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The purpose of this study is to assess the efficacy and safety of K-161 ophthalmic solution for the treatment of moderate to severe dry eye disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| K-161 | Experimental | K-161 Ophthalmic Solution |
|
| Placebo | Placebo Comparator | Vehicle Solution |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| K-161 | Drug | K-161 Ophthalmic Solution |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Change in EDS (VAS) From Baseline to Day 85 |
| Baseline to Day 85 |
| Change in Conjunctival Sum Fluorescein Staining Score From Baseline to Day 85 (Study Eye) |
| Baseline to Day 85 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Day 85 in Total Eye Sum Fluorescein Staining Score (Study Eye) |
| Baseline to Day 85 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrey E. Belous, MD, PhD | Kowa Pharma Development Co. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Alabama at Birmingham School of Optometry, Clinical Eye Research Center | Birmingham | Alabama | 35294 | United States | ||
At Visit 1 (Screening), eligible participants were provided single-masked run-in product (Vehicle) for self-administration in the morning and evening, for approximately 14 days. At Visit 2 (Baseline), participants who remained eligible for the study were randomized in a 1:1 ratio to double-masked IP (K-161 or Vehicle). Each participant provided voluntary informed consent before any study-specific assessments or procedures were performed.
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| ID | Title | Description |
|---|---|---|
| FG000 | K-161 | K-161 topical Ophthalmic solution for 12 weeks |
| FG001 | Vehicle | Vehicle K-161 identical topical ophthalmic solution without active drug for 12 weeks |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| 12 Week Primary |
|
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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: Initial | Nov 22, 2021 | Dec 16, 2024 |
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| Drug |
Vehicle Solution |
|
| Change From Baseline to Day 85 in Corneal Sum Fluorescein Staining Score (Study Eye) |
| Baseline to Day 85 |
| Change From Baseline to Day 85 in Ocular Surface Disease Index Score (OSDI©) | OSDI is assessed on a scale of 0 to 100, with higher scores representing greater disability. | Baseline to Day 85 |
| Change From Baseline to Day 85 in Schirmer's Test (Unanesthetized) (Study Eye) | Length (mm) of the moistened area assessed by inserting a Schirmer test strip into the eye for 5 minutes to measure the production of tears. | Baseline to Day 85 |
| Change From Baseline to Day 85 in Tear Film Break-up Time (TFBUT) (Study Eye) | The time (in seconds) taken for the first dry spot to appear on the cornea after a complete blink (with the aid of a slit-lamp). | Baseline to Day 85 |
| Trinity Research Group |
| Dothan |
| Alabama |
| 36301 |
| United States |
| Cornea and Cataract Consultants of Arizona | Phoenix | Arizona | 85032 | United States |
| Citrus Valley Eyecare / Premiere Practice Management, LLC | Covina | California | 91723 | United States |
| Orange County Ophthalmology Medical Group | Garden Grove | California | 92843 | United States |
| Global Research Management | Glendale | California | 91204 | United States |
| Inland Eye Specialists | Hemet | California | 92545 | United States |
| United Medical Research Institute | Inglewood | California | 90301 | United States |
| Premiere Practice Management, LLC | Los Angeles | California | 90013 | United States |
