Keratoconjunctivitis SiccaPhase 3NCT00201981
A 1-Year Study in Multiple Clinics Testing Rebamipide Eye Drops for Dry Eye Compared With a Placebo
A Phase 3 study testing Rebamipide 1% and Rebamipide 2% in people with Keratoconjunctivitis Sicca, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 63 sites in United States.
Trial summary
The purpose of this study is to determine the potential safety and effectiveness of rebamipide eye drops, an investigational eye drop being developed for the treatment of keratoconjunctivitis sicca (dry eye). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Keratoconjunctivitis Sicca
- What is being tested?
- Rebamipide 1% and Rebamipide 2%
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 755 participants
- Where
- 63 sitesUnited States
- Study dates
- 1 May 2004to 1 Feb 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- must have symptoms of dry eye for a minimum of 6 months
- must be able to sign and date an informed consent
Who cannot join
- presence of anterior segment disease
- glaucoma or ocular hypertension
- using Restasis
- use of topically instilled ocular medications during study
- use of contact lenses
- history of ocular surgery within 12 months
Show all 11Show fewer
- females who are pregnant, breast feeding, or child-bearing potential and not willing to remain abstinent or use contraception
- presence of Stevens-Johnson syndrome
- any anticipated change in medication through-out study
- concurrent involvement in another study or previous receipt of this drug
- cannot be safely be weaned off of ocular medications
Trial locations and contacts
63 sites in 1 country.
63 sites in 1 country
United States63 sites
Eye Associates of New Mexico
Albuquerque, New Mexico, 87109
St. Luke's Eye Institute
Amarillo, Texas, 79106
Sall Eye Research Center
Artesia, California, 90701-5653
Omni Eye Services
Atlanta, Georgia, 30342
Eye Clinic of Austin
Austin, Texas, 78731
Krieger Eye Institute
Baltimore, Maryland, 21215
Eye Center Northeast
Bangor, Maine, 04401
Gulf Coast Research Associates, Inc.
Baton Rouge, Louisiana, 70808
Alabama Research Center, LLC
Birmingham, Alabama, 35209
Peter C. Donshik, MDPC
Bloomfield, Connecticut, 06002
New England Eye Center
Boston, Massachusetts, 02111
The Eye Associates
Bradenton, Florida, 34209
Hernando Eye Institute
Brooksville, Florida, 34613
Centennial Eye Associates
Centennial, Colorado, 80112
University Hospitals of Cleveland
Cleveland, Ohio, 44106-5068
Comprehensive Opthalmology & Optical Services
Cleveland, Ohio, 44115
Access Eye Research Center
Fredericksburg, Virginia, 22405
Sun Valley Arthritis Center, Ltd.
Glendale, Arizona, 85308
Danial Long, MD
Gretna, Louisiana, 70056
Baylor College of Medicine
Houston, Texas, 77030
Surgical Eye Associates, PA
Houston, Texas, 77055
Radiant Research - Irvine
Irvine, California, 92618
Scripps Clinic Medical Group, Inc.
La Jolla, California, 92037
Brazosport Eye Institute
Lake Jackson, Texas, 77566
Radiant Research, Inc. - Lake Worth
Lake Worth, Florida, 33461
Clinical Research Center of Nevada
Las Vegas, Nevada, 89104
University of Kentucky, Department of Ophthamology
Lexington, Kentucky, 40536-0293
Corneal Consultants of Colorado
Littleton, Colorado, 80120
American Eye Institute
Los Angeles, California, 90048
Kentucky Lions Eye Center
Louisville, Kentucky, 40222
The Wilmer Eye Institute
Lutherville, Maryland, 21093
University Eye Surgeons
Maryville, Tennessee, 37803
Clinical Research Institute of Southern Oregon
Medford, Oregon, 97504
Montana Medical Research, LLC
Missoula, Montana, 59804
West Hills Vision Center
Moon Township, Pennsylvania, 15108
Glaucoma Consultants and Center for Eye Research
Mt. Pleasant, South Carolina, 29464
Lakeview Optical
New Orleans, Louisiana, 70124
Suncoast Clinical Research, Inc.
New Port Richey, Florida, 34652
Mississippi Eye Associates
Ocean Springs, Mississippi, 39564
Western New York Eye Center
Orchard Park, New York, 14127
Eye Associates International
Ormond Beach, Florida, 32174
The Eye Institute - Lahey Clinic North
Peabody, Massachusetts, 01960
Pivotel Research Center
Peoria, Arizona, 85381
Clinical Research Source, Inc.
