Trial Outcomes & Findings for A Study of the Safety and Anesthetic Effect of AG-920 Topical Ophthalmic Solution (NCT NCT04829344)

NCT ID: NCT04829344

Last Updated: 2024-10-10

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

2024-10-10

Participant Flow

One hundred and twenty one (121) subjects were screened, of which 120 were randomized and treated, all of whom completed the study. First subject screened 30March2021, last subject completed 10May2021.

Participant milestones

Participant milestones
Measure
AG-920
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
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
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
56 Participants
n=5 Participants
60 Participants
n=7 Participants
116 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Continuous
34.9 year
STANDARD_DEVIATION 15.6 • n=5 Participants
37.0 year
STANDARD_DEVIATION 14.4 • n=7 Participants
35.9 year
STANDARD_DEVIATION 15 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
36 Participants
n=7 Participants
67 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
24 Participants
n=7 Participants
53 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
59 Participants
n=5 Participants
59 Participants
n=7 Participants
118 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 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
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
58 Participants
n=5 Participants
58 Participants
n=7 Participants
116 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
60 participants
n=5 Participants
60 participants
n=7 Participants
120 participants
n=5 Participants
BCVA LogMar Study Eye
0.0 LogMar
STANDARD_DEVIATION 0.1 • n=5 Participants
0.0 LogMar
STANDARD_DEVIATION 0.1 • n=7 Participants
0.0 LogMar
STANDARD_DEVIATION 0.1 • n=5 Participants
BCVA LogMar Fellow Eye
0.0 LogMar
STANDARD_DEVIATION 0.1 • n=5 Participants
0.0 LogMar
STANDARD_DEVIATION 0.1 • n=7 Participants
0.0 LogMar
STANDARD_DEVIATION 0.1 • n=5 Participants
Color of Iris
Black
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Color of Iris
Brown
56 Participants
n=5 Participants
50 Participants
n=7 Participants
106 Participants
n=5 Participants
Color of Iris
Green
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Color of Iris
Hazel
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
IOP Study Eye
14.6 mmHg
STANDARD_DEVIATION 2.7 • n=5 Participants
14.5 mmHg
STANDARD_DEVIATION 2.6 • n=7 Participants
14.5 mmHg
STANDARD_DEVIATION 2.6 • n=5 Participants
IOP Fellow Eye
14.7 mmHg
STANDARD_DEVIATION 2.7 • n=5 Participants
14.5 mmHg
STANDARD_DEVIATION 2.7 • n=7 Participants
14.6 mmHg
STANDARD_DEVIATION 2.7 • n=5 Participants

PRIMARY outcome

Timeframe: 5 minutes post dose

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) 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
The Percentage of Patients Who Experienced Ocular Anesthesia Following Treatment of AG-920 Compared to Placebo at 5 Minutes
Anesthetic Response (painless)
50 Participants
11 Participants
The Percentage of Patients Who Experienced Ocular Anesthesia Following Treatment of AG-920 Compared to Placebo at 5 Minutes
No Anesthetic Response (pain)
10 Participants
49 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.

Mean time to no pain score (onset)

Outcome measures

Outcome measures
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
How Long it Takes One Dose of AG-920 to Anesthetize the Eye
0.43 minutes
Standard Deviation 0.61
1.0 minutes
Standard Deviation 1.67

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.

Mean duration of anesthetic effect

Outcome measures

Outcome measures
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
How Long One Dose of AG-920 Anesthetizes the Eye
12.78 minutes
Standard Deviation 7.97
6.61 minutes
Standard Deviation 10.21

SECONDARY outcome

Timeframe: from randomization through study completion (up to 5 days) on average of 2 days.

Total number of participants with TEAEs

Outcome measures

Outcome measures
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
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
10 Participants
4 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 timepoint 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) 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
Number of Participants With a Change in Biomicroscopy
Study Eye
0 Participants
0 Participants
Number of Participants With a Change in Biomicroscopy
Fellow Eye
0 Participants
0 Participants

SECONDARY outcome

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

Visual Acuity data will be summarized at each time point using continuous and discrete summaries of Logarithmic Minimum Angle of Resolution (logMAR).

Outcome measures

Outcome measures
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
Change in Visual Acuity
Study Eye
-0.03 LogMAR
Standard Deviation 0.12
-0.02 LogMAR
Standard Deviation 0.06
Change in Visual Acuity
Fellow Eye
-0.01 LogMAR
Standard Deviation 0.05
-0.02 LogMAR
Standard Deviation 0.07

Adverse Events

AG-920

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 2 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) 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 at risk
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
Eye disorders
conjunctival hyperemia
11.7%
7/60 • Number of events 7 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed. This is a maximum of 6 days but an average of 2 days. 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.
3.3%
2/60 • Number of events 2 • Adverse events were documented from the time the subject was consented until the subject's participation in the study was completed. This is a maximum of 6 days but an average of 2 days. 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

Michelle Widmann

American Genomics, LLC

Phone: 919-600-1819

Results disclosure agreements

  • Principal investigator is a sponsor employee Investigative site, the Principal Investigator, and any other investigators understand and agree that the Study is a multi-center clinical study and that a multi-center publication may be prepared and published by the Sponsor. The investigative site and its investigators will not, individually or together, present or publish any findings, data or results of the Study.
  • Publication restrictions are in place

Restriction type: OTHER