Study of d-MAPPS™ Ophthalmic Solution in Adults With Chronic Ocular Graft-Versus-Host Disease (oGVHD)
A Randomized, Double-Masked, Vehicle-Controlled, Adequate and Well-Controlled Pivotal Study With Co-Primary Endpoints to Evaluate the Safety and Efficacy of d-MAPPS™ Ophthalmic Solution in Subjects With Chronic Ocular Graft-Versus-Host Disease (oGVHD)
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 3
Erweiterter Zugriff
Erweiterter Zugriff
Verfügbar
- Verfügbar: Für diese Prüfbehandlung ist derzeit ein erweiterter Zugang verfügbar, und Patienten, die nicht an der klinischen Studie teilnehmen, können möglicherweise Zugang zu dem Medikament, Biologikum oder Medizinprodukt erhalten wird untersucht.
- Nicht mehr verfügbar: Erweiterter Zugriff war früher für diese Intervention verfügbar, ist aber derzeit nicht verfügbar und wird auch in Zukunft nicht verfügbar sein.
- Vorübergehend nicht verfügbar: Erweiterter Zugang ist derzeit für diese Intervention nicht verfügbar, wird aber voraussichtlich in Zukunft verfügbar sein.
- Zur Vermarktung zugelassen: Die Intervention wurde von der U.S. Food and Drug Administration für die Verwendung durch die Öffentlichkeit zugelassen.
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Marissa Harrell, PhD
- Telefonnummer: 727-748-0420
- E-Mail: info@roiglobalsolutions.org
Studienorte
-
-
California
-
Beverly Hills, California, Vereinigte Staaten, 90210
- Rekrutierung
- Beverly Hills Institute of Ophthalmology
-
Kontakt:
- Jillian Chong, MD
- Telefonnummer: 310-273-2333
- E-Mail: drchong@90210eyes.com
-
Hauptermittler:
- Jillian Chong, MD
-
Beverly Hills, California, Vereinigte Staaten, 90211
- Rekrutierung
- Beverly Hills Optometry
-
Kontakt:
- Kambiz Silani, OD
- Telefonnummer: 310-659-2020
-
Kontakt:
- E-Mail: bheyeguy@gmail.com
-
Hauptermittler:
- Kambiz Silani, OD
-
-
Florida
-
Palm Harbor, Florida, Vereinigte Staaten, 34684
- Noch keine Rekrutierung
- Regenerative Ocular Immunobiologics, LLC.
-
Kontakt:
- Marissa Harrell, CEO, PhD
- Telefonnummer: 727-748-0420
- E-Mail: Marissa@roiglobalsolutions.org
-
Kontakt:
- Craig Hull, COO
- Telefonnummer: 727-460-4116
- E-Mail: Craig@roiglobalsolutions.org
-
-
Massachusetts
-
Boston, Massachusetts, Vereinigte Staaten, 02215
- Rekrutierung
- Eyewell, LLC.
-
Kontakt:
- Kristen Brown, OD
- Telefonnummer: (617) 433-9895
- E-Mail: kristen.brown@myeyewell.com
-
Hauptermittler:
- Kristen Brown, OD
-
Boston, Massachusetts, Vereinigte Staaten, 02494
- Rekrutierung
- BostonSight
-
Kontakt:
- Daniel C. Brocks, MD
- Telefonnummer: 781-726-7337
- E-Mail: DBrocks@bostonsight.org
-
Hauptermittler:
- Daniel C. Brocks, MD
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Age 18 years or older.
- Documented chronic ocular graft-versus-host disease (oGVHD) following allogeneic hematopoietic stem cell transplantation.
- Investigator determines the participant is medically stable and appropriate for study participation.
- Ocular Surface Disease Index (OSDI) Total Score of at least 33 at Baseline.
- UNC Dry Eye Management Scale Visual Analog Scale (UNC DEMS VAS) score of at least 3 at Baseline.
- Modified Oxford Corneal Staining Score of at least 1 in at least one eye.
- Snellen Corrected Distance Visual Acuity sufficient to complete protocol-defined assessments.
- Written informed consent obtained before study procedures.
- Willing and able to comply with study visits, study treatment, and protocol requirements.
- Background therapies stable for at least 30 days before Baseline.
Exclusion Criteria:
- Acute ocular graft-versus-host disease or ocular disease that may interfere with efficacy assessment.
- Active ocular or periocular infection, ocular malignancy, or active herpetic keratitis.
