Clinical trial

A Multicenter, Vehicle-controlled, Double-Masked, Randomized Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Exploratory Efficacy of AGN-242428 and AGN-231868 in Participants With Dry Eye Disease

Name
2012-201-005
Description
This will be a 2 stage study in which Stage 1 will evaluate the safety of AGN-242428 and AGN-231868, how well they are tolerated and how they move through the body when administered. After the sponsor's determination of adequate safety and tolerability of the interventions in Stage 1, Stage 2 will begin. Stage 2 will also evaluate the safety and tolerability of AGN-242428 and AGN-231868, how effective they are in treating dry eye disease and assess the plasma and tear exposure of both ophthalmic solutions.
Trial arms
Trial start
2020-03-04
Estimated PCD
2022-03-18
Trial end
2022-03-18
Status
Completed
Phase
Early phase I
Treatment
AGN-242428
Ophthalmic solution administered as a topical eye drop
Arms:
Stage 1: AGN-242428 Cohort 1A, Stage 1: AGN-242428 Cohort 1B, Stage 1: AGN-242428 Cohort 1C, Stage 2: AGN-242428 Group 1
AGN-231868
Ophthalmic solution administered as a topical eye drop
Arms:
Stage 1: AGN-231868 Cohort 1A, Stage 1: AGN-231868 Cohort 1B, Stage 1: AGN-231868 Cohort 1C, Stage 2: AGN-231868 Group 3
AGN-242428 Vehicle
Matching placebo (vehicle) ophthalmic solution administered as a topical eye drop
Arms:
Stage 1: AGN-242428 Vehicle, Stage 2: AGN-242428 Vehicle Group 2
AGN-231868 Vehicle
Matching placebo (vehicle) ophthalmic solution administered as a topical eye drop
Arms:
Stage 1: AGN-231868 Vehicle, Stage 2: AGN-231868 Vehicle Group 4
Lifitegrast
Ophthalmic solution administered as a topical eye drop
Arms:
Lifitegrast
Size
292
Primary endpoint
Stage 1: The incidence of adverse events (safety and tolerability)
15 Day Treatment Period
Stage 1: Area under the plasma concentration versus time curve from time 0 to time of the last measurable concentration (AUC0-tlast) after a single dose administration
Predose and up to 12 hours postdose
Stage 1: Area under the tear concentration versus time curve from time 0 to time of the last measurable concentration (AUC0-tlast) after a single dose administration
Predose and up to 12 hours postdose
Stage 1: Maximum plasma drug concentration (Cmax) after a single dose administration
Predose and up to 12 hours postdose
Stage 1: Maximum tear drug concentration (Cmax) after a single dose administration
Predose and up to 12 hours postdose
Stage 1: Time of maximum plasma drug concentration (Tmax) after a single dose administration
Predose and up to 12 hours postdose
Stage 1: Time of maximum tear drug concentration(Tmax) after a single dose administration
Predose and up to 12 hours postdose
Stage 1: Terminal elimination half-life (t1/2) after a single dose administration
Predose and up to 12 hours postdose
Stage 1: Area under the plasma concentration versus time curve from time 0 to the end of the dosing interval (AUC0-τ) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Area under the tear concentration versus time curve from time 0 to the end of the dosing interval (AUC0-τ) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Maximum plasma drug concentration (Cmax) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Maximum tear drug concentration (Cmax) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Time of maximum plasma drug concentration (Tmax) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Time of maximum tear drug concentration (Tmax) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Minimum plasma drug concentration at steady state (Cmin,ss) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Minimum tear drug concentration at steady state (Cmin,ss) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Terminal elimination half-life of the study drugs (t1/2) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Accumulation index of drug concentration (AI) following repeat dose administration
Predose and up to 12 hours postdose
Stage 1: Drop Tolerability Questionnaire Score
15 Day Treatment Period
Stage 1: Number of patients experiencing one or more adverse events (AEs) during the 15 day treatment period
15 Day Treatment Period
Stage 1: Potentially clinically significant (PCS) clinical laboratory values
15 Day Treatment Period
Stage 1: Vital sign values (blood pressure, pulse rate, weight, respiration rate, and temperature)
15 Day Treatment Period
Stage 1: Electrocardiogram (ECG) heart rate
15 Day Treatment Period
Stage 1: ECG PR interval
