A Long-Term Safety Study Evaluating the Safety and Systemic Exposure of AR-15512

Dry Eye Disease Clinical Trial

— COMET-4  

Official title:

A Long-Term Safety Study Evaluating the Safety and Systemic Exposure of AR-15512, a Cold Thermoreceptor Modulator, for the Treatment of Dry Eye Disease (COMET-4)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05493111
• Other study ID #: AR-15512-LTSS
• Status: Completed
• Phase: Phase 3
• Start date: November 1, 2022
• Est. completion date: February 28, 2024

Study information

• Verified date: April 2024
• Source: Aerie Pharmaceuticals
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This will be a 12-month, multicenter, vehicle-controlled, double-masked, randomized Phase 3 study conducted at approximately 10 sites in the United States. All subjects enrolled will have dry eye disease (DED). The study will consist of a Baseline (Day 1) visit as well as visits at Day 14, Day 90, Day 180, Day 270, and Day 365 (Study Exit).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 275
• Est. completion date: February 28, 2024
• Est. primary completion date: February 28, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Key Inclusion Criteria:

• Male or female, 18 years of age or older at baseline visit

• Have a previous history of DED, clinician diagnosed or patient reported, within the previous 12 months of the Baseline visit

• Have used or desired to use artificial tears for DED symptoms within 3 months prior to the Baseline visit

• Have a documented Schirmer test with or without topical anesthesia score = 2 and < 10 mm/5 min in at least one eye within 1 year prior to the Baseline visit

• Total ocular surface staining score of = 1 and = 12 and no region = 5, based on the Oxford grading scheme at the Baseline visit

• Corrected visual acuity equal to or better than logMar +0.7 (Snellen equivalent equal to or better than 20/100), as assessed by Early Treatment of Diabetic Retinopathy Study (ETDRS) scale in both eyes at the Baseline visit

• Good general and ocular health, as determined by the investigator using medical history, ophthalmic examination and history, and vital signs (heart rate and blood pressure) at the Baseline visit

Key Exclusion Criteria:

• History or presence of any ocular disorder or condition (other than DED) in either eye that would, in the opinion of the investigator, likely interfere with the interpretation of the study results or subject safety

• Current evidence of other significant ophthalmic disease requiring topical medication (e.g. glaucoma, ocular hypertension), which may interfere with vision (e.g., cataract, macular degeneration) or other disease which the investigator believes may interfere with study findings or interpretation

• Use of contact lenses in either eye within 7 days prior to the Baseline visit or planned use during the study

• Use of any topical ocular anti-inflammatory medication within 30 days prior to the Baseline visit or anticipated use during the study (e.g., ocular cyclosporine [Restasis®, Cequa™], lifitegrast [Xiidra®], or any other prescription ophthalmic product for DED, topical ocular corticosteroid- or non-steroidal anti-inflammatory agents

• Use of topical ocular autologous serum within 30 days prior to the Baseline visit or anticipated use during the study

• Use of any topical ocular glaucoma medication within 30 days prior to the Baseline visit or anticipated use during the study

• Use of Tyrvara™ (varenicline solution, nasal spray 0.03mg) within 30 days prior to the Baseline visit or anticipated use during the study

• Use of medications for the treatment of severe DED and/or Meibomian gland disease such as oral pilocarpine, oral cevimeline, oral macrolides, oral tetracyclines, oral tetracycline derivatives, and oral retinoids within 30 days prior to the Baseline visit or anticipated use during the study

• Use of lid heating therapy (i.e., LipiFlow®, iLUX®) or Meibomian gland probing/therapeutic expression within 6 months prior to the Baseline visit or anticipated during the study

Related Conditions & MeSH terms

• Dry Eye Disease
• Dry Eye Syndromes
• Eye Diseases
• Keratoconjunctivitis Sicca

Intervention

Drug:
• AR-15512 Ophthalmic Solution
Topical ocular administration of one drop in both eyes BID for 365 days.
• Vehicle
Topical ocular administration of one drop in both eyes BID for 365 days.

