Bacterial ConjunctivitisPhase 3NCT03004924
Treatment of Bacterial Conjunctivitis With SHP640 Compared to PVP-Iodine and Placebo
A Phase 3 study testing SHP640 and PVP-I 0.6% in people with Bacterial Conjunctivitis, run by Shire at 163 sites in 13 countries.
Trial summary
The purpose of this study is to determine if an investigational treatment is effective compared with placebo and PVP-Iodine in the treatment of adults and children with bacterial conjunctivitis. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Bacterial Conjunctivitis
- What is being tested?
- SHP640 and PVP-I 0.6%
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 753 participants
- Where
- 163 sitesin 13 countries
- Study dates
- 29 Mar 2017to 1 Oct 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- An understanding, ability, and willingness to fully comply with study procedures and restrictions (by the parent(s), guardian, or legally authorized representative, if applicable).
- Ability to voluntarily provide written, signed, and dated (personally or via a parent(s), guardian, or legally authorized representative(s) informed consent (and assent, if applicable) to participate in the study.
- Participants of any age at Visit 1 (Note: participants less than (<) 3 months of age at Visit 1 must have been full-term, that is (ie,) greater than or equal to (>=) 37 weeks gestational age at birth).
- Have a negative AdenoPlus® test in both eyes within 24 hours of Visit 1 or at Visit 1.
- Have a clinical diagnosis of suspected bacterial conjunctivitis in at least 1 eye confirmed by the presence of the following minimal clinical signs and symptoms in that same eye:
- Report presence of signs and/or symptoms of bacterial conjunctivitis for less than or equal to (<=) 4 days prior to Visit 1
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- Bulbar conjunctival injection: a grade of >= 1 on 0-4 scale of Bulbar Conjunctival Injection Scale
- Ocular conjunctival discharge: a grade of >= 1 (mild) on a 0-3 scale of Ocular Conjunctival Discharge Scale
- Be willing to discontinue contact lens wear for the duration of the study.
- Have a Best Corrected Visual Acuity (BCVA) of 0.60 logMAR or better in each eye as measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart. BCVA will be assessed by an age appropriate method in accordance with the AAP Policy Statement for Visual System Assessment in Infants, Children, and Young Adults by Pediatricians (Donahue and Baker, 2016; American Academy of Pediatrics, 2016). The policy statement recommends formal vision screening can begin at 3 years of age. VA measurements for children under the age of 3 will be done at the discretion of the investigator. If not done, child should be able to fixate on and follow a moving object, except participants < 2 months of age who have not yet developed this ability. Participants < 2 months will be enrolled at the discretion of investigator.
- Male, or non-pregnant, non-lactating female who agrees to comply with any applicable contraceptive requirements of the protocol or females of non-childbearing potential.
Who cannot join
- Current or recurrent disease that could affect the action, absorption, or disposition of the investigational product, or clinical or laboratory assessments, per investigator's discretion.
- Current or relevant history of physical or psychiatric illness, any medical disorder that may make the participant unlikely to fully complete the study, or any condition that presents undue risk from the investigational product or procedures.
- Have known or suspected intolerance or hypersensitivity to the investigational product, closely related compounds, or any of the stated ingredients.
- Prior enrollment in a FST-100 or SHP640 clinical study.
- Participants who are employees, or immediate family members of employees (who are directly related to study conduct), at the investigational site.
- Have a history of ocular surgical intervention within <= 6 months prior to Visit 1 or planned for the period of the study.
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- Have a preplanned overnight hospitalization during the period of the study.
- Have presence of any intraocular, corneal, or conjunctival ocular inflammation (example [eg,] uveitis, iritis, ulcerative keratitis, chronic blepharoconjunctivitis), other than bacterial conjunctivitis.
- Have active or a history of ocular herpes.
- Have at enrollment or within <= 30 days of Visit 1, a clinical presentation more consistent with the diagnosis of non-infectious conjunctivitis (except presumed seasonal/perennial allergic conjunctivitis) or non-bacterial ocular infection (eg, viral, fungal, acanthamoebal, or other parasitic). Note: history or concomitant presence of presumed seasonal or perennial allergic conjunctivitis signs/symptoms is not exclusionary.
