| Primary | Incidence and Severity of Ocular TEAEs. | The incidence and severity of ocular treatment emergent adverse events (TEAEs) | All participants for whom ocular TEAEs were measured. | Posted | | Count of Participants | | Participants | | Screening Visit, Baseline (Day 1), Week 1, Week 4, Week 8, Week 12, and Week 16 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A participants includes those receiving vehicle in eye paired with treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide | | OG002 | Part B Placebo | Part B participants includes those receiving vehicle in both eyes. | | OG003 | Part B Elamipretide 3.0% Ophthalmic Solution | Part B Participants includes those receiving 3% Elamipretide |
| | Units | Counts |
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| Participants | - OG00018
- OG00118
- OG0021
- OG003
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| | Title | Denominators | Categories |
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| Ocular mild TEAEs | | |
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| Primary | The Incidence and Severity of Systemic Adverse Events | The incidence and severity of systemic treatment emergent adverse events (TEAEs) | All participants for whom systemic TEAEs were measured. For Part A systemic events were not necessarily attributed to either intervention or placebo. | Posted | | Count of Participants | | Participants | | Screening Visit, Baseline (Day 1), Week 1, Week 4, Week 8, Week 12, and Week 16 | | | | ID | Title | Description |
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| OG000 | Part A Elamipretide 1.0% Ophthalmic Solution or Placebo | Part A participants includes those receiving 1% Elamipretide in one eye and Placebo in paired eye. | | OG001 | Part B Placebo | Part B Placebo includes participants who received vehicle only in both eyes. | | OG002 | Part B Elamipretide 3.0% Ophthalmic Solution | Part B Participants includes those receiving 3% Elamipretide in both eyes |
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| Primary | Change From Baseline in Findings From Slit Lamp Examinations (SLE) Part A | Number of participants who had a change from baseline from normal or abnormal not clinically significant, to abnormal clinically significant (CS) findings for slit lamp examinations (SLE) for Part A. Part B is reported as separate outcome since unit of measure is number of eyes. | All participants for whom slit lamp outcomes were measured. | Posted | | Number | | participants | | Baseline, Week 1, Week 4, Week 8, Week 12, and Week 16 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in a randomly selected treatment eye |
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| Primary | Change From Baseline in Findings From Slit Lamp Examinations (SLE) Part B | Number of eyes with a change from baseline from normal or abnormal not clinically significant, to abnormal clinically significant (CS) findings for slit lamp examinations (SLE) for Part B. Part A is reported as separate outcome. | All participants for whom slit lamp outcomes were measured with both baseline and post-baseline measurements. | Posted | | Number | | participants | | Baseline, Week 1, Week 4, Week 8, Week 12, and Week 16 | eyes | eyes | | ID | Title | Description |
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| OG000 | Part B Placebo | Part B Placebo participants received vehicle in both eyes. | | OG001 | Part B Elamipretide 3.0% Ophthalmic Solution | Part B participants includes those receiving 3% Elamipretide in both eyes. |
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| Primary | Change From Baseline in Intraocular Pressure (IOP) for Part A | Change from Baseline in intraocular pressure (IOP) using Goldmann applanation tonometry for Part A | All participants for whom intraocular pressure was measured. Part B is reported as a separate Outcome Measure. | Posted | | Least Squares Mean | Standard Error | mmHg | | Baseline, Week 1, Week 4, Week 8, Week 12 | | | | ID | Title | Description |
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| OG000 | Placebo Part A | Part A: Each subject will receive one drop of vehicle ophthalmic solution BID in the fellow control eye. Placebo A: Placebo for Part A | | OG001 | Elamipretide 1.0% Ophthalmic Solution | Cohort A Each subject will receive one drop of elamipretide 1.0% ophthalmic solution in the randomly selected study eye BID. Part A Elamipretide 1.0% Ophthalmic Solution: Each subject will receive one drop of Elamipretide 1.0% ophthalmic solution in the randomly selected study eye BID. |