- Intraocular surgery, refractive surgery, or ocular laser procedure within 6 weeks before Baseline or planned during the study.
- Change in systemic immunosuppressive therapy, topical glaucoma therapy, or oral tetracycline therapy within 30 days before Baseline.
- Initiation within 30 days before Baseline or during the trial of topical cyclosporine, lifitegrast, tacrolimus, autologous serum eye drops, platelet-rich plasma eye drops, amniotic membrane products, or another prescription therapy intended to treat ocular surface disease.
- Participation in another investigational study within 30 days before Screening or concurrent enrollment.
- Pregnancy or breastfeeding.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Placebo-Komparator: Vehicle Controlled
|
Matching vehicle control supplied in identical masked containers and administered as two drops into each eye four times daily for 90 consecutive days.
|
|
Experimental: Active Study Drug
|
Sterile, preservative-free ophthalmic solution administered as two drops into each eye four times daily for 90 consecutive days.
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Change From Baseline to Day 90 in Modified Oxford Corneal Staining Score
Zeitfenster: Baseline to Day 90 (±5 days)
|
Corneal fluorescein staining will be assessed in the prespecified study eye using the Modified Oxford grading scale.
Scores range from 0 to 5, where 0 represents no corneal staining and higher scores represent progressively greater staining.
A decrease from Baseline indicates improvement.
|
Baseline to Day 90 (±5 days)
|
|
Change From Baseline to Day 90 in Ocular Surface Disease Index (OSDI) Total Score
Zeitfenster: Baseline to Day 90 (±5 days)
|
The Ocular Surface Disease Index (OSDI) will assess ocular symptoms and their effect on vision-related functioning.
Total scores range from 0 to 100, with higher scores representing greater symptom burden.
A decrease from Baseline indicates improvement.
|
Baseline to Day 90 (±5 days)
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Percentage of Participants With a ≥1-Grade Decrease in Modified Oxford Corneal Staining Score
Zeitfenster: Baseline to Day 90 (±5 days)
|
The proportion of participants achieving at least a 1-grade decrease from Baseline to Day 90 in the prespecified study eye.
Scores range from 0 to 5, with higher scores indicating greater corneal staining.
A decrease indicates improvement.
|
Baseline to Day 90 (±5 days)
|
|
Percentage of Participants With a ≥13-Point Decrease in OSDI Total Score
Zeitfenster: Baseline to Day 90 (±5 days)
|
The proportion of participants achieving a decrease of at least 13 points from Baseline to Day 90 in Ocular Surface Disease Index (OSDI) Total Score.
Scores range from 0 to 100, with higher scores indicating greater symptom burden.
A decrease indicates improvement.
|
Baseline to Day 90 (±5 days)
|
|
Change From Baseline to Day 90 in Tear Break-Up Time (TBUT)
Zeitfenster: Baseline to Day 90 (±5 days)
|
Change from Baseline to Day 90 in tear break-up time, measured in seconds, in the prespecified study eye.
An increase indicates improvement in tear-film stability.
|
Baseline to Day 90 (±5 days)
|
|
Percentage of Participants Receiving Protocol-Defined Rescue Therapy
Zeitfenster: Randomization through Day 90
|
The proportion of participants receiving at least one administration of protocol-defined rescue therapy during the randomized treatment period.
|
Randomization through Day 90
|
|
Time to First Administration of Protocol-Defined Rescue Therapy
Zeitfenster: Randomization through Day 90
|
Time from randomization to the first administration of protocol-defined rescue therapy.
|
Randomization through Day 90
|
|
Percentage of Participants With Protocol-Defined Treatment Failure
Zeitfenster: Randomization through Day 90
|
The proportion of participants experiencing treatment failure, defined as initiation of protocol-defined rescue therapy, permanent discontinuation of assigned study treatment because it is not providing adequate benefit, or withdrawal from all further study participation because of worsening ocular GVHD signs or symptoms.
|
Randomization through Day 90
|
|
Change From Baseline to Day 90 in Supportive Efficacy Measures in the Fellow Eye
Zeitfenster: Baseline to Day 90 (±5 days)
|
Supportive analyses will evaluate change from Baseline to Day 90 separately for protocol-defined measures collected in the fellow eye, including the Modified Oxford Corneal Staining score, superficial punctate keratitis (SPK) severity, and tear break-up time (TBUT).