- Neonates or infants (ie, participants less than 12 months of age) who have suspected or confirmed (based on the result of any test conducted prior to screening) conjunctivitis of gonococcal, chlamydial, herpetic or chemical origin.
- Neonates or infants (ie, participants less than 12 months of age) whose birth mothers had any sexually transmitted disease within 1 month of delivery or any history of genital herpes.
- Presence of nasolacrimal duct obstruction at Visit 1 (Day 1).
- Presence of any significant ophthalmic condition (eg, Retinopathy of Prematurity, congenital cataract, congenital glaucoma) or other congenital disorder with ophthalmic involvement that could affect study variables.
- Be a known intraocular pressure (IOP) steroid responder, have a known history or current diagnosis of glaucoma or be a glaucoma suspect.
- Have any known clinically significant optic nerve defects.
- Have a history of recurrent corneal erosion syndrome, either idiopathic or secondary to previous corneal trauma or dry eye syndrome; presence of corneal epithelial defect or any significant corneal opacity at Visit 1.
- Presence of significant, active condition in the posterior segment that requires invasive treatment (eg, intravitreal treatment with vascular endothelial growth factor inhibitors or corticosteroids) and may progress during the study participation period.
- Have used any topical ocular or systemic antibiotics within <= 7 days of enrollment.
- Have used any topical ocular non-steroidal anti-inflammatory drugs within <= 1 day of enrollment.
- Have used any topical ophthalmic steroids in the last <= 14 days.
- Have used any systemic corticosteroid agents within <= 14 days of Day 1. Stable (initiated >= 30 days prior to enrollment) use of inhaled and nasal corticosteroids is allowed, given no anticipated change in dose for the duration of the study. Topical dermal steroids are allowed except in the periocular area.
- Have used non-corticosteroid immunosuppressive agents within <= 14 days of Day 1.
- Have used any topical ophthalmic products, including tear substitutes, and over-the-counter preparations such as lid scrubs, within 2 hours of Visit 1 and be unable to discontinue all topical ophthalmic products for the duration of the study. Use of hot or cold compresses is also not permitted during the study.
- Have any significant ocular disease (eg, Sjogren's syndrome) or any uncontrolled systemic disease or debilitating disease (eg, cardiovascular disease, hypertension, sexually transmitted diseases/infections, diabetes, or cystic fibrosis) that may affect the study parameters, per investigator's discretion.
- Any known history of immunodeficiency disorder or known active conditions predisposing to immunodeficiency, such as human immunodeficiency virus, hepatitis B or C, evidence of active hepatitis A (anti-hepatitis A virus immunoglobulin M), or organ or bone marrow transplantation.
- Within 30 days prior to the first dose of investigational product:
- Have used an investigational product or device, or
- Have been enrolled in a clinical study (including vaccine studies) that, in the investigator's opinion, may impact this Shire-sponsored study.
Trial locations and contacts
163 sites in 13 countries.
