Treatment Safety and Efficacy of Pro-ocular™ 1% for Chronic Ocular Graft Following Allogeneic HSCT.
Treatment Safety and Efficacy Using Pro-ocular™ 1% for Chronic Ocular Graft-versus-host Disease (GvHD) Following Allogeneic Hematopoietic Stem Cell Transplantation.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Ocular graft versus host disease presents a most severe form of ocular surface disease that compromises quality of life of afflicted allogeneic hematopoietic transplantation patients.
A controlled study is necessary to verify findings obtained to date in isolated patients. Currently available ophthalmic solutions and suspensions, drugs and devices largely have not been effective in alleviating the suffering of chronic ocular GvHD patients. Thus, this is an unmet need that Pro-ocular™ topical gel can fulfill.
Potential benefits: Decrease or cessation of adverse ocular symptoms and signs of chronic ocular GvHD, reduction or elimination of the need for other topical ocular therapeutic treatments for chronic ocular GvHD, and restoration of quality of life.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Massachusetts Eye and Ear Longwood
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female of any race, at least 18 years of age at Visit 1 Screening.
- Has the diagnosis of chronic ocular GvHD.
- Has an NIH Consensus Eye Score of at least 2.
- On the GLIA Ocular Surface Disease Symptoms Questionnaire at Screening, has ocular discomfort at a severity score of moderate or more, and at least one other symptom at a severity of moderate or more.
- One or more signs from the list of chronic ocular GvHD signs below
- Has provided verbal and written informed consent.
- Be able and willing to follow oral and written instructions, including participation in all study assessments and visits.
Exclusion Criteria:
- Wearing scleral or contact lenses within the last month, or those who plan to start wearing scleral or contact lenses during the study.
- Anticipate major changes in systemic GvHD management during study period.
- Comorbidity with other severe or chronic eye conditions that in the judgment of the investigator will interfere with study assessments, such as but not limited to retinal detachment, recent ocular surgery, Bell's palsy, active trigeminal neuritis or trigeminal neuralgia.
- Anticipate change of vision correction or anticipate any ocular procedures during study period.
- A woman who is pregnant, nursing an infant, or planning a pregnancy.
- A woman of childbearing potential who has a positive urine pregnancy test at Visit 1, or who does not use an adequate method of birth control throughout the study period.
- Has a known adverse reaction and/or sensitivity to the study drug or its components.
- Unwilling to cease the use of sunscreen on the forehead or eye area.
- Intraocular pressure >22 mm Hg at screening visit with or without ongoing glaucoma treatment.
- Currently enrolled in an investigational drug or device study for chronic ocular GvHD.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Pro-ocular™
Pro-ocular™ 1% topical gel applied dermally to forehead twice daily, morning and before bedtime.
|
Topical gel for forehead dermal application
|
|
Placebo Comparator: Placebo
Vehicle topical gel without active ingredient applied dermally to forehead twice daily, morning and before bedtime.
|
Topical gel for forehead dermal application
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Modified SANDE Questionnaire - Frequency, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? |
2 weeks
|
|
Corneal Fluorescein Stain - Central, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye.
Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.
|
2 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Modified SANDE Questionnaire - Frequency, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? |
6 weeks
|
|
Modified SANDE Questionnaire - Frequency, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? |
10 weeks
|
|
Corneal Fluorescein Stain - Central, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye.
Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.
|
6 weeks
|
|
Corneal Fluorescein Stain - Central, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye.
Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.
|
10 weeks
|
|
Modified SANDE Questionnaire - Global, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity. |
2 weeks
|
|
Modified SANDE Questionnaire - Global, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity. |
6 weeks
|
|
Modified SANDE Questionnaire - Global, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity. |
10 weeks
|
|
Corneal Fluorescein Stain - Total, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye.
Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.
|
2 weeks
|
|
Corneal Fluorescein Stain - Total, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye.
Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.
|
6 weeks
|
|
Corneal Fluorescein Stain - Total, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye.
Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.
|
10 weeks
|
|
Blurred Vision, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant. |
2 weeks
|
|
Blurred Vision, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant. |
6 weeks
|
|
Blurred Vision, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant. |
10 weeks
|
|
Photophobia, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes. Sensitivity to light symptom is reported by participant. |
2 weeks
|
|
Photophobia, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes. Sensitivity to light symptom is reported by participant. |
6 weeks
|
|
Photophobia, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes. Sensitivity to light symptom is reported by participant. |
10 weeks
|
|
Lid Edema, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is viewed by slit lamp without stain. |
2 weeks
|
|
Lid Edema, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is viewed by slit lamp without stain. |
6 weeks
|
|
Lid Edema, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is viewed by slit lamp without stain. |
10 weeks
|
|
Lid Erythema, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is viewed by slit lamp without stain. |
2 weeks
|
|
Lid Erythema, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is viewed by slit lamp without stain. |
6 weeks
|
|
Lid Erythema, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is viewed by slit lamp without stain. |
10 weeks
|
|
Lid Margin Ulceration, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid margin ulceration is viewed by slit lamp without stain. |
2 weeks
|
|
Lid Margin Ulceration, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid margin ulceration is viewed by slit lamp without stain. |
6 weeks
|
|
Lid Margin Ulceration, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid margin ulceration is viewed by slit lamp without stain. |
10 weeks
|
|
Conjunctival Hyperemia, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is viewed by slit lamp without stain. |
2 weeks
|
|
Conjunctival Hyperemia, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is viewed by slit lamp without stain. |
6 weeks
|
|
Conjunctival Hyperemia, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is viewed by slit lamp without stain. |
10 weeks
|
|
Dryness, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Dryness symptom is reported by participant. |
2 weeks
|
|
Dryness, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Dryness symptom is reported by participant. |
6 weeks
|
|
Dryness, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Dryness symptom is reported by participant. |
10 weeks
|
|
Ocular Pain, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Ocular pain symptom is reported by participant. |
2 weeks
|
|
Ocular Pain, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Ocular pain symptom is reported by participant. |
6 weeks
|
|
Ocular Pain, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Ocular pain symptom is reported by participant. |
10 weeks
|
|
Airflow Sensitivity, Change From Baseline
Time Frame: 2 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Airflow sensitivity symptom is reported by participant. |
2 weeks
|
|
Airflow Sensitivity, Change From Baseline
Time Frame: 6 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Airflow sensitivity symptom is reported by participant. |
6 weeks
|
|
Airflow Sensitivity, Change From Baseline
Time Frame: 10 weeks
|
Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Airflow sensitivity symptom is reported by participant. |
10 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Modified SANDE Questionnaire - Frequency
Time Frame: 1 year
|
Score on a visual analog scale 0-100, higher values represent worse outcomes.
Symptom Assessment iN Dry Eye Questionnaire.
How often do eyes feel dry and/or irritated?
|
1 year
|
|
Modified SANDE Questionnaire - Frequency
Time Frame: 2 years
|
Score on a visual analog scale 0-100, higher values represent worse outcomes.
Symptom Assessment iN Dry Eye Questionnaire.
How often do eyes feel dry and/or irritated?
|
2 years
|
|
Modified SANDE Questionnaire - Global
Time Frame: 1 year
|
Score on a visual analog scale 0-100, higher values represent worse outcomes.
Symptom Assessment iN Dry Eye Questionnaire.
Global score is square root of how often do eyes feel dry and/or irritated x how severe are your symptoms of dryness and/or irritation?
|
1 year
|
|
Modified SANDE Questionnaire - Global
Time Frame: 2 years
|
Score on a visual analog scale 0-100, higher values represent worse outcomes.
Symptom Assessment iN Dry Eye Questionnaire.
Global score is square root of how often do eyes feel dry and/or irritated x how severe are your symptoms of dryness and/or irritation?
|
2 years
|
|
Corneal Fluorescein Stain - Central
Time Frame: 1 year
|
Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.
|
1 year
|
|
Corneal Fluorescein Stain - Central
Time Frame: 2 years
|
Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.
|
2 years
|
|
Corneal Fluorescein Stain - Total
Time Frame: 1 year
|
Fluorescein staining score Total for worse eye.
Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.
|
1 year
|
|
Corneal Fluorescein Stain - Total
Time Frame: 2 years
|
Fluorescein staining score Total for worse eye.
Total comprises Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.
|
2 years
|
|
Blurred Vision
Time Frame: 1 year
|
Score for worse eye, recorded on a visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant. |
1 year
|
|
Blurred Vision
Time Frame: 2 years
|
Score for worse eye, recorded on a visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant. |
2 years
|
|
Lid Edema
Time Frame: 1 year
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
1 year
|
|
Lid Edema
Time Frame: 2 years
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
2 years
|
|
Lid Erythema
Time Frame: 1 year
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
1 year
|
|
Lid Erythema
Time Frame: 2 years
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
2 years
|
|
Lid Ulceration
Time Frame: 1 year
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid ulceration is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
1 year
|
|
Lid Ulceration
Time Frame: 2 years
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
2 years
|
|
Conjunctival Hyperemia
Time Frame: 1 year
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
1 year
|
|
Conjunctival Hyperemia
Time Frame: 2 years
|
Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is scored by ophthalmologist using slit lamp biomicroscopy without staining. |
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Zhonghui K Luo, MD, PhD, Massachusetts Eye and Ear, Longwood
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- oGvHD-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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