A Phase 2 interventional study of AGN-199201 ophthalmic solution and AGN-190584 ophthalmic solution in Presbyopia, sponsored by Allergan. Completed at 20 sites in United States. Open to participants aged 40 Years to 50 Years. Per ClinicalTrials.gov, last updated 2020-12-22.
Sponsored by Allergan · Phase 2, Interventional, and Treatment
This study will identify the optimum concentrations of AGN-199201 and AGN-190584 when dosed in combination once a day for the improvement of uncorrected near visual acuity in participants with presbyopia (inability to focus on items close-up).
324 studies on the registry are indexed under Presbyopia; 33 are open to participants now.
This study's enrollment of 163 is above the median of 61 across 265 interventional studies indexed under Presbyopia.
Browse Presbyopia studies →Allergan is the lead sponsor of 499 studies on the registry; none are open to participants now.
Of its 91 completed or terminated interventional studies of FDA-regulated products, 89 (98%) have results posted.
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-Normal vision at distance, either natural or post corneal laser refractive surgery, with presbyopia in each eye and complaints of poor near vision that impacts activities of daily living.
Exclusion Criteria:
Participants will receive 5 different treatments as per protocol for 2 days each. Treatment 1: nondominant eye--1 drop AGN-199201 vehicle followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle; Treatment 2: nondominant eye--1 drop AGN-199201 Dose A followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle; Treatment 3: nondominant eye--1 drop AGN-199201 Dose B followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle; Treatment 4: nondominant eye--1 drop AGN-199201 Dose C followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle; Treatment 5: nondominant eye--1 drop fixed combination of AGN-199201 and AGN-190584 followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle.
Drug: AGN-199201 ophthalmic solution · Drug: AGN-190584 ophthalmic solution · Drug: AGN-190584 vehicle · Drug: AGN-199201 + AGN-190584 Combination · Drug: AGN-199201 vehicle
Participants will receive 5 different treatments as per protocol for 2 days each. Treatment 1: nondominant eye--1 drop AGN-199201 vehicle followed by 1 drop AGN-190584 Dose A, dominant eye--2 drops AGN-190584 vehicle; Treatment 2: nondominant eye--1 drop AGN-199201 Dose A followed by 1 drop AGN-190584 Dose A, dominant eye--2 drops AGN-190584 vehicle; Treatment 3: nondominant eye--1 drop AGN-199201 Dose B followed by 1 drop AGN-190584 Dose A, dominant eye--2 drops AGN-190584 vehicle; Treatment 4: nondominant eye--1 drop AGN-199201 Dose C followed by 1 drop AGN-190584 Dose A, dominant eye--2 drops AGN-190584 vehicle; Treatment 5: nondominant eye--1 drop fixed combination of AGN-199201 and AGN-190584 followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle.
Drug: AGN-199201 ophthalmic solution · Drug: AGN-190584 ophthalmic solution · Drug: AGN-190584 vehicle · Drug: AGN-199201 + AGN-190584 Combination · Drug: AGN-199201 vehicle
Participants will receive 5 different treatments as per protocol for 2 days each. Treatment 1: nondominant eye--1 drop AGN-199201 vehicle followed by 1 drop AGN-190584 Dose B, dominant eye--2 drops AGN-190584 vehicle; Treatment 2: nondominant eye--1 drop AGN-199201 Dose A followed by 1 drop AGN-190584 Dose B, dominant eye--2 drops AGN-190584 vehicle; Treatment 3: nondominant eye--1 drop AGN-199201 Dose B followed by 1 drop AGN-190584 Dose B, dominant eye--2 drops AGN-190584 vehicle; Treatment 4: nondominant eye--1 drop AGN-199201 Dose C followed by 1 drop AGN-190584 Dose B, dominant eye--2 drops AGN-190584 vehicle; Treatment 5: nondominant eye--1 drop fixed combination of AGN-199201 and AGN-190584 followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle.
Drug: AGN-199201 ophthalmic solution · Drug: AGN-190584 ophthalmic solution · Drug: AGN-190584 vehicle · Drug: AGN-199201 + AGN-190584 Combination · Drug: AGN-199201 vehicle
Participants will receive 5 different treatments as per protocol for 2 days each. Treatment 1: nondominant eye--1 drop AGN-199201 vehicle followed by 1 drop AGN-190584 Dose C, dominant eye--2 drops AGN-190584 vehicle; Treatment 2: nondominant eye--1 drop AGN-199201 Dose A followed by 1 drop AGN-190584 Dose C, dominant eye--2 drops AGN-190584 vehicle; Treatment 3: nondominant eye--1 drop AGN-199201 Dose B followed by 1 drop AGN-190584 Dose C, dominant eye--2 drops AGN-190584 vehicle; Treatment 4: nondominant eye--1 drop AGN-199201 Dose C followed by 1 drop AGN-190584 Dose C, dominant eye--2 drops AGN-190584 vehicle; Treatment 5: nondominant eye--1 drop fixed combination of AGN-199201 and AGN-190584 followed by 1 drop AGN-190584 vehicle, dominant eye--2 drops AGN-190584 vehicle.
Drug: AGN-199201 ophthalmic solution · Drug: AGN-190584 ophthalmic solution · Drug: AGN-190584 vehicle · Drug: AGN-199201 + AGN-190584 Combination · Drug: AGN-199201 vehicle
1 drop of AGN-199201 ophthalmic solution Doses A, B, C in the eye.
1 drop AGN-190584 ophthalmic solution doses A, B and C in the eye.