163 sites in 13 countries
United States125 sites
Milton M. Hom, OD, FAAO
Azusa, California, 91702
Eye Center Northeast
Bangor, Maine, 04401
Hassman Research Institute
Berlin, New Jersey, 08009
Wohl Eye Center
Bloomingdale, Illinois, 60108
Minnesota Eye Consultants, P.A
Bloomington, Minnesota, 55431
Massachusetts Eye and Ear Infirmary
Boston, Massachusetts, 02114
The Eye Associates of Manatee, LLP
Bradenton, Florida, 34209
Arizona Eye Center
Chandler, Arizona, 85225
Bluestein Custom Vision
Charleston, South Carolina, 29414
Lifelong Vision Foundation
Chesterfield, Missouri, 63017
Apex Eye Kenwood
Cincinnati, Ohio, 45236
Cincinnati Eye Institute
Cincinnati, Ohio, 45242
Apex Eye
Cincinnati, Ohio, 45247
Cleveland Eye Clinic
Cleveland, Ohio, 44141
Ericksen Research & Development, LLC
Clinton, Utah, 84015
The Ohio State University
Columbus, Ohio, 43210
The Columbus Eye Center
Columbus, Ohio, 43215
Clark S Tsai Eye Center
Concord, California, 94520
Danbury Eye Physicians and Surgeons
Danbury, Connecticut, 06810
Bruce A. Segal, MD, PA
Delray Beach, Florida, 33484
Matossian Eye Associates
Doylestown, Pennsylvania, 18902
Cincinnati Eye Institute
Edgewood, Kentucky, 41017
Eyeland Vision
El Paso, Texas, 79934
Pacific Clear Vision Institute
Eugene, Oregon, 97401
MediSphere Medical Research Center, LLC
Evansville, Indiana, 47714
NECCR PrimaCare Research
Fall River, Massachusetts, 02721
Emerson Clinical Research Institute
Falls Church, Virginia, 22046
South Florida Vision
Fort Lauderdale, Florida, 33309
Lugene Eye Institute Inc
Glendale, California, 91204
Mark B. Kislinger, MD, Inc.
Glendora, California, 91741
Lakeview Vision
Gretna, Louisiana, 70056
Inland Eye Specialists
Hemet, California, 92545
NV Eye Physicians
Henderson, Nevada, 89074
Jenkins Eye Care
Honolulu, Hawaii, 96814
Houston Eye Associates
Houston, Texas, 77025
Advanced Laser Vision & Surgical Institute
Houston, Texas, 77034
Midwest Cornea Associates, LLC
Indianapolis, Indiana, 46290
Lakeside Vision Center
Irvine, California, 92604
Bowden Eye & Associates
Jacksonville, Florida, 32256
Silverstein Eye Centers
Kansas City, Missouri, 64133
Moyes Eye Center
Kansas City, Missouri, 64154
Jackson Eye
Lake Villa, Illinois, 60046
Lake Travis Eye & Laser Center
Lakeway, Texas, 78734
Hull Eye Center
Lancaster, California, 93534
Shettle Eye Research, Inc.
Largo, Florida, 33773
Wellish Vision Institute
Las Vegas, Nevada, 89119
Emil A. Stein, M.D., Ltd.
Las Vegas, Nevada, 89129
Sabates Eye Centers
Leawood, Kansas, 66211
Koffler Vision Group
Lexington, Kentucky, 40509
Kentucky Eye Institute
Lexington, Kentucky, 40517
Shire Call Center
Lexington, Massachusetts, 02421
Eye Physicians of Long Beach
Long Beach, California, 90808
Oxford Optical
Los Angeles, California, 90020
Sok H. Nam, M.D. Inc.
Los Angeles, California, 90020
University of Southern California
Los Angeles, California, 90033
Macy Eye Center
Los Angeles, California, 90048
The Eye Care Institute
Louisville, Kentucky, 40206
Dr. Haider Eye Care
Louisville, Kentucky, 40220
Senior Health Services
Louisville, Kentucky, 40220
Piedmont Eye Center, Inc.
Lynchburg, Virginia, 24502
University of Wisconsin
Madison, Wisconsin, 53705
Total Eye Care, PA
Memphis, Tennessee, 38119
Eye Specialty Group
Memphis, Tennessee, 38120
Ophthalmic Consultants of Connecticut
Meriden, Connecticut, 06824
Millenium Clinical Research
Miami, Florida, 33125
Millennium Clinical Research, Inc.
Miami, Florida, 33125
South Florida Research Center Inc.
Miami, Florida, 33135
Bascom Palmer Eye Institute
Miami, Florida, 33136
Lorites Medical Group
Miami, Florida, 33166
DCT- Shah Research, LLC dba Discovery Clinical Trials
Mission, Texas, 78572
North Valley Eye Medical Group Inc
Mission Hills, California, 91345
Eye Care Centers Management, Inc.
