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    Clinical Trial Results:
    A phase II, observer masked, active controlled study of SYL040012 for the treatment of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension (SYLTAG)

    Summary
    EudraCT number
    2013-002947-27
    Trial protocol
    EE   DE   ES  
    Global end of trial date
    05 Aug 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Mar 2017
    First version publication date
    01 Mar 2017
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    SYL040012_IV
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Sylentis SAU - Grupo PharmaMar
    Sponsor organisation address
    Parque Tecnológico de Madrid C/Santiago Grisolía nº 2, Tres Cantos, Madrid, Spain, 28760
    Public contact
    Head of Regulatory Affairs & QP, Sylentis S.A.U., 0034 918047667, info@sylentis.com
    Scientific contact
    Head of Regulatory Affairs & QP, Sylentis S.A.U., 0034 918047667, info@sylentis.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    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?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    20 Jan 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    05 Aug 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    05 Aug 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine the most effective drug concentration of SYL040012 in the reduction of the intraocular pressure (IOP) after 28 days of treatment.
    Protection of trial subjects
    This study was conducted in compliance with ICH-GCP Guidelines, the Declaration of Helsinki (18th World Medical Assembly, 1964) and its last revision (Fortaleza, October 2013), and local laws and regulations of the countries where the study was performed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    28 Oct 2014
    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: 80
    Country: Number of subjects enrolled
    Estonia: 78
    Country: Number of subjects enrolled
    Germany: 17
    Country: Number of subjects enrolled
    United States: 100
    Worldwide total number of subjects
    275
    EEA total number of subjects
    175
    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)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    200
    From 65 to 84 years
    75
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    275 patients were screened from 28 October 2014 to 06 July 2015 in 19 centers in Spain, Germany, Estonia and the USA. 91 patients were finally not included in the study. 184 (66.9%) were randomized to 5 different groups: bamosiran 0.375%, bamosiran 0.75%, bamosiran 1.125%, bamosiran 1.5% and 0.5 Timolol solution

    Pre-assignment
    Screening details
    Age≥18 years;Signed IC;OAG or OHT;IOP≥23 mmHg;BCVA=1.0 logMAR;Stable visual field;Central corneal thickness 480-620 μm;Shaffer gonioscopic grade of ≥ 3 (in at least 3 quadrants) in both eyes

    Period 1
    Period 1 title
    Overall period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator
    Blinding implementation details
    The study was double-masked by definition for the different doses of bamosiran; but as the timolol group was dosed with a different dosage form and regimen, in order to keep a masked assessment of the study parameters, the principal investigator defined, if necessary, a different investigational staff for the treatment handling and support and for the study assessments (masked) at each site, so also the comparisons vs timolol could be considered at least masked to the assessment

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    0.375% Bamosiran
    Arm description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 0.375%
    Arm type
    Experimental

    Investigational medicinal product name
    Bamosiran
    Investigational medicinal product code
    SYL040012
    Other name
    Pharmaceutical forms
    Eye drops
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days

    Arm title
    0.75% Bamosiran
    Arm description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 0.75%
    Arm type
    Experimental

    Investigational medicinal product name
    Bamosiran
    Investigational medicinal product code
    SYL040012
    Other name
    Pharmaceutical forms
    Eye drops, solution
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days

    Arm title
    1.125% Bamosiran
    Arm description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 1.125%
    Arm type
    Experimental

    Investigational medicinal product name
    Bamosiran
    Investigational medicinal product code
    SYL040012
    Other name
    Pharmaceutical forms
    Eye drops, solution
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days

    Arm title
    1.5% Bamosiran
    Arm description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 1.5%
    Arm type
    Experimental

    Investigational medicinal product name
    Bamosiran
    Investigational medicinal product code
    SYL040012
    Other name
    Pharmaceutical forms
    Eye drops, solution
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days

    Arm title
    0.5% Timolol
    Arm description
    Timolol maleate for ocular administration (eye drops) bid in each eye over a period of 28 days at a dose of 0.5%.
    Arm type
    Active comparator

    Investigational medicinal product name
    Timolol maleate
    Investigational medicinal product code
    Timolol
    Other name
    Pharmaceutical forms
    Eye drops, solution
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    Timolol maleate for ocular administration (eye drops) bid in each eye over a period of 28 days at a dose of 0.5%.