15 Day Treatment Period
Stage 1: ECG QRS duration
15 Day Treatment Period
Stage 1: ECG QT interval
15 Day Treatment Period
Stage 1: ECG QTc
15 Day Treatment Period
Stage 1: Change from baseline in intraocular pressure (IOP)
15 Day Treatment Period
Stage 1: Change from baseline in best-corrected visual acuity (BCVA)
15 Day Treatment Period
Stage 1: Change from baseline in slit-lamp biomicroscopy
15 Day Treatment Period
Stage 1: Change from baseline in dilated fundus examination
15 Day Treatment Period
Stage 2: The incidence of adverse events (safety and tolerability)
42 Day Treatment Period
Stage 2: Potentially clinically significant (PCS) clinical laboratory values
42 Day Treatment Period
Stage 2: Vital sign values (blood pressure, pulse rate, weight, respiration rate, and temperature)
42 Day Treatment Period
Stage 2: Number of patients experiencing one or more adverse events (AEs) during the 42 day treatment period
42 Day Treatment Period
Stage 2: Electrocardiogram (ECG) heart rate
42 Day Treatment Period
Stage 2: ECG PR interval
42 Day Treatment Period
Stage 2: ECG QRS duration
42 Day Treatment Period
Stage 2: ECG QT interval
42 Day Treatment Period
Stage 2: ECG QTc
42 Day Treatment Period
Stage 2: Change from baseline in intraocular pressure (IOP)
42 Day Treatment Period
Stage 2: Change from baseline in best-corrected visual acuity (BCVA)
42 Day Treatment Period
Stage 2: Change from baseline in slit-lamp biomicroscopy
42 Day Treatment Period
Stage 2: Change from baseline in dilated fundus examination
42 Day Treatment Period
Stage 2: Drop Tolerability Questionnaire Score
42 Day Treatment Period
Eligibility criteria
Inclusion Criteria: Stage 1 \& Stage 2 * Male participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study; * Female participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study; * Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form and in this protocol; Stage 1 * Both of the following signs of DED in at least 1 eye at Screening and Baseline visits (the same eye does not need to qualify at both visits); * Total corneal fluorescein staining score ≥ 2 and ≤ 9 based on the NEI grading scale, with no score \> 2 in any 1 region; * Schirmer test with topical anesthesia score ≥ 1 and ≤ 10 mm/5 min; Stage 2 * ALL of the following in at least 1 eye at both the Screening and Baseline visits and the same eye must qualify at both Screening and Baseline visits; * Corneal fluorescein staining score ≥ 2 in at least 1 eye region and a total corneal fluorescein staining score of ≥ 4 and ≤ 12 based on NEI grading scale * Schirmer test with topical anesthesia score ≥ 2 and ≤ 10 mm/5 min; * Mean TBUT of ≥ 2 and ≤ 10 seconds Stage 1 * Symptoms of DED at both the Screening and Baseline visits as defined by an OSDI total score of ≥ 13 with ≤ 3 responses of "not applicable (NA)"; Stage 2; * Symptoms of DED at both the Screening and Baseline visits as defined by both: * OSDI score of ≥ 23 with ≤ 3 responses of "not applicable (NA)" in at least 1 eye; * Eye Dryness Score (assessed using the Visual Analog Scale (VAS) Symptom Items score ≥ 30 Exclusion Criteria: * Current diagnosis of glaucoma or ocular hypertension; evidence of glaucoma or mean intraocular pressure \> 21 mm Hg determined by Goldmann applanation tonometry, in either eye; * Diagnosis of recurrent, ongoing, or active ocular infection including, but not limited to herpes simplex or zoster, vaccinia, varicella, tuberculosis of the eye, acanthamoeba, or fungal disease; * Participation in a blood or plasma donation program within 60 or 30 days, respectively, prior to study intervention administration; * Positive test results for anti-HIV type 1 and 2, hepatitis B surface antigen, or anti-hepatitis C virus at the Screening visit; * Positive test results for benzoylecgonine (cocaine), methadone, barbiturates, amphetamines, benzodiazepines, alcohol, cannabinoids, opiates, or phencyclidine at the Screening or Baseline visits; * Positive pregnancy test at Screening or Baseline visits; * Currently breastfeeding or plans to breastfeed during the study; * History or presence of any ocular disorder or condition (other than DED) in either eye that would, in the opinion of the investigator, likely interfere with the interpretation of the study results or participant safety.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 292, 'type': 'ACTUAL'}}
Updated at
2023-03-20

1 organization

3 products

1 indication

Organization
Allergan
Product
AGN-242428
Product
AGN-231868