Morrow, Georgia, 30260
Saltzer Medical Group
Nampa, Idaho, 83686
Nashville Vision Associates
Nashville, Tennessee, 37205
Toyos Clinic
Nashville, Tennessee, 37215
Farkas, Kassalow, Resnick &Associates
New York, New York, 10022
Fichte, Endl& Elmer Eyecare
Niagara Falls, New York, 14304
IPS Research Company*
Oklahoma City, Oklahoma, 73120
Pediatric & Adult Research Center, LLC
Orlando, Florida, 32825
Baker, Carl W
Paducah, Kentucky, 42001
Specialty Eye Care
Parker, Colorado, 80134
Illinois Eye Center
Peoria, Illinois, 61615
North Bay Eye Associates, Inc.
Petaluma, California, 94954
Philadelphia Eye Associates
Philadelphia, Pennsylvania, 19148
Cornea and Cataract Consultants of Arizona
Phoenix, Arizona, 85032
Kannarr Eye Care
Pittsburg, Kansas, 66762
UPMC Eye Center
Pittsburgh, Pennsylvania, 15213
Medsol Clinical Research Center
Port Charlotte, Florida, 33948
Arch Health Partners
Poway, California, 92064
M&M Eye Institute
Prescott, Arizona, 86301
Oculus Research at Garner EyeCareCenter
Raleigh, North Carolina, 27603
Martel Eye Medical Group
Rancho Cordova, California, 95670
Black Hills Regional Eye Institute
Rapid City, South Dakota, 59101
Shasta Eye Medical Group, Inc.
Redding, California, 96001
Clinical Trials Research
Roseville, California, 95661
Sacramento Eye Consultants
Sacramento, California, 95815
The Eye Institute of Utah
Salt Lake City, Utah, 84107
Jean Brown Research
Salt Lake City, Utah, 84117
Sun Research Institute, LLC
San Antonio, Texas, 78215
R and R Eye Research, LLC.
San Antonio, Texas, 78229
WCCT Global (PH 1 Unit)
Santa Ana, California, 92705
Schwartz Laser Eye Center
Scottsdale, Arizona, 85260
Northern New Jersey Eye Institute
South Orange, New Jersey, 07079
Mercy Research
Springfield, Missouri, 65806
Washington University
St Louis, Missouri, 63110
Tekwani Vision Center
St Louis, Missouri, 63128
Ophthalmology Associates
St Louis, Missouri, 63131
Opthalmology Consultants Ltd.
St Louis, Missouri, 63131
Chrysalis Clinical Research
St. George, Utah, 84790
Score Physician Alliance, LLC
St. Petersburg, Florida, 33710
East Florida Eye Institute
Stuart, Florida, 34494
Lone Star Eye Care, P.A.
Sugar Land, Texas, 77479
Walman Eye Center
Sun City, Arizona, 85351
Andrew Gardner Logan, MD / dba Logan Ophthalmic Research, LLC
Tamarac, Florida, 33321
Logan Ophthalmic Research, LLC
Tamarac, Florida, 33321
International Research Center
Tampa, Florida, 33603
East West Eye Institute
Torrance, California, 90505
Wolstan & Goldberg Eye Associates
Torrance, California, 90505
South Shore Eye Care
Wantagh, New York, 11793
Eye Associates of Northeast Louisiana dba Haik Humble Eye Center
West Monroe, Louisiana, 71291
SkyVision Centers
Westlake, Ohio, 44145
Windham Eye Group
Willimantic, Connecticut, 06226
Clinical Eye Research of Boston
Winchester, Massachusetts, 02114
James Branch, M.D.
Winston-Salem, North Carolina, 27101
Wyomissing Optometric Center
Wyomissing, Pennsylvania, 19610
Israel7 sites
HaEmek Medical Center
Afula, 18341
Soroka University Medical Center
Beersheba, 84101
Rambam MC
Haifa, 3109601
Sharey Zedek MC
Jerusalem, 9103102
Rabin Medical Center-Beilinson Campus.
