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CompletedNCT01421498OPUS-1Updated Jun 11, 2021Results posted

Safety and Efficacy Study of SAR 1118 to Treat Dry Eye Conducted in a Controlled Adverse Environment (CAE) (OPUS-1)

A Phase 3 interventional study of Lifitegrast and Placebo in Keratoconjunctivitis Sicca and Dry Eye Disease, sponsored by Shire. Completed at 13 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-06-11.

Sponsored by Shire (part of Takeda) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
588
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to evaluate the efficacy of SAR 1118 Ophthalmic Solution (5.0%) compared to placebo in the treatment of Dry Eye. The safety and tolerability of SAR 1118 Ophthalmic Solution (5.0%) compared to placebo in subjects with dry eye when administered BID for 12 weeks will also be evaluated.

02

Conditions studied

  • Keratoconjunctivitis Sicca
  • Dry Eye Disease

Keywords

  • ophthalmic delivery
  • Dry Eye
03

In context

Keratoconjunctivitis Sicca

85 studies on the registry are indexed under Keratoconjunctivitis Sicca; 1 is open to participants now.

This study's enrollment of 588 is above the median of 82 across 75 interventional studies indexed under Keratoconjunctivitis Sicca.

Browse Keratoconjunctivitis Sicca studies →

Lead sponsor

Shire is the lead sponsor of 351 studies on the registry; 2 are open to participants now.

Of its 48 completed or terminated interventional studies of FDA-regulated products, 48 (100%) have results posted.

First submitted before Shire became part of Takeda.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Willing and able to read, sign, and date the and HIPAA documents
  • Willing and able to comply with all study procedures
  • Be at least 18 years of age
  • Patient-reported history of dry eye in both eyes
  • Demonstrate a positive response when exposed to the Controlled Adverse Environment model
  • A negative urine pregnancy test if female of and must use adequate throughout the study period

Exclusion criteria

Exclusion Criteria:

  • Any ocular condition that, in the opinion of the Investigator, could affect study parameters including, but not limited to, active ocular infection, ocular inflammation, glaucoma, and/or diabetic retinopathy
  • Unwilling to avoid wearing contact lenses for 7 days prior to and for duration of the study period
  • Any blood donation or significant loss of blood within 56 days of Visit 1
  • Any history of immunodeficiency disorder, positive , , C, or evidence of acute active hepatitis A (anti-HAV IgM), or organ or bone marrow transplant.
  • Use of any topical ophthalmic preparations (including artificial tear substitutes) 72 hrs prior to Visit 1 and during the study
  • Any significant chronic illness that could interfere with study parameters
  • History of laser-assisted in situ keratomileusis (LASIK) or similar type of corneal refractive surgery within 12 months prior to Visit 1, and/or any other ocular surgical procedure within 12 months prior to Visit 1; or any scheduled ocular surgical procedure during the study period.
  • Known history of alcohol and/or drug abuse
  • Subjects with Dry eye secondary to scarring or destruction of conjunctival goblet cells (as with Vitamin A deficiency)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

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HIV

The human immunodeficiency virus, which weakens the immune system.

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Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

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05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
588 participants (actual)

Study arms

  • Experimental
    5.0% Lifitegrast

    Lifitegrast

    Drug: Lifitegrast

  • Placebo comparator
    Placebo

    Placebo

    Drug: Placebo

Interventions

  • Dosage Form: Ophthalmic Solution Dosage: 5.0% Frequency: BID Duration: 12 weeks

    Also known as: SAR 1118

  • DrugPlacebo

    Dosage Form: Ophthalmic Solution Frequency: BID Duration: 12 weeks

06

What researchers measure

Primary outcomes

  1. Ocular Sign: Change From Baseline in Inferior Corneal Fluorescein Staining to Day 84

    Corneal staining was performed to grade the degree of corneal epithelial cell injury as measured by fluorescence using slit-lamp examination. The staining was graded with the Ophthalmic Research Associates, Inc. (ORA) scale. The corneal surface is divided into three regions: superior, central and inferior. The scores for each of these 3 regions ranged from 0 to 4 (0=no staining/none; 1=occasional/trace; 2=countable/mild; 3=uncountable, but not confluent/moderate; 4=confluent/severe) with 0.5 point increments, and lower score indicates a better outcome. Inferior corneal fluorescein staining scores from the study eye only were reported. Study eye is the 'worse eye', defined as the eye with worse (higher) score at baseline.

