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A Study Evaluating the Efficacy of SAR 1118 (0.1%, 1.0%, 5.0%) Ophthalmic Solution in Subjects With Dry Eye Conducted in a Controlled Adverse Environment (CAE)

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ClinicalTrials.gov Identifier: NCT00926185
Recruitment Status : Completed
First Posted : June 23, 2009
Results First Posted : March 6, 2017
Last Update Posted : August 9, 2021
Sponsor:
Information provided by (Responsible Party):
Takeda ( Shire )

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Triple (Participant, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition Dry Eye
Interventions Drug: Lifitegrast
Drug: Placebo
Enrollment 230
Recruitment Details  
Pre-assignment Details The study was conducted in a Controlled Adverse Environment (CAE).
Arm/Group Title Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo
Hide Arm/Group Description [Not Specified] [Not Specified] [Not Specified] [Not Specified]
Period Title: Overall Study
Started 57 57 58 58
Completed 54 51 48 48
Not Completed 3 6 10 10
Arm/Group Title Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo Total
Hide Arm/Group Description [Not Specified] [Not Specified] [Not Specified] [Not Specified] Total of all reporting groups
Overall Number of Baseline Participants 57 57 58 58 230
Hide Baseline Analysis Population Description
Intent-to-treat (ITT) set included all randomized participants.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 57 participants 57 participants 58 participants 58 participants 230 participants
63.14  (13.100) 63.63  (11.883) 62.26  (12.220) 60.38  (12.930) 62.34  (12.523)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 57 participants 57 participants 58 participants 58 participants 230 participants
Female
47
  82.5%
40
  70.2%
47
  81.0%
45
  77.6%
179
  77.8%
Male
10
  17.5%
17
  29.8%
11
  19.0%
13
  22.4%
51
  22.2%
1.Primary Outcome
Title Inferior Corneal Fluorescein Staining Score in Pre-Controlled Adverse Environment at Day 84
Hide Description Corneal staining was performed to grade the degree of corneal epithelial cell injury as measured by fluorescence using slit-lamp examination. The staining was graded with the Ophthalmic Research Associates, Inc. (ORA) scale. The corneal surface is divided into three regions: superior, central and inferior. The scores for each of these 3 regions ranged from 0 to 4 (0=no staining; 1=occasional; 2=countable; 3=uncountable, but not confluent; 4=confluent) with 0.5 point increments, and lower score indicates a better outcome. Inferior corneal fluorescein staining scores from the study eye only were reported. Study eye is the 'worse eye', defined as the eye with worse (higher) score at baseline.
Time Frame Day 84
Hide Outcome Measure Data
Hide Analysis Population Description
Intent-to-treat (ITT) population with LOCF defined as all randomized subjects. For the efficacy analysis, the Last Observation Carried Forward (LOCF) method will be used to impute missing values.
Arm/Group Title Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo
Hide Arm/Group Description:
[Not Specified]
[Not Specified]
[Not Specified]
[Not Specified]
Overall Number of Participants Analyzed 57 55 54 55
Mean (Standard Deviation)
Unit of Measure: units on a scale
2.03  (0.868) 1.92  (0.768) 1.83  (0.680) 2.05  (0.715)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Lifitegrast 0.1%, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other (legacy)
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.9381
Comments [Not Specified]
Method Dunnett's test
Comments [Not Specified]
Method of Estimation Estimation Parameter Treatment Effect
Estimated Value 0.06
Confidence Interval (2-Sided) 95%
-0.26 to 0.39
Estimation Comments Analysis of covariance model with treatment, baseline, and site.
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Lifitegrast 1.0%, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other (legacy)
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3585
Comments [Not Specified]
Method Dunnett's test
Comments [Not Specified]
Method of Estimation Estimation Parameter Treatment Effect
Estimated Value 0.20
Confidence Interval (2-Sided) 95%
-0.13 to 0.53
Estimation Comments Analysis of covariance model with treatment, baseline, and site.
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Lifitegrast 5.0%, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority or Other (legacy)
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1375
Comments [Not Specified]
Method Dunnett's test
Comments [Not Specified]
Method of Estimation Estimation Parameter Treatment Effect
Estimated Value 0.27
Confidence Interval (2-Sided) 95%
-0.06 to 0.60
Estimation Comments Analysis of covariance model with treatment, baseline, and site.
2.Secondary Outcome
Title Inferior Corneal Staining Score Change From Baseline (CFB) to Day 84
Hide Description Corneal staining was performed to grade the degree of corneal epithelial cell injury as measured by fluorescence using slit-lamp examination. The staining was graded with the Ophthalmic Research Associates, Inc. (ORA) scale. The corneal surface is divided into three regions: superior, central and inferior. The scores for each of these 3 regions ranged from 0 to 4 (0=no staining; 1=occasional; 2=countable; 3=uncountable, but not confluent; 4=confluent) with 0.5 point increments, and lower score indicates a better outcome. Inferior corneal fluorescein staining scores from the study eye only were reported. Study eye is the 'worse eye', defined as the eye with worse (higher) score at baseline.
