Study of Efficacy and Safety of SAF312 Eye Drops in Subjects With Post-operative Corneal Induced Chronic Pain (CICP)
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ClinicalTrials.gov Identifier: NCT04630158 |
Recruitment Status :
Active, not recruiting
First Posted : November 16, 2020
Last Update Posted : May 23, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Chronic Ocular Pain | Other: SAF312 Placebo Drug: SAF312 | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 153 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Masking Description: | Double-blinded |
Primary Purpose: | Treatment |
Official Title: | A 12-week Parallel Group, Randomized, Placebo-controlled, Double-blinded, Multi-center Study to Evaluate Efficacy and Safety of 2 Concentrations of SAF312 Eye Drops (5 mg/ml and 15 mg/ml) Used Twice-daily in the Treatment of Post-operative Corneal Induced Chronic Pain (CICP) Following Photorefractive Keratectomy (PRK) or Laser-assisted in Situ Keratomileusis (LASIK) Surgeries |
Actual Study Start Date : | April 21, 2021 |
Estimated Primary Completion Date : | June 6, 2023 |
Estimated Study Completion Date : | June 6, 2023 |

Arm | Intervention/treatment |
---|---|
Placebo Comparator: SAF312 Placebo
Randomized to a 1:1:1 topical eye drops, twice daily
|
Other: SAF312 Placebo
Topical ocular, suspension eye drops,
Other Name: Artificial tears |
Experimental: SAF312 dose 1
Randomized to a 1:1:1 topical eye drops, twice daily
|
Drug: SAF312
Topical ocular, suspension eye drops |
Experimental: SAF312 dose 2
Randomized to a 1:1:1 topical eye drops, twice daily
|
Drug: SAF312
Topical ocular, suspension eye drops |
- Change in mean pain severity Visual Analog Scale [ Time Frame: 84 days ]
To demonstrate the efficacy of at least 1 of 2 concentrations of SAF312 (dose 1 or dose 2) with superiority to placebo in reducing ocular pain severity.
The pain severity Visual Analogue Scale (VAS) is completed by the subject using an electronic diary. A vertical mark is placed on the horizontal scoring line (anchored with 'No Pain' on the left and 'Very Severe' pain on the right) to score the severity of ocular pain over the past 24 hours (max score=100). Higher scores indicate higher pain severity.
- Change in pain severity Visual Analog Scale [ Time Frame: Baseline, Day 7 and Day 14 ]
To evaluate additional efficacy of 2 concentrations of SAF312 vs placebo (eg., time to pain severity improvement).
The pain severity Visual Analogue Scale (VAS) is completed by the subject using an electronic diary. A vertical mark is placed on the horizontal scoring line (anchored with 'No Pain' on the left and 'Very Severe' pain on the right) to score the severity of ocular pain over the past 24 hours (max score=100). Higher scores indicate higher pain severity.
- Change in pain frequency Visual Analog Scale [ Time Frame: Baseline, Week 12 ]
To evaluate additional efficacy of 2 concentrations of SAF312 vs placebo (eg., time to pain frequency improvement).
The pain frequency Visual Analogue Scale (VAS) is completed by the subject using an electronic diary. A vertical mark is placed on the horizontal scoring line (anchored with 'Rarely' on the left and 'All the Time' on the right) to score the frequency of ocular pain over the past 24 hours (max score=100). Higher scores indicate higher pain frequency.
- Change in Ocular Pain Assessment Scale (OPAS) sub-scale Quality of Life [ Time Frame: Baseline, Week 12 ]
To evaluate additional efficacy of 2 concentrations of SAF312 vs placebo (e.g., time to improvement in quality of life).
Each question in the Ocular Pain Assessment Survey (OPAS) quality of life subscale is scored by the subject on a line marked from 0 (not at all) to 10 (completely) that describes how much pain has interfered with or affected a particular activity (max score= 10/question). A higher score suggests a higher impact by pain on a particular activity.
- Change in ocular surface parameters as assessed by the corneal fluorescein staining [ Time Frame: Baseline, Week 12 ]
To evaluate if SAF312 has negative effects to the ocular surface after prolonged TRPV1 inhibition.
The degree of corneal fluorescein staining in each of five regions (superior, inferior, nasal, temporal, and central) is graded on a scale from 0 to 4 (max score=20/eye). Higher scores suggest higher degrees of corneal staining (worsening).
- Change in ocular surface parameters as assessed by lissamine staining [ Time Frame: Baseline, Week 12 ]
To evaluate if SAF312 has negative effects to the ocular surface after prolonged TRPV1 inhibition.
The degree of lissamine conjunctival staining in two regions (temporal and nasal) is graded on a scale from 0 to 4 (max score = 8/eye). Higher scores suggest higher degrees of corneal staining (worsening).
- Change in ocular surface parameters as assessed by Schirmer's testing [ Time Frame: Baseline, Week 12 ]
To evaluate if SAF312 has negative effects to the ocular surface after prolonged TRPV1 inhibition.
The Schirmer's test will be performed without anesthetic. Tear secretion is measured in millimeters based on the length of strip wetted by tears (max score =35 mm/eye). Lower values indicate lower relative amounts of tear secretion (worsening).
- Change in ocular surface parameters as evaluated by the investigator using the McMonnies redness photographic scale. [ Time Frame: Baseline, Week 12 ]
To evaluate if SAF312 has negative effects to the ocular surface after prolonged TRPV1 inhibition.
Conjunctival redness in each of two regions (nasal and temporal) is graded on a scale from 0 to 5 using the McMonnies conjunctival redness photographic scale (max score=5/region). Higher scores suggest higher degrees of redness (worsening).
- Comparison of adverse events rates between active and placebo [ Time Frame: Baseline, End of Study (Day 88) ]
To evaluate the safety of 2 concentrations of SAF312 (dose 1 and dose 2).
Ocular and non-ocular adverse events will be summarized separately. Separate summaries also will be provided for study treatment related adverse events, death, serious adverse events, and other significant adverse events leading to discontinuation. Higher rates of adverse events in the active group compared to the placebo may suggest potential safety signals.

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- Subjects who have undergone refractive surgery (i.e., PRK, LASIK, LASEK, RK, or SMILE) in both eyes or cataract surgery in both eyes, with or without refractive enhancement in one or both eyes, ≥4 months prior to Screening Visit and experiencing persistent ocular surface pain since the surgery, and have been seen by an ophthalmologist or optometrist at least once with complaint of continued ocular pain since surgery.
- Subjects who demonstrate a ≥ 60% reduction in ocular pain within 5 minutes after instillation of a single topical ocular anesthetic drop at Screening Visit.
At Baseline
- Subjects with an average pain severity VAS score of ≥ 30 mm based on Daily eDiary for the last 7 days prior to Baseline Visit.
- Subjects who have reported pain severity >10 mm based on Daily eDiary for > 50% of the days of the observational period (Screening)
Key Exclusion Criteria:
- Use of nerve growth factor eye drops within 14 days of the Screening Visit
- Seasonal allergic conjunctivitis, or other acute or seasonal ocular diagnosis that are active at the time of Screening or would be active during the course of the study.
- Any history of ocular herpes simplex virus or herpes zoster virus infection, or other severe ocular conditions such as graft versus host disease, Stevens-Johnson syndrome or sarcoidosis.
- Presence of any ocular infection (bacterial, viral, or fungal) within 30 days prior to Screening.
- Chronic topical ocular medications (ie. cyclosporine, lifitegrast) initiated <6 months prior to Screening Visit, or any anticipated change during the study.
- Use of ocular or nasal corticosteroids within 30 days of Screening Visit.
- Use of neuromodulatory medications (eg, gabapentin, pregabalin) or opioid use for non-ocular pain within 30 days of Screening Visit.