Petah Tikva, 49100
Kaplan Medical Center
Rehovot, 76100
Tel Aviv Medical Center
Tel Aviv, 64239
Hungary5 sites
Debreceni Egyetem
Debrecen, 4032
Bugat Pal Hospital Clinexpert Gyongyos
Gyöngyös, Heves County, 3200
Kaposi Mór Hospital
Kaposvár, 7400
SZTE Szemeszeti Klinika
Szeged, Csongrád megye, 6720
Csolnoky Ferenc Korhaz
Veszprém, 8200
Poland5 sites
Szpital Specjalistyczny nr 1
Bytom, 41-902
Centrum Medyczne Uno-Med
Krakow, Malopolska, 31-070
Centrum Diagnostyki i Mikrochirurgii Oka LENS
Olsztyn, 10-424
Centrum Medyczne Uno-Med
Tarnów, 33-100
Retina Sp. z o.o.
Warsaw, 01 -364
Spain4 sites
Clinica Oftalmologia Gil Piña
Huelva, 21002
Clinica Rementeria
Madrid, 28010
Instituto Oftalmológico Fernández-Vega
Oviedo, Principality of Asturias, 33012
Cartujavision
Seville, 41092
Austria3 sites
Augenklinik, Studienzentrum, Kepler-Universitätsklinikum GmbH
Linz, 4020
AKH - Medizinische Universitaet Wien
Vienna, 1090
Vienna Institute for Research in Ocular Surgery
Vienna, 1140
Estonia3 sites
Eye Clinic Dr Kirsta Turman (Kreutzwaldi Silmakeskus)
Tallinn, 10120
East Tallinn Central Hospital Eye Clinic
Tallinn, 10138
Tartu University Hospital
Tartu, 51010
Puerto Rico3 sites
Emanuelli Research & Development Center, LLC
Arecibo, 00613
Centro Dotal de Investigaciones de Servicios de Salud
Carolina, 00984
Berrocal and Associates
San Juan, 00907
South Africa3 sites
Newtown Clinical Research Centre
Johannesburg, Gauteng, 2001
Pretoria Eye Institute
Pretoria, Gauteng, 0082
Into Research
Pretoria, Gauteng, 0181
Canada2 sites
The Ottawa Hospital - General Campus, University of Ottawa Eye Institute
Ottawa, Ontario, K1H 8L6
University of Waterloo School of Optometry and Vision Science
Waterloo, Ontario, N2L 3G1
Australia1 site
University of the Sunshine Coast Clinical Trials Centre
Sippy Downs, Queensland, 4556
About this study
Official title: A Phase 3, Multi-center, Randomized, Double-Masked Study to Evaluate the Clinical Efficacy and Safety of SHP640 (PVP-Iodine 0.6% and Dexamethasone 0.1%) Ophthalmic Suspension Compared to Placebo in the Treatment of Bacterial Conjunctivitis
The purpose of this study is to determine if an investigational treatment is effective compared with placebo and PVP-Iodine in the treatment of adults and children with bacterial conjunctivitis.
- Conditions
- Bacterial Conjunctivitis
- Being tested
- SHP640, PVP-I 0.6%, Placebo
- Medical subject headings
- Conjunctivitis, Bacterial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SHP640Drug
Instill 1 drop of SHP640 (povidone-iodine [PVPI] 0.6% and Dexamethasone 0.1%) ophthalmic suspension in each eye QID (with a minimum of 2 hours between doses) for 7 days.
PVP-I 0.6%Drug
Instill 1 drop of PVP-I 0.6% ophthalmic solution in each eye 4 times QID (with a minimum of 2 hours between doses) for 7 days.