Modified Oxford scores range from 0 to 5, with higher scores indicating greater corneal staining; a decrease indicates improvement.
Lower SPK severity indicates improvement.
TBUT is measured in seconds; an increase indicates improved tear-film stability.
No composite score will be calculated.
|
Baseline to Day 90 (±5 days)
|
|
Percentage of Participants With Modified Oxford Corneal Staining Score Grade 0 at Day 90
Zeitfenster: Day 90 (±5 days)
|
The proportion of participants with a Modified Oxford Corneal Staining Score of Grade 0 in the prespecified study eye at Day 90.
Scores range from 0 to 5, with higher scores indicating greater corneal staining and a worse outcome.
Grade 0 indicates no corneal staining.
|
Day 90 (±5 days)
|
|
Change From Baseline to Day 90 in Superficial Punctate Keratitis (SPK) Severity
Zeitfenster: Baseline to Day 90 (±5 days)
|
Change from Baseline to Day 90 in the protocol-defined Superficial Punctate Keratitis (SPK) Severity Grade in the prespecified study eye.
Grades range from 0 (no SPK) to 4 (severe SPK), with higher grades indicating greater severity and a worse outcome.
A decrease indicates improvement.
|
Baseline to Day 90 (±5 days)
|
|
Percentage of Participants With a ≥1-Grade Decrease in Superficial Punctate Keratitis (SPK) Severity
Zeitfenster: Baseline to Day 90 (±5 days)
|
The proportion of participants achieving at least a 1-grade decrease from Baseline to Day 90 in the protocol-defined Superficial Punctate Keratitis (SPK) Severity Grade in the prespecified study eye.
Grades range from 0 (no SPK) to 4 (severe SPK), with higher grades indicating greater severity and a worse outcome.
A decrease indicates improvement.
|
Baseline to Day 90 (±5 days)
|
|
Percentage of Participants With Superficial Punctate Keratitis (SPK) Severity of 0 at Day 90
Zeitfenster: Day 90 (±5 days)
|
The proportion of participants with a Superficial Punctate Keratitis (SPK) Severity Grade of 0 in the prespecified study eye at Day 90.
Grades range from 0 (no SPK) to 4 (severe SPK), with higher grades indicating greater severity and a worse outcome.
Grade 0 indicates complete resolution of SPK.
|
Day 90 (±5 days)
|
|
Change From Baseline to Day 90 in NIH Eye Score
Zeitfenster: Baseline to Day 90 (±5 days)
|
Change from Baseline to Day 90 in the National Institutes of Health (NIH) Eye Score.
Scores range from 0 (no ocular symptoms) to 3 (severe ocular involvement), with higher scores indicating greater ocular graft-versus-host disease severity and a worse outcome.
A decrease indicates improvement.
|
Baseline to Day 90 (±5 days)
|
|
Percentage of Participants With a ≥1-Grade Decrease in NIH Eye Score
Zeitfenster: Baseline to Day 90 (±5 days)
|
The proportion of participants achieving at least a 1-grade decrease from Baseline to Day 90 in the National Institutes of Health (NIH) Eye Score.
Scores range from 0 (no ocular symptoms) to 3 (severe ocular involvement), with higher scores indicating greater ocular graft-versus-host disease severity and a worse outcome.
A decrease indicates improvement.
|
Baseline to Day 90 (±5 days)
|
|
Percentage of Participants With No Worsening in NIH Eye Score at Day 90
Zeitfenster: Baseline to Day 90 (±5 days)
|
The proportion of participants whose National Institutes of Health (NIH) Eye Score at Day 90 is equal to or lower than their Baseline score.
Scores range from 0 (no ocular symptoms) to 3 (severe ocular involvement), with higher scores indicating greater ocular graft-versus-host disease severity and a worse outcome.
A lower score indicates improvement, while an unchanged score indicates no worsening.
|
Baseline to Day 90 (±5 days)
|
|
Change From Baseline to Day 90 in UNC Dry Eye Management Scale Visual Analog Scale Score
Zeitfenster: Baseline to Day 90 (±5 days)
|
Change from Baseline to Day 90 in the University of North Carolina Dry Eye Management Scale (UNC DEMS) Visual Analog Scale score.
Scores range from 1 to 10, with higher scores indicating more severe dry-eye symptoms, greater effects on daily life, and a worse outcome.
A decrease indicates improvement.
|
Baseline to Day 90 (±5 days)
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- IND 30066-PIVOT
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .