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This is a phase I clinical study evaluating the safety and tolerability of PRO-231 ophthalmic solution through the incidence of unexpected adverse events, incidence of conjunctival hyperemia and chemosis, changes in Best Corrected Visual Acuity (BCVA), changes in ocular surface integrity, compared to VIGAMOXI®.
This is a Phase I, controlled, comparative, parallel-group, single-blind, single-center, controlled clinical trial. The variables to be evaluated include:
Primary (safety):
Primary (tolerability):
- Changes in the ocular comfort index (OCI) score
Secondary (safety):
- Incidence of unexpected adverse events related to the interventions(excluding conjunctival hyperemia and/or chemosis).
Secondary (tolerability):
- Presence of other ocular symptoms (burning, foreign body sensation, pruritus and lacrimation).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRO-231 | Experimental |
|
|
| VIGAMOXI® | Active Comparator |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRO-231 | Drug | Moxifloxacin 0.5% Ophthalmic solution. |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Unexpected Adverse Events Related to the Interventions | Any unfavorable medical condition affecting the subject after the administration of the investigation product, related to such intervention. Adverse events where inquired and evaluated in every time point specified in the time frame, however, the final number of adverse events reported throught the entire study was evaluated for each group. | Days 0 (Basal Visit), 3 (Visit 1), 8 (Final Visit) and 12 (Safety Call) |
| Incidence of Conjunctival Hyperemia | Any signs of conjunctival hyperemia in between interventions. | Days 0 (Basal Visit), 3 (Visit 1), and 8 (Final Visit) |
| Changes in Best Corrected Visual Acuity (BCVA) | The BCVA will be evaluated through Snellen chart. | Days 0 (Basal Visit), Days 3 (Visit 1) and 8 (Final Visit) |
| Number of Patients With Any Changes in Grade Measurement of the Integrity of the Ocular Surface (Fluorescein Staining) | Number of patients with any changes in the integrity of the ocular surface using fluorescein staining and evaluated through the Oxford scale compared to baseline. The standard Oxford scale for fluorescein staining has the following criteria: Grade 0- Equal to or less than panel A; Grade I- Equal to or less than panel B, greater than panel A; Grade II- Equal to or less than panel C, greater than panel B; Grade III- Equal or less than panel D, greater than panel C; Grade IV- Equal or less than panel E, greater than panel D; Grade V- Greater than panel E. | Days 0 (Basal Visit), Days 3 (Visit 1) and 8 (Final Visit) |
| Changes in the Ocular Comfort Index (OCI) Score Between Interventions. | The Ocular Comfort Index is a questionnaire designed to measure ocular surface irritation. It assesses symptoms related to comfort in cases of ocular surface disorders. The Ocular Comfort Index is composed of 12 items that assess the frequency and intensity symptoms. Each item is scored on a scale from 0 to 6 (never to always, or absent to severe). The total score becomes a linear continuous interval scale, which ranges from 0 (least symptomatic) to 100 (most symptomatic). The questionnaire was administered to each research subject, allowing them to respond calmly without any pressure and/or coercion. The results were collected using the Ocular Comfort Index calculator [1], obtaining a logit score and a 0-100 scale score for each subject. [1].- M. E. Johnson, "Measurement of Ocular Surface Irritation on a Linear Interval Scale with the Ocular Comfort Index," Investigative Ophthalmology & Visual Science, vol. 48, nº 10, 2007. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Unexpected Adverse Events (Excluding Conjunctival Hyperemia and Chemosis) | Any unfavorable medical condition affecting the subject after the administration of the investigation product, related to such intervention, excluding conjunctival hyperemia and chemosis. Unexpected adverse events where inquired and evaluated in every time point specified in the time frame, however, the final number of adverse events reported throught the entire study was evaluated for each group. |
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Inclusion Criteria:
Exclusion Criteria:
Elimination Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Alejandra Sanchez-Rios, MD | Regional Medical Affairs Manager | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IIMET Investigación e Innovación en Medicina Traslacional | Guadalajara | Jalisco | 44610 | Mexico |
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| ID | Title | Description |
|---|---|---|
| FG000 | PRO-231 |
PRO-231: Moxifloxacin 0.5% Ophthalmic solution. |
| FG001 | VIGAMOXI® |
VIGAMOXI®: Moxifloxacin 0.5% Ophthalmic solution. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | PRO-231 |
PRO-231: Moxifloxacin 0.5% Ophthalmic solution. |
| BG001 | VIGAMOXI® |
| Units | Counts |
|---|---|
| Participants |
|
| 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 | Incidence of Unexpected Adverse Events Related to the Interventions | Any unfavorable medical condition affecting the subject after the administration of the investigation product, related to such intervention. Adverse events where inquired and evaluated in every time point specified in the time frame, however, the final number of adverse events reported throught the entire study was evaluated for each group. | Posted | Number | number of related adverse events | Days 0 (Basal Visit), 3 (Visit 1), 8 (Final Visit) and 12 (Safety Call) |
|
Day 1 (Start of product application) to Day 12 (safety call)
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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 | PRO-231 |
PRO-231: Moxifloxacin 0.5% Ophthalmic solution. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Patient-reported conjunctival redness | Eye disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Alejandra Sanchez Rios | Laboratorios Sophia | + 52 33 3001 4200 | 1190 | alejandra.sanchez@sophia.com.mx |
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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 | Jul 27, 2022 | Oct 17, 2024 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D003234 | Conjunctivitis, Bacterial |
| ID | Term |
|---|---|
| D015818 | Eye Infections, Bacterial |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D000077266 | Moxifloxacin |
| ID | Term |
|---|---|
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
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Phase I, controlled, comparative, parallel-group, single-blind, single-center, controlled clinical trial.