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| Primary | Change From Baseline in Intraocular Pressure (IOP) for Part B | Change from Baseline in intraocular pressure (IOP) using Goldmann applanation tonometry for Part B. Part A is reported separately. | All participants for whom intraocular pressures were measured. | Posted | | Mean | Standard Deviation | mmHg | | Baseline, Week 1, Week 4, Week 8, Week 12 , and Week 16 or early discontinuation visit | Eyes | Eyes | | ID | Title | Description |
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| OG000 | Placebo Part B | Part B: Each subject will receive one drop of vehicle ophthalmic solution BID in both eyes. | | OG001 | Elamipretide 3.0% Ophthalmic Solution | Part B Elamipretide 3.0% Ophthalmic Solution: Each subject will receive one drop of Elamipretide 3.0% ophthalmic solution in both eyes BID. |
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| Secondary | Change From Baseline in Central Corneal Thickness by Visit Part A as Measured by Pachymetry for Part A | Change from Baseline in Central Corneal Thickness by Visit as measured by Pachymetry for Part A. Part B is reported as a separate outcome measure. | All participants for whom central corneal thickness was measured. Part B is reported as a separate Outcome Measure. | Posted | | Mean | Standard Deviation | µm | | Baseline, Week 1, Week 4, Week 8, Week 12, and Week 16 | | | | ID | Title | Description |
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| OG000 | Placebo Eye - Pachymetry | Part A: Each subject will receive one drop of vehicle ophthalmic solution BID in the fellow control eye. | | OG001 | Elamipretide 1.0% Ophthalmic Solution Eye-Pachymetry | Part A Elamipretide 1.0% Ophthalmic Solution: Each subject will receive one drop of Elamipretide 1.0% ophthalmic solution in the randomly selected study eye BID. | | OG002 | Vehicle Eye-Pentacam | Part A: Each subject will receive one drop of vehicle ophthalmic solution BID in the fellow control eye. Placebo A: Placebo for Part A | | OG003 | Elamipretide 1.0% Ophthalmic Solution-Pentacam |
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| Secondary | Central Corneal Thickness Part B | Central Corneal Thickness: by-subject data as measured by Pachymetry and Pentacam. Part A is reported as a separate outcome measure. | All participants for whom Central Corneal Thickness was measured. Part A is reported as a separate Outcome Measure. | Posted | | Number | | µm | | Baseline (Day 1), Week 1, Week 4, Week 8, Week 12, and Week 16, or Early discontinuation visit | | | | ID | Title | Description |
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| OG000 | OD-Pachymetry | | | OG001 | OD Pentacam | Right Eye as measured by pentacam | | OG002 | OS: Pachymetry | Left Eye as measured by Pachymetry | | OG003 | OD-Pentacam | Left Eye as measured by Pentacam |
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| Secondary | Change From Baseline Endothelial Cell Hexagonality in Percentage Over All 12 Weeks for Part A | Change From Baseline in Endothelial Cell Hexagonality in Percentage Over All 12 Weeks for Part A. Specular microscopy is a noninvasive photographic technique that allows visualization and analyzation the corneal endothelium. Using computer-assisted morphometry, specular microscopes analyzes the size, shape and population of the endothelial cells. Histologically, healthy corneal cells initially have a hexagonal shape. As endothelial cells die, neighboring cells enlarge to cover the empty space once occupied by the cell. This, in turn, causes the remaining cells to lose their hexagonal shape. Assessments were performed using the flex center and full auto methods for Part A and data from the flex center method was summarized. The flex center method was used for Part B. The percent of Part B is entered as a separate outcome measure. A decrease from baseline in % cell hexagonality means worse outcome, a increase from baseline means better outcome. | All participants had images taken; data was analyzed for those whose images were of sufficient quality. | Posted | | Least Squares Mean | Standard Deviation | percentage of hexagonality | | Baseline, Week 1, 4, 8, and 12 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in a randomly selected treatment eye |
