Trial Outcomes & Findings for The Effect of Upneeq (Oxymetazoline Hydrochloride 0.1%) on Eyelid Position, Eye Redness, and Eye Appearance (NCT NCT04831047)

NCT ID: NCT04831047

Last Updated: 2023-04-24

Results Overview

Palpebral fissure height will be calculated from the sum of marginal reflex distance 1 and 2 measured from the photograph by Ipad software and recorded by investigators before and after drop instillation.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

114 participants

Primary outcome timeframe

Baseline, Day 1

Results posted on

2023-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
Upneeq Group
Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group) Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye.
Control Group
Participants in this group will receive a one-time dosing of balanced saline solution (1 drop applied to ocular surface of each eye of patients in the control group) Placebo: One drop of placebo (balanced saline solution) will be applied to the ocular surface of each eye.
Overall Study
STARTED
57
57
Overall Study
COMPLETED
57
57
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

One patient did not complete FACE-Q survey in control group

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Upneeq Group
n=57 Participants
Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group) Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye.
Control Group
n=57 Participants
Participants in this group will receive a one-time dosing of balanced saline solution (1 drop applied to ocular surface of each eye of patients in the control group) Placebo: One drop of placebo (balanced saline solution) will be applied to the ocular surface of each eye.
Total
n=114 Participants
Total of all reporting groups
Age, Continuous
36.4 years
STANDARD_DEVIATION 12.7 • n=57 Participants
31.3 years
STANDARD_DEVIATION 10.1 • n=57 Participants
33.9 years
STANDARD_DEVIATION 11.4 • n=114 Participants
Sex: Female, Male
Female
39 Participants
n=57 Participants
38 Participants
n=57 Participants
77 Participants
n=114 Participants
Sex: Female, Male
Male
18 Participants
n=57 Participants
19 Participants
n=57 Participants
37 Participants
n=114 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Asian
13 Participants
n=57 Participants
26 Participants
n=57 Participants
39 Participants
n=114 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=57 Participants
3 Participants
n=57 Participants
7 Participants
n=114 Participants
Race (NIH/OMB)
White
40 Participants
n=57 Participants
28 Participants
n=57 Participants
68 Participants
n=114 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=57 Participants
0 Participants
n=57 Participants
0 Participants
n=114 Participants
Palpebral Fissure
10.1 mm
STANDARD_DEVIATION 1.5 • n=57 Participants
10.5 mm
STANDARD_DEVIATION 1.7 • n=57 Participants
10.3 mm
STANDARD_DEVIATION 1.6 • n=114 Participants
Eye Redness
13.2 units on a scale
STANDARD_DEVIATION 4.7 • n=57 Participants
12.1 units on a scale
STANDARD_DEVIATION 4.1 • n=57 Participants
12.6 units on a scale
STANDARD_DEVIATION 4.4 • n=114 Participants
FACE-Q Eye Appearance
21.2 units on a scale
STANDARD_DEVIATION 4.7 • n=57 Participants • One patient did not complete FACE-Q survey in control group
22.7 units on a scale
STANDARD_DEVIATION 4.1 • n=56 Participants • One patient did not complete FACE-Q survey in control group
21.9 units on a scale
STANDARD_DEVIATION 4.4 • n=113 Participants • One patient did not complete FACE-Q survey in control group
FACE-Q Upper Eyelid Appearance
23.4 units on a scale
STANDARD_DEVIATION 5.8 • n=57 Participants • One patient did not complete FACE-Q survey in control group
24.3 units on a scale
STANDARD_DEVIATION 4.7 • n=56 Participants • One patient did not complete FACE-Q survey in control group
23.8 units on a scale
STANDARD_DEVIATION 5.2 • n=113 Participants • One patient did not complete FACE-Q survey in control group

PRIMARY outcome

Timeframe: Baseline, Day 1

Palpebral fissure height will be calculated from the sum of marginal reflex distance 1 and 2 measured from the photograph by Ipad software and recorded by investigators before and after drop instillation.

Outcome measures

Outcome measures
Measure
Upneeq Group
n=57 Participants
Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group) Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye.
Control Group
n=57 Participants
Participants in this group will receive a one-time dosing of balanced saline solution (1 drop applied to ocular surface of each eye of patients in the control group) Placebo: One drop of placebo (balanced saline solution) will be applied to the ocular surface of each eye.
Change in Palpebral Fissure Height
1.1 mm
Standard Deviation 1.1
-0.4 mm
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Baseline, Day 1

Scoring of ocular redness from clinical photographs will be performed by investigators on a 10 - 100 unit scale as compared to standardized reference photographs per the Validated Bulbar Redness grading scale (10 = minimal redness, 100 = very red) before and after drop instillation. Higher score indicates more redness.

