ClinicalTrials.gg
CompletedNCT02218489MauiUpdated Jan 11, 2021Results posted

Safety and Efficacy of KPI-121 in Subjects With Inflammatory Meibomian Gland Disease

A Phase 2 interventional study of KPI-121 and Vehicle in Blepharitis, sponsored by Kala Pharmaceuticals, Inc.. Completed at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-11.

Sponsored by Kala Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
206
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to determine the efficacy and safety of KPI-121 ophthalmic suspension compared to vehicle (placebo) in subjects with signs and symptoms of inflammatory meibomian gland disease.

Read the detailed description

This is a Phase II, multicenter, double-masked, randomized, vehicle-controlled, parallel-group study designed to evaluate the efficacy and safety of KPI-121 ophthalmic suspension versus vehicle in subjects with signs and symptoms of inflammatory meibomian gland disease. The product will be studied over 28 days, with 1-2 drops instilled in each eye four times daily (QID).

02

Conditions studied

  • Blepharitis

Keywords

  • Pain
  • Corticosteroid
  • Meibomian Gland Disease
  • Blepharitis
  • Eyelid
  • Ocular Discomfort
03

In context

Blepharitis

73 studies on the registry are indexed under Blepharitis; 9 are open to participants now.

This study's enrollment of 206 is above the median of 60 across 65 interventional studies indexed under Blepharitis.

Browse Blepharitis studies →

Lead sponsor

Kala Pharmaceuticals, Inc. is the lead sponsor of 9 studies on the registry; none are open to participants now.

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

Have a documented clinical diagnosis of inflammatory meibomian gland disease in both eyes.

Exclusion criteria

Exclusion Criteria:

  • Known / to study product(s) or components.
  • Be currently receiving treatment for glaucoma, have history of or current glaucoma, or an IOP (intraocular pressure) over 21mmHg at Visit 1 (Screening) or Visit 2 (Randomization).
  • Be unwilling to discontinue warm compress therapy, lid expression, or lid massage 14 days prior to Day 1 and for the duration of the study.
  • Diagnosis of: ongoing ocular infection; severe/serious ocular condition that in judgment of Investigator could confound study assessments or limit compliance; severe/serious systemic disease or uncontrolled medical condition that in judgment of Investigator could confound study assessments or limit compliance; or have been exposed to an drug within the 30 days prior to screening.
  • Have had ocular surgery in the past 90 days or require ocular surgery during the study.
  • In the opinion of Investigator or study coordinator, be unwilling or unable to comply with study protocol or unable to successfully instill eye drops.
Terms in these criteria, in plain language(3)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
206 participants (actual)

Study arms

  • Placebo comparator
    Vehicle

    Vehicle (placebo) dosed QID for up to 30 days in subjects with inflammatory meibomian gland disease

    Drug: Vehicle

  • Active comparator
    KPI-121 0.25% Ophthalmic Suspension

    KPI-121 0.25% Ophthalmic Suspension dosed QID for up to 30 days in subjects with inflammatory meibomian gland disease

    Drug: KPI-121

Interventions

  • KPI-121 drug product will be supplied in 0.25% strength as a suspension in opaque dropper bottles. KPI-121 drug product is a sterile, aqueous, submicron suspension of loteprednol etabonate. Subjects randomized to placebo control arm will receive the same bottles containing all components at the concentrations used in the KPI-121 drug product with the exception of the active component, loteprednol etabonate.

    Also known as: KPI-121 0.25% Ophthalmic Suspension, Loteprednol etabonate

  • DrugVehicle

    The vehicle control has the same composition as KPI-121 0.25% ophthalmic suspension except it does not contain loteprednol etabonate. The vehicle is essentially isotonic and is buffered to maintain pH 5.0 - 7.0. It is a sterile, aqueous solution supplied in the same white, low-density polyethylene plastic dropper bottle with the same white, controlled-drop polyethylene tip and white polypropylene closure as KPI-121 0.25% ophthalmic suspension.

