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The objective of this study is to evaluate the safety and effectiveness of OC-01 Nasal Spray as compared to placebo on signs and symptoms of dry eye disease
This was a Phase 2b, multicenter, randomized, double-masked, placebo controlled study designed to evaluate the safety and efficacy of OC 01 nasal spray in adult subjects with DED. The study randomized 182 subjects, at least 22 years of age, who had a physician's diagnosis of dry eye disease and met all other study eligibility criteria to receive an application of OC-01 or placebo twice daily (BID) for 4 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OC-01 Low Dose, 0.12 mg/mL | Active Comparator | OC-01 (varenicline) nasal spray, Low Dose, 0.12 mg/mL |
|
| OC-01 Mid Dose, 0.6 mg/mL | Active Comparator | OC-01 (varenicline) nasal spray Mid dose, 0.6 mg/mL |
|
| OC-01 High Dose, 1.2 mg/mL | Active Comparator | OC-01 (varenicline) nasal spray High dose, 1.2 mg/mL |
|
| Placebo | Placebo Comparator | Placebo (vehicle) nasal spray |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OC-01 (varenicline) nasal spray | Drug | OC-01 (varenicline) nasal spray |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change in Schirmer's Test Score From Baseline to 28 Days | The primary end point was the change in anesthetized Schirmer's Test Score (STS) from baseline to 28 days in the study eye following treatment with OC-01. Schirmer's test score from 0-35 mm where a higher score is indicative of a better outcome. | 28 Days [Visit 1 (baseline) and Visit 5 (28 days)] |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Eye Dryness Score From Baseline to Day 28 | Change in Eye Dryness Score from baseline to 28 days. Eye Dryness (EDS) on a Visual Analogue Scale (VAS) from 0 (no discomfort) to 100 (maximum discomfort) millimeters where a lower score is indicative of a better outcome. | 28 days [Visit 1 (baseline and Visit 5 (28 days)] |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Newport Beach | Newport Beach | California | 92663 | United States | ||
| Indianapolis |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37096956 | Derived | Hauswirth SG, Kabat AG, Hemphill M, Somaiya K, Hendrix LH, Gibson AA. Safety, adherence and discontinuation in varenicline solution nasal spray clinical trials for dry eye disease. J Comp Eff Res. 2023 Jun;12(6):e220215. doi: 10.57264/cer-2022-0215. Epub 2023 Apr 25. | |
| 36728653 | Derived | Sheppard JD, O'Dell LE, Karpecki PM, Raizman MB, Whitley WO, Blemker G, Hemphill M, Hendrix LH, Gibson A, Macsai M. Does Dry Eye Disease Severity Impact Efficacy of Varenicline Solution Nasal Spray on Sign and Symptom Treatment Outcomes? Optom Vis Sci. 2023 Feb 1;100(2):164-169. doi: 10.1097/OPX.0000000000001986. Epub 2022 Dec 31. |
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| ID | Title | Description |
|---|---|---|
| FG000 | OC-01 Low Dose, 0.12 mg/ml | OC-01 0.12 mg/ml nasal spray BID for 28 days |
| FG001 | OC-01 Mid Dose, 0.6 mg/ml | OC-01 0.6 mg/ml nasal spray BID for 28 days |
| FG002 | OC-01 High Dose, 1.2 mg/ml | OC-01 1.2 mg/ml nasal spray BID for 28 days |
| FG003 | Placebo | Placebo (vehicle) nasal spray |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | OC-01 Low Dose, 0.12 mg/mL | OC-01 0.12 mg/ml nasal spray BID for 28 days |
| BG001 | OC-01 Mid Dose, 0.6 mg/mL | OC-01 0.6 mg/ml nasal spray BID for 28 days |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Change in Schirmer's Test Score From Baseline to 28 Days | The primary end point was the change in anesthetized Schirmer's Test Score (STS) from baseline to 28 days in the study eye following treatment with OC-01. Schirmer's test score from 0-35 mm where a higher score is indicative of a better outcome. | Subjects in ITT-LOCF population | Posted | Least Squares Mean | Standard Error | score on a scale, mm | 28 Days [Visit 1 (baseline) and Visit 5 (28 days)] |
|
Adverse Events were collected from the first dose of study drug administration until the final study visit at Visit 5 (28 days)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | OC-01 Low Dose, 0.12 mg/mL | OC-01 0.12 mg/ml nasal spray | 0 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (20.1) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Ocular TEAEs | Eye disorders | MedDRA (20.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jeffrey Nau | Oyster Point Pharma, Inc. | 609-382-9035 | jnau@oysterpointrx.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 11, 2018 | Sep 16, 2021 | Prot_002.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 4, 2018 | Oct 21, 2021 | SAP_003.pdf |
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| ID | Term |
|---|---|
| D015352 | Dry Eye Syndromes |
| ID | Term |
|---|---|
| D007766 | Lacrimal Apparatus Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D000068580 | Varenicline |
