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The study assess efficacy, safety and tolerability of Chloroprocaine 3% ophthalmic gel in healthy volunteers.
The study is carried out in 2 parts. In part I, safety and tolerability is assessed in three groups (12 subjects per group) for single and multiple instillations (1 drop, 3 drops and 3+3 drops). In each group, 9 subjects is randomized to receive Chloroprocaine 3% Gel and 3 subjects receive vehicle as control in the right eye. After part I is completed, an internal independent board review safety endpoints of data collected from these first subjects and advise to go on with further enrollment.
If no safety concerns arise, in part II efficacy, safety and tolerability is assessed in 60 healthy subjects for the 3 drops dose regimen. 40 subjects receive Chloroprocaine 3% Gel and 20 receive vehicle (2:1 randomization) in the right eye.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chloroprocaine | Experimental | Chloroprocaine 3% ocular gel |
|
| Placebo | Placebo Comparator | Vehicle for chloroprocaine 3% ocular gel |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ocular gel | Drug | Instillation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants in Phase 2 With Anesthesia Success | Estimate the proportion of subjects experiencing full anaesthesia of the ocular surface 5 minutes after administration of Chloroprocaine 3% ophthalmic gel (the intent was to collect and only report data for Participants who were in Phase 2) | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of Anesthesia Only in Patients in Phase 2 | Duration of anesthesia (min) for subjects in phase 2 (the intent was to collect and only report data for Participants who were in Phase 2) | Day 1 |
| Number of Participants With Adverse Events |
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Inclusion Criteria:
Exclusion Criteria:
Ophthalmic exclusion criteria
Eye movement disorder (i.e. Nystagmus)
Dacryocystitis and all other pathologies of tears drainage system
History of Inflammatory ocular disease (Iritis, uveitis, herpetic keratitis)
Corneal, epithelial, stromal or endothelial, residual or evolutionary disease (including corneal ulceration and superficial punctuate keratitis)
History of ocular traumatism, infection or inflammation within the last 3 months
Best corrected visual acuity < 1/10
History of ophthalmic surgical complication (i.e. cystoid macular oedema)
Systemic/non ophthalmic exclusion criteria
General history:
8.1 Deafness 8.2 Excessive anxiety
Any other medical or surgical history, disorder or disease such as acute or chronic severe organic disease: hepatic, endocrine neoplastic, haematological diseases, severe psychiatric illness, relevant cardiovascular abnormalities (such as unstable angina, uncontrolled hypertension: systolic blood pressure over 200 mm Hg, diastolic blood pressure over 100 mm Hg) and/or any complicating factor or structural abnormality judged by the investigator to be incompatible with the study
Allergic history: Known hypersensitivity to one of the components of the study medications or to test products
Specific non-inclusion criteria for women:
Pregnancy, lactation
Women without an effective method of contraception (i.e. oral contraceptive, intra-uterine device, subcutaneous contraceptive implant) OR
Women not hysterectomised, not menopausal nor surgically sterilized
Exclusion criteria related to general conditions:
Inability of subject to understand the study procedures and thus inability to give informed consent
Non-compliant subject (e.g. not willing to attend the follow-up visits, way of life interfering with compliance)
Participation in another clinical study
Already included once in this study
Ward of court
Subject not covered by the Social Security
Exclusion criteria related to previous and concomitant medications (taken within 15 days prior screening visit)
Use of systemic opioids and opioid drugs
Topical ocular treatment with anaesthetic action
Use of systemic analgesic drugs (except paracetamol, which will be allowed after Visit 2)
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| Name | Affiliation | Role |
|---|---|---|
| Gerhard Garhoefer | Universitätsklinik für Klinische Pharmakologie | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Clinical Pharmacology | Vienna | 1090 | Austria |
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In part 1: 36 subjects received treatment and completed the study. in part 2: 60 were randomized, 40 in the CHL 3% gel and 20 in the vehicle group.
