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Completed

NCT Number: NCT01743027

Efficacy and Safety of an Ophthalmic Solution in Patients With Allergic Conjunctivitis

The purpose of this study is to evaluate an ophthalmic solution for the treatment of ocular itching associated with allergic conjunctivitis using the Conjunctival Allergen Challenge (CAC) model.

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Key information

Conditions

Allergic Conjunctivitis Conjunctival Diseases Conjunctivitis Conjunctivitis, Allergic Eye Diseases Hypersensitivity Hypersensitivity, Immediate Immune System Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

About this study

Enrolled participants will be tested for the presence of common allergies using the Conjunctival Allergen Challenge (CAC) model. Drops of increasing concentration of a solubilized allergen will be instilled in both eyes until a positive reaction occurred. The test will be repeated to confirm the allergic reaction. Participants with confirmed reactions will be administered the test article (Day 0) and undergo a CAC 24 hours post-instillation (Day 1). On Day 14, participants will be administered the test article and undergo an additional CAC.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Able to be dosed in both eyes, able and willing to make the required study visits and to follow instructions.
  • Negative urine pregnancy test if female of childbearing potential and use adequate birth control throughout the study period.
  • Diagnostic skin test indicative of allergy for cat hair, cat dander, grasses, ragweed, dust mite, dog dander, cockroach and/or trees within 24 months prior to Visit 1 or at Visit 1.
  • History of seasonal or perennial allergic conjunctivitis for at least 1 year prior to Visit 1.
  • Best-corrected visual acuity of 55 or greater in each eye as measured by ETDRS (letters read method).
  • Manifest a positive bilateral Conjunctival Allergen Challenge (CAC) test response.
  • Willing to discontinue contact lens wear for at least 72 hours prior to Visit 1 and throughout the study.
  • Other protocol-defined inclusion criteria may apply.

Exclusion criteria

  • Known history or presence of persistent dry eye syndrome, or currently requires frequent use of artificial tears, gels or lubricants, presence of punctal plugs, use of Restasis®, or topical ocular corticosteroids for dryness of eyes.
  • Presence of an ocular condition that may affect the study outcomes.
  • History or evidence of ocular surgery (including refractive procedures such as LASIK, PRK and RK) within 6 months of Visit 1.
  • Presence of signs/symptoms of active allergic conjunctivitis at the start of Visits 1, 2, 3A, or 4.
  • History of anaphylactic reaction to any allergens used in this study.
  • Current evidence or recent (within 6 months) history of severe, unstable, or uncontrolled medical conditions and/or other relevant systemic diseases.
  • Use of any disallowed medication without protocol-specified washout period prior to Visit 1, or during the study.
  • Other protocol-defined exclusion criteria may apply.

Treatment and study plan

AL-4943A ophthalmic solution

Drug

Olopatadine Hydrochloride Ophthalmic Solution, 0.2%

Drug

Other names: PATADAY®

Olopatadine hydrochloride ophthalmic solution, 0.1%

Drug

Other names: PATANOL®

AL-4943A ophthalmic solution vehicle

Drug

Primary outcomes

  1. Mean Ocular Itching at Onset of Action

    Time frame: Day 14 (3, 5, and 7 minutes post-CAC)

    A treatment efficacy CAC was performed 27 minutes after drop installation. Ocular itching was assessed by the participant on a 0-4 scale (0= none, 4 = incapacitating itch). Average of ocular itching score over both eyes was analyzed.

  2. Mean Ocular Itching at 24 Hours Duration of Action

    Time frame: Day 1 (3, 5, and 7 minutes post-CAC)

    A treatment efficacy CAC was performed 24 hours after drop instillation on Day 0. Ocular itching was assessed by the participant on a 0-4 scale (0= none, 4 = incapacitating itch). Average of ocular itching score over both eyes was analyzed.

Secondary outcomes

  1. Mean Conjunctival Redness at Onset of Action

    Time frame: Day 14 (7, 15, and 20 minutes post-CAC)

    A treatment efficacy CAC was performed 27 minutes after drop installation. Conjunctival redness was assessed by the investigator on a 0-4 scale (0=none, 4=extremely severe). Average of conjunctival redness score over both eyes was analyzed.

  2. Mean Conjunctival Redness at 24 Hours Duration of Action

    Time frame: Day 1 (7, 15, and 20 minutes post-CAC)

    A treatment efficacy CAC was performed 24 hours after drop instillation on Day 0. Conjunctival redness was assessed by the investigator on a 0-4 scale (0=none, 4=extremely severe). Average of conjunctival redness score over both eyes was analyzed.

  3. Mean Total Redness at Onset of Action

    Time frame: Day 14 (7, 15, and 20 minutes post-CAC)

    A treatment efficacy CAC was performed 27 minutes after drop installation. Conjunctival redness, ciliary redness, and episcleral redness were assessed by the investigator on 0-4 scale (0=none, 4=extremely severe). Total redness is a composite variable summing conjunctival redness, ciliary redness, and episcleral redness scores (resultant score 0-12). The average of total redness over both eyes was analyzed.

  4. Mean Total Redness at 24 Hours Duration of Action

    Time frame: Day 1 (7, 15, and 20 minutes post-CAC)

    A treatment efficacy CAC was performed 24 hours after drop instillation on Day 0. Conjunctival redness, ciliary redness, and episcleral redness were assessed by the investigator on 0-4 scale (0=none, 4=extremely severe). Total redness is a composite variable summing conjunctival redness, ciliary redness, and episcleral redness scores (resultant score 0-12). The average of total redness over both eyes was analyzed.

  5. Proportion of Ocular Itching Responders at Onset of Action

    Time frame: Day 14

    A treatment efficacy CAC was performed 27 minutes after drop installation. Ocular itching was assessed by the participant on a 0-4 scale (0= none, 4 = incapacitating itch). A responder was defined as a participant with zero-itch (a score of zero on ocular itching for both eyes) or with at least 2 units reduction in ocular itching relative to the baseline confirmatory CAC score. Ocular itching score was averaged across both eyes and over the 3 post-CAC assessments (3, 5, and 7 minutes) for the calculation of units reduction. Proportion of Ocular Itching Responders is reported as a percentage.

  6. Proportion of Itch Responders at 24 Hours Duration of Action

    Time frame: Day 1

    A treatment efficacy CAC was performed 24 hours after drop instillation on Day 0. Ocular itching was assessed by the participant on a 0-4 scale (0= none, 4 = incapacitating itch). A responder was defined as a participant with zero-itch (a score of zero on ocular itching for both eyes) or with at least 2 units reduction in ocular itching relative to the baseline confirmatory CAC score. Ocular itching score was averaged across both eyes and over the 3 post-CAC assessments (3, 5, and 7 minutes) for the calculation of units reduction. Proportion of Ocular Itching Responders is reported as a percentage.

Sponsors and collaborators

Lead sponsor

Alcon Research

Industry

Registry information

Official study title

Phase 3, Efficacy and Safety Study of AL-4943A Ophthalmic Solution, 0.77% in Patients With Allergic Conjunctivitis Using the Conjunctival Allergen Challenge (CAC) Model

Important dates

Study start
2013
Primary completion
2013
Study completion
2013
First posted
Dec 6, 2012
Registry last updated
Aug 11, 2014

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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