Perrysburg, Ohio, 43551
Hope research Institute
Phoenix, Arizona, 85006
Buena Vista Eye Care Center
Phoenix, Arizona, 85012
Pinellas Eye Center
Pinellas Park, Florida, 33781
Northwest Corneal Services
Portland, Oregon, 97223
Orellana Retina Associates, PLLC
Raleigh, North Carolina, 27612
Vision Surgery and Laser Center
Roseburg, Oregon, 97470
Axia Research
Salt Lake City, Utah, 84107
John Moran Eye Center, University of Utah
Salt Lake City, Utah, 84132
Eye Clinic of San Diego
San Diego, California, 92103
Physicians Research Options, LC
Sandy City, Utah, 84070
Radiant Research
Scottsdale, Arizona, 85251
Glaucoma Consultants of the Capital Region
Slingerlands, New York, 12159
Ft. Lauderdale Eye Institute
Sunrise, Florida, 33351
Marvin E. Greenberg, MD PA 7
Tamarac, Florida, 33321
Clinical Research of West Florida, Inc.
Tampa, Florida, 33603
International Eye Center
Tampa, Florida, 33603
Healthcare Partners Medical Group
Torrance, California, 90503
Opticare Eye Health Center
Waterbury, Connecticut, 06708
Western States Clinical Research, Inc.
Wheat Ridge, Colorado, 80033
About this study
Official title: Rebamipide Ophthalmic Suspension in the Treatment of Dry Eye: A Multicenter, Phase 3, Randomized, Double-Masked, Placebo-Controlled, Parallel-Group, 52 Week Study
The purpose of this study is to determine the potential safety and effectiveness of rebamipide eye drops, an investigational eye drop being developed for the treatment of keratoconjunctivitis sicca (dry eye).
Read the detailed description
There is a need for effective therapy for dry eye that treats the underlying cause of the syndrome. The goal of this study is to assess the impact of rebamipide on dry eye symptom.
- Conditions
- Keratoconjunctivitis Sicca
- Being tested
- Rebamipide 1%, Rebamipide 2%, Placebo
- Keywords
- dry eye, keratoconjunctivitis sicca
- Medical subject headings
- Keratoconjunctivitis Sicca, Dry Eye Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rebamipide 1%Drug
ophthalmic suspension
Rebamipide 2%Drug
ophthalmic suspension
PlaceboDrug
Rebamipide-matching placebo ophthalmic suspension
| Study group | Role | What they receive |
|---|---|---|
| Rebamipide 1% | Active comparator | Participants will receive rebamipide 1% ophthalmic suspension four times daily (QID) for 52 weeks Receives: Drug: Rebamipide 1% |
| Rebamipide 2% | Active comparator | Participants will receive rebamipide 2% ophthalmic suspension four times daily (QID) for 52 weeks Receives: Drug: Rebamipide 2% |
| Placebo | Placebo comparator | Participants will receive a rebamipide-matching placebo ophthalmically four times daily (QID) for 52 weeks. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
fluorescein corneal staining (FCS) total score at week 12 and the average primary ocular discomfort (POD) severity score at week 12
Measured: 12 week and 26 week
Secondary outcomes (1)
fluorescein corneal staining (FCS) total score at week 26 and the average primary ocular discomfort (POD) severity score at week 26
Measured: 12 week and 26 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Sep 2005 (estimated)
- Study start1 May 2004
- Primary completion1 Feb 2007
- Study completion1 Feb 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (17)Papers the sponsor has linked to this study.
- Other trials for Keratoconjunctivitis SiccaStudies of the same condition, open and under way.
- More trials run by Otsuka Pharmaceutical Development & Commercialization, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 755 participants (actual)
Sponsor and investigators
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Novartis
- Responsible party
- Sponsor
- Investigators
- Gary Foulks, MD, Study chair, University of Louisville
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00201981
- Sponsor's protocol ID
- 37E-03-202
- Status last verified
- Jun 2026
- First submitted
- 12 Sep 2005
- Last updated
- 15 Jun 2026
- Results posted
- No
Publications
Yamasaki K, Ishiyama H, Imaizumi T, Kanbe T, Yabuuchi Y. Effect of OPC-12759, a novel antiulcer agent, on chronic and acute experimental gastric ulcer, and gastric secretion in rats. Jpn J Pharmacol. 1989 Apr;49(4):441-8. doi: 10.1254/jjp.49.441.
PubMed 2542684Yamasaki K, Kanbe T, Chijiwa T, Ishiyama H, Morita S. Gastric mucosal protection by OPC-12759, a novel antiulcer compound, in the rat. Eur J Pharmacol. 1987 Oct 6;142(1):23-9. doi: 10.1016/0014-2999(87)90649-2.
PubMed 3480223Yoshikawa T, Naito Y, Tanigawa T, Kondo M. Free radical scavenging activity of the novel anti-ulcer agent rebamipide studied by electron spin resonance. Arzneimittelforschung. 1993 Mar;43(3):363-6.
