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    Clinical Trial Results:
    A PHASE IV, PROSPECTIVE, OPEN-LABEL, MULTICENTRE, SINGLE ARM, 3-MONTH PROOF OF CONCEPT STUDY TO ASSESS THE EFFECT OF IKERVIS® 1MG/ML (CICLOSPORIN) EYE DROPS ADMINISTERED ONCE DAILY ON THE QUALITY OF VISION IN DRY EYE DISEASE (DED) PATIENTS WITH SEVERE KERATITIS

    Summary
    EudraCT number
    2016-003497-40
    Trial protocol
    FR  
    Global end of trial date
    11 Jul 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    15 Dec 2021
    First version publication date
    15 Dec 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    NVG16E128
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03237936
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    SANTEN SAS
    Sponsor organisation address
    Genavenir IV, 1 rue Pierre Fontaine, EVRY, France,
    Public contact
    Elsa LLOBET-MERKLING, EURAXI PHARMA, e.llobetmerkling@euraxipharma.fr
    Scientific contact
    Elsa LLOBET-MERKLING, EURAXI PHARMA, e.llobetmerkling@euraxipharma.fr
    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
    10 Nov 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    11 Jul 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    11 Jul 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the effect on the quality of vision of IKERVIS® (1mg/ml ciclosporin) eye drops administered once daily in adult dry eye disease (DED) patients with severe keratitis following 3 months of treatment.
    Protection of trial subjects
    The conduct of this clinical study met all local legal and regulatory requirements.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    28 Mar 2017
    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
    France: 17
    Worldwide total number of subjects
    17
    EEA total number of subjects
    17
    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)
    12
    From 65 to 84 years
    5
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Study was conducted in 3 sites in France.

    Pre-assignment
    Screening details
    Overall, 20 patients were screened for the study and 19 patients were enrolled (1 screen failure patient). 2 patients withdrew before receiving any study medication and 17 patients were included in the FAS and safety populations.

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

    Arms
    Arm title
    IKERVIS® 1 mg/mL CsA
    Arm description
    Participants received IKERVIS® (1mg/mL CsA) eye drops administered once daily during the 3-month study period.
    Arm type
    Experimental

    Investigational medicinal product name
    IKERVIS®
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Eye drops, emulsion
    Routes of administration
    Ocular use
    Dosage and administration details
    During the 3-month study treatment period, each patient was instructed to instil one drop of study medication (IKERVIS®, 1mg/mL CsA) into the lower conjunctival sac of each eye once daily at bedtime.

    Number of subjects in period 1
    IKERVIS® 1 mg/mL CsA
    Started
    17
    Full Analysis Set (FAS)
    17
    Completed
    16
    Not completed
    1
         Decision of Santen Promotor
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    overall trial
    Reporting group description
    -

    Reporting group values
    overall trial Total
    Number of subjects
    17 17
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    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)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    61.9 ± 12.7 -
    Gender categorical
    Units: Subjects
        Female
    13 13
        Male
    4 4

    End points

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    End points reporting groups
    Reporting group title
    IKERVIS® 1 mg/mL CsA
    Reporting group description
    Participants received IKERVIS® (1mg/mL CsA) eye drops administered once daily during the 3-month study period.

    Subject analysis set title
    Primary Endpoint
    Subject analysis set type
    Full analysis
    Subject analysis set description
    A total of 17 patients were included in the study.

    Primary: Spearman's coefficient of correlation between the change from baseline in VMR measured with FVA system at Month 3 and the change from baseline in the CFS at Month 3.

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    End point title
    Spearman's coefficient of correlation between the change from baseline in VMR measured with FVA system at Month 3 and the change from baseline in the CFS at Month 3. [1]
    End point description
    End point type
    Primary
    End point timeframe
    At Month 3
    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: This study is estimating the correlation of two measures VMR change and CFS change within the same group. No further statistical analyses were planned for this endpoint.
    End point values
    IKERVIS® 1 mg/mL CsA
    Number of subjects analysed
    17
    Units: Spearman's coefficient of correlation
        number (confidence interval 95%)
    -0.7028 (-0.8797 to -0.3158)
    No statistical analyses for this end point

    Primary: Correlation between the change from baseline in variance of OSI measured with double pass aberrometer at Month 3 and the change from baseline in the CFS at Month 3.

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    End point title
    Correlation between the change from baseline in variance of OSI measured with double pass aberrometer at Month 3 and the change from baseline in the CFS at Month 3. [2]
    End point description
    End point type
    Primary
    End point timeframe
    At Month 3
    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: This study is estimating the correlation of two measures OSI variance change and CFS change within the same group. No further statistical analyses were planned for this endpoint.
    End point values
    IKERVIS® 1 mg/mL CsA
    Number of subjects analysed
    17
    Units: Spearman's coefficient of correlation
        number (confidence interval 95%)
    -0.0384 (-0.5087 to 0.4515)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From the time the patient gave informed consent until the final trial visit.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    Overall study
    Reporting group description
    -

    Serious adverse events
    Overall study
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 17 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Overall study
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    9 / 17 (52.94%)
    Eye disorders
    Eye Irritation
         subjects affected / exposed
    3 / 17 (17.65%)
         occurrences all number
    3
    Dry eye
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences all number
    2
    Eye Burns
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Eyelid oedema
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    PHOTOPHOBIA
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    VISUAL ACUITY REDUCED
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    03 May 2017
    Modification of an inclusion criteria, allowing to include patients rated 3 for the corneal fluorescein staining (CFS) test; specifying that certain exclusion criteria only applies to the eligible eye to be used for the statistical analysis, adding an assessment (non-corrected visual acuity).

    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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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    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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