Time Frame Baseline (Day 0) and Day 84
Hide Outcome Measure Data
Hide Analysis Population Description
ITT set with LOCF was used for analysis of this outcome. Here, "n" signifies the number of participants evaluable for the respective time points.
Arm/Group Title Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo
Hide Arm/Group Description:
[Not Specified]
[Not Specified]
[Not Specified]
[Not Specified]
Overall Number of Participants Analyzed 57 57 58 58
Mean (Standard Deviation)
Unit of Measure: units on a scale
Pre-CAE: Baseline Number Analyzed 57 participants 56 participants 58 participants 58 participants
1.78  (0.473) 1.82  (0.508) 1.77  (0.515) 1.65  (0.513)
Pre-CAE: CFB to Day 84 Number Analyzed 57 participants 55 participants 54 participants 55 participants
0.25  (0.841) 0.10  (0.735) 0.05  (0.773) 0.40  (0.802)
Post-CAE: Baseline Number Analyzed 57 participants 56 participants 58 participants 58 participants
3.18  (0.417) 3.28  (0.610) 3.16  (0.523) 3.04  (0.602)
Post-CAE: Day 84 Number Analyzed 57 participants 55 participants 54 participants 55 participants
2.86  (0.962) 2.88  (0.860) 2.90  (0.918) 2.62  (0.855)
Time Frame From the first dose of study drug until the end of follow-up visit, up to Day 86
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo
Hide Arm/Group Description [Not Specified] [Not Specified] [Not Specified] [Not Specified]
All-Cause Mortality
Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   --/--      --/--      --/--      --/--    
Hide Serious Adverse Events
Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   2/57 (3.51%)      1/57 (1.75%)      0/58 (0.00%)      1/58 (1.72%)    
Cardiac disorders         
Cardiac arrest * 1  0/57 (0.00%)  0 1/57 (1.75%)  1 0/58 (0.00%)  0 0/58 (0.00%)  0
Injury, poisoning and procedural complications         
Hip fracture * 1  1/57 (1.75%)  1 0/57 (0.00%)  0 0/58 (0.00%)  0 0/58 (0.00%)  0
Investigations         
Oxygen saturation decreased * 1  1/57 (1.75%)  1 0/57 (0.00%)  0 0/58 (0.00%)  0 0/58 (0.00%)  0
Respiratory, thoracic and mediastinal disorders         
Asthma * 1  0/57 (0.00%)  0 0/57 (0.00%)  0 0/58 (0.00%)  0 1/58 (1.72%)  1
*
Indicates events were collected by non-systematic assessment
1
Term from vocabulary, MedDRA (11.0)
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Lifitegrast 0.1% Lifitegrast 1.0% Lifitegrast 5.0% Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   20/57 (35.09%)      13/57 (22.81%)      40/58 (68.97%)      11/58 (18.97%)    
Eye disorders         
Conjunctival haemorrhage * 1  0/57 (0.00%)  0 2/57 (3.51%)  3 3/58 (5.17%)  3 0/58 (0.00%)  0
Visual acuity reduced * 1  6/57 (10.53%)  7 2/57 (3.51%)  3 1/58 (1.72%)  1 3/58 (5.17%)  3
General disorders         
Instillation site irritation * 1  7/57 (12.28%)  7 5/57 (8.77%)  5 20/58 (34.48%)  20 6/58 (10.34%)  6
Instillation site pain * 1  6/57 (10.53%)  6 3/57 (5.26%)  3 20/58 (34.48%)  20 3/58 (5.17%)  3
Instillation site reaction * 1  0/57 (0.00%)  0 1/57 (1.75%)  2 8/58 (13.79%)  16 0/58 (0.00%)  0
Nervous system disorders         
Dysgeusia * 1  1/57 (1.75%)  1 2/57 (3.51%)  3 7/58 (12.07%)  12 0/58 (0.00%)  0
*
Indicates events were collected by non-systematic assessment
1
Term from vocabulary, MedDRA (11.0)
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
If a multicentre publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicentre Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Study Director
Organization: Shire (Note: Lifitegrast was divested to Novartis in 2019)
Phone: +1 866 842 5335
EMail: ClinicalTransparency@shire.com
Layout table for additonal information
Responsible Party: Takeda ( Shire )
ClinicalTrials.gov Identifier: NCT00926185    
Other Study ID Numbers: 1118-KCS-100
First Submitted: June 20, 2009
First Posted: June 23, 2009
Results First Submitted: August 9, 2016
Results First Posted: March 6, 2017
Last Update Posted: August 9, 2021