Trial Outcomes & Findings for A Multi-Center, Randomized, Double-Masked, Parallel-Group, Vehicle-Controlled, Clinical Trial of Reproxalap to Assess the Safety and Efficacy in Subjects With Dry Eye Disease (NCT NCT03916042)

NCT ID: NCT03916042

Last Updated: 2025-03-03

Results Overview

Change from baseline comparison of reproxalap to vehicle for subject-reported Ocular Dryness Score VAS (0 = no discomfort - 100 = maximal discomfort), where a higher score means a worse outcome. The intervention was administered bilaterally. The Least Squares Mean (standard error) was derived from mixed model repeated measures for change from baseline calculated using baseline score, treatment arm, visit, and the interaction of treatment arm and visit as fixed effects.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

206 participants

Primary outcome timeframe

Efficacy assessment period (Day 1 through 85) - assessed at Weeks 1, 2, 4, 6, 8, 10, and 12. Baseline was Day 1.

Results posted on

2025-03-03

Participant Flow

Participant milestones

Participant milestones
Measure
Reproxalap (0.25% Novel Formulation)
Reproxalap ophthalmic solution administered QID (four times daily) for four weeks, followed by BID (two times daily) administration for eight weeks
Vehicle
Vehicle ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Overall Study
STARTED
102
104
Overall Study
COMPLETED
96
97
Overall Study
NOT COMPLETED
6
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Multi-Center, Randomized, Double-Masked, Parallel-Group, Vehicle-Controlled, Clinical Trial of Reproxalap to Assess the Safety and Efficacy in Subjects With Dry Eye Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Reproxalap (0.25% Novel Formulation)
n=102 Participants
Reproxalap ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Vehicle
n=104 Participants
Vehicle ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Total
n=206 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
52 Participants
n=5 Participants
58 Participants
n=7 Participants
110 Participants
n=5 Participants
Age, Categorical
>=65 years
50 Participants
n=5 Participants
46 Participants
n=7 Participants
96 Participants
n=5 Participants
Sex: Female, Male
Female
82 Participants
n=5 Participants
69 Participants
n=7 Participants
151 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
35 Participants
n=7 Participants
55 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
94 Participants
n=5 Participants
96 Participants
n=7 Participants
190 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
89 Participants
n=5 Participants
83 Participants
n=7 Participants
172 Participants
n=5 Participants
Race/Ethnicity, Customized
Multiple
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
102 participants
n=5 Participants
104 participants
n=7 Participants
206 participants
n=5 Participants
Iris Color (Right Eye)
Black
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Iris Color (Right Eye)
Blue
28 Participants
n=5 Participants
27 Participants
n=7 Participants
55 Participants
n=5 Participants
Iris Color (Right Eye)
Brown
46 Participants
n=5 Participants
44 Participants
n=7 Participants
90 Participants
n=5 Participants
Iris Color (Right Eye)
Hazel
21 Participants
n=5 Participants
20 Participants
n=7 Participants
41 Participants
n=5 Participants
Iris Color (Right Eye)
Gray
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Iris Color (Right Eye)
Green
6 Participants
n=5 Participants
9 Participants
n=7 Participants
15 Participants
n=5 Participants
Iris Color (Right Eye)
Other
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Iris Color (Left Eye)
Black
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Iris Color (Left Eye)
Blue
28 Participants
n=5 Participants
27 Participants
n=7 Participants
55 Participants
n=5 Participants
Iris Color (Left Eye)
Brown
46 Participants
n=5 Participants
44 Participants
n=7 Participants
90 Participants
n=5 Participants
Iris Color (Left Eye)
Hazel
21 Participants
n=5 Participants
20 Participants
n=7 Participants
41 Participants
n=5 Participants
Iris Color (Left Eye)
Gray
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Iris Color (Left Eye)
Green
6 Participants
n=5 Participants
9 Participants
n=7 Participants
15 Participants
n=5 Participants
Iris Color (Left Eye)
Other
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Efficacy assessment period (Day 1 through 85) - assessed at Weeks 1, 2, 4, 6, 8, 10, and 12. Baseline was Day 1.

Population: Intent-to-treat Ocular Dryness Population with observed data only

Change from baseline comparison of reproxalap to vehicle for subject-reported Ocular Dryness Score VAS (0 = no discomfort - 100 = maximal discomfort), where a higher score means a worse outcome. The intervention was administered bilaterally. The Least Squares Mean (standard error) was derived from mixed model repeated measures for change from baseline calculated using baseline score, treatment arm, visit, and the interaction of treatment arm and visit as fixed effects.

Outcome measures

Outcome measures
Measure
Reproxalap (0.25% Novel Formulation)
n=82 Participants
Reproxalap ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Vehicle
n=83 Participants
Vehicle ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Change From Baseline in Subject-reported Ocular Dryness Score (0 - 100 Visual Analogue Scale (VAS))
-16.0 score on a scale
Standard Error 2.20
-9.1 score on a scale
Standard Error 2.18

Adverse Events

Reproxalap (0.25% Novel Formulation)

Serious events: 1 serious events
Other events: 91 other events
Deaths: 0 deaths

Vehicle

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Reproxalap (0.25% Novel Formulation)
n=102 participants at risk
Reproxalap ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Vehicle
n=104 participants at risk
Vehicle ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/102 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.
0.96%
1/104 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.
Infections and infestations
Cellulitis
0.98%
1/102 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.
0.00%
0/104 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.

Other adverse events

Other adverse events
Measure
Reproxalap (0.25% Novel Formulation)
n=102 participants at risk
Reproxalap ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Vehicle
n=104 participants at risk
Vehicle ophthalmic solution administered QID for four weeks, followed by BID administration for eight weeks
Eye disorders
Visual acuity reduced
8.8%
9/102 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.
3.8%
4/104 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.
General disorders
General disorders and administration site conditions
80.4%
82/102 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.
3.8%
4/104 • The period of time over which adverse events were collected for each subject in the clinical trial was approximately three months.

Additional Information

Sr. Director, Clinical Operations

Aldeyra Therapeutics, Inc.

Phone: 781-257-3063

Results disclosure agreements

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