Vehicle to AGN-190584
1 drop AGN-199201 and AGN-190584 fixed combination ophthalmic solution in the eye.
Vehicle to AGN-199201
Weighted Average Change From Baseline in Mesopic, High Contrast Uncorrected Near Visual Acuity (UNVA) Letters
UNVA is assessed without corrective lenses in the non-dominant eye. UNVA is measured using an eye chart and is reported as the number of lines read correctly. The lower the number of lines read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of lines read correctly means that vision has improved.
Time frame: Baseline, Between hour 1 and hour 10 of each of the five 2-day dosing periods
| Milestone | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 |
|---|---|---|---|---|
| Started | 41 | 40 | 42 | 40 |
| Completed | 39 | 37 | 41 | 36 |
| Not completed | 2 | 3 | 1 | 4 |
| Withdrew: Withdrawal by subject | 1 | 2 | 1 | 3 |
| Withdrew: Lost to follow-up | 1 | 1 | 0 | 1 |
UNVA is assessed without corrective lenses in the non-dominant eye. UNVA is measured using an eye chart and is reported as the number of lines read correctly. The lower the number of lines read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of lines read correctly means that vision has improved.
| letters correctly read | AGN-190584 Vehicle | AGN-190584 Lower Dose | AGN-190584 Medium Dose | AGN-190584 Higher Dose |
|---|---|---|---|---|
| AGN-199201 Vehicle | 1.12 ± 0.48 | 3.83 ± 0.37 | 5.26 ± 0.37 | 5.42 ± 0.50 |
| AGN-199201 Lower Dose | 1.24 ± 0.44 | 3.94 ± 0.34 | 5.37 ± 0.34 | 5.52 ± 0.46 |
| AGN-199201 Medium Dose | 1.47 ± 0.47 | 4.16 ± 0.39 | 5.56 ± 0.39 | 5.70 ± 0.48 |
| AGN-199201 Higher Dose | 1.34 ± 0.55 | 3.99 ± 0.41 | 5.36 ± 0.40 | 5.46 ± 0.56 |
Collected over Adverse events were collected for 112 days.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| AGN-190584 Vehicle and AGN-199201 | 0/41 (0%) | 1/41 (2.4%) | 9/41 (22%) |
| AGN-190584 Lower Dose and AGN-199201 | 0/39 (0%) | 1/39 (2.6%) | 9/39 (23.1%) |
| AGN-190584 Medium Dose and AGN-199201 | 0/42 (0%) | 0/42 (0%) | 16/42 (38.1%) |
| AGN-190584 Higher Dose and AGN-199201 | 0/39 (0%) | 1/39 (2.6%) | 17/39 (43.6%) |
| Event | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 |
|---|---|---|---|---|
| CholecystitisHepatobiliary disorders | 0/41 | 1/39 | 0/42 | 0/39 |
| Malignant melanomaMusculoskeletal and connective tissue disorders | 0/41 | 0/39 | 0/42 | 1/39 |
| Cervix carcinoma stage 0Investigations | 1/41 | 0/39 | 0/42 | 0/39 |
| Event | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 |
|---|---|---|---|---|
| HeadacheNervous system disorders | 5/41 | 4/39 | 8/42 | 7/39 |
| Visual impairmentEye disorders | 1/41 | 0/39 | 1/42 | 4/39 |
| Punctate keratitisEye disorders | 2/41 | 1/39 | 4/42 | 2/39 |
| Instillation site painGeneral disorders | 3/41 | 0/39 | 1/42 | 3/39 |
| Lacrimation increasedEye disorders | 0/41 | 3/39 | 2/42 | 0/39 |
| Upper respiratory tract infectionInfections and infestations | 0/41 | 2/39 | 3/42 | 1/39 |
| Foreign body sensation in eyesEye disorders | 1/41 | 2/39 | 0/42 | 0/39 |
| Visual acuity reducedEye disorders | 0/41 | 0/39 | 1/42 | 2/39 |
| Vitreous floatersEye disorders | 0/41 | 0/39 | 0/42 | 2/39 |
Safety Population: all subjects who received ≥ 1 administration of study treatment
| Age, Continuous(Years) | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 | Total |
|---|---|---|---|---|---|
| Mean | 46.6 ± 2.9 | 47.1 ± 2.7 | 46.8 ± 2.8 | 46.7 ± 2.3 | 46.8 ± 2.6 |
| Sex: Female, Male(Participants) | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 | Total |
|---|---|---|---|---|---|
| Female | 32 | 27 | 29 | 24 | 112 |
| Male | 9 | 12 | 13 | 15 | 49 |
| Ethnicity (NIH/OMB)(Participants) | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 7 | 11 | 3 | 9 | 30 |
| Not Hispanic or Latino | 34 | 28 | 39 | 30 | 131 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 1 | 0 | 2 |
| Asian | 3 | 1 | 0 | 0 | 4 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 6 | 6 | 13 | 3 | 28 |
| White | 32 | 30 | 28 | 36 | 126 |
| More than one race | 0 | 1 | 0 | 0 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Baseline UNVA severity(Participants) | AGN-190584 Vehicle and AGN-199201 | AGN-190584 Lower Dose and AGN-199201 | AGN-190584 Medium Dose and AGN-199201 | AGN-190584 Higher Dose and AGN-199201 | Total |
|---|---|---|---|---|---|
| ≤ 20/80 | 26 | 28 | 28 | 26 | 108 |
| > 20/80 | 15 | 11 | 14 | 13 | 53 |
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