    Time frame: Baseline (Day 0) to Day 84

  2. Ocular Symptom: Change From Baseline in Visual-Related Subscale of the Symptom Functional Scale Score to Day 84

    The symptom functional scale is a validated instrument for ocular surface diseases, measuring the ocular symptoms, vision-related function, and environmental triggers. The 12 items of the symptom functional scale questionnaire were graded on a scale of 0 (none of the time) to 4 (all of the time). The index consisted of 3 sub scales: symptoms (sensitivity to light, gritty sensation, pain, blurred vision, and poor vision \[Items 1-5\]), visual-related sub scale of the symptom functional scale (ability to read, drive at night, use a computer, watch television \[Items 6-9\]), and environmental triggers (windy conditions, low humidity, air conditioning \[Items 10-12\]). The symptom functional scale was scored on a scale of 0 to 100, with higher scores representing greater disability. Negative change from baseline indicates improvement.

    Time frame: Baseline (Day 0) to Day 84

07

Results

Posted Feb 24, 2017

Participant flow

Participant flow — Overall Study
MilestoneLifitegrast 5.0%Placebo
Started293295
Completed281284
Not completed1211

Outcome measures

PrimaryOcular Sign: Change From Baseline in Inferior Corneal Fluorescein Staining to Day 84

Corneal staining was performed to grade the degree of corneal epithelial cell injury as measured by fluorescence using slit-lamp examination. The staining was graded with the Ophthalmic Research Associates, Inc. (ORA) scale. The corneal surface is divided into three regions: superior, central and inferior. The scores for each of these 3 regions ranged from 0 to 4 (0=no staining/none; 1=occasional/trace; 2=countable/mild; 3=uncountable, but not confluent/moderate; 4=confluent/severe) with 0.5 point increments, and lower score indicates a better outcome. Inferior corneal fluorescein staining scores from the study eye only were reported. Study eye is the 'worse eye', defined as the eye with worse (higher) score at baseline.

Time frame:
Baseline (Day 0) to Day 84
Reported as:
Mean · units on a scale
Ocular Sign: Change From Baseline in Inferior Corneal Fluorescein Staining to Day 84
units on a scaleLifitegrast 5.0%Placebo
Ocular Sign: Change From Baseline in Inferior Corneal Fluorescein Staining to Day 84-0.07 ± 0.8680.17 ± 0.819
Statistical analysis
  • Lifitegrast 5.0% vs Placebo · t-test, 2 sided · p = 0.0007 · Treatment difference: 0.24 · 95% CI 0.10 to 0.38
PrimaryOcular Symptom: Change From Baseline in Visual-Related Subscale of the Symptom Functional Scale Score to Day 84

The symptom functional scale is a validated instrument for ocular surface diseases, measuring the ocular symptoms, vision-related function, and environmental triggers. The 12 items of the symptom functional scale questionnaire were graded on a scale of 0 (none of the time) to 4 (all of the time). The index consisted of 3 sub scales: symptoms (sensitivity to light, gritty sensation, pain, blurred vision, and poor vision \[Items 1-5\]), visual-related sub scale of the symptom functional scale (ability to read, drive at night, use a computer, watch television \[Items 6-9\]), and environmental triggers (windy conditions, low humidity, air conditioning \[Items 10-12\]). The symptom functional scale was scored on a scale of 0 to 100, with higher scores representing greater disability. Negative change from baseline indicates improvement.