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| Secondary | Corneal Endothelial Cell Hexagonality Part B | Corneal Endothelial Cell Hexagonality in Percentage by-subject data: Part B. Data was only listed in weeks where images were good enough quality to quantify. Specular microscopy is a noninvasive photographic technique that allows visualization and analyzation the corneal endothelium. Using computer-assisted morphometry, specular microscopes analyzes the size, shape and population of the endothelial cells. Histologically, healthy corneal cells initially have a hexagonal shape. As endothelial cells die, neighboring cells enlarge to cover the empty space once occupied by the cell. This, in turn, causes the remaining cells to lose their hexagonal shape. The flex center method was used for Part B. A decrease in percent of cell hexagonality from baseline means worse outcome, an increase from baseline means better outcome. | All participants for whom Corneal Endothelial Cell Hexagonality was measured. Part A is reported as a separate Outcome Measure. For images with poor quality or too few cells to register, there was no data available. | Posted | | Number | | µm | | Baseline, Week 1, Week 4, Week 8, Week 12, and Week 16 or early discontinuation visit | eyes | eyes | | ID | Title | Description |
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| OG000 | Right Eye | Right Eye Cell Hexagonality in Percentage | | OG001 | Left Eye | Left Eye Cell Hexagonality in Percentage |
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| Secondary | Change From Baseline in Best Corrected Visual Acuity (BCVA) Using the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale for Part A. | Best corrected visual acuity (BCVA) using the using the Early Treatment Diabetic Retinopathy Study (ETDRS) scale by visit. ETDRS charts present a series of five letters of equal difficulty on each row, with standardized spacing between letters and rows; there is a total of 14 lines (70 letters), with letter size increasing further geometrically and equivalently in every line by a factor of 1.2589 (or 0.1 log unit), moving up the chart. Minimum score of zero, maximum score of 100. Change from baseline: a more negative score is worse outcome, a more positive score is better outcome. A lower score means less letters were read correctly (worse outcome) and a higher score means more letters were read correctly (better outcome). Part B was listed separately. | All participants for whom BCVA score was measured. | Posted | | Mean | Standard Deviation | letters | | Baseline, Weeks 1, 4, 8, 12, and 16 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in a randomly selected treatment eye |
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| Secondary | Best Corrected Visual Acuity (BCVA) Score Using ETDRS Scale for Part B | Best corrected visual acuity (BCVA) using the using the Early Treatment Diabetic Retinopathy Study (ETDRS) scale by visit. ETDRS charts present a series of five letters of equal difficulty on each row, with standardized spacing between letters and rows; there is a total of 14 lines (70 letters), with letter size increasing further geometrically and equivalently in every line by a factor of 1.2589 (or 0.1 log unit), moving up the chart. Minimum score of zero, maximum score of 100. Change from baseline: a more negative score is worse outcome, a more positive score is better outcome. A lower score means less letters were read correctly (worse outcome) and a higher score means more letters were read correctly (better outcome). | All participants for whom BCVA score was measured. | Posted | | Number | | letters | | Baseline, Weeks 1, 4, 8, 12, and 16 | | | | ID | Title | Description |
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| OG000 | Right Eye | Subjects were randomized to receive one drop of elamipretide 3.0% topical ophthalmic solution BID in both the right and left study eyes or one drop of vehicle topical ophthalmic solution BID in both the right and left eyes. | | OG001 | Left Eye | Subjects were randomized to receive one drop of elamipretide 3.0% topical ophthalmic solution BID in both the right and left study eyes or one drop of vehicle topical ophthalmic solution BID in both the right and left eyes. |
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| Secondary | Change From Baseline in Endothelial Cell Density Over All 12 Weeks for Part A | Change From Baseline in Endothelial Cell Counts, or density (Counts/mm^2) over all 12 weeks for Part A. Part B is entered as a separate outcome measure. | All participants for whom endothelial cell counts were measured. All participants had images taken; data was analyzed for those whose images were of sufficient quality. | Posted | | Least Squares Mean | Standard Error | counts/mm^2 | | Baseline, Weeks 1, 4, 8, and 12 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in a randomly selected treatment eye |
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| Secondary | Corneal Endothelial Cell Density Part B | Corneal Endothelial Cell Density: Part B, By-subject data for all time points where images were readable. For all time points where there were "Poor Quality Images" or "too few cells to register", there were no data available, and these were not listed below. | All participants for whom Corneal Endothelial Cell Counts/Density was measured. Part A is reported as a separate Outcome Measure. All images from Participant 205 were "poor quality images" and hence, no data was available. | Posted | | Number | | counts/mm^2 | | Baseline, Weeks 1, 4, 8, 12, and 16. | | | | ID | Title | Description |