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Single-blind
| VIGAMOXI® | Drug | Moxifloxacin 0.5% Ophthalmic solution. |
|
|
| Days 0 (Basal Visit), and 8 (Final Visit) |
| Days 3 (Visit 1), 8 (Final Visit) and 12 (Safety Call) |
| To Assess the Tolerability of PRO-231 Ophthalmic Solution | To assess the tolerability of PRO-231 ophthalmic solution applied to the ocular surface, in healthy volunteers, versus VIGAMOXI®, by means of: Presence of ocular symptoms (burning, foreign body sensation, pruritus and lacrimation) between interventions. | Days 3 (Visit 1), 8 (Final Visit) |
VIGAMOXI®: Moxifloxacin 0.5% Ophthalmic solution. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
VIGAMOXI®: Moxifloxacin 0.5% Ophthalmic solution. |
|
|
| Primary | Incidence of Conjunctival Hyperemia | Any signs of conjunctival hyperemia in between interventions. | Posted | Number | number of patients | Days 0 (Basal Visit), 3 (Visit 1), and 8 (Final Visit) |
|
|
|
| Primary | Changes in Best Corrected Visual Acuity (BCVA) | The BCVA will be evaluated through Snellen chart. | Posted | Mean | Standard Deviation | Best Corrected Visual Acuity (LogMar) | Days 0 (Basal Visit), Days 3 (Visit 1) and 8 (Final Visit) |
|
|
|
| Primary | Number of Patients With Any Changes in Grade Measurement of the Integrity of the Ocular Surface (Fluorescein Staining) | Number of patients with any changes in the integrity of the ocular surface using fluorescein staining and evaluated through the Oxford scale compared to baseline. The standard Oxford scale for fluorescein staining has the following criteria: Grade 0- Equal to or less than panel A; Grade I- Equal to or less than panel B, greater than panel A; Grade II- Equal to or less than panel C, greater than panel B; Grade III- Equal or less than panel D, greater than panel C; Grade IV- Equal or less than panel E, greater than panel D; Grade V- Greater than panel E. | Posted | Count of Participants | Participants | Days 0 (Basal Visit), Days 3 (Visit 1) and 8 (Final Visit) |
|
|
|
| Primary | Changes in the Ocular Comfort Index (OCI) Score Between Interventions. | The Ocular Comfort Index is a questionnaire designed to measure ocular surface irritation. It assesses symptoms related to comfort in cases of ocular surface disorders. The Ocular Comfort Index is composed of 12 items that assess the frequency and intensity symptoms. Each item is scored on a scale from 0 to 6 (never to always, or absent to severe). The total score becomes a linear continuous interval scale, which ranges from 0 (least symptomatic) to 100 (most symptomatic). The questionnaire was administered to each research subject, allowing them to respond calmly without any pressure and/or coercion. The results were collected using the Ocular Comfort Index calculator [1], obtaining a logit score and a 0-100 scale score for each subject. [1].- M. E. Johnson, "Measurement of Ocular Surface Irritation on a Linear Interval Scale with the Ocular Comfort Index," Investigative Ophthalmology & Visual Science, vol. 48, nº 10, 2007. | Posted | Mean | Standard Deviation | score on a scale | Days 0 (Basal Visit), and 8 (Final Visit) |
|
|
|
| Secondary | Incidence of Unexpected Adverse Events (Excluding Conjunctival Hyperemia and Chemosis) | Any unfavorable medical condition affecting the subject after the administration of the investigation product, related to such intervention, excluding conjunctival hyperemia and chemosis. Unexpected adverse events where inquired and evaluated in every time point specified in the time frame, however, the final number of adverse events reported throught the entire study was evaluated for each group. | Posted | Number | number of unexpected adverse events | Days 3 (Visit 1), 8 (Final Visit) and 12 (Safety Call) |
|
|
|
| Secondary | To Assess the Tolerability of PRO-231 Ophthalmic Solution | To assess the tolerability of PRO-231 ophthalmic solution applied to the ocular surface, in healthy volunteers, versus VIGAMOXI®, by means of: Presence of ocular symptoms (burning, foreign body sensation, pruritus and lacrimation) between interventions. | Posted | Number | ocular symptom events | Days 3 (Visit 1), 8 (Final Visit) |
|
|
|
| 0 |
| 18 |
| 0 |
| 18 |
| 3 |
| 18 |
| EG001 | VIGAMOXI® |
VIGAMOXI®: Moxifloxacin 0.5% Ophthalmic solution. | 0 | 19 | 0 | 19 | 9 | 19 |
| Headache | Nervous system disorders | Systematic Assessment |
|
| Dry eye sensation | Eye disorders | Systematic Assessment |
|
| Blurred vision | Eye disorders | Systematic Assessment |
|
| Heaviness sensation (eyelids) | Eye disorders | Systematic Assessment |
|
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| D015817 | Eye Infections |
| D003231 | Conjunctivitis |
| D003229 | Conjunctival Diseases |
| D005128 | Eye Diseases |
| D006574 |
| Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| Day 8 (Final Visit) |
|
| Day 8 (Final Visit) |
|
| Day 8 (Final Visit) |
|
| Burning Day 8 (Final Visit) |
|
| Foreign Body Sensation Day 0 (Basal Visit) |
|
| Foreign Body Sensation Day 3 (Visit 1) |
|
| Foreign Body Sensation Day 8 (Final Visit) |
|
| Pruritus Day 0 (Basal Visit) |
|
| Pruritus Day 3 (Visit 1) |
|
| Pruitus Day 8 (Final Visit) |
|
| Lacrimation Day 0 (Basal Visit) |
|
| Lacrimation Day 3 (Visit 1) |
|
| Lacrimation Day 8 (Final Visit) |
|