Trial Outcomes & Findings for A Study of the Safety and Anesthetic Effect of AG-920 Topical Ophthalmic Solution (NCT NCT04513652)

NCT ID: NCT04513652

Last Updated: 2022-09-28

Results Overview

Immediately following EACH pinch test, subjects will be asked "Was that painful" "Yes" or "NO."

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

120 participants

Primary outcome timeframe

5 minutes post dose

Results posted on

2022-09-28

Participant Flow

One hundred and twenty (120) subjects were screened, randomized and treated, all of whom completed the study. No subjects failed to meet inclusion/exclusion criteria and no one was discontinued.

Participant milestones

Participant milestones
Measure
AG-920
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
Placebo Topical Ophthalmic Solution
Overall Study
STARTED
60
60
Overall Study
COMPLETED
60
60
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of the Safety and Anesthetic Effect of AG-920 Topical Ophthalmic Solution

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AG-920
n=60 Participants
Articaine Sterile Topical Ophthalmic Solution (AG-920) is a sterile, isotonic, non-preserved aqueous solution containing the active ingredient Articaine HCl 8%, Boric Acid, Mannitol, Sodium Acetate Trihydrate, Glacial Acetic Acid, and Edetate Disodium Dihydrate. The product formulation is adjusted to pH 4.5 to 5.0. Each subject randomized to AG-920 will receive a single dose of 2 drops 30 seconds apart from a single vial into study eye. AG-920: AG-920 Sterile Topical Ophthalmic Solution
Placebo
n=60 Participants
Placebo ophthalmic solution is identical to the active product, with the exception of the active ingredient. Each subject randomized to placebo will receive a single dose of 2 drops 30 seconds apart from a single vial into study eye. Placebo: Placebo Topical Ophthalmic Solution
Total
n=120 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
60 Participants
n=5 Participants
59 Participants
n=7 Participants
119 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
32.6 years
STANDARD_DEVIATION 13.72 • n=5 Participants
30.02 years
STANDARD_DEVIATION 11.26 • n=7 Participants
31.31 years
STANDARD_DEVIATION 12.57 • n=5 Participants
Sex: Female, Male
Female
33 Participants
n=5 Participants
34 Participants
n=7 Participants
67 Participants
n=5 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
26 Participants
n=7 Participants
53 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
n=5 Participants
13 Participants
n=7 Participants
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
47 Participants
n=5 Participants
47 Participants
n=7 Participants
94 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 (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
49 Participants
n=5 Participants
49 Participants
n=7 Participants
98 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
60 participants
n=5 Participants
60 participants
n=7 Participants
120 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 minutes post dose

Population: Summary of Proportion of Subjects with No Pain at 5 Minutes

Immediately following EACH pinch test, subjects will be asked "Was that painful" "Yes" or "NO."

Outcome measures

Outcome measures
Measure
AG-920
n=60 Participants
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
n=60 Participants
Placebo Topical Ophthalmic Solution
The Number of Patients Who Experienced Ocular Anesthesia Following Treatment of AG-920 Compared to Placebo at 5 Minutes
41 Participants
2 Participants

SECONDARY outcome

Timeframe: 20, 40 and 60 seconds following dosing or until pain stops. 5-minutes post dose. If subject became anesthetized before 5 minutes, every 5 minutes for up to 30 minutes or until pain resumes.

Population: Summary of Time to No Pain (Onset of Anesthesia Effect in Minutes)

Mean time to no pain score (onset)

Outcome measures

Outcome measures
Measure
AG-920
n=60 Participants
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
n=60 Participants
Placebo Topical Ophthalmic Solution
Time in Minutes of AG-920 to Anesthetize the Eye
0.442 minutes
Standard Deviation 0.6072
0.330 minutes
Standard Deviation 0.0000

SECONDARY outcome

Timeframe: 20, 40 and 60 seconds following dosing or until pain stops. 5-minutes post dose. If subject became anesthetized before 5 minutes, every 5 minutes for up to 30 minutes or until pain resumes.

Population: Summary of Pinch Test for Duration (in Minutes) of Anesthetic effect

Mean duration of anesthetic effect

Outcome measures

Outcome measures
Measure
AG-920
n=60 Participants
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
n=60 Participants
Placebo Topical Ophthalmic Solution
To Evaluate How Long One Dose of AG-920 Anesthetizes the Eye
4.833 minutes
Standard Deviation 3.8158
0.267 minutes
Standard Deviation 1.4325

SECONDARY outcome

Timeframe: from randomization through study completion (up to 4 days following treatment)

Population: Summary of Treatment Emergent Adverse Events

TEAEs will be summarized by treatment group using frequency and percent for each system organ class and preferred term within each system, organ and class (SOC). Summaries will be presented separately for ocular and non-ocular Adverse Events (AEs).