PlaceboDrug
Instill 1 drop of placebo ophthalmic solution in each eye 4 times QID (with a minimum of 2 hours between doses) for 7 days.
| Study group | Role | What they receive |
|---|---|---|
| SHP640 | Experimental | Participants will instill 1 drop of SHP640 (povidone-iodine [PVP-I] 0.6 percent [%] and Dexamethasone 0.1%) ophthalmic suspension in each eye 4 times daily (QID) for 7 days. Receives: Drug: SHP640 |
| PVP-I 0.6% | Active comparator | Participants will instill 1 drop of PVP-I 0.6% ophthalmic solution in each eye 4 times QID for 7 days Receives: Drug: PVP-I 0.6% |
| Placebo | Placebo comparator | Participants will instill 1 drop of placebo ophthalmic solution in each eye 4 times QID for 7 days. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Clinical Resolution Among Who Received SHP640 or Placebo on Day 5
Clinical resolution was defined as absence (score=0) of bulbar conjunctival injection and ocular conjunctival discharge in the study eye. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from validated bulbar redness (VBR) scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale. The study eye was defined as an eye with score of at least 1 for both ocular conjunctival discharge and bulbar conjunctival redness at baseline. Data analysis was performed in SHP640 and placebo reporting groups only but not in PVP-I 0.6%.
Measured: Day 5
Secondary outcomes (14)
Number of Participants With Bacterial Eradication Among Who Received SHP640 or Placebo on Day 5
Bacterial eradication was defined as absence of all bacterial species present at or above pathological threshold at baseline in the study eye. Bacterial species were identified by Matrix Assisted Laser Desorption/Ionization-Time of Flight Mass Spectrometry, using their unique protein patterns. Pathological threshold for individual bacterial species was based on colony-forming unit (CFU)/mL threshold levels established by Cagle and modified by Leibowitz for different ocular bacterial species found in the specimens collected from each participant. Data analysis was performed in SHP640 and placebo reporting groups only but not in PVP-I 0.6%.
Measured: Baseline, Day 5
Number of Participants With Clinical Resolution
Clinical resolution was defined as absence (score=0) of bulbar conjunctival injection and ocular conjunctival discharge in the study eye. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale. The study eye was defined as an eye with score of atleast 1 for both ocular conjunctival discharge and bulbar conjunctival redness at baseline.
Measured: Day 3, 8 and 12
Number of Participants With Bacterial Eradication
Bacterial eradication was defined as absence of all bacterial species present at or above pathological threshold at baseline in the study eye. Bacterial species were identified by Matrix Assisted Laser Desorption/Ionization-Time of Flight Mass Spectrometry, using their unique protein patterns. Pathological threshold for individual bacterial species was based on CFU/mL threshold levels established by Cagle and modified by Leibowitz for different ocular bacterial species found in the specimens collected from each participant.
Measured: Day 3, 8 and 12
Bulbar Conjunctival Injection Score
Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale.
Measured: Day 3, 5, 8 and 12
Change From Baseline in the Bulbar Conjunctival Injection Score
Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale.
Measured: Baseline, Day 3, 5, 8 and 12
Ocular Conjunctival Discharge Score
Ocular conjunctival discharge was assessed based on a 0 (No evidence of discharge in the conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale.
Measured: Day 3, 5, 8 and 12
Change From Baseline in the Ocular Conjunctival Discharge Score
Ocular conjunctival discharge was assessed based on a 0 (No evidence of discharge in the conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale.
Measured: Baseline, Day 3, 5, 8 and 12
Global Clinical Score
Global clinical score was defined as the sum of bulbar conjunctival injection and ocular conjunctival discharge scores. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale. The study eye was defined as an eye with a score of at least 1 for both ocular conjunctival discharge and bulbar conjunctival redness at baseline.
Measured: Day 3, 5, 8 and 12
Change From Baseline in the Global Clinical Score
Global clinical score was defined as the sum of bulbar conjunctival injection and ocular conjunctival discharge scores. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale. The study eye was defined as an eye with a score of at least 1 for both ocular conjunctival discharge and bulbar conjunctival redness at baseline.
Measured: Baseline, Day 3, 5, 8 and 12
Number of Participants With Modified Clinical Resolution
Modified clinical resolution was defined as a global clinical score of 0 or 1. Global clinical score was defined as the sum of bulbar conjunctival injection and ocular conjunctival discharge scores. Global clinical score was defined as the sum of bulbar conjunctival injection and ocular conjunctival discharge scores. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale.