PubMed 8387788Yoshikawa T, Naito Y, Nakamura S, Nishimura S, Kaneko T, Iinuma S, Takahashi S, Kondo M, Yamasaki K. Effect of rebamipide on lipid peroxidation and gastric mucosal injury induced by indometacin in rats. Arzneimittelforschung. 1993 Dec;43(12):1327-30.
PubMed 8141822Yamasaki K, et al. Effect of OPC 12759 on the production of oxygen-derived free radical from human polymorphonuclear leukocytes. In-house Report No. 004272.
Yamasaki K, et al. Effect of OPC 12759 on gastric mucosal blood flow in rats-determination by the hydrogen gas clearance method. In-house Report No. 003915.
Imaizumi, T, et al. Effect of OPC 12759 and cetraxate on gastric mucosal hemodynamics and oxygen sufficiency in rats-analysis by reflectance spectrophotometry. In-house Report No. 004101.
Garcher C, Bron A, Baudouin C, Bildstein L, Bara J. CA 19-9 ELISA test: a new method for studying mucus changes in tears. Br J Ophthalmol. 1998 Jan;82(1):88-90. doi: 10.1136/bjo.82.1.88.
PubMed 9536889Danjo Y, Watanabe H, Tisdale AS, George M, Tsumura T, Abelson MB, Gipson IK. Alteration of mucin in human conjunctival epithelia in dry eye. Invest Ophthalmol Vis Sci. 1998 Dec;39(13):2602-9.
PubMed 9856770Pflugfelder SC, Tseng SC, Yoshino K, Monroy D, Felix C, Reis BL. Correlation of goblet cell density and mucosal epithelial membrane mucin expression with rose bengal staining in patients with ocular irritation. Ophthalmology. 1997 Feb;104(2):223-35. doi: 10.1016/s0161-6420(97)30330-3.
PubMed 9052626Kinoshita S, Kiorpes TC, Friend J, Thoft RA. Goblet cell density in ocular surface disease. A better indicator than tear mucin. Arch Ophthalmol. 1983 Aug;101(8):1284-7. doi: 10.1001/archopht.1983.01040020286025.
PubMed 6882259Rivas L, Oroza MA, Perez-Esteban A, Murube-del-Castillo J. Morphological changes in ocular surface in dry eyes and other disorders by impression cytology. Graefes Arch Clin Exp Ophthalmol. 1992;230(4):329-34. doi: 10.1007/BF00165940.
PubMed 1505763Nelson JD, Wright JC. Conjunctival goblet cell densities in ocular surface disease. Arch Ophthalmol. 1984 Jul;102(7):1049-51. doi: 10.1001/archopht.1984.01040030851031.
PubMed 6378156Ferris FL 3rd, Kassoff A, Bresnick GH, Bailey I. New visual acuity charts for clinical research. Am J Ophthalmol. 1982 Jul;94(1):91-6.
PubMed 7091289Lemp MA. Report of the National Eye Institute/Industry workshop on Clinical Trials in Dry Eyes. CLAO J. 1995 Oct;21(4):221-32. No abstract available.
PubMed 8565190
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Rebamipide Ophthalmic Suspension in the Treatment of Dry Eye: A Multicenter, Phase 3, Randomized, Double-Masked, Placebo-Controlled, Parallel-Group, 52 Week Study
- ClinicalTrials.gov ID
- NCT00201981
- Acronym / sponsor ID
- 37E-03-202
- Conditions
- Keratoconjunctivitis Sicca
- Keywords
- dry eye, keratoconjunctivitis sicca
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 755 participants (actual)
- Lead sponsor
- Otsuka Pharmaceutical Development & Commercialization, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Novartis
- Study start
- 1 May 2004 (actual)
- Primary completion
- 1 Feb 2007 (actual)
- Study completion
- 1 Feb 2007 (actual)
- First posted
- 20 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the potential safety and effectiveness of rebamipide eye drops, an investigational eye drop being developed for the treatment of keratoconjunctivitis sicca (dry eye).
Detailed description
There is a need for effective therapy for dry eye that treats the underlying cause of the syndrome. The goal of this study is to assess the impact of rebamipide on dry eye symptom.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Rebamipide 1% | Active comparator | Drug: Rebamipide 1%Participants will receive rebamipide 1% ophthalmic suspension four times daily (QID) for 52 weeks |
| Rebamipide 2% | Active comparator | Drug: Rebamipide 2%Participants will receive rebamipide 2% ophthalmic suspension four times daily (QID) for 52 weeks |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive a rebamipide-matching placebo ophthalmically four times daily (QID) for 52 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- must have symptoms of dry eye for a minimum of 6 months
- must be able to sign and date an informed consent
Key exclusion criteria (11 listed)
- presence of anterior segment disease
- glaucoma or ocular hypertension
- using Restasis
- use of topically instilled ocular medications during study
- use of contact lenses
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rebamipide 1%ophthalmic suspension | Drug | Rebamipide 1% |
| Rebamipide 2%ophthalmic suspension | Drug | Rebamipide 2% |
| PlaceboRebamipide-matching placebo ophthalmic suspension | Drug | Placebo |
Primary outcome
fluorescein corneal staining (FCS) total score at week 12 and the average primary ocular discomfort (POD) severity score at week 12
Time frame: 12 week and 26 week
1 secondary outcome
fluorescein corneal staining (FCS) total score at week 26 and the average primary ocular discomfort (POD) severity score at week 26
Time frame: 12 week and 26 week
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2026.
