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Dry Eye SyndromesPhase 1PRO-087/INCT03524157

Safety and Tolerability of PRO-087 Versus Xyel Ofteno® and Systane Ultra®, on the Ocular Surface of Healthy Subjects

A Phase 1 study testing PRO-087, Systane Ultra and Xyel Ofteno in people with Dry Eye Syndromes and Lubricant Allergy, run by Laboratorios Sophia S.A de C.V. at 1 site in Mexico.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Phase I clinical study, to evaluate the safety and tolerability of the preservative-free ophthalmic solution PRO-087 versus Xyel Ofteno® and Systane Ultra®, on the ocular surface of ophthalmological and clinically healthy subjects. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
What is being tested?
PRO-087, Systane Ultra and Xyel Ofteno
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteMexico
Study dates
17 Jul 2017to 27 Mar 2018
Phase
Phase 1
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 18 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Systemically and ophthalmologically healthy subjects
  • Signed informed consent.
  • Age between 18 to 40 years.
  • Both genders
  • Blood tests [complete blood count (BHC), three element blood chemistry (QS) and liver function tests (PFH)] within normal parameters
  • Visual capacity 20/30 or better

Who cannot join

  • Subjects with a history of hypersensitivity to any of the components of the research products.
  • Subject users of topical ophthalmic medications of any pharmacological group.
  • Subject users of medication by any other route of administration.
  • Women who are pregnant or breastfeeding.
  • Women without a history of hysterectomy, oophorectomy or hysterectomy, who do not ensure a hormonal contraceptive method or intrauterine device during the study period.
  • Subjects with participation in clinical research studies 90 days prior to inclusion in the present study.
Show all 11Show fewer
  • Diagnosis of liver disease or triple the normal upper value of any of the following liver enzymes: aspartate transferase (AST), alanine transferase (ALT) or bilirubin.
  • Inability to attend or answer the evaluations made in each of the visits.
  • Positive smoking (specified as cigarette consumption regardless of quantity and frequency)
  • Positive alcoholism (specified as the consumption of alcoholic beverages, regardless of quantity and frequency, during the study intervention period).
  • Users of contact lenses.

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • Private Ophthalmological Office

    Zapopan, Jalisco, 45050

Other trials in Mexico

About this study

Official title: Phase I Clinical Study, to Evaluate the Safety and Tolerability of the Preservative-free Ophthalmic Solution PRO-087 Versus Xyel Ofteno® and Systane Ultra®, on the Ocular Surface of Ophthalmologically and Clinically Healthy Subjects

Phase I clinical study, to evaluate the safety and tolerability of the preservative-free ophthalmic solution PRO-087 versus Xyel Ofteno® and Systane Ultra®, on the ocular surface of ophthalmological and clinically healthy subjects.

Objective: To evaluate the safety and tolerability of the preservative-free formulation PRO-087 manufactured by Laboratorios Sophia S.A. of C.V. on the ocular surface of clinically healthy subjects.

Hypothesis:

The ophthalmic solution PRO-087 presents a profile of safety and tolerability similar to comparators in healthy subjects

Methodology:

Phase I clinical trial, controlled, of parallel groups, double blind, randomized, exploratory.

Read the detailed description

Phase I clinical study, to evaluate the safety and tolerability of the preservative-free ophthalmic solution PRO-087 versus Xyel Ofteno® and Systane Ultra®, on the ocular surface of ophthalmological and clinically healthy subjects.

Objective: To evaluate the safety and tolerability of the preservative-free formulation PRO-087 manufactured by Laboratorios Sophia S.A. of C.V. on the ocular surface of clinically healthy subjects.

Hypothesis:

The ophthalmic solution PRO-087 presents a profile of safety and tolerability similar to comparators in healthy subjects

Methodology:

Phase I clinical trial, controlled, of parallel groups, double blind, randomized, exploratory.

Study period:

3 to 4 months

treatment duration: 10 days

Number of patients:

30 subjects, divided into 3 groups,10 subjects (20 eyes) exposed by group.

