Trial Outcomes & Findings for Safety and Tolerability of the Preservative-free Ophthalmic Solution PRO-122 Compared With Krytantek Ofteno® (NCT NCT03966365)

NCT ID: NCT03966365

Last Updated: 2019-12-13

Results Overview

primary security variable the adverse events will be evaluated with a scale of Present / Absent, it is a nominal variable, the normal value is absent. it will be evaluated by the number of reported cases per group.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

during the 14 days of evaluation, including the safety call (day 14)

Results posted on

2019-12-13

Participant Flow

Participant milestones

Participant milestones
Measure
PRO-122
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Overall Study
STARTED
12
12
Overall Study
COMPLETED
11
12
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
PRO-122
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Overall Study
Protocol Violation
1
0

Baseline Characteristics

Safety and Tolerability of the Preservative-free Ophthalmic Solution PRO-122 Compared With Krytantek Ofteno®

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PRO-122
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
25.1 years
STANDARD_DEVIATION 4.8 • n=5 Participants
27.6 years
STANDARD_DEVIATION 6.8 • n=7 Participants
26.3 years
STANDARD_DEVIATION 5.3 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Race/Ethnicity, Customized
Latin
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Region of Enrollment
Mexico
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants

PRIMARY outcome

Timeframe: during the 14 days of evaluation, including the safety call (day 14)

Population: The statistical analysis was by intention to treat (ITT)

primary security variable the adverse events will be evaluated with a scale of Present / Absent, it is a nominal variable, the normal value is absent. it will be evaluated by the number of reported cases per group.

Outcome measures

Outcome measures
Measure
PRO-122
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Number of Adverse Events
28 adverse events
31 adverse events

PRIMARY outcome

Timeframe: will be evaluated at the end of the treatment, at the final visit (day 8)

Population: Analysis per protocol (PP)

It is a questionnaire designed to measure the irritation of the ocular surface with Rasch analysis to produce estimates on a linear scale of intervals (ratings: 0-100).The Eye comfort index contains items that focus on the discomfort associated with alterations of the ocular surface. Values closer or equal to one hundred (100) correspond to greater discomfort, while values closer or equal to zero (0) correspond to greater comfort.

Outcome measures

Outcome measures
Measure
PRO-122
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Eye Comfort Index
24.6 units on a scale
Standard Deviation 12.6
27.0 units on a scale
Standard Deviation 12.8

SECONDARY outcome

Timeframe: will be evaluated at the end of the treatment, at the final visit (day 8)

Population: The statistical analysis was per protocol (PP)

The epithelial defects will be evaluated by means of two stains, green lissamine and fluorescein, it is a discrete variable that will be realized by direct observation, it will be staged according to the degrees of the oxford scale that go from 0 to 5 (0-V) according to its severity, where 0 is the normal lower limit and 5 the upper limit of defects.

Outcome measures

Outcome measures
Measure
PRO-122
n=22 eyes
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=24 eyes
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Number of Eyes With Epithelial Defects by Grade
Green lissamine grade 0
20 eyes
16 eyes
Number of Eyes With Epithelial Defects by Grade
Green lissamine grade 1
2 eyes
4 eyes
Number of Eyes With Epithelial Defects by Grade
Green lissamine grade 2
0 eyes
4 eyes
Number of Eyes With Epithelial Defects by Grade
Green lissamine grade 3
0 eyes
0 eyes
Number of Eyes With Epithelial Defects by Grade
Green lissamine grade 4
0 eyes
0 eyes
Number of Eyes With Epithelial Defects by Grade
Fluorescein grade 0
22 eyes
22 eyes
Number of Eyes With Epithelial Defects by Grade
Fluorescein grade 1
0 eyes
2 eyes
Number of Eyes With Epithelial Defects by Grade
Fluorescein grade 2
0 eyes
0 eyes
Number of Eyes With Epithelial Defects by Grade
Fluorescein grade 3
0 eyes
0 eyes
Number of Eyes With Epithelial Defects by Grade
Fluorescein grade 4
0 eyes
0 eyes

SECONDARY outcome

Timeframe: will be evaluated at the end of the treatment, at the final visit (day 8)

Population: the statistical analysis was per protocol (PP)

The visual capacity variable will be reported using as a unit of measure a fraction, this is taken from a visual test with the Snellen primer, it is a Nominal type variable. where the optimal vision is 20/20 or 1.0 in decimal and the worst 20/200 or 0.1 in decimal number. For the appropriate management of the data, the result of the fraction obtained from the snellen scale is transformed to decimals, in this case subjects close to or equal to 1.0 have better visual acuity while subjects close to or equal to 0.1 have worse visual acuity. The decimal equivalence scale is the result of the division of the fraction obtained in the Snellen chart. where 20/20 = 1.0; Do not confuse with Logmar scale where 20/20 = 0.0 Equivalences Snellen Scale = decimals: 20/200=0.1, 20/100=0.2, 20/50=0.4, 20/40=0.5, 20/30=0.66, 20/25=0.8, 20/20=1.0, etc.