| North Valley Eye Medical Group, Inc | Mission Hills | California | 91345 | United States |
| LoBue Laser and Eye Medical Center | Murrieta | California | 92562 | United States |
| Eye Research Foundation, Inc. | Newport Beach | California | 92663 | United States |
| Pendleton Eye Center | Oceanside | California | 92056 | United States |
| Martel Eye Medical Group | Rancho Cordova | California | 95670 | United States |
| Sierra Clinical Trial Research Organization | Santa Ana | California | 92705 | United States |
| Premiere Practice Management, LLC | Torrance | California | 90505 | United States |
| Wolstan and Goldberg Eye Associates | Torrance | California | 90505 | United States |
| Vision Institute | Colorado Springs | Colorado | 80907 | United States |
| Corneal Consultants of Colorado dba Colorado Eye Consultants | Littleton | Colorado | 80120 | United States |
| Segal Drug Trials | Delray Beach | Florida | 33484 | United States |
| Bowden Eye & Associates | Jacksonville | Florida | 32256 | United States |
| Shettle Eye Research, Inc. | Largo | Florida | 33773 | United States |
| International Research Center | Tampa | Florida | 33603 | United States |
| Dixophthal, PC. | Albany | Georgia | 31701 | United States |
| Edwin Yoshio Endo, OD & Associates & Interns | ‘Aiea | Hawaii | 96701 | United States |
| Chicago Cornea Consultants | Hoffman Estates | Illinois | 60169 | United States |
| Jones Eye Clinic and Surgery Center | Sioux City | Iowa | 51104 | United States |
| Seidenberg Protzko Eye Associates | Havre de Grace | Maryland | 21078 | United States |
| Midwest Vision Research Foundation at Pepose Vision Institute | Chesterfield | Missouri | 63017 | United States |
| Tauber Eye Center | Kansas City | Missouri | 64111 | United States |
| Tekwani Vision Center | St Louis | Missouri | 63128 | United States |
| Ophthalmology Associates | St Louis | Missouri | 63131 | United States |
| Comprehensive Eye Care, Ltd. | Washington | Missouri | 63090 | United States |
| Wellish Vision Institute | Las Vegas | Nevada | 89119 | United States |
| Asheville Eye Associates | Asheville | North Carolina | 28803 | United States |
| Oculus Research | Garner | North Carolina | 27529 | United States |
| Wake Forest Health Network, LLC | High Point | North Carolina | 27262 | United States |
| Insight Research Clinic, LLC dba EyeCare Professionals | Powell | Ohio | 43065 | United States |
| Conestoga Eye PC | Lancaster | Pennsylvania | 17601 | United States |
| Associates in Ophthalmology Ltd | West Mifflin | Pennsylvania | 15122 | United States |
| West Bay Eye Associates | Warwick | Rhode Island | 02888 | United States |
| Total Eye Care, PA | Memphis | Tennessee | 38119 | United States |
| Advancing Vision Research | Smyrna | Tennessee | 37167 | United States |
| Keystone Research | Austin | Texas | 78731 | United States |
| Hill Country Eye Center | Cedar Park | Texas | 78613 | United States |
| Southwest Eye Institute | El Paso | Texas | 79902 | United States |
| Lake Travis Eye and Laser Center/Revolution Research | Lakeway | Texas | 78738 | United States |
| R and R Eye Research, LLC | San Antonio | Texas | 78229 | United States |
| DCT-Shah Research, LLC dba Discovery Clinical Trials | San Antonio | Texas | 78230 | United States |
| Northern Virginia Ophthalmology Associates | Falls Church | Virginia | 22042 | United States |
| Virginia Eye Consultants, Inc. | Norfolk | Virginia | 23502 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| 52 Week Overall |
|
Baseline analysis was based on the Safety Population in the 12-week Primary Period (SP12).