Diagnosis and main inclusion criteria:

  • Systemically and ophthalmologically healthy subjects
  • Signed informed consent.
  • Age between 18 to 40 years
  • Both genders
  • Blood tests complete, blood count (BHC), three element blood chemistry (QS) and liver function tests, within normal parameters
  • Visual capacity 20/30 or better

Test product, dose and route of administration:

  • PRO-087. Chondroitin sulfate 0.18% / 0.1% sodium hyaluronate, ophthalmic solution preservative free. made by Laboratorios Sophia, S.A. of C.V., Zapopan, Jalisco, Mexico.

Dosage: 1 drop 4 times a day during the waking period, both eyes Route of administration: topical ophthalmic.

Reference product, dose and route of administration:

  1. Xyel Ofteno®. Xanthan gum 0.09% / Chondroitin sulfate 0.1% / preservative-free ophthalmic solution. made by Laboratorios Sophia, S.A. of C.V., Zapopan, Jalisco, Mexico. Dosage: 1 drop 4 times a day during the waking period, both eyes Route of administration: topical ophthalmic.
  2. Systane Ultra®. Polyethylene glycol 400 0.4%, propylene glycol 0.3%. made by Alcon Laboratories, Inc.

Dosage: 1 drop 4 times a day during the waking period, both eyes Route of administration: topical ophthalmic.

Evaluation criteria:

Primary security outcome variables:

  • Goblet cells density .
  • Presence of adverse events.
  • Intraocular pressure.
  • Visual ability
  • Laboratory tests
  • Epithelial defects in cornea and conjunctiva.
  • Ophthalmological signs: conjunctival hyperemia, chemosis.

Secondary outcome variables:

  • Tear film rupture time
  • Life signs: heart rate, respiratory frequency systemic blood pressure.
  • Subsequent segment

Primary outcome variables of tolerability:

  • Burning
  • Foreign body sensation
  • Itching
  • Eye comfort index

Statistical methodology:

The data will be expressed with measures of central tendency: mean and standard deviation for the quantitative variables. The qualitative variables will be presented in frequencies and percentages. The statistical analysis will be carried out through the Kruskal-Wallis test for quantitative variables. The difference between the qualitative variables will be analyzed by means of chi square (Chi2). An alpha ≤ 0.05 will be considered significant.

Being tested
PRO-087, Systane Ultra, Xyel Ofteno
Keywords
Humylub PF, artificial tears, Ophthalmic lubricant, Chondroitin sulfate, Sodium hyaluronate
Medical subject headings
Dry Eye Syndromes

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PRO-087Drug

    Also called chondroitin sulfate + sodium hyaluronate, Humylub PF, humylub preservative-free ophthalmic solution, humylub preservative-free ophthalmic solution PF

    The intervention period consists of a therapy with PRO-087administered 4 times a day in the waking period for 10 days. with a security call to day 13.

  • Systane UltraDrug

    Also called Polyethylene glycol 400 0.4%, propyleneglycol 0.3%

    The intervention period with active comparator drug consists of a therapy with systane administered 4 times a day in the waking period for 10 days. with a security call to day 13.

  • Xyel OftenoDrug

    Also called Xanthan gum 0.9 mg, sodium chondroitin sulfate

    The intervention period with active comparator drug consists of a therapy with Xyel administered 4 times a day in the waking period for 10 days. with a security call to day 13.

Study groups in NCT03524157
Study groupRoleWhat they receive
PRO-087ExperimentalDosage: 1 drop in both eyes, 4 times a day during the waking period per 10 days Active principles: chondroitin sulfate 0.18%, sodium hyaluronate 0.1% ophthalmic solution made by Laboratorios Sophia, S.A. de C.V., transparent solution, free of visible particles in a sterile multi-dose bottle.
Receives: Drug: PRO-087
Xyel OftenoActive comparatorDosage: 1 drop in both eyes, 4 times a day during the waking period per 10 days, Active principles: Xanthan gum 0.9 mg, sodium chondroitin sulfate 1.0 ophthalmic solution made by Laboratorios Sophia, S.A. de C.V., transparent solution, free of visible particles in a sterile multi-dose bottle.
Receives: Drug: Xyel Ofteno
Systane ultraActive comparatorDosage: 1 drop in both eyes, 4 times a day during the waking period per 10 days Active principles: Polyethylene glycol 400 0.4%, propyleneglycol 0.3%, Ophthalmic solution, multi-dose dropper bottle, made by Alcon Laboratories, Inc.
Receives: Drug: Systane Ultra

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Goblet Cell Density (GCD)

    the cells will be measured per square millimeter, it is a continuous variable taken by means of cytology per impression, the normal value is higher than 500 cells per square millimeter

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

Secondary outcomes (9)
  1. Presence of Adverse Events (AEs)

    the adverse events will be evaluated with a scale of Present / Absent, it is a nominal variable, the normal value is absent.