Outcome measures

Outcome measures
Measure
Upneeq Group
n=57 Participants
Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group) Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye.
Control Group
n=57 Participants
Participants in this group will receive a one-time dosing of balanced saline solution (1 drop applied to ocular surface of each eye of patients in the control group) Placebo: One drop of placebo (balanced saline solution) will be applied to the ocular surface of each eye.
Change in Eye Redness as Measured by the Validated Bulbar Redness Grading Scale
-2.6 units on a scale
Standard Deviation 4.4
-0.5 units on a scale
Standard Deviation 2.3

SECONDARY outcome

Timeframe: Baseline, Day 1

Population: One control patient declined completion of FACE-Q survey.

Change in patient-reported eye appearance will be assessed by patient completion of the FACE-Q Eye Module Survey assessing overall eye appearance with a sum score of 7 (worst) to 28 (best) at baseline and after drop administration. Higher score indicates a higher level of satisfaction with eye appearance.

Outcome measures

Outcome measures
Measure
Upneeq Group
n=57 Participants
Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group) Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye.
Control Group
n=56 Participants
Participants in this group will receive a one-time dosing of balanced saline solution (1 drop applied to ocular surface of each eye of patients in the control group) Placebo: One drop of placebo (balanced saline solution) will be applied to the ocular surface of each eye.
Change in Patient-reported Eye Appearance - FACE-Q Eye Appearance
4.2 score on a scale
Standard Deviation 5.4
0.8 score on a scale
Standard Deviation 3.8

SECONDARY outcome

Timeframe: Baseline, Day 1

Population: One control patient declined completion of FACE-Q survey

Change in patient-reported upper eyelid appearance will be assessed by patient completion of the FACE-Q Eye Module Survey assessing overall upper eyelid appearance with a sum score of 7 (worst) to 28 (best) at baseline and after drop administration. Higher score indicates a higher level of satisfaction with upper eyelid appearance.

Outcome measures

Outcome measures
Measure
Upneeq Group
n=57 Participants
Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group) Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye.
Control Group
n=56 Participants
Participants in this group will receive a one-time dosing of balanced saline solution (1 drop applied to ocular surface of each eye of patients in the control group) Placebo: One drop of placebo (balanced saline solution) will be applied to the ocular surface of each eye.
Change in Patient-reported Eye Appearance - FACE-Q Upper Eyelid Appearance
0.9 score on a scale
Standard Deviation 4.9
-0.5 score on a scale
Standard Deviation 4.8

Adverse Events

Upneeq Group

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

Control Group

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Upneeq Group
n=57 participants at risk
Participants in this group will receive a one-time dosing of oxymetazoline hydrochloride 0.1% (1 drop applied to ocular surface of each eye of patients in the treatment group) Oxymetazoline hydrochloride 0.1% ophthalmic solution: One drop of Upneeq (Oxymetazoline hydrochloride 0.1% ophthalmic solution) will be applied to the ocular surface of each eye.
Control Group
n=57 participants at risk
Participants in this group will receive a one-time dosing of balanced saline solution (1 drop applied to ocular surface of each eye of patients in the control group) Placebo: One drop of placebo (balanced saline solution) will be applied to the ocular surface of each eye.
Eye disorders
Dry eye
5.3%
3/57 • Number of events 3 • 1 day: this study was a single time-instillation of a topical temporary medication
3.5%
2/57 • Number of events 2 • 1 day: this study was a single time-instillation of a topical temporary medication
General disorders
Headache
3.5%
2/57 • Number of events 2 • 1 day: this study was a single time-instillation of a topical temporary medication
1.8%
1/57 • Number of events 1 • 1 day: this study was a single time-instillation of a topical temporary medication
Eye disorders
Eyelid heaviness
5.3%
3/57 • Number of events 3 • 1 day: this study was a single time-instillation of a topical temporary medication
0.00%
0/57 • 1 day: this study was a single time-instillation of a topical temporary medication
Eye disorders
Light Sensitivity
1.8%
1/57 • Number of events 1 • 1 day: this study was a single time-instillation of a topical temporary medication
0.00%
0/57 • 1 day: this study was a single time-instillation of a topical temporary medication
Eye disorders
Temporary Blurry Vision
0.00%
0/57 • 1 day: this study was a single time-instillation of a topical temporary medication
1.8%
1/57 • Number of events 1 • 1 day: this study was a single time-instillation of a topical temporary medication
General disorders
Dizziness
0.00%
0/57 • 1 day: this study was a single time-instillation of a topical temporary medication
1.8%
1/57 • Number of events 1 • 1 day: this study was a single time-instillation of a topical temporary medication

Additional Information

Wendy W. Lee MD

Bascom Palmer Eye Institute

Phone: 305-243-6434

Results disclosure agreements

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