- Background: PubMed 2542684Yamasaki K, Ishiyama H, Imaizumi T, Kanbe T, Yabuuchi Y. Effect of OPC-12759, a novel antiulcer agent, on chronic and acute experimental gastric ulcer, and gastric secretion in rats. Jpn J Pharmacol. 1989 Apr;49(4):441-8. doi: 10.1254/jjp.49.441.
- Background: PubMed 3480223Yamasaki K, Kanbe T, Chijiwa T, Ishiyama H, Morita S. Gastric mucosal protection by OPC-12759, a novel antiulcer compound, in the rat. Eur J Pharmacol. 1987 Oct 6;142(1):23-9. doi: 10.1016/0014-2999(87)90649-2.
- Background: PubMed 8387788Yoshikawa T, Naito Y, Tanigawa T, Kondo M. Free radical scavenging activity of the novel anti-ulcer agent rebamipide studied by electron spin resonance. Arzneimittelforschung. 1993 Mar;43(3):363-6.
- Background: PubMed 8141822Yoshikawa T, Naito Y, Nakamura S, Nishimura S, Kaneko T, Iinuma S, Takahashi S, Kondo M, Yamasaki K. Effect of rebamipide on lipid peroxidation and gastric mucosal injury induced by indometacin in rats. Arzneimittelforschung. 1993 Dec;43(12):1327-30.
- BackgroundYamasaki K, et al. Effect of OPC 12759 on the production of oxygen-derived free radical from human polymorphonuclear leukocytes. In-house Report No. 004272.
- BackgroundYamasaki K, et al. Effect of OPC 12759 on gastric mucosal blood flow in rats-determination by the hydrogen gas clearance method. In-house Report No. 003915.
- BackgroundImaizumi, T, et al. Effect of OPC 12759 and cetraxate on gastric mucosal hemodynamics and oxygen sufficiency in rats-analysis by reflectance spectrophotometry. In-house Report No. 004101.
- Background: PubMed 9536889Garcher C, Bron A, Baudouin C, Bildstein L, Bara J. CA 19-9 ELISA test: a new method for studying mucus changes in tears. Br J Ophthalmol. 1998 Jan;82(1):88-90. doi: 10.1136/bjo.82.1.88.
- Background: PubMed 9856770Danjo Y, Watanabe H, Tisdale AS, George M, Tsumura T, Abelson MB, Gipson IK. Alteration of mucin in human conjunctival epithelia in dry eye. Invest Ophthalmol Vis Sci. 1998 Dec;39(13):2602-9.
- Background: PubMed 9052626Pflugfelder SC, Tseng SC, Yoshino K, Monroy D, Felix C, Reis BL. Correlation of goblet cell density and mucosal epithelial membrane mucin expression with rose bengal staining in patients with ocular irritation. Ophthalmology. 1997 Feb;104(2):223-35. doi: 10.1016/s0161-6420(97)30330-3.
- Background: PubMed 6882259Kinoshita S, Kiorpes TC, Friend J, Thoft RA. Goblet cell density in ocular surface disease. A better indicator than tear mucin. Arch Ophthalmol. 1983 Aug;101(8):1284-7. doi: 10.1001/archopht.1983.01040020286025.
- Background: PubMed 1505763Rivas L, Oroza MA, Perez-Esteban A, Murube-del-Castillo J. Morphological changes in ocular surface in dry eyes and other disorders by impression cytology. Graefes Arch Clin Exp Ophthalmol. 1992;230(4):329-34. doi: 10.1007/BF00165940.
- Otsuka Clinical Trial Website:Link provided by the sponsor.
- Otsuka Clinical Trial Transparency:Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gary Foulks, MD study chair
University of Louisville
63 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rebamipide 1% and Rebamipide 2% in people with Keratoconjunctivitis Sicca, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 63 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 63 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
fluorescein corneal staining (FCS) total score at week 12 and the average primary ocular discomfort (POD) severity score at week 12 (time frame: 12 week and 26 week). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00201981, which also lists 17 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2026.