Outcome measures

Outcome measures
Measure
AG-920
n=60 Participants
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
n=60 Participants
Placebo Topical Ophthalmic Solution
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
All TEAEs
34 participants
13 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Ocular TEAEs
32 participants
13 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Non-ocular TEAEs
4 participants
0 participants

SECONDARY outcome

Timeframe: change from baseline through end of study at Day 5

Population: Slit Lamp Examination Assessment change from baseline

Slit lamp biomicroscopy and external eye exam measures will be summarized at each measured time point using discrete summary statistics. Clinician examined the eyelid, conjunctiva, cornea, anterior chamber, iris, pupil and lens of the eye with the aid of a slit lamp.

Outcome measures

Outcome measures
Measure
AG-920
n=60 Participants
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
n=60 Participants
Placebo Topical Ophthalmic Solution
Number of Participants With a Change in Biomicroscopy
0 Participants
0 Participants

SECONDARY outcome

Timeframe: change from baseline through end of study at Day 5

Population: Summary of Best Corrected Visual Acuity (LogMar)

Visual Acuity data will be summarized at each time point using continuous and discrete summaries of Logarithmic Minimum Angle of Resolution (logMAR). Distance visual acuity was assessed using an Early Treatment of Diabetic Retinopathy Study (ETDRS) or equivalent chart. The subject should attempt to read each letter, line by line, left to right, beginning with line 1 at the top of the chart (20/200 line).The number of letters missed is multiplied by 0.02 and added to the baseline value to determine the logMAR visual acuity. Baseline is defined as the last line for which the subject reads at least one letter. logMAR units VA = Baseline value + (n x 0.02).

Outcome measures

Outcome measures
Measure
AG-920
n=60 Participants
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
n=60 Participants
Placebo Topical Ophthalmic Solution
Mean Change in Visual Acuity
Study Eye
-0.0090 LogMar
Standard Deviation 0.07541
-0.0113 LogMar
Standard Deviation 0.04862
Mean Change in Visual Acuity
Non-Study Eye
-0.0110 LogMar
Standard Deviation 0.05977
-0.0110 LogMar
Standard Deviation 0.04821

Adverse Events

AG-920

Serious events: 0 serious events
Other events: 34 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
AG-920
n=60 participants at risk
Articaine Sterile Topical Ophthalmic Solution (AG-920)
Placebo
n=60 participants at risk
Placebo Topical Ophthalmic Solution
Eye disorders
Conjunctival Hyperaemia
6.7%
4/60 • Number of events 4 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed following the follow up phone call between Day 2 and Day 5. If a subject had an ongoing AE at the time of study completion, the event was to be followed-up according to the site's standard of care and the subject provided appropriate medical care until the event resolved or stabilized.
15.0%
9/60 • Number of events 9 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed following the follow up phone call between Day 2 and Day 5. If a subject had an ongoing AE at the time of study completion, the event was to be followed-up according to the site's standard of care and the subject provided appropriate medical care until the event resolved or stabilized.
Gastrointestinal disorders
Dysgeusia
6.7%
4/60 • Number of events 4 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed following the follow up phone call between Day 2 and Day 5. If a subject had an ongoing AE at the time of study completion, the event was to be followed-up according to the site's standard of care and the subject provided appropriate medical care until the event resolved or stabilized.
0.00%
0/60 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed following the follow up phone call between Day 2 and Day 5. If a subject had an ongoing AE at the time of study completion, the event was to be followed-up according to the site's standard of care and the subject provided appropriate medical care until the event resolved or stabilized.
General disorders
Instillation Site Pain
53.3%
32/60 • Number of events 32 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed following the follow up phone call between Day 2 and Day 5. If a subject had an ongoing AE at the time of study completion, the event was to be followed-up according to the site's standard of care and the subject provided appropriate medical care until the event resolved or stabilized.
6.7%
4/60 • Number of events 4 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed following the follow up phone call between Day 2 and Day 5. If a subject had an ongoing AE at the time of study completion, the event was to be followed-up according to the site's standard of care and the subject provided appropriate medical care until the event resolved or stabilized.

Additional Information

Martin Uram, MD

American Genomics, LLC

Phone: 848-444-0665

Results disclosure agreements

  • Principal investigator is a sponsor employee There IS an agreement between the Principal Investigator and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
  • Publication restrictions are in place

Restriction type: OTHER