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| ID | Title | Description |
|---|---|---|
| BG000 | K-161 | K-161 topical Ophthalmic solution for 12 weeks |
| BG001 | Vehicle | Vehicle K-161 identical topical ophthalmic solution without active drug for 12 weeks |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
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| 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 EDS (VAS) From Baseline to Day 85 |
| The number of participants analyzed for the outcome measure may differ from the overall number of participants in each group. This discrepancy can be attributed to several factors, including: • Missing data: Some participants may have incomplete data due to factors such as missed visits, early withdrawal, or loss to follow-up. | Posted | Mean | Standard Deviation | mm | Baseline to Day 85 |
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| Primary | Change in Conjunctival Sum Fluorescein Staining Score From Baseline to Day 85 (Study Eye) |
| Posted | Mean | Standard Deviation | Score on a scale | Baseline to Day 85 |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline to Day 85 in Total Eye Sum Fluorescein Staining Score (Study Eye) |
| Posted | Mean | Standard Deviation | Score on a scale | Baseline to Day 85 |
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| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline to Day 85 in Corneal Sum Fluorescein Staining Score (Study Eye) |
| Posted | Mean | Standard Deviation | Score on a scale | Baseline to Day 85 |
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| Secondary | Change From Baseline to Day 85 in Ocular Surface Disease Index Score (OSDI©) | OSDI is assessed on a scale of 0 to 100, with higher scores representing greater disability. | Posted | Mean | Standard Deviation | Score on a scale | Baseline to Day 85 |
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| Secondary | Change From Baseline to Day 85 in Schirmer's Test (Unanesthetized) (Study Eye) | Length (mm) of the moistened area assessed by inserting a Schirmer test strip into the eye for 5 minutes to measure the production of tears. | Posted | Mean | Standard Deviation | mm | Baseline to Day 85 |
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| Secondary | Change From Baseline to Day 85 in Tear Film Break-up Time (TFBUT) (Study Eye) | The time (in seconds) taken for the first dry spot to appear on the cornea after a complete blink (with the aid of a slit-lamp). | Posted | Mean | Standard Deviation | Seconds | Baseline to Day 85 |
|
|
52 Weeks
Treatment emergent adverse events (TEAEs) were defined as AEs that began after the start of the double-masked IP dosing, or events that began before the start of the double-masked IP dosing and worsened in intensity after IP dosing began.
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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 | K-161 12-Week | The safety population included all participants treated in the 12-Week primary period (SP12) who received K-161 ophthalmic solution. | 0 | 321 | 3 | 321 | 32 | 321 |
| EG001 | Vehicle 12-Week | The safety population included all participants treated in the 12-Week primary period (SP12) who received vehicle solution. | 0 | 322 | 2 | 322 | 0 | 322 |
| EG002 | K-161 40-Week Extension | The analysis group consist of only subjects from the 40-Week extension period assigned to receive K-161 ophthalmic solution. | 0 | 122 | 1 | 122 | 0 | 122 |
| EG003 | Vehicle 40-Week Extension | The analysis group consist of only subjects from the 40-Week extension period assigned to receive Vehicle ophthalmic solution. | 0 | 121 | 2 | 121 | 0 | 121 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA v25.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA v25.0 | Systematic Assessment |
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| Appendicitis | Infections and infestations | MedDRA v25.0 | Systematic Assessment |
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| Hip fracture | Injury, poisoning and procedural complications | MedDRA v25.0 | Systematic Assessment |
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| Leukaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA v25.0 | Systematic Assessment |
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| Allergy to arthropod sting | Immune system disorders | MedDRA v25.0 | Systematic Assessment |
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| Rectal abscess | Infections and infestations | MedDRA v25.0 | Systematic Assessment |
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| Suicidal ideation | Psychiatric disorders | MedDRA v25.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Instillation site pain | General disorders | MedDRA v25.0 | Systematic Assessment | General Disorders and Administration Site Conditions |
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INSTITUTION/INVESTIGATOR may publish/present results after SPONSOR publication. Prior SPONSOR review protects confidential info & patentable material. Confidential info will be removed. Patentable findings may delay publication for patent filing. Acknowledgement of SPONSOR's support is at SPONSOR's option, with prior consent required for any SPONSOR reference.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Operations | Kowa Research Institute, Inc. | 919-433-1600 | CTGResults@KowaUS.com |
| Prot_000.pdf |
| Prot | Yes | No | No | Study Protocol: Amendment 1 | Feb 10, 2022 | Dec 16, 2024 | Prot_001.pdf |
| Prot | Yes | No | No | Study Protocol: Amendment 2 | Dec 7, 2022 | Dec 16, 2024 | Prot_002.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan: Ver 1.0 | May 23, 2023 | Dec 16, 2024 | SAP_003.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan: ver 1.0 Addendum | Oct 3, 2023 | Dec 16, 2024 | SAP_004.pdf |
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| ID | Term |
|---|---|
| D015352 | Dry Eye Syndromes |
| ID | Term |
|---|---|
| D007766 | Lacrimal Apparatus Diseases |
| D005128 | Eye Diseases |
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| Male |
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| Black or African American |
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| Asian |
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| Native Hawaiian |
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| Other |
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| Multiple |
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