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This study evaluated pupil dilation after administration of fixed combination tropicamide-phenylephrine (TR/PH) vs. placebo. Participants attended 3 visits. At each visit, after baseline measurements, either the study drug or placebo was administered to both eyes, then pupil dilation and safety assessments were performed at specific time intervals.
Volunteer participants were screened for study eligibility during a Screening Visit and enrolled after signing the study-specific informed consent form. Subjects meeting all inclusion/exclusion criteria were scheduled for 3 treatment visits, which were at least 2 days, but no more than 7 days apart. At each treatment visit, baseline measurements were taken, then either the study drug or placebo was administered to both eyes. Afterwards, efficacy and safety assessments were performed at 20, 35, 50, 65, 80, 120, and 180 minutes. Participants' treatment assignments for each treatment visit were equally randomized using 1 of 2 sequences - ABB or BAA, where A was the study drug and B was the placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1-TR/PE, 2-Placebo, 3-Placebo | Other | Participants were dosed once at 3 separate clinic visits in accordance with this sequence. Each participant received 2 sprays of the designated treatment in each eye. |
|
| 1-Placebo, 2-Placebo, 3-TR/PE | Other | Participants were dosed once at 3 separate clinic visits in accordance with this sequence. Each participant received 2 sprays of the designated treatment in each eye. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tropicamide/Phenylephrine ophthalmic solution (TR/PE) | Drug | Tropicamide 1%/phenylephrine 2.5% ophthalmic solution administered with the Optejet microdose dispenser |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pupil Diameter From Baseline | Difference in 35-minute pupil diameter vs. baseline measured using pupillometry in highly photopic conditions. Pupil diameter is reported in millimeters. For the change in pupil diameter, larger measurements indicate a better outcome. | 35 minutes after initial dose |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Eyes Achieving Pupil Diameter 6.0 mm or Larger After Receipt of Each Medication | The percent of eyes with pupil diameter 6.0 mm or larger as measured using pupillometry in highly photopic conditions. As this is a cross-over study, each of the 69 participants received each medication. Data is reported separately for the right and left eyes of the 69 participants. A higher percentage indicates a better outcome. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tsontcho Ianchulev, MD, MPH | Eyenovia Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Keystone Research | Austin | Texas | 78731 | United States | ||
| R&R Research |
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70 of the 76 participants enrolled initiated study treatment. Of those who did not initiate treatment, 4 failed to meet all study eligibility criteria and 2 were exited after screening (before treatment) because the required number of subjects had initiated treatment.
76 patients signed the study informed consent form and were screened for eligibility between November 19, 2018 and December 14, 2018 at clinical research centers located in San Antonio and Austin, Texas.
| ID | Title | Description |
|---|---|---|
| FG000 | 1-TR/PE, 2-Placebo, 3-Placebo | Participants were administered the assigned treatment in each eye on separate days in the following order: 1st Treatment Day: Tropicamide 1%/Phenylephrine 2.5%, 2nd Treatment Day: Placebo, 3rd Treatment Day: Placebo. Each treatment was administered with the Optejet microdose dispenser. |
| FG001 | 1-Placebo, 2-Placebo, 3-TR/PE | Participants were administered the assigned treatment in each eye on separate days in the following order: 1st Treatment Day: Placebo, 2nd Treatment Day: Placebo, 3rd Treatment Day: Tropicamide 1%/Placebo 2.5%. Each treatment was administered with the Optejet microdose dispenser. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Participants | Participants were administered the assigned treatments on 3 separate days (treatment administration sequence was randomized). |
| Units | Counts |
|---|---|
| Participants |
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| 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 | Change in Pupil Diameter From Baseline | Difference in 35-minute pupil diameter vs. baseline measured using pupillometry in highly photopic conditions. Pupil diameter is reported in millimeters. For the change in pupil diameter, larger measurements indicate a better outcome. | Per-protocol population (participants who completed all planned assessments without a major protocol deviation) | Posted | Mean | Standard Deviation | millimeters | 35 minutes after initial dose | eyes | eyes |
|
Adverse event data was collected over each participant's study participation period, which was a maximum of 14 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 | Tropicamide/Phenylephrine | Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered with the Optejet microdose dispenser |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Photophobia | Eye disorders | MedDRA 21.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| VP, Development | Eyenovia, Inc. | 714-269-8838 | gclasby@eyenoviabio.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 | Nov 20, 2018 | Jan 26, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 18, 2019 | Jan 26, 2022 | SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 30, 2018 | Jan 26, 2022 | ICF_002.pdf |
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| ID | Term |
|---|---|
| D015878 | Mydriasis |
| ID | Term |
|---|---|
| D011681 | Pupil Disorders |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D014331 | Tropicamide |
| ID | Term |
|---|---|
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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This trial was a double-masked, placebo-controlled, cross-over superiority study evaluating the efficacy of the fixed combination drug vs. placebo. All participants in the trial were to receive each treatment.
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There were no differences in the presentation of study treatment administered and all study personnel conducting ophthalmic assessments after study treatment administration were masked to treatment assignment.
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| Placebo | Drug | Eyewash administered with the Optejet microdose dispenser |
|
| 35 minutes after initial dose |
| Proportion of Eyes Achieving Pupil Diameter 7.0 mm or Larger After Receipt of Each Medication | The percent of eyes with pupil diameter 7.0 mm or larger as measured using pupillometry in highly photopic conditions. As this is a cross-over study, each of the 69 participants received each solution. Data is reported separately for the right and left eyes of the 69 participants. A higher percentage indicates a better outcome. | 35 minutes after initial dose |
| San Antonio |
| Texas |
| 78229 |
| United States |
| years |
|
| Sex: Female, Male | Count of Participants | Participants | No |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Iris Color Category | Dark = Brown/black irides Light = All other colors | Count of Participants | Participants |
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Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered to the left eye with the Optejet microdose dispenser.
| OG002 | Placebo - Right Eye | Placebo ophthalmic solution administered to the right eye with the Optejet microdose dispenser |
| OG003 | Placebo - Left Eye | Placebo ophthalmic solution administered to the left eye with the Optejet microdose dispenser |
|
|
| Other Pre-specified | Proportion of Eyes Achieving Pupil Diameter 6.0 mm or Larger After Receipt of Each Medication | The percent of eyes with pupil diameter 6.0 mm or larger as measured using pupillometry in highly photopic conditions. As this is a cross-over study, each of the 69 participants received each medication. Data is reported separately for the right and left eyes of the 69 participants. A higher percentage indicates a better outcome. | Per-protocol population (participants who completed all planned assessments without a major protocol deviation) | Posted | Number | percentage of eyes | 35 minutes after initial dose | eyes | eyes |
|
|
|
| Other Pre-specified | Proportion of Eyes Achieving Pupil Diameter 7.0 mm or Larger After Receipt of Each Medication | The percent of eyes with pupil diameter 7.0 mm or larger as measured using pupillometry in highly photopic conditions. As this is a cross-over study, each of the 69 participants received each solution. Data is reported separately for the right and left eyes of the 69 participants. A higher percentage indicates a better outcome. | Per-protocol population (participants who completed all planned assessments without a major protocol deviation) | Posted | Number | percentage of eyes | 35 minutes after initial dose | eyes | eyes |
|
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| 0 |
| 69 |
| 0 |
| 69 |
| 2 |
| 69 |
| EG001 | Placebo | Placebo ophthalmic solution administered with the Optejet microdose dispenser | 0 | 70 | 0 | 70 | 0 | 70 |
| Instillation site pain | General disorders | MedDRA 21.0 | Systematic Assessment |
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| eyes |
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| eyes |
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