- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03298815
Study for the Treatment of Ocular Chronic Graft-Versus-Host Disease (GVHD) With Amniotic Fluid Eye Drops (AFED)
July 5, 2023 updated by: Catherine Lee, University of Utah
A Randomized, Double-Blinded, Placebo-Controlled Study for the Treatment of Ocular Chronic Graft-Versus-Host Disease (GVHD) With Amniotic Fluid Eye Drops (AFED)
A Randomized, Double-blinded, Placebo-Controlled Study for the Treatment of Ocular Chronic Graft Verses Host Disease with Processed Amniotic Fluid (pAF) Drops.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This is a randomized (to each eye, within patient), double-blinded, placebo-controlled study of the efficacy of Processed Amniotic Fluid (pAF) in patients with hematologic malignancies who have undergone Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) and are diagnosed with Chronic Graft Verses Host Disease of the eye.
Study Type
Interventional
Enrollment (Actual)
15
Phase
- Phase 2
- Phase 1
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
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- University of Utah Huntsman Cancer Institute
-
-
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
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
Patients diagnosed within 5 years after hematopoietic stem cell transplant for any disease, with any graft and any conditioning regimen with at least one of the following symptoms:
- Dry eye symptoms partially affecting (requiring lubricant drops > 3 x per day or punctal plugs, or thermally cauterized puncta) or significantly affecting (special eyeware to relieve pain) activities of daily living (ADL)
- Unable to work because of ocular symptoms
- Loss of vision due to keratoconjunctivitis sicca (KCS)
- Patients may be using bilateral scleral lenses and/or bilateral punctal plugs at the time of accrual.
- Patients who are 18 years of age or older.
- Willing and able to provide informed consent.
Exclusion Criteria:
- Patients who have any other reversible cause for dry eye at the time of accrual.
- More than 3 lines of therapy beyond corticosteroids with or without calcineurin inhibitors or sirolimus
- Relapsed malignancy after transplantation
- A difference in dryness between both eyes of more than 2 points of the grading provided by the International Dry Eye Workshop (DEWS) 2007 report
- Patients who are pregnant or plan to become pregnant while participating in the study. - Patients who are not willing to discontinue the use of any eye drops, with the exception of non-medicated lubricant eye drops (artificial tears). All eye drops (excluding non-medicated lubricant eye drops) must be stopped at least seven days before treatment with pAF.
- Inability to comply with the investigational plan and visit schedule for any
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: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Amniotic Fluid Eye Drops (AFED) - All participants, One eye
|
One drop (0.25 mL) in one eye twice daily for up to 3 months
|
Placebo Comparator: Saline Solution - All participants, One eye
|
One drop (0.25 mL) in the other eye twice daily for up to 3 months
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall Response Rate
Time Frame: 100 days
|
Response is a composite of the NIH Consensus Conference (CC) for assessment of response in chronic GVHD (eye score) and the International Dry Eye Workshop (DEWS) grading scale.
Responders would be defined as a one point improvement in the dry eye grading scale (DEWS), without worsening in the eye score.
|
100 days
|
Safety of pAF in patients with chronic ocular GVHD: CTCAE version 4
Time Frame: 100 days
|
Serious adverse events and ocular adverse events using CTCAE version 4
|
100 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functional Assessment of Cancer Therapy: General (FACT-G)
Time Frame: 30 days
|
Change in Quality of Life questionnaire using a five-point scale from 0 (not at all) to 4 (very much).
|
30 days
|
Functional Assessment of Cancer Therapy: General (FACT-G)
Time Frame: 60 days
|
Change in Quality of Life questionnaire using a five-point scale from 0 (not at all) to 4 (very much).
|
60 days
|
Functional Assessment of Cancer Therapy: General (FACT-G)
Time Frame: 100 days
|
Change in Quality of Life questionnaire using a five-point scale from 0 (not at all) to 4 (very much).
|
100 days
|
National Institutes of Health (NIH) Consensus Criteria (CC) ocular score of chronic GVHD
Time Frame: 30 days
|
Change in ocular score using a four-point scale from 0 (no dry eye symptoms) to 3 (severe dry eye symptoms).
|
30 days
|
National Institutes of Health (NIH) Consensus Criteria (CC) ocular score of chronic GVHD
Time Frame: 60 days
|
Change in ocular score using a four-point scale from 0 (no dry eye symptoms) to 3 (severe dry eye symptoms).
|
60 days
|
National Institutes of Health (NIH) Consensus Criteria (CC) ocular score of chronic GVHD
Time Frame: 100 days
|
Change in ocular score using a four-point scale from 0 (no dry eye symptoms) to 3 (severe dry eye symptoms).
|
100 days
|
Dry Eye Workshop (DEWS) 2007 Dry Eye Severity Grading
Time Frame: 30 days
|
Ophthalmologic assessment to determine changes in dry eye signs/symptoms each graded on a scale of 1 to 4 with 1 being non/mild to 4 being most severe for a total score.
|
30 days
|
Dry Eye Workshop (DEWS) 2007 Dry Eye Severity Grading
Time Frame: 60 days
|
Ophthalmologic assessment to determine changes in dry eye signs/symptoms each graded on a scale of 1 to 4 with 1 being non/mild to 4 being most severe for a total score.
|
60 days
|
Dry Eye Workshop (DEWS) 2007 Dry Eye Severity Grading
Time Frame: 100 days
|
Ophthalmologic assessment to determine changes in dry eye signs/symptoms each graded on a scale of 1 to 4 with 1 being non/mild to 4 being most severe for a total score.
|
100 days
|
Pain Assessment
Time Frame: 60 days
|
Change in patient reported pain level using 0-10 pain rating scale with zero being no pain to 10 being very severe pain.
|
60 days
|
Changes in Visual Acuity
Time Frame: Up to 100 days
|
Ophthalmologic assessment to determine changes in visual acuity related to the administration of pAF.
|
Up to 100 days
|
Effects on the Corneal Surface
Time Frame: Up to 100 days
|
Ophthalmologic assessment to determine the effects of treatment with pAF on the corneal surface of patients with ocular chronic GVHD.
|
Up to 100 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Catherine J. Lee, MD, University of Utah
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 (Actual)
December 20, 2019
Primary Completion (Actual)
December 16, 2022
Study Completion (Actual)
February 24, 2023
Study Registration Dates
First Submitted
September 13, 2017
First Submitted That Met QC Criteria
September 26, 2017
First Posted (Actual)
October 2, 2017
Study Record Updates
Last Update Posted (Actual)
July 7, 2023
Last Update Submitted That Met QC Criteria
July 5, 2023
Last Verified
July 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 103515
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
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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