Dry Eye Syndrome Clinical Trial
Official title:
Efficacy and Safety of the Ophthalmic Solution PRO-087 Versus Systane ® Ultra and Systane ® Ultra Preservative Free on Tear Film Dysfunction Syndrome From Mild to Moderate
Efficacy and Safety of the Ophthalmic Solution PRO-087 versus Systane ® Ultra and Systane ®
Ultra Preservative Free on the Tear Film Dysfunction Syndrome from Mild to Moderate Clinical
trial To evaluate the effectiveness of preservative-free ophthalmic formulation PRO-087 (by
Laboratorios Sophia, S.A. de C.V.) to restore the anatomical and physiological
characteristics of the ocular surface, as well as its distribution and the characteristics of
the mild to moderate tear film dysfunction syndrome compared to Systane ® Ultra and Ultra
Systane ® preservative free (by Laboratorios Alcon, S.A. de C.V.).
Controlled, randomized, double-blind, masked clinical study, comparing the safety and
efficacy of preservative-free PR0-087 vs Systane Ultra with preservative and Systane Ultra
preservative free, in subjects with mild to moderate tear film dysfunction syndrome, for a
period of 90 days plus 15 days of remote surveillance, in which one of the three agents will
be administered (PR0-087, Systane® Ultra or Systane® Ultra preservative free) with a q.i.d.
dosage. in both eyes, with regular follow-up visits (5 overall).
Best-corrected visual acuity Intraocular pressure Ocular surface Anterior segment examination
Posterior segment examination Tear film break-up time Schirmer test Corneal epithelization
Goblet cells count Adverse events Subjects with a clinical diagnosis of mild to moderate tear
film dysfunction syndrome between 18 and 90 years old, without concomitant eye diseases nor
requiring different treatments of any of the three interventions in this study They will be
randomized in 3 groups where PRO-087, Systane® Ultra o Systane® Ultra preservative free will
be administered.
Design Controlled, double-blind, randomized, clinical trial comparing the safety and efficacy
parameters between a group of subjects with a diagnose of mild to moderate tear film
dysfunction syndrome under a regimen of ophthalmic solution lubricant drops PRO-087 versus
subject under Systane® Ultra or Systane® Ultra preservative free, with the same diagnosis,
with a follow-up of 90 days
MAIN OBJECTIVE:
To evaluate the effectiveness of preservative-free ophthalmic formulation PRO-087 (by
Laboratorios Sophia, S.A. de C.V.) to restore the anatomical and physiological
characteristics of the ocular surface, as well as its distribution and the characteristics of
the mild to moderate tear film dysfunction syndrome compared to Systane ® Ultra and Ultra
Systane ® preservative free (by Laboratorios Alcon, S.A. de C.V.).
SPECIFIC OBJECTIVES:
To evaluate the safety of the preservative-free ophthalmic formulation PRO-087 (by
Laboratorios Sophia, S.A. de C.V.) on the corneal and conjunctival epithelium, intraocular
pressure, and structures of anterior and posterior segment in patients with tear film
dysfunction syndrome from mild to moderate.
To determine the correlation between improvement of clinical status and perceived improvement
of symptoms of each participant in each study group.
To compare the qualitative and quantitative histological status of the ocular surface before
and after the pharmacological intervention in each study group to determine the evolution
under the intervention of PRO-087.
To evaluate the quantitative rating of tear film production by the Schirmer Test throughout
the study.
To qualitatively assess the tear film production by measuring the tear film break-up time
stained with fluorescein and cobalt filter.
Blinding:
The double-blind study is a procedure in which the patient and the treating doctor ignore to
which intervention group the study patient was assigned. To achieve the blinding of both the
drug in research and both comparator drugs, these will be labeled in the same way (masking).
Besides the figure of an unblinded pharmacist, who is responsible for the delivery of the
medication to the patient, will be added. Blinding codes are protected by an outsider
appointed by the study sponsor. The codes are also available in the research center (fully
sealed), so that they can be consulted by the investigator in case a subject presents a
serious adverse event, prior authorization from the study sponsor; the blinding also
continues rigorous during the data analysis and interpretation.
patients with tear film dysfunction, classified as mild to moderate, will be included and
randomized into 3 groups; the first being treated with PRO-087 ophthalmic solution, the
second with Systane® Ultra ophthalmic solution, and the third with ophthalmic solution
Systane® Ultra preservative free.
Pharmacological Intervention
The pharmacological intervention will be the instillation of the ophthalmic solution in the
bottom of the conjunctival sac during the waking period, in any of the following study
groups:
1. Preservative free PRO-087 ophthalmic solution. Dropper bottle. Multidose 1 drop every 4
hours for 90 days.
2. Systane® Ultra ophthalmic solution. Dropper bottle. Multidose. 1 drop every 4 hours for
90 days.
3. Systane ® Ultra preservative free ophthalmic solution. Single-use vials. 1 drop every 4
hours for 90 days.
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