 2021-06-11

Results Overview

Eye dryness score was scored on a Visual Analogue Scale (VAS) ranges from 0-100 (0=no discomfort; 100=maximal discomfort).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

711 participants

Primary outcome timeframe

Baseline to Day 84

Results posted on

2021-06-11

Participant Flow

Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.

Participant milestones

Participant milestones
Measure
Placebo
Placebo ophthalmic solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Lifitegrast
Lifitegrast 5% Ophthalmic Solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Overall Study
NOT COMPLETED
38
36
Overall Study
STARTED
356
355
Overall Study
Safety Population
354
357
Overall Study
COMPLETED
318
319

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Evaluate Efficacy and Safety of Lifitegrast in Subjects With Dry Eye (OPUS-3)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=356 Participants
Placebo ophthalmic solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Lifitegrast
n=355 Participants
Lifitegrast 5% Ophthalmic Solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Total
n=711 Participants
Total of all reporting groups
Age, Continuous
58.6 years
STANDARD_DEVIATION 14.84 • n=5 Participants
58.8 years
STANDARD_DEVIATION 14.10 • n=7 Participants
58.7 years
STANDARD_DEVIATION 14.47 • n=5 Participants
Sex: Female, Male
Female
269 Participants
n=5 Participants
268 Participants
n=7 Participants
537 Participants
n=5 Participants
Sex: Female, Male
Male
87 Participants
n=5 Participants
87 Participants
n=7 Participants
174 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Day 84

Population: Intent to treat (ITT) population included all randomized participants who took at least 1 dose of investigational product with last observation carried forward (LOCF). Here, n = number of participants analyzed for the specific categories of each arm, respectively.

Eye dryness score was scored on a Visual Analogue Scale (VAS) ranges from 0-100 (0=no discomfort; 100=maximal discomfort).

Outcome measures

Outcome measures
Measure
Placebo
n=356 Participants
Placebo ophthalmic solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Lifitegrast
n=355 Participants
Lifitegrast 5% Ophthalmic Solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Change From Baseline in Patient-Reported Eye Dryness Score to Day 84
Baseline (n=356, 355)
69.0 units on a scale
Standard Deviation 17.08
68.3 units on a scale
Standard Deviation 16.88
Change From Baseline in Patient-Reported Eye Dryness Score to Day 84
Change from Baseline to Day 84 (n=353, 353)
-30.7 units on a scale
Standard Deviation 28.01
-37.9 units on a scale
Standard Deviation 28.85

SECONDARY outcome

Timeframe: Baseline to Day 14 and Day 42

Population: ITT population with LOCF. Here, n = number of participants analyzed for the specific categories of each arm, respectively.

Eye dryness score was scored on a Visual Analogue Scale (VAS) ranges from 0-100 (0=no discomfort; 100=maximal discomfort).

Outcome measures

Outcome measures
Measure
Placebo
n=356 Participants
Placebo ophthalmic solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Lifitegrast
n=355 Participants
Lifitegrast 5% Ophthalmic Solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Change From Baseline in Patient-Reported Eye Dryness Score to Day 14 and Day 42
Baseline (n=356, 355)
69.0 units on a scale
Standard Deviation 17.08
68.3 units on a scale
Standard Deviation 16.88
Change From Baseline in Patient-Reported Eye Dryness Score to Day 14 and Day 42
Change from Baseline to Day 14 (n=353, 352)
-15.0 units on a scale
Standard Deviation 22.40
-22.9 units on a scale
Standard Deviation 25.44
Change From Baseline in Patient-Reported Eye Dryness Score to Day 14 and Day 42
Change from Baseline to Day 42 (n=353, 353)
-23.9 units on a scale
Standard Deviation 25.99
-33.2 units on a scale
Standard Deviation 27.42

Adverse Events

Placebo

Serious events: 4 serious events
Other events: 30 other events
Deaths: 0 deaths

Lifitegrast

Serious events: 4 serious events
Other events: 107 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=354 participants at risk
Placebo ophthalmic solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Lifitegrast
n=357 participants at risk
Lifitegrast 5% Ophthalmic Solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Infections and infestations
Pneumonia
0.00%
0/354 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.28%
1/357 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Injury, poisoning and procedural complications
Periprosthetic fracture
0.28%
1/354 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.00%
0/357 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Musculoskeletal and connective tissue disorders
Lower limb fracture
0.28%
1/354 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.00%
0/357 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.28%
1/354 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.00%
0/357 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Nervous system disorders
Cerebrovascular accident
0.00%
0/354 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.28%
1/357 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Nervous system disorders
Transient ischaemic attack
0.00%
0/354 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.28%
1/357 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Respiratory, thoracic and mediastinal disorders
Lung neoplasm malignant
0.00%
0/354 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.28%
1/357 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Vascular disorders
Accelerated hypertension
0.28%
1/354 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
0.00%
0/357 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.

Other adverse events

Other adverse events
Measure
Placebo
n=354 participants at risk
Placebo ophthalmic solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
Lifitegrast
n=357 participants at risk
Lifitegrast 5% Ophthalmic Solution was administered to the ocular surface as a single eye drop twice daily in both eyes for 84 days.
General disorders
Instillation site irritation
3.1%
11/354 • Number of events 12 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
18.2%
65/357 • Number of events 68 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
General disorders
Instillation site reaction
5.4%
19/354 • Number of events 21 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
12.6%
45/357 • Number of events 51 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
Nervous system disorders
Dysgeusia
0.28%
1/354 • Number of events 1 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.
12.9%
46/357 • Number of events 46 • From start of the study drug administration upto Day 91 or Early termination (ET)
Two participants from placebo arm (N=356) has taken study drug by mistake and considered for "Lifitegrast" arm (N=355). Therefore, Placebo (N=354), Lifitegrast (N=357) were considered for safety analysis.

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