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| OG000 | Right Eye | Right Eye Cell Corneal Endothelial Cell Density | | OG001 | Left Eye | Left Eye Cell Corneal Endothelial Cell Density |
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| Secondary | Change From Baseline in Endothelial Cell Coefficient of Variation Over All 12 Weeks for Part A | Change From Baseline in Endothelial Cell Coefficient of Variation Over All 12 Weeks. Coefficient of variation (CV) is Standard deviation (SD) of cell area divided by the mean cell area of endothelial cell analyzed. CV represents the coefficient, or degree, of variation in the sizes of the endothelial cells (polymegethism). By measuring the variation in size between endothelial cells, the system can measure how much cell loss is occurring. The more variation, the worse the outcome. Part B is is entered as a separate outcome measure. | All participants had images taken; data was analyzed for those whose images were of sufficient quality. | Posted | | Least Squares Mean | Standard Deviation | SD of cell area/Mean cell area, (μm^2) | | Baseline, Week 12 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in a randomly selected treatment eye |
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| Secondary | Coefficient of Variation (CoV) Part B | Part B, By-subject data for all time points where images were readable. For all time points where there were "Poor Quality Images" or "too few cells to register" there were no data available. CoV represents the coefficient, or degree, of variation in the sizes of the endothelial cells. By measuring the variation in size between endothelial cells, the system can measure how much cell loss is occurring. A CoV less than 40 is normal. | All participants for whom Corneal Endothelial Cell Counts/Density was measured. Part A is reported as a separate Outcome Measure. All images from Participant 205 were "poor quality images" and hence, no data was available. | Posted | | Number | | SD of cell area/Mean cell area, (μm^2) | | Baseline, Weeks 1, 4, 8,12, and 16 | | | | ID | Title | Description |
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| OG000 | Right Eye | Right Eye Cell Corneal Endothelial Cell Density | | OG001 | Left Eye | Left Eye Cell Corneal Endothelial Cell Density |
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| Secondary | Change From Baseline in Corneal Area Affected by Microcysts for Part A | Change from Baseline in corneal area affected by microcysts by visit for Part A. | All participants for whom corneal area affected by microcysts was measured. | Posted | | Count of Participants | | Participants | | Baseline, Weeks 1, 4, 8, 12, and 16 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in a randomly selected treatment eye |
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| Secondary | Corneal Area Affected by Microcysts: Part B | Corneal area affected by microcysts: by-subject data for Part B. No microcysts were present for any timepoints. | All participants for whom corneal area affected by microcysts was measured. | Posted | | Number | | eyes | | Baseline, Weeks 1, 4, 8, 12, and 16, or early discontinuation visit | eyes | eyes | | ID | Title | Description |
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| OG000 | Right Eye | Right Eye Locations affected by microcysts | | OG001 | Left Eye | Left eye locations affected by microcysts |
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| Secondary | Change From Baseline in Corneal Bullae for Part A. | Count of participants in number, size and location of bullae by treatment. Part B is listed separately. | All participants for whom corneal bullae were measured. | Posted | | Count of Participants | | Participants | | Baseline, Week 1, Week 4, Week 8, Week 12, Week 16 | | | | ID | Title | Description |
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| OG000 | Part A Vehicle | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in eye paired with Placebo eye |
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| Secondary | Corneal Bullae: Part B | Number, size and location of Corneal bullae: By-subject data: Part B. | All participants for whom corneal bullae were measured. | Posted | | Number | | number of corneal bullae | | Baseline, Week 1, Week 4, Week 8, Week 12, Week 16, or early discontinuation visit | eye | eye | | ID | Title | Description |