Time frame:
Baseline (Day 0) to Day 84
Reported as:
Mean · units on a scale
Ocular Symptom: Change From Baseline in Visual-Related Subscale of the Symptom Functional Scale Score to Day 84
units on a scaleLifitegrast 5.0%Placebo
Ocular Symptom: Change From Baseline in Visual-Related Subscale of the Symptom Functional Scale Score to Day 84-0.11 ± 0.829-0.12 ± 0.762
Statistical analysis
  • Lifitegrast 5.0% vs Placebo · t-test, 2 sided · p = 0.7860 · Treatment difference: -0.02 · 95% CI -0.15 to 0.11

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Lifitegrast 5.0%—5/293 (1.7%)160/293 (54.6%)
Placebo—2/295 (0.7%)40/295 (13.6%)
Most frequent serious events
Most frequent serious events
EventLifitegrast 5.0%Placebo
Abdominal pain upperGastrointestinal disorders1/2930/295
Non-Cardiac chest painGeneral disorders1/2930/295
Infectious peritonitisInfections and infestations1/2930/295
Humerus fractureInjury, poisoning and procedural complications1/2930/295
PresyncopeNervous system disorders1/2930/295
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders0/2931/295
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2931/295
Most frequent other events
Most frequent other events
EventLifitegrast 5.0%Placebo
Instillation site irritationGeneral disorders69/29312/295
Instillation site painGeneral disorders63/29311/295
Instillation site reactionGeneral disorders50/2932/295
DysgeusiaNervous system disorders39/2930/295
Instillation site pruritusGeneral disorders19/2936/295
Visual acuity reducedEye disorders14/29315/295

Baseline characteristics

Safety population included all randomized participants who received at least 1 dose of investigational product.

Age, Continuous
Age, Continuous(years)Lifitegrast 5.0%PlaceboTotal
Mean60.2 ± 12.2161.1 ± 11.7760.6 ± 11.99
Sex: Female, Male
Sex: Female, Male(Participants)Lifitegrast 5.0%PlaceboTotal
Female229217446
Male6478142
08

Study locations

13 sites
  • OPUS-1 Investigational Site
    Waterbury, Connecticut 06708, United States
  • OPUS-1 Investigational Site
    Louisville, Kentucky 40405, United States
  • OPUS-1 Investigational Site
    Augusta, Maine 04330, United States
  • OPUS-1 Investigational Site
    Lewiston, Maine 04243, United States
  • OPUS-1 Investigational Site
    Andover, Massachusetts 01840, United States
  • OPUS-1 Investigational Site
    Lancaster, Massachusetts 01523, United States
  • OPUS-1 Investigational Site
    Quincy, Massachusetts 02169, United States
  • OPUS-1 Investigational Site
    Wakefield, Massachusetts 01880, United States
  • OPUS-1 Investigational Site
    Winchester, Massachusetts 01890, United States
  • OPUS-1 Investigational Site
    Derry, New Hampshire 03038, United States
  • OPUS-1 Investigational Site
    Manchester, New Hampshire 03101, United States
  • OPUS-1 Investigational Site
    Memphis, Tennessee 38119, United States
  • OPUS-1 Investigational Site
    Norfolk, Virginia 23502, United States
09

References and documents

Publications

  • Sheppard JD, Torkildsen GL, Lonsdale JD, D'Ambrosio FA Jr, McLaurin EB, Eiferman RA, Kennedy KS, Semba CP; OPUS-1 Study Group. Lifitegrast ophthalmic solution 5.0% for treatment of dry eye disease: results of the OPUS-1 phase 3 study. Ophthalmology. 2014 Feb;121(2):475-83. doi: 10.1016/j.ophtha.2013.09.015. Epub 2013 Nov 26. PubMed 24289915 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01421498
Lead sponsor
Shire
Responsible party
Sponsor
First posted
Aug 22, 2011
Start date
Aug 29, 2011
Primary completion
Apr 28, 2012
Completion
Apr 28, 2012
Results posted
Feb 24, 2017
Last update
Jun 11, 2021

Study contacts

Study Director
study director · Takeda

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Lifitegrast

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