- Chronic medications (both over the counter and prescription) that have not been stable for at least 30 days prior to Screening Visit, or any anticipated change in the chronic medication regimen.
- Subjects requiring hospitalization within 6 months prior to screening for severe psychiatric disorders (e.g. psychosis, schizophrenia, mania, depression) or major psychiatric illness.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04630158
United States, California | |
Novartis Investigative Site | |
Mission Hills, California, United States, 91345 | |
Novartis Investigative Site | |
Newport Beach, California, United States, 92660 | |
Novartis Investigative Site | |
Palo Alto, California, United States, 94303 | |
Novartis Investigative Site | |
San Diego, California, United States, 92122 | |
United States, Florida | |
Novartis Investigative Site | |
Coral Springs, Florida, United States, 33067 | |
Novartis Investigative Site | |
Jacksonville, Florida, United States, 32256 | |
Novartis Investigative Site | |
Miami, Florida, United States, 33136 | |
United States, Massachusetts | |
Novartis Investigative Site | |
Boston, Massachusetts, United States, 02111 | |
Novartis Investigative Site | |
Needham, Massachusetts, United States, 02494 | |
United States, Michigan | |
Novartis Investigative Site | |
Ann Arbor, Michigan, United States, 48105 | |
United States, North Carolina | |
Novartis Investigative Site | |
Durham, North Carolina, United States, 27710 | |
United States, North Dakota | |
Novartis Investigative Site | |
Fargo, North Dakota, United States, 58103 | |
United States, Pennsylvania | |
Novartis Investigative Site | |
Philadelphia, Pennsylvania, United States, 19104 | |
United States, Tennessee | |
Novartis Investigative Site | |
Chattanooga, Tennessee, United States, 37411 | |
Novartis Investigative Site | |
Memphis, Tennessee, United States, 38119 | |
Novartis Investigative Site | |
Smyrna, Tennessee, United States, 37167 | |
United States, Texas | |
Novartis Investigative Site | |
Houston, Texas, United States, 77025 | |
Novartis Investigative Site | |
Houston, Texas, United States, 77030 | |
Novartis Investigative Site | |
Houston, Texas, United States, 77074 | |
Novartis Investigative Site | |
Lakeway, Texas, United States, 78738 | |
United States, Utah | |
Novartis Investigative Site | |
Salt Lake City, Utah, United States, 84117 | |
United States, Virginia | |
Novartis Investigative Site | |
Lynchburg, Virginia, United States, 24502 | |
United States, Washington | |
Novartis Investigative Site | |
Renton, Washington, United States, 98057 | |
Novartis Investigative Site | |
Seattle, Washington, United States, 98119 | |
Japan | |
Novartis Investigative Site | |
Sapporo city, Hokkaido, Japan, 060 8648 | |
Novartis Investigative Site | |
Shinagawa, Tokyo, Japan, 141-0022 | |
United Kingdom | |
Novartis Investigative Site | |
Birmingham, West Midlands, United Kingdom, B75 6QW | |
Novartis Investigative Site | |
Newcastle upon Tyne, United Kingdom, NE1 4LP |
Study Director: | Novartis Pharmaceuticals | Novartis Pharmaceuticals |
Responsible Party: | Novartis Pharmaceuticals |
ClinicalTrials.gov Identifier: | NCT04630158 |
Other Study ID Numbers: |
CSAF312B12201 2021-005857-97 ( EudraCT Number ) |
First Posted: | November 16, 2020 Key Record Dates |
Last Update Posted: | May 23, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on https://www.clinicalstudydatarequest.com/. |
URL: | https://www.clinicalstudydatarequest.com/ |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Eye pain Dry eye like symptoms Ocular surface pain Corneal induced chronic pain neuropathic eye pain |
post-operative corneal induced chronic pain CICP corneal corneal pain |
Chronic Pain Pain Neurologic Manifestations |
Lubricant Eye Drops Ophthalmic Solutions Pharmaceutical Solutions |