    Also known as: KPI-121 0.25% Vehicle, Placebo

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Ocular Discomfort

    Comparison of change from baseline in ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse at Visit 4 (Day 15).

    Time frame: Visit 2 (Day 1) to Visit 4 (Day 15)

  2. Change From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline

    Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group in subjects with greater baseline hyperemia at Visit 4 (Day 15). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

    Time frame: Visit 2 (Day 1) to Visit 4 (Day 15)

Secondary outcomes

  1. Change From Baseline in Ocular Discomfort

    Comparison of change from baseline in ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse at Visit 6 (Day 29).

    Time frame: Visit 2 (Day 1) to Visit 6 (Day 29)

  2. Change From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline

    Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group in the subgroup of subjects with greater hyperemia at baseline at Visit 6 (Day 29). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

    Time frame: Visit 2 (Day 1) to Visit 6 (Day 29)

  3. Change From Baseline in Posterior Lid Margin Hyperemia

    Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group at Visit 4 (Day 15). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

    Time frame: Visit 2 (Day 1) to Visit 4 (Day 15)

  4. Change From Baseline in Posterior Lid Margin Hyperemia

    Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group at Visit 6 (Day 29). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

    Time frame: Visit 2 (Day 1) to Visit 6 (Day 29)

07

Results

Posted Jan 11, 2021

Participant flow

Participant flow — Overall Study
MilestoneVehicleKPI-121 0.25% Ophthalmic Suspension
Started101104
Completed96101
Not completed53
Withdrew: Withdrawal by subject43
Withdrew: Lost to follow-up10

Outcome measures

PrimaryChange From Baseline in Ocular Discomfort

Comparison of change from baseline in ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse at Visit 4 (Day 15).

Time frame:
Visit 2 (Day 1) to Visit 4 (Day 15)
Reported as:
Mean · score on a scale
Change From Baseline in Ocular Discomfort
score on a scaleVehicleKPI-121 0.25% Ophthalmic Suspension
Change From Baseline in Ocular Discomfort-4.1 ± 13.8-2.4 ± 16.7
PrimaryChange From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline

Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group in subjects with greater baseline hyperemia at Visit 4 (Day 15). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

Time frame:
Visit 2 (Day 1) to Visit 4 (Day 15)
Reported as:
Mean · score on a scale
Change From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline
score on a scaleVehicleKPI-121 0.25% Ophthalmic Suspension
Change From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline-0.5 ± 0.7-04 ± 0.7
SecondaryChange From Baseline in Ocular Discomfort

Comparison of change from baseline in ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse at Visit 6 (Day 29).

Time frame:
Visit 2 (Day 1) to Visit 6 (Day 29)
Reported as:
Mean · score on a scale
Change From Baseline in Ocular Discomfort
score on a scaleVehicleKPI-121 0.25% Ophthalmic Suspension
Change From Baseline in Ocular Discomfort-8.2 ± 17.1-5.0 ± 15.8
SecondaryChange From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline

Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group in the subgroup of subjects with greater hyperemia at baseline at Visit 6 (Day 29). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

Time frame:
Visit 2 (Day 1) to Visit 6 (Day 29)
Reported as:
Mean · score on a scale
Change From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline
score on a scaleVehicleKPI-121 0.25% Ophthalmic Suspension
Change From Baseline in Posterior Lid Margin Hyperemia in the Subgroup of Subjects With Greater Hyperemia at Baseline-0.4 ± 0.7-0.6 ± 0.7
SecondaryChange From Baseline in Posterior Lid Margin Hyperemia

Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group at Visit 4 (Day 15). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

Time frame:
Visit 2 (Day 1) to Visit 4 (Day 15)
Reported as:
Mean · score on a scale
Change From Baseline in Posterior Lid Margin Hyperemia
score on a scaleVehicleKPI-121 0.25% Ophthalmic Suspension
Change From Baseline in Posterior Lid Margin Hyperemia-0.56 ± 0.72-0.55 ± 0.64
SecondaryChange From Baseline in Posterior Lid Margin Hyperemia

