Trial Outcomes & Findings for An Evaluation of the Efficacy and Safety of CSF-1 in the Temporary Correction of Presbyopia (NEAR-1) (NCT NCT04599933)

NCT ID: NCT04599933

Last Updated: 2024-04-04

Results Overview

The primary end-point was measured on Day 8, 1 hour post first CSF-1 dose, as the number of participants who are responders to the treatment. A responder was defined as as subject with a ≥ 3-line gain in BDCVA (Best Distance-Corrected Visual Acuity) at 40cm and no loss in BDCVA ≥ 5 letters at 4m.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

309 participants

Primary outcome timeframe

Baseline (Day 1) to Day 8 (1 hour post-Dose 1)

Results posted on

2024-04-04

Participant Flow

Participant milestones

Participant milestones
Measure
CSF-1
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Overall Study
STARTED
155
154
Overall Study
COMPLETED
146
147
Overall Study
NOT COMPLETED
9
7

Reasons for withdrawal

Reasons for withdrawal
Measure
CSF-1
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Overall Study
Adverse Event
4
1
Overall Study
Withdrawal by Subject
4
2
Overall Study
Lost to Follow-up
0
1
Overall Study
Physician Decision
0
1
Overall Study
Screen Failure
1
2

Baseline Characteristics

An Evaluation of the Efficacy and Safety of CSF-1 in the Temporary Correction of Presbyopia (NEAR-1)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CSF-1
n=155 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Total
n=309 Participants
Total of all reporting groups
Age, Continuous
54.8 years
STANDARD_DEVIATION 4.56 • n=5 Participants
54.5 years
STANDARD_DEVIATION 4.88 • n=7 Participants
54.7 years
STANDARD_DEVIATION 4.72 • n=5 Participants
Sex: Female, Male
Female
93 Participants
n=5 Participants
92 Participants
n=7 Participants
185 Participants
n=5 Participants
Sex: Female, Male
Male
62 Participants
n=5 Participants
62 Participants
n=7 Participants
124 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
33 Participants
n=5 Participants
23 Participants
n=7 Participants
56 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
122 Participants
n=5 Participants
131 Participants
n=7 Participants
253 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
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Asian
6 Participants
n=5 Participants
14 Participants
n=7 Participants
20 Participants
n=5 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
Race (NIH/OMB)
Black or African American
25 Participants
n=5 Participants
25 Participants
n=7 Participants
50 Participants
n=5 Participants
Race (NIH/OMB)
White
121 Participants
n=5 Participants
111 Participants
n=7 Participants
232 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
155 participants
n=5 Participants
154 participants
n=7 Participants
309 participants
n=5 Participants
Iris Color
Light Iris Color
71 Participants
n=5 Participants
70 Participants
n=7 Participants
141 Participants
n=5 Participants
Iris Color
Dark Iris Color
84 Participants
n=5 Participants
84 Participants
n=7 Participants
168 Participants
n=5 Participants
Manifest Refraction Spherical Equivalent (MRSE)
-4.5 D to < -0.5 D
35 Participants
n=5 Participants
32 Participants
n=7 Participants
67 Participants
n=5 Participants
Manifest Refraction Spherical Equivalent (MRSE)
-0.5 D to <= +0.75 D
88 Participants
n=5 Participants
90 Participants
n=7 Participants
178 Participants
n=5 Participants
Manifest Refraction Spherical Equivalent (MRSE)
> +0.75 D to +2.0 D
32 Participants
n=5 Participants
32 Participants
n=7 Participants
64 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Day 1) to Day 8 (1 hour post-Dose 1)

Population: Full analysis set (FAS): included all randomized subjects who received at least 1 dose of the study drug. Subjects in the FAS were analyzed as randomized.

The primary end-point was measured on Day 8, 1 hour post first CSF-1 dose, as the number of participants who are responders to the treatment. A responder was defined as as subject with a ≥ 3-line gain in BDCVA (Best Distance-Corrected Visual Acuity) at 40cm and no loss in BDCVA ≥ 5 letters at 4m.

Outcome measures

Outcome measures
Measure
CSF-1
n=155 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Percentage of Subjects With a ≥ 3-line Gain in BDCVA (Best Distance-Corrected Visual Acuity) at 40cm and no Loss in BDCVA ≥ 5 Letters at 4m on Day 8, 1 Hour Post-Dose 1.
60 Participants
26 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1) to Day 8 (2 hours post-Dose 1)

The key secondary endpoints were measured on Day 8 at different time points and were the percentage of subjects with a ≥ 3-line (15-letter) gain, from baseline, in BDCVA at 40 cm (Precision Vision Chart) and no loss in BDCVA ≥ 5 letters (ETDRS chart at 4 m) in the study eye.

Outcome measures

Outcome measures
Measure
CSF-1
n=155 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Percentage of Subjects With a ≥ 3-line Gain in BDCVA at 40cm and no Loss in BDCVA ≥ 5 Letters at 4m on Day 8 at 2 Hours Post-Dose 1
61 Participants
26 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1) to Day 8 (1 hour post-Dose 2; Dose 2 occurs 2 hours following Dose 1)

The key secondary endpoints were measured on Day 8 at different time points and were the percentage of subjects with a ≥ 3-line (15-letter) gain, from baseline, in BDCVA at 40 cm (Precision Vision Chart) and no loss in BDCVA ≥ 5 letters (ETDRS chart at 4 m) in the study eye.

Outcome measures

Outcome measures
Measure
CSF-1
n=155 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Percentage of Subjects With a ≥ 3-line Gain in BDCVA at 40cm and no Loss in BDCVA ≥ 5 Letters at 4m on Day 8 at 1 Hour Post-Dose 2
74 Participants
24 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1) to Day 8 (2 hours post-Dose 2; Dose 2 occurs 2 hours following Dose 1)

The key secondary endpoints were measured on Day 8 at different time points and were the percentage of subjects with a ≥ 3-line (15-letter) gain, from baseline, in BDCVA at 40 cm (Precision Vision Chart) and no loss in BDCVA ≥ 5 letters (ETDRS chart at 4 m) in the study eye.

Outcome measures

Outcome measures
Measure
CSF-1
n=155 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Percentage of Subjects With a ≥ 3-line Gain in BDCVA at 40cm and no Loss in BDCVA ≥ 5 Letters at 4m on Day 8 at 2 Hours Post-dose 2
60 Participants
23 Participants

Adverse Events

CSF-1

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Vehicle

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CSF-1
n=155 participants at risk
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=154 participants at risk
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Gastrointestinal disorders
Enteritis
0.00%
0/155 • 15 days
0.65%
1/154 • Number of events 1 • 15 days

Other adverse events

Other adverse events
Measure
CSF-1
n=155 participants at risk
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=154 participants at risk
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
General disorders
instillation site pain
5.8%
9/155 • 15 days
0.65%
1/154 • 15 days
Nervous system disorders
headache
5.2%
8/155 • 15 days
1.3%
2/154 • 15 days

Additional Information

Head of Regulatory Affairs

Orasis Pharmaceuticals, Ltd.

Phone: +972-9-8877745

Results disclosure agreements

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