Outcome measures

Outcome measures
Measure
PRO-122
n=11 Participants
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Visual Ability
0.949 Decimal score
Standard Deviation 0.11
0.907 Decimal score
Standard Deviation 0.14

SECONDARY outcome

Timeframe: will be evaluated at the end of the treatment, at the final visit (day 8)

Population: the analysis was per protocol

Conjunctival hyperemia will be evaluated as an ordinal variable, by direct observation and staged using the Efron scale as Normal / Very Light / Mild / Moderate / Severe. Based on this scale, the normal and mild stages are considered without pathologies or normal. Mild, moderate and severe are considered pathological.

Outcome measures

Outcome measures
Measure
PRO-122
n=11 Participants
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Participants With Conjunctival Hyperemia (CH) by Grade
Normal (0)
10 Participants
9 Participants
Participants With Conjunctival Hyperemia (CH) by Grade
Very mild (1)
0 Participants
3 Participants
Participants With Conjunctival Hyperemia (CH) by Grade
Mild (2)
1 Participants
0 Participants
Participants With Conjunctival Hyperemia (CH) by Grade
Moderate (3)
0 Participants
0 Participants
Participants With Conjunctival Hyperemia (CH) by Grade
Severe (4)
0 Participants
0 Participants

SECONDARY outcome

Timeframe: will be evaluated at the end of the treatment, at the final visit (day 8)

Population: the analysis was per protocol

The chemosis will be evaluated, as a nominal variable, by direct observation and it will be staged as present and absent, where the normality is that said variable is absent.

Outcome measures

Outcome measures
Measure
PRO-122
n=11 Participants
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Participants With Chemosis
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: will be evaluated at the end of the treatment, at the final visit (day 8)

Population: the analysis was per protocol

the intraocular pressure will be evaluated by means of the Goldman applanation tonometry whose unit of measurement is millimeters of mercury (mmHg), it is a continuous variable and its normality range is between 11 - 21 mmHg

Outcome measures

Outcome measures
Measure
PRO-122
n=11 Participants
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 Participants
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Changes in Intraocular Pressure
12.32 mmHg
Standard Deviation 2.3
11.78 mmHg
Standard Deviation 1.8

Adverse Events

PRO-122

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Krytantek Ofteno®

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
PRO-122
n=12 participants at risk
\- Dosage: 1 drop every 12 hours, in both eyes PRO-122: - PRO-122. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution free of preservatives. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- Route of administration: topical ophthalmic.
Krytantek Ofteno®
n=12 participants at risk
\- Dosage: 1 drop every 12 hours, in both eyes Krytantek Ofteno®: - - 1. Krytantek Ofteno®. Timolol 0.5% / brimonidine 0.2% / dorzolamide 2% ophthalmic solution. Prepared by Sophia Laboratories, S.A. of C.V., Zapopan, Jalisco, Mexico. \- - Route of administration: topical ophthalmic.
Eye disorders
ocular burning
91.7%
11/12 • Number of events 11 • Adverse events were monitored throughout the study, which lasted about 4 months.
91.7%
11/12 • Number of events 11 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
nonspecific conjunctivitis
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
Skin and subcutaneous tissue disorders
herpes labialis
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
pruritus
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
16.7%
2/12 • Number of events 2 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
ocular hyperemia
16.7%
2/12 • Number of events 2 • Adverse events were monitored throughout the study, which lasted about 4 months.
16.7%
2/12 • Number of events 2 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
feeling of sticky eyes
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
decreased visual acuity
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
Nervous system disorders
headache
16.7%
2/12 • Number of events 2 • Adverse events were monitored throughout the study, which lasted about 4 months.
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
Respiratory, thoracic and mediastinal disorders
rhinitis
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
Ear and labyrinth disorders
clogged ear
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
Gastrointestinal disorders
stomach ache
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
foreign body sensation in eye
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
16.7%
2/12 • Number of events 2 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
Dry Eye
16.7%
2/12 • Number of events 2 • Adverse events were monitored throughout the study, which lasted about 4 months.
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
eyestrain
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
25.0%
3/12 • Number of events 3 • Adverse events were monitored throughout the study, which lasted about 4 months.
Gastrointestinal disorders
dysgeusia
33.3%
4/12 • Number of events 4 • Adverse events were monitored throughout the study, which lasted about 4 months.
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
Eye disorders
tearing
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
16.7%
2/12 • Number of events 2 • Adverse events were monitored throughout the study, which lasted about 4 months.
Gastrointestinal disorders
dizziness
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
Ear and labyrinth disorders
earache
0.00%
0/12 • Adverse events were monitored throughout the study, which lasted about 4 months.
8.3%
1/12 • Number of events 1 • Adverse events were monitored throughout the study, which lasted about 4 months.

Additional Information

PhD. Ricardo Llamas

Laboratorios Sophia

Phone: +52 (33) 3001 4200

Results disclosure agreements

  • Principal investigator is a sponsor employee only the sponsor has the decision to disseminate or publish the information obtained from the investigation and the PIs involved must submit a formal request to the sponsor if they are willing to disseminate or publish such information, they may only publish them if they have the written authorization of the sponsor (Laboratoios Sophia S.A. de C.V.).
  • Publication restrictions are in place

Restriction type: OTHER