Efficacy and Safety of Ikervis Under Controlled Environmental Conditions Environment

NCT ID: NCT04492878

Last Updated: 2021-04-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-04

Study Completion Date

2021-01-18

Brief Summary

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The proposed study is a prospective, open-label, unicentric, phase IV clinical trial.

This study is design to find new efficacy biomarkers for IKERVIS® (1mg/mL ciclosporin) eye drops after 1 and 3 month after initiation of therapy. Additionally, this study intends to investigate whether IKERVIS® will help patients to better overcome situations of desiccating stress by exposing them to an adverse controlled environment (ACE) and analyzing both clinical and molecular parameters.

Detailed Description

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Conditions

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Dry Eye Dry Eye Syndromes Severe Keratitis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single Group Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IKERVIS® (1mg/mL ciclosporin) eye drops

Group Type EXPERIMENTAL

IKERVIS®1mg/mL

Intervention Type DRUG

One drop of study medication once daily in each eye at bedtime during 90 days.

Interventions

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IKERVIS®1mg/mL

One drop of study medication once daily in each eye at bedtime during 90 days.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years.
* Diagnosis of DED with Severe Keratitis who have not improved despite regular use of tear substitutes by an ophthalmologist, at least 2 months previously.
* Not stable (as defined by the two items below) under at least 2 months of constant and regular use of artificial tears (at least 4 drops a day)
* Fluorescein corneal staining ≥ 2 (Oxford scale) in both eyes.
* DEQ-5 \> 6 points
* Use of at least 4 times daily of an ocular artificial tears.
* Any concomitant medication that may affect DED, ocular surface condition or vision, must have a start date at least 3 months prior to baseline and dosage is not expected to change during the study.
* Best corrected visual acuity (BCVA) of at least 0.1 logMar at 6 meters with each eye.
* Signature of written informed consent form and data protection form.

Exclusion Criteria

* Known allergy or sensitivity to the study product(s) or its components.
* Any ocular pathology other than DED.
* History of severe ocular inflammation other than that due to DED or infection in the 6 previous months to the study inclusion.
* Any ocular surgery or trauma that may affect corneal sensitivity and/or normal tear distribution in the 6 previous months or any ocular or systemic surgery or procedure planned during the study duration that may affect the study as assessed by principal investigator.
* History of refractive surgery in the previous 18 months.
* Contact lens use in the ONE previous month to study inclusion and during the duration of the study.
* Use of any ocular topical medication for pathologies other than DED.
* Use of any other ocular topical medication for DED other than artificial tears during the last ONE (steroids) or THREE months (ciclosporine, tacrolimus) .
* Any uncontrolled severe systemic disease that may affect the eye (except for Sjögren's syndrome)
* The start date of any systemic medication that may affect DED, ocular surface condition or vision is \< 3 months prior to baseline or a change in dosage is anticipated during the study.
* Occlusion of the lacrimal puncta either surgically or with plugs within one month prior to study, or anticipated use of the same during the study.
* Pregnancy or breastfeeding.
* Current enrolments in an investigational drug or device study or participation in such a study within 30 day of entry into this study at baseline.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Santen Oy

INDUSTRY

Sponsor Role collaborator

Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Institute of Applied Ophthalmobiology (IOBA)

Valladolid, , Spain

Site Status

Countries

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Spain

References

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Valencia-Nieto L, Pinto-Fraga J, Blanco-Vazquez M, Fernandez I, Lopez-Miguel A, Garcia-Vazquez C, Gonzalez-Garcia MJ, Enriquez-de-Salamanca A, Calonge M. Short-Term Efficacy of Ophthalmic Cyclosporine: A 0.1% Cationic Emulsion in Dry Eye Patients Assessed Under Controlled Environment. Ophthalmol Ther. 2024 May;13(5):1197-1210. doi: 10.1007/s40123-024-00906-1. Epub 2024 Mar 6.

Reference Type DERIVED
PMID: 38446281 (View on PubMed)

Other Identifiers

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IOBA-ImmunEyez_011-2018

Identifier Type: -

Identifier Source: org_study_id

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