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| ID | Title | Description |
|---|---|---|
| FG000 | Chloroprocaine | Chloroprocaine 3% ocular gel Ocular gel: Instillation |
| FG001 | Placebo | Vehicle for chloroprocaine 3% ocular gel Ocular gel: Instillation |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall |
| |||||||||||||
| First Phase |
| |||||||||||||
| Second Phase |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Chloroprocaine | Chloroprocaine 3% ocular gel Ocular gel: Instillation |
| BG001 | Placebo | Vehicle for chloroprocaine 3% ocular gel Ocular gel: Instillation |
| 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 | Number of Participants in Phase 2 With Anesthesia Success | Estimate the proportion of subjects experiencing full anaesthesia of the ocular surface 5 minutes after administration of Chloroprocaine 3% ophthalmic gel (the intent was to collect and only report data for Participants who were in Phase 2) | Posted | Number | participants | Day 1 |
|
Study duration (Up to 29 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 | Chloroprocaine | Chloroprocaine 3% ocular gel Ocular gel: Instillation | 0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dysmenorrhea | Reproductive system and breast disorders | MedDra 23.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Roberta Bianchi | Sintetica SA | 0041 91 640 42 50 | rbianchi@sintetica.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | May 4, 2020 | Aug 19, 2021 | Prot_SAP_000.pdf |
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Number of Participants with Ocular symptoms and Adverse events
| Up to 29 days |
| Mean Arterial Pressure | Mean arterial pressure (mmHg) is defined as the average pressure in a patient's arteries during one cardiac cycle. It is considered a better indicator of perfusion to vital organs than systolic blood pressure (SBP). | up to 8 days |
| Number of Participants With Anomalies in Slip Lamp Examination | Number of Participants with Anomalies in Slip Lamp Examination | up to 8 days |
| Number of Participants With Anomalies in Corneal Fluorescein Staining | Number of Participants with anomalies found with corneal fluorescein staining | up to 8 days |
| Ocular Pressure | Intraocular pressure (mmHg) | Follow up (up to 8 days) |
| NOT COMPLETED |
|
| NOT COMPLETED |
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Units | Counts |
|---|
| Participants |
|
|
| Secondary | Duration of Anesthesia Only in Patients in Phase 2 | Duration of anesthesia (min) for subjects in phase 2 (the intent was to collect and only report data for Participants who were in Phase 2) | Posted | Mean | Standard Deviation | minutes | Day 1 |
|
|
|
| Secondary | Number of Participants With Adverse Events | Number of Participants with Ocular symptoms and Adverse events | Posted | Number | participants | Up to 29 days |
|
|
|
| Secondary | Mean Arterial Pressure | Mean arterial pressure (mmHg) is defined as the average pressure in a patient's arteries during one cardiac cycle. It is considered a better indicator of perfusion to vital organs than systolic blood pressure (SBP). | Posted | Mean | Standard Deviation | mmHg | up to 8 days |
|
|
|
| Secondary | Number of Participants With Anomalies in Slip Lamp Examination | Number of Participants with Anomalies in Slip Lamp Examination | Posted | Number | participants | up to 8 days |
|
|
|
| Secondary | Number of Participants With Anomalies in Corneal Fluorescein Staining | Number of Participants with anomalies found with corneal fluorescein staining | Posted | Number | participants | up to 8 days |
|
|
|
| Secondary | Ocular Pressure | Intraocular pressure (mmHg) | Posted | Mean | Standard Deviation | mmHg | Follow up (up to 8 days) |
|
|
|
| 67 |
| 0 |
| 67 |
| 43 |
| 67 |
| EG001 | Placebo | Vehicle for chloroprocaine 3% ocular gel Ocular gel: Instillation | 0 | 29 | 0 | 29 | 15 | 29 |
| pruritus | Skin and subcutaneous tissue disorders | MedDra 23.0 | Systematic Assessment |
|
| bradycardia | Cardiac disorders | MedDra 23.0 | Systematic Assessment |
|
| Conjunctival hemorrhage | Eye disorders | MedDra 23.0 | Systematic Assessment |
|
| Conjunctival edema | Eye disorders | MedDra 23.0 | Systematic Assessment |
|
| dry eye | Eye disorders | MedDra 23.0 | Systematic Assessment |
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| eye irritation | Eye disorders | MedDra 23.0 | Systematic Assessment |
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| mydriasis | Eye disorders | MedDra 23.0 | Systematic Assessment |
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| ocular hyperemia | Eye disorders | MedDra 23.0 | Systematic Assessment |
|
| vision blurred | Eye disorders | MedDra 23.0 | Systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | MedDra 23.0 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDra 23.0 | Systematic Assessment |
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| nausea | Gastrointestinal disorders | MedDra 23.0 | Systematic Assessment |
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| fatigue | General disorders | MedDra 23.0 | Systematic Assessment |
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| instillation site pain | General disorders | MedDra 23.0 | Systematic Assessment |
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| pain | General disorders | MedDra 23.0 | Systematic Assessment |
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| Sensation of foreign body | General disorders | MedDra 23.0 | Systematic Assessment |
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| Covid-19 | Infections and infestations | MedDra 23.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDra 23.0 | Systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDra 23.0 | Systematic Assessment |
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| tonsillitis | Infections and infestations | MedDra 23.0 | Systematic Assessment |
|
| ligament sprain | Injury, poisoning and procedural complications | MedDra 23.0 | Systematic Assessment |
|
| Intraocular pressure increased | Investigations | MedDra 23.0 | Systematic Assessment |
|
| Sars-cov-2 test positive | Investigations | MedDra 23.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDra 23.0 | Systematic Assessment |
|
| presyncope | Nervous system disorders | MedDra 23.0 | Systematic Assessment |
|
| syncope | Nervous system disorders | MedDra 23.0 | Systematic Assessment |
|
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| Visit 2 post-dose |
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| Visit 4 Follow-up |
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