    Number of subjects in period 1 [1]
    0.375% Bamosiran 0.75% Bamosiran 1.125% Bamosiran 1.5% Bamosiran 0.5% Timolol
    Started
    37
    40
    37
    33
    37
    Completed
    36
    38
    35
    33
    36
    Not completed
    1
    2
    2
    0
    1
         Consent withdrawn by subject
    -
    -
    -
    -
    1
         Red and purulent eye
    -
    1
    -
    -
    -
         Forbidden medication
    -
    -
    1
    -
    -
         IOP>35 mmHg
    -
    1
    -
    -
    -
         Protocol deviation
    1
    -
    1
    -
    -
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: A total of 91 patients were finally not included in the study due to the following reasons: Inclusion/Exclusion criteria (86) and Withdrawal of consent (5).

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    0.375% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 0.375%

    Reporting group title
    0.75% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 0.75%

    Reporting group title
    1.125% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 1.125%

    Reporting group title
    1.5% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 1.5%

    Reporting group title
    0.5% Timolol
    Reporting group description
    Timolol maleate for ocular administration (eye drops) bid in each eye over a period of 28 days at a dose of 0.5%.

    Reporting group values
    0.375% Bamosiran 0.75% Bamosiran 1.125% Bamosiran 1.5% Bamosiran 0.5% Timolol Total
    Number of subjects
    37 40 37 33 37 184
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    60.7 ± 10.4 59.4 ± 12.9 61.5 ± 10.1 62.4 ± 11.1 60.2 ± 11.5 -
    Gender categorical
    Units: Subjects
        Female
    25 24 22 24 24 119
        Male
    12 16 15 9 13 65
    Race
    Units: Subjects
        Asian
    0 0 0 0 1 1
        Black
    4 4 2 5 3 18
        White
    33 36 35 28 33 165
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    3 7 5 3 2 20
        Non-Hispanic or Latino
    34 33 32 30 35 164
    Height
    Units: cm
        arithmetic mean (standard deviation)
    166 ± 9 167 ± 10 166 ± 13 165 ± 11 167 ± 10 -
    Weight
    Units: Kg
        arithmetic mean (standard deviation)
    81.7 ± 18.7 77.8 ± 18.2 78 ± 19.6 76.5 ± 17.4 85.1 ± 19.1 -
    BMI
    BMI=Body mass index
    Units: Kg/m2
        arithmetic mean (standard deviation)
    29.5 ± 6.1 28.1 ± 6.4 27.9 ± 4.6 28.2 ± 5.9 30.6 ± 7.2 -
    Body temperature
    Units: celsius temperature
        arithmetic mean (standard deviation)
    36.4 ± 0.4 36.4 ± 0.4 36.5 ± 0.4 36.4 ± 0.5 36.5 ± 0.3 -
    Gonioscopy test results
    Units: quadrants
        arithmetic mean (standard deviation)
    3.5 ± 0.5 3.7 ± 0.5 3.4 ± 0.5 3.5 ± 0.5 3.6 ± 0.5 -

    End points

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    End points reporting groups
    Reporting group title
    0.375% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 0.375%

    Reporting group title
    0.75% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 0.75%

    Reporting group title
    1.125% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 1.125%

    Reporting group title
    1.5% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at a dose of 1.5%

    Reporting group title
    0.5% Timolol
    Reporting group description
    Timolol maleate for ocular administration (eye drops) bid in each eye over a period of 28 days at a dose of 0.5%.

    Primary: Changes in diurnal IOP after 28 days of treatment

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    End point title
    Changes in diurnal IOP after 28 days of treatment
    End point description
    End point type
    Primary
    End point timeframe
    The absolute change in mean diurnal IOP after 28 days of treatment vs day 0. The mean diurnal IOP was assessed as the mean value of the assessments at 9h, 12h and 15h, both baseline and after 28 days of treatment comparing the four levels of concentration
    End point values
    0.375% Bamosiran 0.75% Bamosiran 1.125% Bamosiran 1.5% Bamosiran 0.5% Timolol
    Number of subjects analysed
    36
    38
    35
    33
    35
    Units: mmHg
        arithmetic mean (standard deviation)
    -2.4 ± 2.6
    -3.2 ± 2.9
    -3.1 ± 2.5
    -3.1 ± 3.2
    -6.1 ± 2.2
    Attachments
    Change IOP
    Statistical analysis title
    Differences between groups
    Statistical analysis description
    All groups showed a reduction in the mean IOP at the end of the study, without reaching statistical significance when concentrations of bamosiran were compared. However, the concentration of bamosiran 0.75% showed the highest reduction at Day 28, followed close by the higher concentrations.
    Comparison groups
    1.125% Bamosiran v 0.375% Bamosiran v 1.5% Bamosiran v 0.5% Timolol v 0.75% Bamosiran
    Number of subjects included in analysis
    177
    Analysis specification
    Pre-specified
    Analysis type
    superiority [1]
    P-value
    = 1 [2]
    Method
    ANCOVA
    Confidence interval
    Notes
    [1] - Timolol 0.5% was statistically significant different when compared to the concentrations of bamosiran after 28 days of treatment (ANCOVA;p<0.001). Timolol 0.5% vs Bamosiran 1.5% -2.967 95%CI(-4.235;-1.698) p=<0.001 Timolol 0.5% vs Bamosiran 1.125% -3.056 95%CI(-4.302;-1.810) p=<0.001 Timolol 0.5% vs Bamosiran 0.75% -2.910 95%CI(-4.134;-1.685) p=<0.001 Timolol 0.5% vs Bamosiran 0.375% -3.793 95%CI(-5.050;-2.536) p=<0.001
    [2] - 1.5%-1.125%: -0.059 (-1.38;1.26) p=0.930 1.5%-0.75%: 0.065 (-1.23;1.36) p=0.921 1.5%-0.375%: -0.821 (-2.15;0.51) p=0.225 1.125%-0.75%: 0.124 (-1.15;1.40) p=0.847 1.125%-0.375%: -0.762 (-0.72;0.55) p=0.252 0.75%-0.375%: -0.886 (-2.17;0.40) p=0.17

    Secondary: Changes in diurnal IOP after 14 days of treatment

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    End point title
    Changes in diurnal IOP after 14 days of treatment
    End point description
    End point type
    Secondary
    End point timeframe
    after 14 days of treatment (D14) versus baseline, assessed as the mean value of the assessments performed at 09:00, 12:00 and 15:00, both at baseline and after 14 days
    End point values
    0.375% Bamosiran 0.75% Bamosiran 1.125% Bamosiran 1.5% Bamosiran 0.5% Timolol
    Number of subjects analysed
    36
    38
    35
    33
    35
    Units: mmHg
        arithmetic mean (standard deviation)
    -2.4 ± 2.6
    -2.9 ± 2.4
    -2.5 ± 2.1
    -2.4 ± 3.1
    -5.8 ± 1.9
    Statistical analysis title
    Differences between groups
    Statistical analysis description
    No statistically significant differences were found among the concentrations of bamosiran with respect to the mean diurnal IOP after 14 days. Although no statistically significant differences were found, the concentration of 0.75% of bamosiran seems to show the highest percentage of decrease (12%) with respect to the other concentrations.
    Comparison groups
    0.375% Bamosiran v 0.75% Bamosiran v 1.125% Bamosiran v 1.5% Bamosiran v 0.5% Timolol
    Number of subjects included in analysis
    177
    Analysis specification
    Pre-specified
    Analysis type
    superiority [3]
    P-value
    = 1 [4]
    Method
    ANCOVA
    Confidence interval
    Notes
    [3] - Timolol 0.5% was statistically significant different when compared to the concentrations of bamosiran both after 14 days of treatment (ANCOVA; p<0.001). Timolol 0.5% vs Bamosiran 1.5%: -3.394 95%CI(-4.557; -2.232) p=<0.001 Timolol 0.5% vs Bamosiran 1.125%: -3.363 95%CI(-4.505; -2.221) p=<0.001 Timolol 0.5% vs Bamosiran 0.75%: -2.865 95%CI(-3.987; -1.742) p=<0.001 Timolol 0.5% vs Bamosiran 0.375%: -3.513 95%CI(-4.665; -2.360) p=<0.001
    [4] - 1.5%-1.125%: 0.043 (-1.17;1.26) p=0.944 1.5%-0.75%: 0.532 (-0.66;1.73) p=0.381 1.5%-0.375%: -0.122 (-1.35;1.11) p=0.845 1.125%-0.75%: 0.488 (-0.69;1.66) p=0.412 1.125%-0.375%: -0.165 (-1.37;1.04) p=0.788 0.75%-0.375%: -0.653 (-1.84;0.53) p=0.279

    Secondary: GQL-15 Questionnaire at Day 29

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    End point title
    GQL-15 Questionnaire at Day 29
    End point description
    The GQL-15 is a 15-item, 4-domain tool. The instrument is based on the premise that perceived visual disability (dark adaptation, disability glare, outdoor mobility tasks and activities using peripheral vision) is significantly associated with binocular visual field loss.
    End point type
    Secondary
    End point timeframe
    Patients were asked to rate their quality of life by means of the GQL-15 questionnaire at Day 29
    End point values
    0.375% Bamosiran 0.75% Bamosiran 1.125% Bamosiran 1.5% Bamosiran 0.5% Timolol
    Number of subjects analysed
    36
    38
    35
    33
    35
    Units: points
    arithmetic mean (standard deviation)
        GQL-15 Total Score
    20 ± 8.28
    20.7 ± 7.68
    19.4 ± 6.34
    22 ± 9.65
    18.7 ± 6.21
        Central and near vision - Recognizing faces
    1.3 ± 0.61
    1.2 ± 0.63
    1.3 ± 0.63
    1.4 ± 0.8
    1.2 ± 0.58
        Central and near vision - Reading newspapers
    1.3 ± 0.78
    1.3 ± 0.67
    1.4 ± 0.88
    1.3 ± 0.54
    1.4 ± 0.84
        Peripheral vision - Seeing objects
    1.2 ± 0.58
    1.2 ± 0.51
    1.1 ± 0.43
    1.2 ± 0.61
    1.1 ± 0.6
        Peripheral vision - Walking
    1.4 ± 0.77
    1.4 ± 0.72
    1.4 ± 0.98
    1.6 ± 0.84
    1.4 ± 0.77
        Peripheral vision - Tripping
    1.2 ± 0.47
    1.2 ± 0.43
    1.1 ± 0.37
    1.4 ± 0.79
    1.1 ± 0.4
        Peripheral vision - Judging distance
    1.3 ± 0.55
    1.3 ± 0.71
    1.2 ± 0.38
    1.4 ± 0.74
    1.2 ± 0.38
        Peripheral vision - steps/stairs
    1.3 ± 0.68
    1.4 ± 0.79
    1.1 ± 0.37
    1.4 ± 0.83
    1.1 ± 0.43
        Peripheral vision - Bumping
    1.2 ± 0.52
    1.2 ± 0.47
    1.1 ± 0.42
    1.3 ± 0.68
    1.1 ± 0.24
        Dark adaptation - Walking
    1.3 ± 0.83
    1.4 ± 0.76
    1.4 ± 0.69
    1.5 ± 1
    1.3 ± 0.61
        Dark adaptation - Seeing at night
    1.4 ± 0.88
    1.7 ± 0.93
    1.4 ± 0.73
    1.8 ± 0.93
    1.5 ± 0.74
        Dark adaptation - Adjusting
    1.4 ± 0.8
    1.5 ± 0.73
    1.5 ± 0.82
    1.5 ± 0.87
    1.4 ± 0.94
        Dark adaptation - Change dark/light
    1.5 ± 0.7
    1.6 ± 0.75
    1.5 ± 0.7
    1.8 ± 0.83
    1.4 ± 0.69
        Dark adaptation - Finding
    1.3 ± 0.62
    1.3 ± 0.69
    1.1 ± 0.36
    1.3 ± 0.69
    1.1 ± 0.28
        Outdoor mobility - Crossing the road
    1.3 ± 0.81
    1.2 ± 0.58
    1.1 ± 0.24
    1.3 ± 0.76
    1.1 ± 0.24
    Statistical analysis title
    Differences between groups
    Comparison groups
    0.375% Bamosiran v 0.75% Bamosiran v 1.125% Bamosiran v 1.5% Bamosiran v 0.5% Timolol
    Number of subjects included in analysis
    177
    Analysis specification
    Pre-specified
    Analysis type
    superiority [5]
    P-value
    = 0.038 [6]
    Method
    ANCOVA
    Confidence interval
    Notes
    [5] - No statistically significant differences between Timolol 0.5% group and all the bamosiran concentration groups in any of the domains throughout the study. However, statistically significant differences were found in favour of the bamosiran 1.5% group when compared to bamosiran 1.125% group in the peripheral vision score.
    [6] - bamosiran 1.5% group compared to bamosiran 1.125% group

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Overall period
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.0
    Reporting groups
    Reporting group title
    0.375% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at doses of 0.375%

    Reporting group title
    0.75% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at doses of 0.75%

    Reporting group title
    1.125% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at doses of 1.125%

    Reporting group title
    1.5% Bamosiran
    Reporting group description
    Bamosiran, a 21-nucleotide siRNA for ocular administration (eye drops) once daily in each eye over a period of 28 days at doses of 1.5%

    Reporting group title
    0.5% Timolol
    Reporting group description
    Timolol maleate for ocular administration (eye drops) bid in each eye over a period of 28 days at a dose of 0.5%.

    Serious adverse events
    0.375% Bamosiran 0.75% Bamosiran 1.125% Bamosiran 1.5% Bamosiran 0.5% Timolol
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 37 (0.00%)
    0 / 40 (0.00%)
    0 / 37 (0.00%)
    0 / 33 (0.00%)
    0 / 37 (0.00%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    0.375% Bamosiran 0.75% Bamosiran 1.125% Bamosiran 1.5% Bamosiran 0.5% Timolol
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    16 / 37 (43.24%)
    18 / 40 (45.00%)
    15 / 37 (40.54%)
    10 / 33 (30.30%)
    9 / 37 (24.32%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    1 / 37 (2.70%)
    1 / 40 (2.50%)
    3 / 37 (8.11%)
    1 / 33 (3.03%)
    0 / 37 (0.00%)
         occurrences all number
    1
    5
    3
    1
    0
    Eye disorders
    Conjunctival hyperaemia
         subjects affected / exposed
    1 / 37 (2.70%)
    0 / 40 (0.00%)
    3 / 37 (8.11%)
    2 / 33 (6.06%)
    1 / 37 (2.70%)
         occurrences all number
    2
    0
    3
    2
    1
    Eye pruritus
         subjects affected / exposed
    2 / 37 (5.41%)
    1 / 40 (2.50%)
    0 / 37 (0.00%)
    0 / 33 (0.00%)
    1 / 37 (2.70%)
         occurrences all number
    2
    1
    0
    0
    1
    Lacrimation increased
         subjects affected / exposed
    0 / 37 (0.00%)
    2 / 40 (5.00%)
    0 / 37 (0.00%)
    0 / 33 (0.00%)
    0 / 37 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    Ocular discomfort
         subjects affected / exposed
    0 / 37 (0.00%)
    3 / 40 (7.50%)
    0 / 37 (0.00%)
    1 / 33 (3.03%)
    0 / 37 (0.00%)
         occurrences all number
    0
    3
    0
    1
    0
    Vision blurred
         subjects affected / exposed
    0 / 37 (0.00%)
    2 / 40 (5.00%)
    0 / 37 (0.00%)
    0 / 33 (0.00%)
    1 / 37 (2.70%)
         occurrences all number
    0
    2
    0
    0
    1
    Gastrointestinal disorders
    Toothache
         subjects affected / exposed
    0 / 37 (0.00%)
    2 / 40 (5.00%)
    0 / 37 (0.00%)
    0 / 33 (0.00%)
    0 / 37 (0.00%)
         occurrences all number
    0
    2
    0
    0
    0
    Instillation site pain
         subjects affected / exposed
    0 / 37 (0.00%)
    0 / 40 (0.00%)
    0 / 37 (0.00%)
    0 / 33 (0.00%)
    2 / 37 (5.41%)
         occurrences all number
    0
    0
    0
    0
    2
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    2 / 37 (5.41%)
    0 / 40 (0.00%)
    1 / 37 (2.70%)
    1 / 33 (3.03%)
    0 / 37 (0.00%)
         occurrences all number
    2
    0
    1
    1
    0

    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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    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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