Trial Outcomes & Findings for An Evaluation of the Efficacy and Safety of CSF-1 in the Temporary Correction of Presbyopia (NEAR-2) (NCT NCT04599972)

NCT ID: NCT04599972

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

304 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
154
150
Overall Study
COMPLETED
144
142
Overall Study
NOT COMPLETED
10
8

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
Withdrawal by Subject
6
1
Overall Study
Adverse Event
1
1
Overall Study
Lost to Follow-up
1
6
Overall Study
Protocol Violation
1
0
Overall Study
Other reason
1
0

Baseline Characteristics

An Evaluation of the Efficacy and Safety of CSF-1 in the Temporary Correction of Presbyopia (NEAR-2)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CSF-1
n=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=150 Participants
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Total
n=304 Participants
Total of all reporting groups
Age, Continuous
54.6 years
STANDARD_DEVIATION 4.97 • n=5 Participants
54.8 years
STANDARD_DEVIATION 4.81 • n=7 Participants
54.7 years
STANDARD_DEVIATION 4.89 • n=5 Participants
Sex: Female, Male
Female
101 Participants
n=5 Participants
94 Participants
n=7 Participants
195 Participants
n=5 Participants
Sex: Female, Male
Male
53 Participants
n=5 Participants
56 Participants
n=7 Participants
109 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
30 Participants
n=5 Participants
28 Participants
n=7 Participants
58 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
124 Participants
n=5 Participants
122 Participants
n=7 Participants
246 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
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
13 Participants
n=5 Participants
9 Participants
n=7 Participants
22 Participants
n=5 Participants
Race (NIH/OMB)
White
131 Participants
n=5 Participants
132 Participants
n=7 Participants
263 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
154 participants
n=5 Participants
150 participants
n=7 Participants
304 participants
n=5 Participants
Iris Color
Light Iris Color
82 Participants
n=5 Participants
80 Participants
n=7 Participants
162 Participants
n=5 Participants
Iris Color
Brown Iris Color
72 Participants
n=5 Participants
70 Participants
n=7 Participants
142 Participants
n=5 Participants
Manifest Refraction Spherical Equivalent (MRSE)
-4.5 D to < -0.5 D
31 Participants
n=5 Participants
30 Participants
n=7 Participants
61 Participants
n=5 Participants
Manifest Refraction Spherical Equivalent (MRSE)
-0.5 D to <= +0.75 D
91 Participants
n=5 Participants
89 Participants
n=7 Participants
180 Participants
n=5 Participants
Manifest Refraction Spherical Equivalent (MRSE)
> +0.75 D to +2.0 D
32 Participants
n=5 Participants
31 Participants
n=7 Participants
63 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=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=150 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.
64 Participants
32 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=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=150 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.
62 Participants
31 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1) to Day 8 (1 hour post Dose 2; Dose 2 occurred 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=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=150 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
80 Participants
25 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1) to Day 8 (2 hours post Dose 2; Dose 2 occurred 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=154 Participants
One drop bilaterally twice daily for approximately 2 weeks. CSF-1: One drop bilaterally twice daily for approximately 2 weeks.
Vehicle
n=150 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
71 Participants
29 Participants

Adverse Events

CSF-1

Serious events: 0 serious events
Other events: 35 other events
Deaths: 0 deaths

Vehicle

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CSF-1
n=153 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=151 participants at risk
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Musculoskeletal and connective tissue disorders
infective arthritis
0.00%
0/153 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.
0.66%
1/151 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.

Other adverse events

Other adverse events
Measure
CSF-1
n=153 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=151 participants at risk
One drop bilaterally twice daily for approximately 2 weeks. Vehicle: One drop bilaterally twice daily for approximately 2 weeks.
Eye disorders
vision blurred
7.2%
11/153 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.
1.3%
2/151 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.
General disorders
instillation site pain
5.9%
9/153 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.
0.00%
0/151 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.
Nervous system disorders
headache
9.8%
15/153 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.
1.3%
2/151 • 15 days
One subject was randomized to CSF-1 and inadvertently received Vehicle. For the safety results, the subjects were analyzed as treated (and not as randomized). Therefore the number of participants in each group is different from the numbers stated in the Participant Flow.

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