Efficacy of iLid Cleanser (Avenova) Versus Vehicle on Ocular Skin Flora

May 27, 2015 updated by: NovaBay Pharmaceuticals, Inc.

A Multicenter Randomized, Double-Masked Study Comparing the Efficacy of Novabay iLid Cleanser Versus Vehicle on Ocular Skin Flora

This study is designed to evaluate the effect of Novabay iLid Cleanser, as compared to its Vehicle, on the ocular skin flora.

In the pre-randomization phase, subjects will receive a single application of open-label NovaBay iLid Cleanser.

In the randomization phase of Stages 1 and 2, subjects will self-treat with masked Investigational Product twice daily for ten (10) days.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

This is an adaptive design, randomized, double-masked, vehicle-controlled, multicenter, parallel group study with two treatment arms: NovaBay iLid Cleanser ("Cleanser") and Cleanser Vehicle ("Vehicle").

The study will be conducted in two Stages, each preceded by a pre-randomization phase. Randomization of Cleanser:Vehicle will be 1:1 and 2:1 in Stages 1 and 2 respectively.

In the pre-randomization phase for Stages 1 and 2, subjects who meet all inclusion and no exclusion criteria will be evaluated by clinical examination at a single visit prior to having ocular skin specimens taken before and after treatment with open-label Cleanser.

In the randomization phase for both Stages 1 and 2, subjects who meet all inclusion and no exclusion criteria will be randomized and evaluated at three visits:

  • Visit 1: Screening, Day 1
  • Visit 2: Day 11 (+2) End of Treatment (EOT)
  • Visit 3: Day 18 (±2) Post Treatment Evaluation/Exit Subjects will have ocular skin specimens taken at Visit 1, Day 1. The specimens will be collected before and 20 minutes after the first application of the study Investigational Product performed by study personnel.

Study Type

Interventional

Enrollment (Anticipated)

100

Phase

  • 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 Locations

  • United States
    • Arizona
      • Phoenix, Arizona, United States, 85032
        • Recruiting
        • Ophthalmic Research Consultants of Arizona
        • Contact:
        • Principal Investigator:
          • Arthur Epstein, OD
    • California
      • San Leandro, California, United States, 94577
        • Recruiting
        • Turner Eye Institute
        • Contact:
    • North Carolina
      • Winston Salem, North Carolina, United States, 27101
        • Recruiting
        • James D. Branch, MD
        • Contact:
        • Principal Investigator:
          • James Branch, MD

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

Ages Eligible for Study

6 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Male or female, of any race, at least 6 years of age.

  • Must be eligible for a recommendation to use eye lid cleansing/scrubs for:

    • Signs of acute or chronic blepharitis, such as eye lid debris (sleeves, collorates, flakes, crusting) requiring eye lid cleansing/scrubs, and/or
    • Signs consistent with mild, moderate, or severe meibomian gland disease (MGD) such as dilated and blocked glands with inspissated secretions sluggish or stagnant upon expression.
  • Must be able to read, understand and sign an informed consent form that has been approved by an Institutional Review Board/Ethics Committee. If subject is less than 18 years of age, the informed consent must be signed and dated by subject's legally authorized representative (parent or guardian). Assent to participate should also be obtained from subjects under 18 years of age if required by local regulation.
  • Must agree to comply with the visit schedule and other requirements of the study. The parent or guardian must agree to ensure compliance of subjects less than 18 years of age.
  • Must agree to remove contact lenses, if applicable, for 15 minutes before and after application of the study Investigational Product.
  • Must agree for the duration of the study to refrain from use of makeup/cosmetic products used around the eye(s) such as eye liner, mascara, and/or shadow, foundation or powder. Use of such products is allowed if the eyelid skin area is avoided.

Exclusion Criteria:

  • Presence of signs and symptoms of bacterial or allergic conjunctivitis or allergic dermatitis at the Day 1 Visit.
  • Suspected fungal, viral, Chlamydia or Acanthamoeba infection based on clinical diagnosis.
  • Visual acuity not correctable to 1.0 LogMAR or better (equivalent to Snellen 20/200) in either eye using either a Snellen or ETDRS chart.
  • Use of any topical ocular medications including tear substitutes during study participation.
  • Use of any preserved or non-preserved glaucoma medications during the 14 days prior to Visit 1 and anticipated use during study participation.
  • Presence of nasolacrimal duct obstruction.
  • Presence of a punctal plug in either eye.
  • Any systemic or ocular disease or disorder, complicating factors or structural abnormality that would negatively affect the conduct or outcome of the study.
  • Presence of active inflammation and/or active structural change in the cornea, iris or anterior chamber at the Day 1 visit.
  • Use of any topical ocular or oral antimicrobial agent within the 3 days prior to Day 1 visit.
  • Use of topical ocular corticosteroids or non-steroidal topical ocular anti-inflammatories (NSAIDs), within 3 days prior to study entry and during the trial.
  • Use of RESTASIS® (Cyclosporine Ophthalmic Emulsion) 0.05%) in either eye during the trial.
  • Any current immunosuppressive disorder (e.g., HIV positive), or use of immunosuppressive therapy (including chemotherapy).
  • Participation in any other investigational clinical study within 30 days prior to study enrollment.
  • Any subject who is on staff at the investigational site or is a family member of staff personnel.
  • Additionally, the Investigator or Medical Monitor may declare any subject ineligible for a sound medical reason.

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: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: iLid Cleanser (Avenova)
iLid Cleanser - applied 2 times per day for 10 days
Device: iLid Cleanser
Application of iLid Cleanser to reduce bacterial load on the lid and lash margins
Other Names:
  • Avenova
Placebo Comparator: iLid Cleanser Vehicle
iLid Cleanser Vehicle - applied 2 times per day for 10 days
Device: iLid Cleanser
Application of iLid Cleanser to reduce bacterial load on the lid and lash margins
Other Names:
  • Avenova

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Microbiological efficacy
Time Frame: 20 minutes after application of test article
Quantitative assessment of numbers of recoverable bacteria before versus after application of test article
20 minutes after application of test article

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Ocular Signs
Time Frame: Assessed on Visit 1(Day 1), Visit 2 (Day 11) and Visit 3 (Day 18)
lid erythema, lid swelling, lid crusting and debris on lashes, bulbar and palpebral conjunctival injection, and meibomian gland secretions (after expression)
Assessed on Visit 1(Day 1), Visit 2 (Day 11) and Visit 3 (Day 18)

Collaborators and Investigators

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

Sponsor

NovaBay Pharmaceuticals, Inc.

Investigators

  • Study Director: David W. Stroman, Ph.D., NovaBay Pharmaceuticals, Inc.

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

May 1, 2015

Primary Completion (Anticipated)

January 1, 2016

Study Completion (Anticipated)

May 1, 2016

Study Registration Dates

First Submitted

May 26, 2015

First Submitted That Met QC Criteria

May 27, 2015

First Posted (Estimate)

May 28, 2015

Study Record Updates

Last Update Posted (Estimate)

May 28, 2015

Last Update Submitted That Met QC Criteria

May 27, 2015

Last Verified

May 1, 2015

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CM-01-14

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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