Locations

Country	Name	City	State
United States	Arizona Eye Center	Chandler	Arizona
United States	Global Research Management	Glendale	California
United States	Macy Eye Center	Los Angeles	California
United States	Piedmont Eye Center	Lynchburg	Virginia
United States	SightMD	Manhasset	New York
United States	University Eye Specialists	Maryville	Tennessee
United States	Eye Research Foundation	Newport Beach	California
United States	Shultz Vision	Northridge	California
United States	Periman Eye Institute	Seattle	Washington
United States	PRG - Arizona Eye Institute	Sun City	Arizona

Sponsors (1)

Lead Sponsor	Collaborator
Aerie Pharmaceuticals

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Minimum Plasma Concentration (Cmin)	From the blood samples collected from each subject, the minimum amount of AR-15512, the test drug, that may be present in the blood will be measured at a laboratory. Each measure will be recorded in pg/ml. Lower numbers represent better outcome.	Day 1, 14 and 90
Other	Accumulation Ratio (Rcmax)	From the blood samples collected from each subject, the amount of AR-15512, the test drug, that may have accumulated in the blood will be measured in a laboratory. Each measure will be recorded as a number based on a ratio (e.g. Cmax Day 90 / Cmax Day 1). Lower numbers represent better outcome.	Day 1, 14 and 90
Other	Time to Maximum Concentration (Tmax)	From the blood samples collected from each subject, the time at which the highest amount of AR-15512, the test drug, is measured in the blood will be measured in a laboratory. Each measure will be recorded in hours/min/sec.	Day 1, 14 and 90
Other	Time to Last Detectable Concentration (Tlast)	From the blood samples collected from each subject, the time at which the last detectable amount of AR-15512, the test drug, is measured in the blood will be measured in a laboratory. Each measure will be recorded in hours/min/sec. Lower number represents better outcome.	Day 1, 14 and 90
Other	Total Exposure (AUC0-last)	From the blood samples collected from each subject, the overall amount of AR-15512, the test drug, in the blood from the start of dose administration to the time after dosing at which the last quantifiable concentration was observed will be measured in a laboratory. Each measure will be recorded in µg*h/L. Lower numbers represent better outcome.	Day 1, 14 and 90
Primary	Adverse Events	Incidence of Adverse Events; Subjects will be verbally asked by clinic staff to report any changes to any aspect of their health (systemic or ocular) at each study visit. A low incidence indicates a better outcome.	Day 1, 14, 90, 180, 270 & 365
Primary	Blood Pressure	Change from baseline; Each subjects systolic and diastolic blood pressure will be measured using an appropriate sphygmomanometer and will be recorded in mmHg. Minimal change from the start of the study indicates a better outcome.	Day 1, 14, 90, 180, 270 & 365
Primary	Heart Rate	Change from Baseline; Each subjects heart rate will be measured using manual or automated methods and recorded in bpm. Minimal change from the start of the study indicates a better outcome.	Time Frame: Day 1, 14, 90, 180, 270 & 365
Primary	Endothelial cell counts	Change from baseline; Specular microscopy will be used to measure cells in the central cornea to determine cell density which will be recorded. Minimal change from the start of the study indicates a better outcome.	Day 1 and 365
Primary	Hematology, chemistry, and urinalysis	Change from baseline; A small volume of blood and urine will be collected from each subject and these samples will be sent to a laboratory to evaluate each subjects overall health. Values for each assessment will be recorded in their respective clinical units. Minimal change from the start of the study indicates a better outcome.	Day 1, 180 & 365
Primary	LogMAR Visual Acuity	Change from baseline; Each subject's vision will be assessed using an eye chart and the score will be recorded as the number of letters read. If a subject wears glasses, these will be worn during the test. Minimal change from the start of the study indicates a better outcome.	Day 1, 14, 90, 180, 270 & 365
Primary	Early Treatment of Diabetic Retinopathy Study (ETDRS) Visual Acuity	Change from baseline; Change from baseline Each subject's vision will be assessed using a standardized eye chart and ETDRS testing procedure. The score will be recorded as the number of letters read. Minimal change from the start of the study indicates a better outcome.	Day 1 & 365
Primary	Biomicroscopy	Change from baseline; With the aid of a microscope, the front part of the eyes and eyelids and the surface of the cornea will be examined and graded based on standard clinical scales and recorded as normal or abnormal. Minimal change from the start of the study indicates a better outcome.	Day 1, 14, 90, 180, 270 & 365
Primary	Total ocular staining	Change from baseline; Dye is applied to the surface of the eye and the amount of dye that remains after several minutes will viewed through a microscope and graded using a standardized scale (0-5). Lower scores indicate a better outcome.	Day 1, 14, 90, 180, 270 & 365
Primary	Intraocular pressure (IOP)	Change from baseline; A small tonometer device will be pressed against the surface of the eye to determine the pressure inside the eye. The pressure will be recorded in mmHg. Lower scores indicate a better outcome.	Day 1, 14, 90, 180, 270 & 365
Primary	Dilated fundus exam	Change from baseline; The back of the eyes will be dilated, examined and graded based on standard clinical scales and recorded as normal or abnormal. Minimal change from the start of the study indicates a better outcome	Day 1, 14, 90, 180, 270 & 365