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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05514041
Other study ID # 2022-04
Secondary ID
Status Recruiting
Phase Phase 4
First received
Last updated
Start date August 29, 2022
Est. completion date September 1, 2023

Study information

Verified date August 2022
Source Stephenson Eye Associates
Contact Dee G Stephenson, MD
Phone 941.485.1121
Email eyedrdee@aol.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

A randomized, controlled, double-masked, investigator-initiated trial to evaluate tear film quality and stability in subjects with dry eye disease using OC-01 (varenicline solution) nasal spray 0.03 mg as compared to vehicle control nasal spray.


Description:

A randomized, controlled, double-masked, investigator-initiated trial to evaluate tear film quality and stability in subjects with dry eye disease using OC-01 (varenicline solution) nasal spray 0.03 mg as compared to vehicle control nasal spray.


Recruitment information / eligibility

Status Recruiting
Enrollment 60
Est. completion date September 1, 2023
Est. primary completion date September 1, 2023
Accepts healthy volunteers No
Gender All
Age group 22 Years and older
Eligibility Inclusion Criteria: - Subjects must: - Provide signed written consent prior to study-related procedures - Be at least 22 years of age at the screening visit - Be literate and able to complete questionnaires independently - Be able and willing to use the study drug and participate in all study assessments and visits - Have sufficient hand strength, in the opinion of the Investigator, to be able to independently administer the study drug - Have provided verbal and written informed consent - Have an OSDI score = 13, - Demonstrate corneal fluorescein staining (CFS) score of 2 or more in at least 1 corneal region, or a sum of 4 or more for all corneal regions, based on the National Eye Institute/Industry Workshop Scale - Demonstrate abnormal Cassini surface qualifier image at screening visit (at the determination of the investigator) Exclusion Criteria: - Subjects must not: 1. Have undergone ocular surgery (e.g., cataract, corneal or refractive surgical procedure) within 6 months prior to the Screening/Baseline Visit 2. Have evidence of clinically significant ocular trauma 3. Have active ocular Herpes simplex or Herpes Zoster infection 4. Have ocular inflammation (uveitis, iritis, scleritis, episcleritis, conjunctivitis or keratitis, with the exception of keratoconjunctivitis sicca) at the discretion of the investigator 5. Have ocular infection (e.g., viral, bacterial, mycobacterial, protozoan or fungal infection of the cornea, conjunctiva, lacrimal gland, lacrimal sac or eyelids. including hordeolum) 6. Have severe (Grade 3 or 4) inflammation of the eyelid (e.g., blepharochalasis, staphylococcal blepharitis or seborrheic blepharitis) 7. Have eyelid abnormalities that significantly affect the lid function (e.g., entropion, ectropion, tumor, edema, blepharospasm, lagophthalmos, severe trichiasis, severe ptosis) 8. Have an ocular surface abnormality that may compromise the corneal integrity (e.g., prior chemical burn, recurrent corneal erosion, corneal dystrophy, or the effect of any other ophthalmic medication that might in the opinion of the investigator compromise the ocular surface integrity) 9. Have a systemic condition or disease not stabilized or judged by the Investigator to be incompatible with participation in the study or with the lengthier assessments required by the study (e.g., current systemic infection, uncontrolled autoimmune disease, uncontrolled immunodeficiency disease, history of myocardial infarction or heart disease, etc.) 10. Have chronic or recurrent epistaxis, coagulation disorders or other conditions that, in the opinion of the Investigator, may lead to clinically significant risk of increased bleeding 11. Have had nasal or sinus surgery (including history of application of nasal cautery) or significant trauma to these areas 12. Have any untreated nasal infection at Visit 1 13. Have a history of vascularized nasal polyp, severely deviated septum, chronic recurrent nosebleeds, or severe nasal obstruction 14. Have current concomitant use of a nicotinic acetylcholine receptor agonist [Nicoderm®, Nicorette®, Nicotrol NS® (nicotine), Tabex®, Desmoxan® (cytisine), and Chantix® (varenicline)] within the previous 30 days of Visit 1 and during the treatment period. 15. Have undergone mechanical treatment for meibomian gland dysfunction using thermal pulsation/expression (e.g., LipiFlow) or intense pulsed light (e.g., OptiLight) therapy within 6 months prior to the Screening/Baseline Visit 16. Use topical prescription ophthalmic medications including cyclosporine and/or lifitegrast within 6 months prior to the Screening/Baseline Visit and during the treatment period 17. Use topical ophthalmic corticosteroid therapy within 6 weeks prior to the Screening/Baseline visit and during the treatment period 18. Use ophthalmic artificial tear drops within 2 hours prior to any of the study visits; any concurrent use of artificial tears should be continued at same frequency and with no change in brand during the treatment period 19. Use prescription or OTC topical ophthalmic mast cell stabilizers or antihistamines within 3 days of the Screening/Baseline visit and during the treatment period (systemic agents permitted) 20. Have a known hypersensitivity to any of the procedural agents or study drug components 21. Be currently enrolled in an investigational drug or device study or have used an investigational drug or device within 30 days prior to the Screening/Baseline visit and during the treatment period.

Study Design


Intervention

Drug:
Varenicline solution
OC-01 nasal spray 0.03 mg
Placebo nasal spray (OC-01 Vehicle Nasal Spray)
Placebo nasal spray (OC-01 Vehicle Nasal Spray)

Locations

Country Name City State
United States Stephenson Eye Associates Venice Florida

Sponsors (1)

Lead Sponsor Collaborator
Stephenson Eye Associates

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Exploratory analysis of change in Cassini Clinical interpretation and analysis of change in Cassini surface qualifier image elapsed video Day 1/Day 28
Other AEs Incidence and severity of adverse events 28 days
Primary Surface qualifier image change Change from baseline in Cassini surface qualifier image analysis to post-administration of OC-01 (varenicline solution) nasal spray (@15 minutes) on Day 1 Day 1
Secondary EDS Mean change from baseline in symptom score (EDS) Day 28
Secondary Change from baseline in surface qualifier image analysis Change from baseline in surface qualifier image analysis to pre-administration of varenicline solution nasal spray Day 28
Secondary Corneal fluorescein staining score Mean change from baseline in corneal fluorescein staining score Day 28
Secondary TBUT Mean change from baseline in fluorescein tear breakup time (TBUT) Day 28
Secondary QoL Mean change from baseline in QOL questionnaire score Day 21
Secondary Tear osmolarity Mean change from baseline in tear osmolarity score Day 28
Secondary VA Mean change from baseline in visual acuity (logMAR) Day 28
Secondary IOP Mean change from baseline in intraocular pressure Day 28
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