Trial Outcomes & Findings for A Multi-Center, Double-Masked Evaluation of the Efficacy and Safety of CSF-1 in the Treatment of Presbyopia (NCT NCT03885011)

NCT ID: NCT03885011

Last Updated: 2023-01-26

Results Overview

Number of subjects with a ≥ 3-line gain in near BDCVA (at 40 cm) at 1 hour post dose after 1 week treatment with CSF-1-Fixed Dose Combination (FDC) low dose (pilocarpine HCl 0.2% + diclofenac 0.006%) or pilocarpine HCl 0.2% alone or diclofenac 0.006% alone

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

166 participants

Primary outcome timeframe

1 hour post dose on day 8

Results posted on

2023-01-26

Participant Flow

Participant milestones

Participant milestones
Measure
CSF-1-FDC
pilocarpine HCl + diclofenac Na (fixed dose combination), 1 drop in each eye administered 2 times a day
Pilo
pilocarpine HCl (alone), 1 drop in each eye administered 2 times a day
Diclo
diclofenac Na (serves as control group), 1 drop in each eye administered 2 times a day
Overall Study
STARTED
53
55
58
Overall Study
COMPLETED
52
52
57
Overall Study
NOT COMPLETED
1
3
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Multi-Center, Double-Masked Evaluation of the Efficacy and Safety of CSF-1 in the Treatment of Presbyopia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CSF-1-FDC
n=53 Participants
pilocarpine HCl + diclofenac Na (fixed dose combination)
Pilo
n=55 Participants
pilocarpine HCl (alone)
Diclo
n=58 Participants
diclofenac Na (serves as control group)
Total
n=166 Participants
Total of all reporting groups
Age, Continuous
54.8 years
STANDARD_DEVIATION 3.96 • n=5 Participants
54.9 years
STANDARD_DEVIATION 4.93 • n=7 Participants
54.1 years
STANDARD_DEVIATION 4.94 • n=5 Participants
54.6 years
STANDARD_DEVIATION 4.63 • n=4 Participants
Sex: Female, Male
Female
30 Participants
n=5 Participants
39 Participants
n=7 Participants
33 Participants
n=5 Participants
102 Participants
n=4 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
16 Participants
n=7 Participants
25 Participants
n=5 Participants
64 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
52 Participants
n=5 Participants
54 Participants
n=7 Participants
56 Participants
n=5 Participants
162 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=5 Participants
9 Participants
n=7 Participants
7 Participants
n=5 Participants
26 Participants
n=4 Participants
Race (NIH/OMB)
White
41 Participants
n=5 Participants
45 Participants
n=7 Participants
48 Participants
n=5 Participants
134 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
53 participants
n=5 Participants
55 participants
n=7 Participants
58 participants
n=5 Participants
166 participants
n=4 Participants

PRIMARY outcome

Timeframe: 1 hour post dose on day 8

Population: The primary analysis was conducted on the per protocol (PP) study population set and therefore the number of subjects is slightly different than from the overall participant flow.

Number of subjects with a ≥ 3-line gain in near BDCVA (at 40 cm) at 1 hour post dose after 1 week treatment with CSF-1-Fixed Dose Combination (FDC) low dose (pilocarpine HCl 0.2% + diclofenac 0.006%) or pilocarpine HCl 0.2% alone or diclofenac 0.006% alone

Outcome measures

Outcome measures
Measure
CSF-1-FDC
n=51 Participants
pilocarpine HCl + diclofenac Na (fixed dose combination)
Pilo
n=50 Participants
pilocarpine HCl (alone)
Diclo
n=56 Participants
diclofenac Na (serves as control group)
Number of Subjects With ≥ 3 Lines Gain in Near Best Distance Corrected Visual Acuity (BDCVA) (at 40 cm)
10 Participants
12 Participants
10 Participants

PRIMARY outcome

Timeframe: 1 hour post dose on day 15

Population: The primary analysis was conducted on the per protocol (PP) study population set and therefore the number of subjects is slightly different than from the overall participants flow.

