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OpenTrials
Completed

NCT Number: NCT02116244

Civamide Nasal Solution for the Treatment of Dry Eye

Keratoconjunctivitis sicca (KCS) or Dry Eye Syndrome is a disease of the surface of the eye, tear film, and related ocular tissues. Millions of people suffer from one form of the disease or another and its prevalence increases with age. Dry Eye Syndrome sufferers experience a broad range of symptoms including discomfort, irritation, burning, itching, redness, pain, gritty feeling, foreign body sensation, blurred vision and ocular fatigue. Civamide is a TRPV-1 receptor modulator that causes the initial stimulation of neuropeptide release and subsequent desensitization to further stimulation of the trigeminovascular system. This provides a pharmacological rational for intranasal route of administration for disorders mediated by the trigeminal nerve or involving the cranial nerve. In nine clinical studies of Civamide Nasal Solution, over 50% of the nearly 300 patients who received Civamide via intranasal administration experienced lacrimation (tearing). This led to the hypothesis that Civamide Nasal Solution might be an appropriate treatment for Dry Eye Syndrome.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Wohl Eye Center, Bloomingdale, Illinois, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients must be aged 18 years or older.
  • Patients must have documented moderate to severe evaporative Dry Eye Syndrome for at least 6 months.
  • Patients must have a Schirmer (with anesthesia) of ≤ 8 per 5 minutes in at least one eye at Screening and Baseline (Day 1).
  • Patients must have a calculated overall score on the OSDI of >0.1 with no more than three responses of not applicable (N/A) at Screening and Baseline (Day 1).
  • Patients must have normal lid position and closure.
  • Women must be post-menopausal ≥ 1 year, or surgically sterilized. If not, a negative urine pregnancy test is required within 14 days of Day 1.
  • Informed consent must be provided.

Exclusion criteria

  • Patients with severe inflammatory Dry Eye Syndrome.
  • Patients with Dry Eye Syndrome secondary to Sjögren's Syndrome.
  • Patients with Schirmer (with anesthesia) of >8 per 5 minutes in both eyes.
  • Patients who are allergic to Civamide or any similar products, or excipients of Civamide Nasal Solution 0.01%.
  • Patients with history of previous ocular surgery or trauma.
  • Patients who require concurrent ocular medication for any eye disorder.
  • Patients who have used Restasis®, serum tears, or oral omega 3 supplements during the last 30 days or oral cyclosporine during the last 90 days.
  • Patients who are receiving or have received within 30 days any experimental systemic medication.

Treatment and study plan

Civamide Nasal Spray

Drug

Primary outcomes

  1. Schirmer Test

    Time frame: 12 Weeks

    Change in Schirmer Test from the Baseline Period to the last week (Week 12) of the Treatment Period.

Secondary outcomes

  1. Schirmer Test

    Time frame: Week 1 and 6

    Change in Schirmer Test from the Baseline Period to the Score of each of weeks 1 and 6

Other outcomes

  1. OSDI Patient Rating Assessment

    Time frame: Weeks 1, 6, and 12

    Change in the OSDI from the Baseline Period to Week 1, 6, and 12.

  2. Investigator Rating Scale

    Time frame: Weeks 1, 6, and 12

    Investigator Rating Scale at Day 7, 42, and 84.

  3. Requirement for Eye Lubricants

    Time frame: Weeks 1 to 12

    Requirement for Acute Medication

Sponsors and collaborators

Lead sponsor

Winston Laboratories

Industry

Registry information

Official study title

A Phase II, Open-label, Tolerability and Efficacy Study of Civamide Nasal Solution, 0.01%, in Patients With Dry Eye Syndrome

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Apr 16, 2014
Registry last updated
Feb 10, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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