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    Clinical Trial Results:
    An Open-Label, Pharmacokinetic and Safety Study of Travoprost Ophthalmic Solution, 0.004% in Pediatric Glaucoma or Ocular Hypertension Patients

    Summary
    EudraCT number
    2012-001640-22
    Trial protocol
    GB   BE   ES   FR  
    Global end of trial date
    10 Jul 2013

    Results information
    Results version number
    v1(current)
    This version publication date
    16 Feb 2016
    First version publication date
    05 Aug 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    C-12-009
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01658839
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Alcon Research, Ltd.
    Sponsor organisation address
    6201 South Freeway, Fort Worth, Texas, United States, 76134
    Public contact
    Head, Pharma, GCRA, Alcon Research, Ltd. , +1 8884513937, alcon.medinfo@alcon.com
    Scientific contact
    Head, Pharma, GCRA, Alcon Research, Ltd., +1 8884513937, alcon.medinfo@alcon.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001271-PIP01-12
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    10 Jul 2013
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    10 Jul 2013
    Global end of trial reached?
    Yes
    Global end of trial date
    10 Jul 2013
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The purpose of this study was to assess the safety and describe the steady-state plasma pharmacokinetic (PK) profiles of Travoprost ophthalmic solution, 0.004% following a once daily administration for 7 days in pediatric glaucoma or ocular hypertension patients.
    Protection of trial subjects
    This study was performed in compliance with the ethical principles of the Declaration of Helsinki and Good Clinical Practice (GCP). A parent/legal guardian (if necessary, a legally authorized representative) provided informed consent, and the child signed an approved assent form when applicable.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    14 Jan 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 1
    Country: Number of subjects enrolled
    United States: 21
    Country: Number of subjects enrolled
    France: 1
    Country: Number of subjects enrolled
    Saudi Arabia: 2
    Worldwide total number of subjects
    25
    EEA total number of subjects
    2
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    4
    Children (2-11 years)
    9
    Adolescents (12-17 years)
    12
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants were recruited from 4 investigational centers located in the US, 1 located in France, 1 located in Spain, and 1 located in Saudi Arabia.

    Pre-assignment
    Screening details
    This reporting group includes all enrolled participants (25).

    Period 1
    Period 1 title
    Overall (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Travoprost
    Arm description
    Travoprost ophthalmic solution, 0.004%, one drop administered topically in the inferior cul-de-sac of the eye each morning at 9 AM (± 60 minutes) for 7 days
    Arm type
    Experimental

    Investigational medicinal product name
    Travatan
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Eye drops
    Routes of administration
    Topical use
    Dosage and administration details
    One drop administered topically in the inferior cul-de-sac of the eye each morning at 9 AM (± 60 minutes) for 7 days

    Number of subjects in period 1
    Travoprost
    Started
    25
    Completed
    25

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall
    Reporting group description
    -

    Reporting group values
    Overall Total
    Number of subjects
    25 25
    Age categorical
    Units: Subjects
        Infants and toddlers (28 days-23 months)
    4 4
        Children (2-11 years)
    9 9
        Adolescents (12-17 years)
    12 12
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    9.9 ± 5 -
    Gender categorical
    Units: Subjects
        Female
    12 12
        Male
    13 13

    End points

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    End points reporting groups
    Reporting group title
    Travoprost
    Reporting group description
    Travoprost ophthalmic solution, 0.004%, one drop administered topically in the inferior cul-de-sac of the eye each morning at 9 AM (± 60 minutes) for 7 days

    Primary: Maximum Observed Travoprost Free Acid Plasma Concentration (Cmax)

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    End point title
    Maximum Observed Travoprost Free Acid Plasma Concentration (Cmax) [1]
    End point description
    Travoprost free acid plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). Cmax was calculated for each participant with at least 1 quantifiable time point. Here, n=all participants who received at least 2 doses of the study drug, satisfied protocol required criteria relevant to the assessments of PK parameters, had at least 1 postdose blood draw, and for whom adequate PK data were collected (without collection or analytical deviations that would affect the integrity of the data).
    End point type
    Primary
    End point timeframe
    Day 7, Up to 80 minutes postdose
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study; no control data. No hypothesis testing done. Summaries provided using descriptive statistics.
    End point values
    Travoprost
    Number of subjects analysed
    11
    Units: ng/mL
    arithmetic mean (standard deviation)
        Overall (n=11)
    0.0256 ± 0.0158
        2 mo to < 3 years (n=2)
    0.0471 ± 0.0105
        3 to <12 years (n=6)
    0.0258 ± 0.0128
        12 to <18 years (n=3)
    0.0109 ± 0.000046
    No statistical analyses for this end point

    Primary: Time to Reach Cmax (Tmax)

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    End point title
    Time to Reach Cmax (Tmax) [2]
    End point description
    Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). Tmax was calculated for each participant with at least 1 quantifiable time point. Here, n=all participants who received at least 2 doses of the study drug, satisfied protocol required criteria relevant to the assessments of PK parameters, had at least 1 postdose blood draw, and for whom adequate PK data were collected (without collection or analytical deviations that would affect the integrity of the data).
    End point type
    Primary
    End point timeframe
    Day 7, Up to 80 minutes postdose
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study; no control data. No hypothesis testing done. Summaries provided using descriptive statistics.
    End point values
    Travoprost
    Number of subjects analysed
    11
    Units: hours
    arithmetic mean (standard deviation)
        Overall (n=11)
    0.25 ± 0.15
        2 mo to <3 years (n=2)
    0.26 ± 0.11
        3 to <12 years (n=6)
    0.17 ± 0
        12 to <18 years (n=3)
    0.39 ± 0.26
    No statistical analyses for this end point

    Primary: Time to last measurable concentration (Tlast)

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    End point title
    Time to last measurable concentration (Tlast) [3]
    End point description
    Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). Tlast was calculated for each participant with at least 1 quantifiable time point. Here, n=all participants who received at least 2 doses of the study drug, satisfied protocol required criteria relevant to the assessments of PK parameters, had at least 1 postdose blood draw, and for whom adequate PK data were collected (without collection or analytical deviations that would affect the integrity of the data).
    End point type
    Primary
    End point timeframe
    Day 7, Up to 80 minutes postdose
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study; no control data. No hypothesis testing done. Summaries provided using descriptive statistics.
    End point values
    Travoprost
    Number of subjects analysed
    11
    Units: hours
    arithmetic mean (standard deviation)
        Overall (n=11)
    0.42 ± 0.35
        2 mo to <3 years (n=2)
    0.34 ± 0.01
        3 to <12 years (n=6)
    0.46 ± 0.47
        12 to <18 years (n=3)
    0.39 ± 0.26
    No statistical analyses for this end point

    Primary: Area under the analyte plasma concentration-time curve to the last quantifiable sampling time point [AUC(0-tlast)]

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    End point title
    Area under the analyte plasma concentration-time curve to the last quantifiable sampling time point [AUC(0-tlast)] [4]
    End point description
    Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). AUC(0-tlast) was calculated for each participant with at least 2 quantifiable time points. Here, n=all participants who received at least 2 doses of the study drug, satisfied protocol required criteria relevant to the assessments of PK parameters, had at least 1 postdose blood draw, and for whom adequate PK data were collected (without collection or analytical deviations that would affect the integrity of the data).
    End point type
    Primary
    End point timeframe
    Day 7, Up to 80 minutes postdose
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study; no control data. No hypothesis testing done.Summaries provided using descriptive statistics.
    End point values
    Travoprost
    Number of subjects analysed
    6
    Units: ng*hr/mL
    arithmetic mean (standard deviation)
        Overall (n=6)
    0.0116 ± 0.0099
        2 mo to <3 years (n=2)
    0.0101 ± 0.0014
        3 to <12 years (n=4)
    0.0123 ± 0.0127
    No statistical analyses for this end point

    Primary: Area Under the Analyte Plasma Concentration-time Curve Over the Dosing Interval (Inf)[AUC(0-∞)]

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    End point title
    Area Under the Analyte Plasma Concentration-time Curve Over the Dosing Interval (Inf)[AUC(0-∞)] [5]
    End point description
    Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). AUC(0-∞) was calculated for each participant with at least 3 quantifiable time points. Here, n=all participants who received at least 2 doses of the study drug, satisfied protocol required criteria relevant to the assessments of PK parameters, had at least 1 postdose blood draw, and for whom adequate PK data were collected (without collection or analytical deviations that would affect the integrity of the data). 99999=standard deviation was not estimated.
    End point type
    Primary
    End point timeframe
    Day 7, Up to 80 minutes postdose
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study; no control data. No hypothesis testing done. Summaries provided using descriptive statistics.
    End point values
    Travoprost
    Number of subjects analysed
    1
    Units: ng*hr/mL
    arithmetic mean (standard deviation)
        Overall (n=1)
    0.0389 ± 99999
        3 to <12 years (n=1)
    0.0389 ± 99999
    No statistical analyses for this end point

    Primary: Half-life (t½)

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    End point title
    Half-life (t½) [6]
    End point description
    Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). T½ was calculated for each participant with at least 3 quantifiable time points. Here, n=all participants who received at least 2 doses of the study drug, satisfied protocol required criteria relevant to the assessments of PK parameters, had at least 1 postdose blood draw, and for whom adequate PK data were collected (without collection or analytical deviations that would affect the integrity of the data). 99999=standard deviation was not estimated.
    End point type
    Primary
    End point timeframe
    Day 7, Up to 80 minutes postdose
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Single arm study; no control data. No hypothesis testing done. Summaries provided using descriptive statistics.
    End point values
    Travoprost
    Number of subjects analysed
    1
    Units: hours
    arithmetic mean (standard deviation)
        Overall (n=1)
    0.53 ± 99999
        3 to <12 years (n=1)
    0.53 ± 99999
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Adverse events (AEs) were collected for the duration of the study (6 months). This analysis group includes all participants who received study drug.
    Adverse event reporting additional description
    An AE is defined as any untoward medical occurrence in a participant who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. Reports of AEs were obtained as solicited comments from the study participants and as observations by the study Investigator.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    15.0
    Reporting groups
    Reporting group title
    Travoprost
    Reporting group description
    Travoprost ophthalmic solution, 0.004% (new formulation), one drop administered topically in the inferior cul-de-sac of the eye each morning at 9 AM (± 60 minutes) for 7 days

    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: No non-serious adverse events occurred above the reporting threshold.
    Serious adverse events
    Travoprost
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 25 (4.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Surgical and medical procedures
    Trabeculectomy
         subjects affected / exposed
    1 / 25 (4.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Travoprost
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 25 (0.00%)

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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