Measured: Day 3, 5, 8 and 12
Number of Participants With Expanded Clinical Resolution
Expanded clinical resolution was defined as a global clinical score of 0, 1, or 2 with neither injection nor discharge having a score of 2. Global clinical score was defined as the sum of bulbar conjunctival injection and ocular conjunctival discharge scores. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale.
Measured: Day 3, 5, 8 and 12
Time to Clinical Resolution
Clinical resolution was defined as absence (score of 0) of bulbar conjunctival injection and ocular conjunctival discharge in the study eye. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from VBR scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale. Time to clinical resolution defined as the date on which a participant first reached clinical resolution minus the date of first dose of investigational product, plus 1.
Measured: Baseline to Day 12
Number of Participants Who Used Rescue Medication
Rescue treatment with a licensed antibiotic according to the local standard of care was provided to participants if, in the judgment of the investigator, there was no clinical improvement or worsening of their condition to an extent that it would be in the best interest of the participant treated with an alternate therapy for safety reasons.
Measured: Baseline to Day 12
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Any AE that occured after the first dose of investigational product instillation was considered a TEAE.
Measured: From start of study drug administration up to 14 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Dec 2016 (estimated)
- Study start29 Mar 2017
- Primary completion1 Oct 2018
- Study completion1 Oct 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Bacterial ConjunctivitisStudies of the same condition, open and under way.
- 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 753 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03004924
- Sponsor's protocol ID
- SHP640-303
- Other IDs
- 2016-003361-25, 2016
- Status last verified
- May 2021
- First submitted
- 19 Dec 2016
- Last updated
- 9 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Study at a glance
From the registry record, last updated by the sponsor on 9 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multi-center, Randomized, Double-Masked Study to Evaluate the Clinical Efficacy and Safety of SHP640 (PVP-Iodine 0.6% and Dexamethasone 0.1%) Ophthalmic Suspension Compared to Placebo in the Treatment of Bacterial Conjunctivitis
- ClinicalTrials.gov ID
- NCT03004924
- Acronym / sponsor ID
- SHP640-303
- Conditions
- Bacterial Conjunctivitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 753 participants (actual)
- Lead sponsor
- ShireIndustry (pharma, biotech, devices)
- Study start
- 29 Mar 2017 (actual)
- Primary completion
- 1 Oct 2018 (actual)
- Study completion
- 1 Oct 2018 (actual)
- First posted
- 29 Dec 2016 (estimated)
- Results
- Posted 28 Oct 2019
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 if an investigational treatment is effective compared with placebo and PVP-Iodine in the treatment of adults and children with bacterial conjunctivitis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| SHP640 | Experimental | Drug: SHP640Participants will instill 1 drop of SHP640 (povidone-iodine [PVP-I] 0.6 percent [%] and Dexamethasone 0.1%) ophthalmic suspension in each eye 4 times daily (QID) for 7 days. |
| PVP-I 0.6% | Active comparator | Drug: PVP-I 0.6%Participants will instill 1 drop of PVP-I 0.6% ophthalmic solution in each eye 4 times QID for 7 days |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will instill 1 drop of placebo ophthalmic solution in each eye 4 times QID for 7 days. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (11 listed)
- An understanding, ability, and willingness to fully comply with study procedures and restrictions (by the parent(s), guardian, or legally authorized representative, if applicable).
- Ability to voluntarily provide written, signed, and dated (personally or via a parent(s), guardian, or legally authorized representative(s) informed consent (and assent, if applicable) to participate in the study.
- Participants of any age at Visit 1 (Note: participants less than (<) 3 months of age at Visit 1 must have been full-term, that is (ie,) greater than or equal to (>=) 37 weeks gestational age at birth).
- Have a negative AdenoPlus® test in both eyes within 24 hours of Visit 1 or at Visit 1.
- Have a clinical diagnosis of suspected bacterial conjunctivitis in at least 1 eye confirmed by the presence of the following minimal clinical signs and symptoms in that same eye:
Key exclusion criteria (29 listed)
- Current or recurrent disease that could affect the action, absorption, or disposition of the investigational product, or clinical or laboratory assessments, per investigator's discretion.