Number of subjects with a ≥ 3-line gain in near BDCVA (at 40 cm) at 1 hour post dose after 1 week treatment with CSF-1-FDC (pilocarpine HCl 0.4% + diclofenac 0.006%) or pilocarpine HCl 0.4% alone or diclofenac 0.006% alone

Outcome measures

Outcome measures
Measure
CSF-1-FDC
n=51 Participants
pilocarpine HCl + diclofenac Na (fixed dose combination)
Pilo
n=49 Participants
pilocarpine HCl (alone)
Diclo
n=56 Participants
diclofenac Na (serves as control group)
Number of Subjects With ≥ 3 Lines Gain in BDCVA (at 40 cm)
22 Participants
23 Participants
9 Participants

SECONDARY outcome

Timeframe: 1 hour post dose on day 8

Population: The analysis was conducted on the per protocol (PP) study population set and therefore the number of subjects is slightly different than from the overall participants flow.

Number of subjects with a ≥ 2-line gain in near BDCVA (at 40 cm0 at 1 hour post dose after 1 week treatment with CSF-1-FDC (pilocarpine HCl 0.2% + diclofenac 0.006%) or pilocarpine HCl 0.2% alone or diclofenac 0.006% alone

Outcome measures

Outcome measures
Measure
CSF-1-FDC
n=51 Participants
pilocarpine HCl + diclofenac Na (fixed dose combination)
Pilo
n=50 Participants
pilocarpine HCl (alone)
Diclo
n=56 Participants
diclofenac Na (serves as control group)
Number of Subjects With ≥ 2 Lines Gain in BDCVA (at 40 cm)
24 Participants
25 Participants
18 Participants

SECONDARY outcome

Timeframe: 1 hour post dose on day 15

Population: The analysis was conducted on the per protocol (PP) study population set and therefore the number of subjects is slightly different than from the overall participants flow.

Number of subjects with a ≥ 2-line gain in near BDCVA (at 40 cm) at 1 hour post dose after 1 week treatment with CSF-1-FDC (pilocarpine HCl 0.4% + diclofenac 0.006%) or pilocarpine HCl 0.4% alone or diclofenac 0.006% alone

Outcome measures

Outcome measures
Measure
CSF-1-FDC
n=51 Participants
pilocarpine HCl + diclofenac Na (fixed dose combination)
Pilo
n=49 Participants
pilocarpine HCl (alone)
Diclo
n=56 Participants
diclofenac Na (serves as control group)
Number of Subjects With ≥ 2 Lines Gain in BDCVA (at 40 cm)
35 Participants
39 Participants
24 Participants

Adverse Events

CSF-1-FDC

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Pilo

Serious events: 1 serious events
Other events: 13 other events
Deaths: 1 deaths

Diclo

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

Serious adverse events

Serious adverse events
Measure
CSF-1-FDC
n=53 participants at risk
pilocarpine HCl + diclofenac Na (fixed dose combination)
Pilo
n=55 participants at risk
pilocarpine HCl (alone)
Diclo
n=58 participants at risk
diclofenac Na (serves as control group)
Cardiac disorders
Coronary artery disease
0.00%
0/53 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
1.8%
1/55 • Number of events 1 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
0.00%
0/58 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.

Other adverse events

Other adverse events
Measure
CSF-1-FDC
n=53 participants at risk
pilocarpine HCl + diclofenac Na (fixed dose combination)
Pilo
n=55 participants at risk
pilocarpine HCl (alone)
Diclo
n=58 participants at risk
diclofenac Na (serves as control group)
Eye disorders
Conjunctival hyperemia
5.7%
3/53 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
3.6%
2/55 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
0.00%
0/58 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
Eye disorders
Vision blurred
1.9%
1/53 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
10.9%
6/55 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
5.2%
3/58 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
General disorders
Instillation site pain
9.4%
5/53 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
5.5%
3/55 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
3.4%
2/58 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
Nervous system disorders
Headache
1.9%
1/53 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
9.1%
5/55 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.
3.4%
2/58 • During the 2 weeks duration of the study.
Treatment emergent adverse events (TEAEs) reported, elicited, and observed during clinical visits. In the CSF-1-FDC and the pilocarpine alone groups, TEAEs are reported for both doses of pilocarpine, as no separate analysis for TEAEs reported on Day 8 and Day 15 was planned in the protocol or statistical analysis plan.

Additional Information

Head of Regulatory Affairs

Orasis

Phone: +972-9-8877745

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60