| D059085 | Nasal Sprays |
| ID | Term |
|---|---|
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| Placebo (vehicle) nasal spray | Drug | Placebo |
|
| Change From Baseline to Day 21 in Eye Dryness Score at 5 Minutes Post Treatment in the CAE. |
Change from baseline to Day 21 in Eye Dryness Score at 5 minutes post treatment in the CAE. Eye Dryness (EDS) on a Visual Analogue Scale (VAS) from 0 (no discomfort) to 100 (maximum discomfort) millimeters where a lower score is indicative of a better outcome. |
| 21 days [Visit 1 (baseline) and Visit 4 (21 days)] |
| Indianapolis |
| Indiana |
| 46290 |
| United States |
| Andover | Andover | Massachusetts | 01810 | United States |
| 36401081 | Derived | Nijm LM, Zhu D, Hemphill M, Blemker GL, Hendrix LH, Kabat AG, Gibson AA. Does Menopausal Status Affect Dry Eye Disease Treatment Outcomes with OC-01 (Varenicline Solution) Nasal Spray? A Post Hoc Analysis of ONSET-1 and ONSET-2 Clinical Trials. Ophthalmol Ther. 2023 Feb;12(1):355-364. doi: 10.1007/s40123-022-00607-7. Epub 2022 Nov 18. |
| 36107843 | Derived | Wirta D, Torkildsen GL, Boehmer B, Hollander DA, Bendert E, Zeng L, Ackermann M, Nau J. ONSET-1 Phase 2b Randomized Trial to Evaluate the Safety and Efficacy of OC-01 (Varenicline Solution) Nasal Spray on Signs and Symptoms of Dry Eye Disease. Cornea. 2022 Oct 1;41(10):1207-1216. doi: 10.1097/ICO.0000000000002941. Epub 2021 Dec 21. |
| BG002 | OC-01 High Dose, 1.2 mg/mL | OC-01 1.2 mg/ml nasal spray BID for 28 days |
| BG003 | Placebo | Vehicle nasal spray |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants | No |
|
| Region of Enrollment | Number | participants |
|
| Schirmer's Test Score | Schirmer's test score from 0-35 mm where a higher score is indicative of a better outcome. | Mean | Standard Deviation | mm |
|
| OG002 | OC-01 High Dose, 1.2 mg/mL | OC-01 1.2 mg/ml nasal spray |
| OG003 | Placebo | Vehicle nasal spray |
|
|
| Secondary | Change From Baseline in Eye Dryness Score From Baseline to Day 28 | Change in Eye Dryness Score from baseline to 28 days. Eye Dryness (EDS) on a Visual Analogue Scale (VAS) from 0 (no discomfort) to 100 (maximum discomfort) millimeters where a lower score is indicative of a better outcome. | Subjects in the ITT-LOCF population. The overall number of participants is different because these outcomes were assessed ar different visits 7 days apart and some subjects were not able to attend the Day 21 visit. | Posted | Least Squares Mean | Standard Error | score on a scale, mm | 28 days [Visit 1 (baseline and Visit 5 (28 days)] |
|
|
|
| Secondary | Change From Baseline to Day 21 in Eye Dryness Score at 5 Minutes Post Treatment in the CAE. | Change from baseline to Day 21 in Eye Dryness Score at 5 minutes post treatment in the CAE. Eye Dryness (EDS) on a Visual Analogue Scale (VAS) from 0 (no discomfort) to 100 (maximum discomfort) millimeters where a lower score is indicative of a better outcome. | Subjects in the ITT population | Posted | Least Squares Mean | Standard Error | score on a scale, mm | 21 days [Visit 1 (baseline) and Visit 4 (21 days)] |
|
|
|
| 47 |
| 0 |
| 47 |
| 33 |
| 47 |
| EG001 | OC-01 Mid Dose, 0.6 mg/mL | OC-01 0.6 mg/ml nasal spray | 0 | 48 | 1 | 48 | 44 | 48 |
| EG002 | OC-01 High Dose, 1.2 mg/mL | OC-01 1.2 mg/ml nasal spray | 0 | 44 | 0 | 44 | 41 | 44 |
| EG003 | Placebo | Vehicle nasal spray | 0 | 43 | 0 | 43 | 11 | 43 |
| Visual acuity reduced | Eye disorders | MedDRA (20.1) | Systematic Assessment |
|
| Blepharospasm | Eye disorders | MedDRA (20.1) | Systematic Assessment |
|
| Conjunctival deposit | Eye disorders | MedDRA (20.1) | Systematic Assessment |
|
| Conjunctival haemorrhage | Eye disorders | MedDRA (20.1) | Systematic Assessment |
|
| Eyelid oedema | Eye disorders | MedDRA (20.1) | Systematic Assessment |
|
| Visual impairement | Eye disorders | MedDRA (20.1) | Systematic Assessment |
|
| Hordeolum | Eye disorders | MedDRA (20.1) | Systematic Assessment |
|
| Sneezing | Respiratory, thoracic and mediastinal disorders | MedDRA (20.1) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (20.1) | Systematic Assessment |
|
| Throat irritation | Respiratory, thoracic and mediastinal disorders | MedDRA (20.1) | Systematic Assessment |
|
| Dysaesthesia pharynx | Respiratory, thoracic and mediastinal disorders | MedDRA (20.1) | Systematic Assessment |
|
| Nasal dryness | Respiratory, thoracic and mediastinal disorders | MedDRA (20.1) | Systematic Assessment |
|
| Instillation site irritation | General disorders | MedDRA (20.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (20.1) | Systematic Assessment |
|
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| D011810 | Quinoxalines |
| D000336 | Aerosols |
| D003102 | Colloids |
| D045424 | Complex Mixtures |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |