Evaluation of Neovis® Total Multi Versus Systane® Balance on Ocular Dryness Associated With Meibomian Gland Dysfunction

January 3, 2022 updated by: Horus Pharma

Multicentric, Randomized, Comparative Clinical Study on the Evaluation of the Efficacy and Safety of Neovis® Total Multi Versus Systane® Balance on the Treatment of Ocular Dryness Associated With Meibomian Gland Dysfunction

This study is a multicentric, comparative, randomized, investigator-blinded, in parallel groups study to demonstrate the non-inferiority of Neovis® Total Multi in comparison with Systane® Balance, in terms of improvement of stability of Tear film in patients with eye dryness associated to meibomian gland dysfunction, after 28 days of treatment.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Not yet recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Anticipated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
120

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Presenting dry eye symptoms for at least 6 months.
  • OSDI (Ocular Surface Disease Index) ≥ 18

  • At least one eye eligible with:

    • sum of peripheral corneal and conjunctival staining ≥ 4 and ≤ 9 (Oxford 0-15 grading scheme) AND
    • sum of 3 measurements of Tear film Break-Up Time (TBUT) ≤ 15s
  • Meibomian Gland Dysfunction on at least one eye (same eye eligible) with a score of 1 or higher for meibum quality score (from 0: clear to 3: toothpaste/obstruction) and evidence of partial or whole missing Meibomian Glands.
  • Ability and willingness to apply eyelid hygiene during the whole study, including wash-out period.
  • Having given freely and expressly his/her informed consent.
  • Able to comply with the study requirements, as defined in the present CIP, at the Investigator's appreciation.
  • In France: subject being affiliated to a health social security system.
  • Female subjects of childbearing potential should use a medically accepted contraceptive regimen since at least 12 weeks before the beginning of the study, during all the study and at least 1 month after the study end.

Exclusion Criteria:

  • Pregnant or nursing woman or planning a pregnancy during the study.
  • Subject deprived of freedom by administrative or legal decision.
  • Subject in a social or health institution
  • Subject who is under guardianship or who is not able to express his/her consent.
  • Use of contact lenses in either eye during the study.
  • Far best-corrected visual acuity ≤ 1/10.

  • Subject with severe ocular dryness with one of these conditions:

    • Eyelid or blinking malfunction
    • Corneal disorders not related to dry eye syndrome
    • Ocular metaplasia
    • Filamentous keratitis
    • Corneal neovascularization
  • History of ocular traumatism, ocular infection or ocular inflammation within the last 3 months.
  • History of ocular allergy or ocular herpes within the last 12 months.
  • Subjects who underwent ocular surgery, including laser surgery, in either eye within the last 6 months.
  • Any troubles of the ocular surface not related to dry eye syndrome.
  • Use of the following ocular treatments: isotretinoïd, cyclosporine, tacrolimus, sirolimus, pimecrolimus during the month preceding the inclusion.
  • IOP > 21 mmHg
  • Uncontrolled systemic disease
  • Alcohol abuse
  • Psychiatric disorders
  • Cognitive impairment that could affect evaluation of preferences or inability to understand written patient information
  • Participation in other clinical studies in the last month
  • Hypersensitivity to one or more components of the study product
  • Dry eye due to systemic disease, concomitant medication, malign conditions or idiopathic causes
  • Punctual plugs during the past 3 months
  • Use of lipid-containing eye drops during the past 3 months
  • Use of other therapeutic ophthalmics during the past 3 months
  • Earlier participation at this clinical trial or the patient being an investigator or a member of the personnel involved at this clinical trial

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Investigational product
Device: Neovis Total Multi
1 drop in each eye, 4 times per day
Active Comparator: Comparator
Device: Systane Balance
1 drop in each eye, 4 times per day

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Tear-Film Break Up Time (TBUT)
Time Frame: 28 days
Evaluation of the non-inferiority of Neovis® Total Multi in comparison with Systane® Balance, in terms of TBUT improvement, on worse eye
28 days

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Tear-Film Break Up Time (TBUT) (performance)
Time Frame: 84 days
Main change from baseline of Tear-Film Break Up Time (TBUT) in the worse eye and contralateral eye
84 days
Cornea and conjunctiva staining (Oxford score) (performance)
Time Frame: 28 days
Main change from baseline of cornea and conjunctiva staining (Oxford score) in the worse eye and contralateral eye
28 days
Cornea and conjunctiva staining (Oxford score) (performance)
Time Frame: 84 days
Main change from baseline of cornea and conjunctiva staining (Oxford score) in the worse eye and contralateral eye
84 days
Meibomian gland expression (performance)
Time Frame: 28 days
Main change from baseline of meibomian gland expression score in the worse eye and contralateral eye
28 days
Meibomian gland expression (performance)
Time Frame: 84 days
Main change from baseline of meibomian gland expression score in the worse eye and contralateral eye
84 days
Meibum quality (performance)
Time Frame: 28 days
Main change from baseline of meibum quality score in the worse eye and contralateral eye
28 days
Meibum quality (performance)
Time Frame: 84 days
Main change from baseline of meibum quality score in the worse eye and contralateral eye
84 days
Meiboscopy (performance)
Time Frame: 28 days
Main change from baseline of the number of partially missing or dropout meibomian glands in the worse eye and contralateral eye
28 days
Meiboscopy (performance)
Time Frame: 84 days
Main change from baseline of the number of partially missing or dropout meibomian glands in the worse eye and contralateral eye
84 days
Eyelid margin abnormalities (performance)
Time Frame: 28 days
Main change from baseline of the eyelid margin abnormalities score in the worse eye and contralateral eye
28 days
Eyelid margin abnormalities (performance)
Time Frame: 84 days
Main change from baseline of the eyelid margin abnormalities score in the worse eye and contralateral eye
84 days
OSDI (questionnaire) (performance)
Time Frame: 28 days
Main change from baseline of OSDI (Ocular Surface Disease Index) in the worse eye and contralateral eye
28 days
OSDI (questionnaire) (performance)
Time Frame: 84 days
Main change from baseline of OSDI (Ocular Surface Disease Index) in the worse eye and contralateral eye
84 days
Global performance by the investigator (performance)
Time Frame: 28 days
Global performance assessment by the investigator using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
28 days
Global performance by the investigator (performance)
Time Frame: 84 days
Global performance assessment by the investigator using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
84 days
Global performance by the patient (performance)
Time Frame: 28 days
Global performance assessment by the patient using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
28 days
Global performance by the patient (performance)
Time Frame: 84 days
Global performance assessment by the patient using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
84 days
Global tolerance by the investigator (safety)
Time Frame: 28 days
Global tolerance assessment by the investigator using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
28 days
Global tolerance by the investigator (safety)
Time Frame: 84 days
Global tolerance assessment by the investigator using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
84 days
Global tolerance by the patient (safety)
Time Frame: 28 days
Global tolerance assessment by the patient using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
28 days
Global tolerance by the patient (safety)
Time Frame: 84 days
Global tolerance assessment by the patient using a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)
84 days
Intensity of ocular symptoms upon instillation (safety)
Time Frame: 28 days
Evaluation of intensity of ocular symptoms upon instillation on a scale from 0 (none) to 3 (severe)
28 days
Intensity of ocular symptoms upon instillation (safety)
Time Frame: 84 days
Evaluation of intensity of ocular symptoms upon instillation on a scale from 0 (none) to 3 (severe)
84 days
Duration of ocular symptoms upon instillation (safety)
Time Frame: 28 days
Evaluation of duration of ocular symptoms upon instillation in seconds/minutes/hours
28 days
Duration of ocular symptoms upon instillation (safety)
Time Frame: 84 days
Evaluation of duration of ocular symptoms upon instillation in seconds/minutes/hours
84 days
Frequency of ocular symptoms upon instillation (safety)
Time Frame: 28 days
Evaluation of frequency of ocular symptoms upon instillation on a scale from 1 (rarely) to 4 (very often)
28 days
Frequency of ocular symptoms upon instillation (safety)
Time Frame: 84 days
Evaluation of frequency of ocular symptoms upon instillation on a scale from 1 (rarely) to 4 (very often)
84 days
Number of Adverse Events
Time Frame: 84 days
Collection of ocular and systemic adverse events
84 days

Other Outcome Measures

Other Outcome Measures

For clinical trials, a planned measurement described in the protocol that is used to determine the effect of an intervention/treatment on participants. For observational studies, a measurement or observation that is used to describe patterns of diseases or traits, or associations with exposures, risk factors, or treatment. Types of outcome measures include primary outcome measure and secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Non-Invasive Tear film Break-Up Time (NIBUT) (exploratory, optional)
Time Frame: 28 days
Main change from baseline of Non-Invasive Tear film Break-Up Time (NIBUT) in the worse eye and contralateral eye
28 days
Non-Invasive Tear film Break-Up Time (NIBUT) (exploratory, optional)
Time Frame: 84 days
Main change from baseline of Non-Invasive Tear film Break-Up Time (NIBUT) in the worse eye and contralateral eye
84 days
Lipid layer thickness (exploratory, optional)
Time Frame: 28 days
Main change from baseline of lipid layer thickness with interferometry methods in the worse eye and contralateral eye
28 days
Lipid layer thickness (exploratory, optional)
Time Frame: 84 days
Main change from baseline of lipid layer thickness with interferometry methods in the worse eye and contralateral eye
84 days
Functional visual acuity (exploratory, optional)
Time Frame: 28 days
Main change from baseline of functional visual acuity in the worse eye and contralateral eye
28 days
Functional visual acuity (exploratory, optional)
Time Frame: 84 days
Main change from baseline of functional visual acuity in the worse eye and contralateral eye
84 days
Super Oxyde Dismutase (SOD) dosage (exploratory, optional)
Time Frame: 84 days
Main change from baseline of SOD1 and SOD2 in the worse eye
84 days
Goblet cells analysis (exploratory, optional)
Time Frame: 84 days
Main change from baseline of Goblet cells in the worse eye
84 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Horus Pharma

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Principal Investigator: Hoffart Louis, Vision Sud

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
January 1, 2022

Primary Completion (Anticipated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
October 1, 2022

Study Completion (Anticipated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
December 1, 2022

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
December 10, 2021

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
January 3, 2022

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
January 13, 2022

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
January 13, 2022

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
January 3, 2022

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
January 1, 2022

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • 21E1007

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

IPD Plan Description

Depending on any journal publication of the results

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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