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The TRANQUILITY Trial: Multi-Center Randomized, Double-Masked, Parallel Design, Vehicle-Controlled Phase 2/3 Clinical Trial to Assess the Efficacy and Safety of 0.25% Reproxalap Ophthalmic Solution Compared to Vehicle in Subjects with Dry Eye Disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Reproxalap Ophthalmic Solution (0.25%) administered QID over two consecutive days. | Experimental |
| |
| Vehicle Ophthalmic Solution administered over two consecutive days. | Placebo Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reproxalap Ophthalmic Solution (0.25%) | Drug | Reproxalap Ophthalmic Solution (0.25%) administered over two consecutive days (Day one pre-dry eye chamber and Day two dry eye chamber assessment). |
| Measure | Description | Time Frame |
|---|---|---|
| Conjunctival Redness Assessed Over 90 Minutes in the Dry Eye Chamber | Change from baseline comparison of reproxalap to vehicle for conjunctival redness on a 0 to 4 scale ( 0 = normal, 4 = prominent), where a high score means a worse outcome. The intervention was administered bilaterally. The least squares mean (standard error) was derived from mixed model repeated measures for change from baseline included baseline, site, treatment group, and nominal time point as fixed effects. | The efficacy assessment period was assessed during the 90-minute dry eye chamber at Day 2; baseline was Pre-Dose #1 at Day 1. |
| Measure | Description | Time Frame |
|---|---|---|
| Schirmer Test Change From Baseline After the First Dose on Day 1 | Change from baseline comparison of reproxalap to vehicle for Schirmer test on a millimeter line (0 = none, 35 = maximum), where a shorter length indicates a worse outcome. The least squares mean (standard error) was derived from mixed model repeated measures for change from baseline included baseline and treatment group as fixed effects. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Clinical Health | Memphis | Tennessee | 38103 | United States |
There were 331 randomized subjects, of which 329 were unique (23 in the initial exploratory cohort and 306 in the main cohort). Two subjects in the main cohort were randomized twice by accident and two subjects were randomized but not dosed, making the safety population 327 subjects. The Safety population is presented in the Participant Flow, Baseline Characteristics, and Adverse Events. Efficacy analysis was conducted on subjects in the main cohort (306 subjects, intent-to-treat population).
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| ID | Title | Description |
|---|---|---|
| FG000 | Reproxalap Ophthalmic Solution (0.25%) | Subjects randomized to reproxalap ophthalmic solution administered seven times over two consecutive days |
| FG001 | Vehicle | Subjects randomized to vehicle ophthalmic solution administered seven times over two consecutive days |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Safety population
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| ID | Title | Description |
|---|---|---|
| BG000 | Reproxalap Ophthalmic Solution (0.25%) | Reproxalap ophthalmic solution administered seven times over two consecutive days |
| BG001 | Vehicle | Vehicle ophthalmic solution administered seven times over two consecutive days |
| 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, Categorical | Count of Participants |
| 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 | Conjunctival Redness Assessed Over 90 Minutes in the Dry Eye Chamber | Change from baseline comparison of reproxalap to vehicle for conjunctival redness on a 0 to 4 scale ( 0 = normal, 4 = prominent), where a high score means a worse outcome. The intervention was administered bilaterally. The least squares mean (standard error) was derived from mixed model repeated measures for change from baseline included baseline, site, treatment group, and nominal time point as fixed effects. | Intent-to-treat population with observed data only | Posted | Least Squares Mean | Standard Error | units on a scale | The efficacy assessment period was assessed during the 90-minute dry eye chamber at Day 2; baseline was Pre-Dose #1 at Day 1. |
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The period of time over which adverse events were collected for each subject in the clinical trial was approximately one week.
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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 | Reproxalap Ophthalmic Solution (0.25%) | Reproxalap ophthalmic solution administered seven times over two consecutive days |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| General disorders and administration site conditions | General disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sr. Director, Clinical Operations | Aldeyra Therapeutics, Inc. | 781-257-3063 | bcavanagh@aldeyra.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 5, 2021 | Feb 3, 2023 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 17, 2021 | Feb 3, 2023 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D015352 | Dry Eye Syndromes |
| ID | Term |
|---|---|
| D007766 | Lacrimal Apparatus Diseases |
| D005128 | Eye Diseases |
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| Vehicle Opthalmic Solution | Drug | Vehicle Ophthalmic Solution administered over two consecutive days (Day one pre-dry eye chamber and Day two dry eye chamber assessment). |
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| The efficacy assessment period was before and after the final dose on Day 1; baseline was Pre-Dose #1 at Day 1. |
| BG002 | Total | Total of all reporting groups |
| Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Iris Color (Right Eye) | Count of Participants | Participants |
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| Iris Color (Left Eye) | Count of Participants | Participants |
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| OG001 | Vehicle | Vehicle ophthalmic solution administered six times over two consecutive days |
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| Secondary | Schirmer Test Change From Baseline After the First Dose on Day 1 | Change from baseline comparison of reproxalap to vehicle for Schirmer test on a millimeter line (0 = none, 35 = maximum), where a shorter length indicates a worse outcome. The least squares mean (standard error) was derived from mixed model repeated measures for change from baseline included baseline and treatment group as fixed effects. | Intent-to-treat population with observed data only | Posted | Least Squares Mean | Standard Error | millimeters | The efficacy assessment period was before and after the final dose on Day 1; baseline was Pre-Dose #1 at Day 1. |
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| Post-Hoc | Conjunctival Redness Assessed Over 90 Minutes in the Dry Eye Chamber Using Computer Automated Grading | Change from baseline comparison of reproxalap to vehicle for conjunctival redness on a 0 to 255 scale ( 0 = none, 255 = maximum), where a high score means a worse outcome. The intervention was administered bilaterally. The least squares mean (standard error) was derived from mixed model repeated measures for change from baseline included baseline, site, treatment group, and nominal time point as fixed effects. | Intent-to-treat population with observed data only | Posted | Least Squares Mean | Standard Error | units on a scale | The efficacy assessment period was assessed during the 90-minute dry eye chamber at Day 2; baseline was Pre-Dose #1 at Day 1. |
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| Post-Hoc | Number of Subject Eyes That Are Schirmer Test Responders (Eyes 10 Millimeters or More Increase From Baseline) | The number of subject eyes that are schirmer test responders (eyes with 10 millimeters or more increase from baseline) using a millimeter line (0 = none, 35 = maximum), where a shorter length indicates a worse outcome. | Intent-to-treat population with observed data only | Posted | Number | eyes | Efficacy was assessed after a single dose on Day 1; baseline was assessed approximately two weeks before dosing. | eyes | eyes |
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| 0 |
| 164 |
| 0 |
| 164 |
| 118 |
| 164 |
| EG001 | Vehicle | Vehicle ophthalmic solution administered seven times over two consecutive days | 0 | 163 | 0 | 163 | 2 | 163 |
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