- Current or relevant history of physical or psychiatric illness, any medical disorder that may make the participant unlikely to fully complete the study, or any condition that presents undue risk from the investigational product or procedures.
- Have known or suspected intolerance or hypersensitivity to the investigational product, closely related compounds, or any of the stated ingredients.
- Prior enrollment in a FST-100 or SHP640 clinical study.
- Participants who are employees, or immediate family members of employees (who are directly related to study conduct), at the investigational site.
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 |
|---|---|---|
| SHP640Instill 1 drop of SHP640 (povidone-iodine [PVPI] 0.6% and Dexamethasone 0.1%) ophthalmic suspension in each eye QID (with a minimum of 2 hours between doses) for 7 days. | Drug | SHP640 |
| PVP-I 0.6%Instill 1 drop of PVP-I 0.6% ophthalmic solution in each eye 4 times QID (with a minimum of 2 hours between doses) for 7 days. | Drug | PVP-I 0.6% |
| PlaceboInstill 1 drop of placebo ophthalmic solution in each eye 4 times QID (with a minimum of 2 hours between doses) for 7 days. | Drug | Placebo |
Primary outcome
Number of Participants With Clinical Resolution Among Who Received SHP640 or Placebo on Day 5
Time frame: Day 5
Clinical resolution was defined as absence (score=0) of bulbar conjunctival injection and ocular conjunctival discharge in the study eye. Bulbar conjunctival injection was assessed based on 0 (Normal conjunctival vascular pattern) - 4 (Markedly prominent, intense diffuse hyperemia) scale which used pictures from validated bulbar redness (VBR) scale. Ocular conjunctival discharge was assessed based on 0 (No evidence of discharge in conjunctiva) - 3 (Abundant quantity of mucopurulent or purulent discharge) scale. The study eye was defined as an eye with score of at least 1 for both ocular conjunctival discharge and bulbar conjunctival redness at baseline. Data analysis was performed in SHP640 and placebo reporting groups only but not in PVP-I 0.6%.
14 secondary outcomes
Number of Participants With Bacterial Eradication Among Who Received SHP640 or Placebo on Day 5
Time frame: Baseline, Day 5
Number of Participants With Clinical Resolution
Time frame: Day 3, 8 and 12
Number of Participants With Bacterial Eradication
Time frame: Day 3, 8 and 12
Bulbar Conjunctival Injection Score
Time frame: Day 3, 5, 8 and 12
Change From Baseline in the Bulbar Conjunctival Injection Score
Time frame: Baseline, Day 3, 5, 8 and 12
Ocular Conjunctival Discharge Score
Time frame: Day 3, 5, 8 and 12
Change From Baseline in the Ocular Conjunctival Discharge Score
Time frame: Baseline, Day 3, 5, 8 and 12
Global Clinical Score
Time frame: Day 3, 5, 8 and 12
Change From Baseline in the Global Clinical Score
Time frame: Baseline, Day 3, 5, 8 and 12
Number of Participants With Modified Clinical Resolution
Time frame: Day 3, 5, 8 and 12
Number of Participants With Expanded Clinical Resolution
Time frame: Day 3, 5, 8 and 12
Time to Clinical Resolution
Time frame: Baseline to Day 12
Number of Participants Who Used Rescue Medication
Time frame: Baseline to Day 12
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: From start of study drug administration up to 14 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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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.
Study Director study director
Takeda
163 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SHP640 and PVP-I 0.6% in people with Bacterial Conjunctivitis, run by Shire at 163 sites in 13 countries.
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 11 inclusion and 29 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 9 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 163 sites in United States, Israel, Hungary, Poland, Spain and 8 more countries. 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?
Yes. Results are posted in the registry (first posted 28 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Number of Participants With Clinical Resolution Among Who Received SHP640 or Placebo on Day 5 (time frame: Day 5). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 9 Jun 2021.