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| OG000 | Right Eye | Corneal Bullae in Right Eye | | OG001 | Left Eye | Corneal Bullae in Left Eye |
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| Secondary | Change From Baseline in Severity of Corneal Stromal Folds for Part A | Change from baseline in severity of corneal stromal folds by visit. Descriptive assessment made by Investigator; severity is not assessed using a scale. | All participants for whom corneal stromal folds was measured. | Posted | | Count of Participants | | Participants | | Baseline, Weeks 1, 4, 8, 12, and 16 | | | | ID | Title | Description |
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| OG000 | Part A Placebo | Part A Placebo participants received vehicle in paired eye to treatment eye. | | OG001 | Part A Elamipretide 1.0% Ophthalmic Solution | Part A participants includes those receiving 1% Elamipretide in a randomly selected treatment eye |
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| Secondary | Severity of Corneal Stromal Folds:Part B | Severity of corneal stromal folds by-subject data by visit. Descriptive assessment made by Investigator in the following categories: Not present, trace, mild. | All participants for whom corneal stromal folds was measured. | Posted | | Number | | eyes | | Baseline, Week 1, 4, 8, 12, and 16, or early discontinuation visit | eyes | eyes | | ID | Title | Description |
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| OG000 | Right Eye | Right Eye -Severity of Corneal Stromal Folds | | OG001 | Left Eye | Left Eye-Severity of Corneal Stromal Folds |
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| Secondary | Change From Baseline in Contrast Sensitivity (Log Score) for Part A | Change from Baseline in contrast sensitivity over all 12 weeks log score at 3, 6, 12, 18 cycles per degree (cpd) using Vector Vision's CSV-1000E. Standard tables for the VectorVision's CSV-1000E model were used to convert linear results to the log values. Lower log scores equals lower contrast sensitivity and worse outcome. Higher log scores mean higher contrast sensitivity and better outcome. For 3cpd, range is 0.7-2.08; 6 cpd: 0.91-2.29; 12 cpd: 0.61-1.99; 18cpd: 0.17-1.55, unless no gratings were visible. If no gratings were visible, .3 log was subtracted from the lowest score for 3, 6, and 12cpd. For 18cpd .01 log was used, or essentially 100% contrast. | All participants for whom contrast sensitivity was measured | Posted | | Least Squares Mean | Standard Deviation | log score | | Baseline, Week 1, 4, 8, 12 weeks | | | | ID | Title | Description |
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| OG000 | Placebo Part A | Part A: Each subject will receive one drop of vehicle ophthalmic solution BID in the fellow control eye. Placebo A: Placebo for Part A | | OG001 | Elamipretide 1.0% Ophthalmic Solution | Cohort A Each subject will receive one drop of elamipretide 1.0% ophthalmic solution in the randomly selected study eye BID. Part A Elamipretide 1.0% Ophthalmic Solution: Each subject will receive one drop of Elamipretide 1.0% ophthalmic solution in the randomly selected study eye BID. |
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| Secondary | Contrast Sensitivity for Part B; By-subject Data | Contrast Sensitivity log score at 3, 6, 12, 18 cycles per degree (cpd) using Vector Vision's CSV-1000E by-subject data, Part B. Part A is listed separately. Standard tables for the VectorVision's CSV-1000E model were used to convert linear results to the log values. Lower log scores equals lower contrast sensitivity and worse outcome. Higher log scores mean higher contrast sensitivity and better outcome. For 3cpd, range is 0.7-2.08; 6 cpd: 0.91-2.29; 12 cpd: 0.61-1.99; 18cpd: 0.17-1.55, unless no gratings were visible. If no gratings were visible, .3 log was subtracted from the lowest score for 3, 6, and 12cpd. For 18cpd .01 log was used, or essentially 100% contrast. | All participants for whom contrast sensitivity was measured. | Posted | | Number | | log score | | Baseline, Week 1, Week 4, Week 8, Week 12, Week 16, or early discontinuation visit | | | | ID | Title | Description |
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| OG000 | Right Eye | Subjects were randomized to receive one drop of elamipretide 3.0% topical ophthalmic solution BID in both the right and left study eyes or one drop of vehicle topical ophthalmic solution BID in both the right and left eyes. | | OG001 | Left Eye | Subjects were randomized to receive one drop of elamipretide 3.0% topical ophthalmic solution BID in both the right and left study eyes or one drop of vehicle topical ophthalmic solution BID in both the right and left eyes. |
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