    Measured: during the 13 days of evaluation, including the safety call (day 13).

  2. Intraocular Pressure (IOP)

    the intraocular pressure will be evaluated by means of the Goldman applanation tonometry whose unit of measurement is millimeters of mercury (mmHg), it is a continuous variable and its normality range is between 11 - 21 mmHg

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

  3. Epithelial Defects (ED)

    The epithelial defects will be evaluated by means of two stains, green lysine and fluorescein, it is a discrete variable that will be realized by direct observation, it will be staged according to the degrees of the oxford scale that go from 0 to 5 (0-V) according to its severity, where 0 is the normal lower limit and 5 the upper limit of defects.

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

  4. Breakup Time (BUT)

    breakup time lacrimal film is a continuous variable that will be measured in seconds, evaluating the time it takes to break it, is done by direct counting and the normality range and mayor to 10 seconds.

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

  5. Conjunctival Hyperemia (CH)

    Conjunctival hyperemia will be evaluated as an ordinal variable, by direct observation and staged using the Efron scale as Normal / Very mild / Mild / Moderate / Severe. Based on this scale, the normal and mild stages are considered without pathologies or normal. Moderate and severe are considered pathological.

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

  6. Chemosis

    The chemosis will be evaluated, as a nominal variable, by direct observation and it will be staged as present and absent, where the normality is that said variable is absent.

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

  7. Ocular Burning (OB)

    ocular burning is a nominal variable that will be evaluated by direct questioning to the research subject, then it will be staged according to the following scale: Severity: Absent, very mild, mild, moderate and severe, where the normality of severity is absent.Frequency: At all times, almost at all times, 50% of the time, almost in no time, at any time. where the normality of the frequency is in no time.

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

  8. Foreign Body Sensation (FBS)

    Foreign body sensation is a nominal variable that will be evaluated by direct questioning to the research subject, then it will be staged according to the following scale:

    Severity: Absent, very mild, mild, moderate and severe, where the normality of severity is absent.

    Frequency: At all times, almost at all times, 50% of the time, almost in no time, at any time. where the normality of the frequency is in no time.

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

  9. Ocular Pruritus (P)

    Ocular pruritus is a nominal variable that will be evaluated by direct questioning to the research subject, then it will be staged according to the following scale:

    Severity: Absent, very mild, mild, moderate and severe, where the normality of severity is absent.

    Frequency: At all times, almost at all times, 50% of the time, almost in no time, at any time. where the normality of the frequency is in no time.

    Measured: will be evaluated at the end of the treatment at the final visit (day 10)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 May 2018
  2. Study start17 Jul 2017
  3. Primary completion12 Feb 2018
  4. Study completion27 Mar 2018

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Phase I clinical trial, controlled, of parallel groups, double blind, randomized, exploratory.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03524157
Sponsor's protocol ID
SOPH087-0616/I
Acronym
PRO-087/I
Status last verified
May 2019
First submitted
25 Apr 2018
Last updated
19 Jul 2019
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Munoz-Villegas P, Navarro-Sanchez AA, Sanchez-Rios A, Olvera-Montano O, Baiza-Duran LM. Reexamining Ophthalmic Drugs, Safety and Tolerability in Phase 1 Clinical Trials. Ther Clin Risk Manag. 2021 Oct 21;17:1123-1134. doi: 10.2147/TCRM.S331294. eCollection 2021.

    PubMed 34707360

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PRO-087, Systane Ultra and Xyel Ofteno in people with Dry Eye Syndromes and Lubricant Allergy, run by Laboratorios Sophia S.A de C.V. at 1 site in Mexico.

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 6 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 19 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Mexico. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 19 Jul 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?

Goblet Cell Density (GCD) (time frame: will be evaluated at the end of the treatment at the final visit (day 10)). 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 NCT03524157, which also lists 1 linked publication.

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 19 Jul 2019.

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