Impact of XDEMVY® on Demodex Blepharitis in Soft Contact Lens Wearers

NCT ID: NCT06182358

Last Updated: 2025-07-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

145 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-27

Study Completion Date

2025-01-27

Brief Summary

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To compare the efficacy of XDEMVY ophthalmic drop to its vehicle control for the treatment of Demodex blepharitis and its impact on the soft contact lens wearing experience.

Detailed Description

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This Phase 4 study is a prospective, multicenter, randomized, vehicle-controlled, double-masked, two-arm, parallel treatment clinical trial of participants who have Demodex blepharitis and are current daily wear soft contact lenses wearers. The primary outcome measure is the reduction of collarettes at Day 43. The secondary outcome measures are the reduction of eyelid margin erythema at Day 43; subject-reported comfortable contact lens daily wear time; and total contact lens wear time. Safety will be determined by assessing adverse effects related to study drug administration as well as evaluating any clinically significant changes from baseline in visual acuity and slit lamp biomicroscopy findings.

Conditions

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Demodex Blepharitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Active arm: XDEMVY 0.25% Control arm: Vehicle of XDEMVY
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Treatment assignment will be unknown to the study participants, investigators, and site staff performing study assessments

Study Groups

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Active Treatment

XDEMVY (lotilaner ophthalmic solution) 0.25%, administered topically twice a day for approximately 43 days

Group Type EXPERIMENTAL

Lotilaner ophthalmic solution, 0.25%

Intervention Type DRUG

XDEMVY (lotilaner ophthalmic solution) 0.25%, administered topically twice a day for approximately 43 days

Control

Vehicle of XDEMVY ophthalmic solution, administered topically twice a day for approximately 43 days

Group Type PLACEBO_COMPARATOR

Vehicle control

Intervention Type DRUG

Vehicle of XDEMVY administered topically twice a day for approximately 43 days

Interventions

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Lotilaner ophthalmic solution, 0.25%

XDEMVY (lotilaner ophthalmic solution) 0.25%, administered topically twice a day for approximately 43 days

Intervention Type DRUG

Vehicle control

Vehicle of XDEMVY administered topically twice a day for approximately 43 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Be willing to sign the informed consent form and is deemed capable of complying with the requirements of the study protocol
* Must meet the following criteria in at least one eye: Have more than 10 eyelashes (Grade 2 or higher) with collarettes on the upper or lower eyelid; have at least Grade 1 erythema of the lower eyelid; and have a total meibomian gland secretion score ≥ 12 but ≤ 32 AND have a minimum of 6 expressible glands for the 15 glands evaluated on the lower eyelid
* Currently wearing soft contact lenses on both eyes an average of at least 2 days per week with an average minimum wearing time of 6 hours each day over the past 3 months and is able and willing to continue to wear contact lenses during the study

Exclusion Criteria

* Use of artificial tears or rewetting drops within 24 hours of the Screening visit or unwilling to forego the use of this treatment during the study
* Prescription AND systemic, drug delivery implant, ocular topical, or topical: antibacterial, anti-parasitic, or anti-inflammatory corticosteroid treatment within 14 days of the Screening or Day 1 visits
* Use of TYRVAYA™ Nasal Spray (varenicline solution, Oyster Point Pharma) within 14 days of the Screening visit or unwilling to forego the use of this treatment during the study
* Use of XDEMVY™ (lotilaner ophthalmic solution) 0.25%, Tarsus Pharmaceuticals, Inc., within 12 months of the Screening visit
* Treatment for blepharitis (e.g., tea tree oil-based products, hypochlorous acid-based products, commercial eyelid foams, eyelid wipes, lid scrubs, etc.) within 14 days of the Screening visit or unwilling to forego the use of these treatments during the study
* Use of artificial eyelashes or eyelash extensions at the Screening visit if they limit accurate eyelid margin assessment
* Currently pregnant or lactating
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tarsus Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Blake Simmons, OD

Role: PRINCIPAL_INVESTIGATOR

Vision Institute

Locations

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Site

Cave Creek, Arizona, United States

Site Status

Site

Long Beach, California, United States

Site Status

Vision Institute

Colorado Springs, Colorado, United States

Site Status

Site

Delray Beach, Florida, United States

Site Status

Site

Indianapolis, Indiana, United States

Site Status

Site

Pittsburg, Kansas, United States

Site Status

Site

Louisville, Kentucky, United States

Site Status

Site

Edina, Minnesota, United States

Site Status

Site

Shelby, North Carolina, United States

Site Status

Site

Fargo, North Dakota, United States

Site Status

Site

Powell, Ohio, United States

Site Status

Site

Cranberry Township, Pennsylvania, United States

Site Status

Site

Memphis, Tennessee, United States

Site Status

Site

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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TRS-023

Identifier Type: -

Identifier Source: org_study_id

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