Comparison of change from baseline in posterior lid margin hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group at Visit 6 (Day 29). The scale for posterior lid margin hyperemia was scored on a range from 0-4 with the following description: 0=normal 1. mild 2. moderate 3. severe 4. very severe

Time frame:
Visit 2 (Day 1) to Visit 6 (Day 29)
Reported as:
Mean · score on a scale
Change From Baseline in Posterior Lid Margin Hyperemia
score on a scaleVehicleKPI-121 0.25% Ophthalmic Suspension
Change From Baseline in Posterior Lid Margin Hyperemia-0.63 ± 0.76-0.65 ± 0.8

Adverse events

Collected over Adverse events were collected from the time a subject signed the informed consent at Visit 1 until they exited the study at Visit 6.. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vehicle0/101 (0%)0/101 (0%)8/101 (7.9%)
KPI-121 0.25% Ophthalmic Suspension0/104 (0%)0/104 (0%)8/104 (7.7%)
Most frequent other events
Most frequent other events
EventVehicleKPI-121 0.25% Ophthalmic Suspension
Instillation site painGeneral disorders8/1018/104

Baseline characteristics

Age, Continuous
Age, Continuous(years)VehicleKPI-121 0.25% Ophthalmic SuspensionTotal
Mean58.6 ± 13.1360.2 ± 11.2859.4 ± 12.22
Sex: Female, Male
Sex: Female, Male(Participants)VehicleKPI-121 0.25% Ophthalmic SuspensionTotal
Female7262134
Male294271
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)VehicleKPI-121 0.25% Ophthalmic SuspensionTotal
Hispanic or Latino283563
Not Hispanic or Latino7369142
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)VehicleKPI-121 0.25% Ophthalmic SuspensionTotal
American Indian or Alaska Native101
Asian6612
Native Hawaiian or Other Pacific Islander000
Black or African American131326
White8084164
More than one race112
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)VehicleKPI-121 0.25% Ophthalmic SuspensionTotal
United States101104205
08

Study locations

8 sites
  • UAB School of Optometry
    Birmingham, Alabama 35294-0010, United States
  • Sall Research Medical Center
    Artesia, California 90701, United States
  • North Valley Eye Medical Group
    Mission Hills, California 91345, United States
  • Wolstan & Goldberg Eye Associates
    Torrance, California 90505, United States
  • Tauber Eye Center
    Kansas City, Missouri 64111, United States
  • South Shore Eye Center, LLP
    Wantagh, New York 11793, United States
  • Abrams Eye Center
    Cleveland, Ohio 44115, United States
  • Virginia Eye Consultants
    Norfolk, Virginia 23502, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2014, a primary completion of Dec 2015 and a completion of Jun 2016. It does not say whether these dates are actual or estimated.

Results were first posted in Jan 2021, 5 years 1 month after primary completion. A results delay was requested in Oct 2016.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 13, 2014
First posted
Aug 18, 2014
Start
Jul 2014
Primary completionActual
Dec 2015
CompletionActual
Jun 2016
Results delay requested
Oct 19, 2016
Results first posted
Jan 11, 2021
Last update
Jan 11, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 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
NCT02218489
Lead sponsor
Kala Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Aug 18, 2014
Start date
Jul 2014
Primary completion
Dec 2015
Completion
Jun 2016
Results posted
Jan 11, 2021
Last update
Jan 11, 2021

Study contacts

Marc Abrams, MD
principal investigator · Abrams Eye Center
Damien Goldberg, MD
principal investigator · Wolstan & Goldberg Eye Associates
Jodi Luchs, MD
principal investigator · South Shore Eye Center, LLP
Kelly Nichols, OD, PhD
principal investigator · UAB School of Optometry
Steven Rauchman, MD
principal investigator · North Valley Eye Medical Group
Kenneth Sall, MD
principal investigator · Sall Research Medical Center
John Sheppard, MD
principal investigator · Virginia Eye Consultants
Joseph Tauber, MD
principal investigator · Tauber Eye Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Loteprednol Etabonate

Start the discussion