A Phase 3 interventional study of KPI-121 0.25% Ophthalmic Suspension and Vehicle of KPI-121 0.25% Ophthalmic Suspension in Dry Eye Syndromes and Keratoconjunctivitis Sicca, sponsored by Kala Pharmaceuticals, Inc.. Completed at 60 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-03.
Sponsored by Kala Pharmaceuticals, Inc. · Phase 3, Interventional, and Treatment
The primary purpose of this study is to determine the efficacy and safety of KPI-121 0.25% ophthalmic suspension compared to vehicle (placebo) in subjects who have a documented clinical diagnosis of dry eye disease. The product will be studied over 14 days, with 1-2 drops instilled in each eye four times daily (QID).
This is a Phase 3, multi-center, double-masked, randomized, vehicle-controlled, parallel-group study designed to evaluate the safety and efficacy of KPI-121 0.25% ophthalmic suspension versus vehicle in subjects with dry eye disease.
85 studies on the registry are indexed under Keratoconjunctivitis Sicca; 1 is open to participants now.
This study's enrollment of 918 is above the median of 82 across 75 interventional studies indexed under Keratoconjunctivitis Sicca.
Browse Keratoconjunctivitis Sicca studies →Kala Pharmaceuticals, Inc. is the lead sponsor of 9 studies on the registry; none are open to participants now.
Compared within Keratoconjunctivitis Sicca, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Dry Eye Syndromes. The counts are of registry records indexed under each term, refreshed daily. How we classify →
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.
Exclusion Criteria:
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.
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.
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.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Drug: KPI-121 0.25% Ophthalmic Suspension
Drug: Vehicle of KPI-121 0.25% Ophthalmic Suspension
Also known as: Loteprednol etabonate
Also known as: Placebo
Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15)
Comparison of mean ocular discomfort severity 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.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Change From Baseline/Visit 2 (Day 1) in Corneal Fluorescein Staining Score at Visit 4 (Day 15)
Comparison of mean corneal fluorescein staining between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using methods developed by the National Eye Institute (NEI) Dry Eye Workshop in evaluating 5 regions of the cornea (superior, inferior, nasal, temporal and central) using a 0-3 grading scale, where 0 = no visible staining, 1 = Mild, 2 = moderate and 3 = severe.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Change From Baseline/Visit 2 (Day 1) Ocular Discomfort Severity at Visit 4 (Day 15) in the Subgroup of Participants With More Severe Ocular Discomfort
Comparison of mean ocular discomfort severity 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, in a sub-group of participants with more severe ocular discomfort at baseline.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Change in Conjunctival Hyperemia Scores at Visit 4 (Day 15) in the Subgroup of Participants With More Severe Ocular Discomfort at Baseline (Day 1)
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Proportion of Subjects With ≥1 Improvement in Conjunctival Hyperemia at Visit 4 (Day 15)
Proportion of subjects with ≥1 improvement from baseline in conjunctival hyperemia scores. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Change From Baseline/Visit 2 (Day 1) Conjunctival Hyperemia Scores at Visit 4 (Day 15) for the Mean of All Regions (Nasal, Temporal, Frontal)
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Change in Ocular Discomfort Severity Scores Prior to Visit 3 (Day 8) Minus the Mean of the Scores to Baseline/Visit 2 (Day 1)
Comparison of mean ocular discomfort severity 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.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)
Change in Ocular Discomfort Severity Scores Prior to Visit 3 (Day 8) Minus Baseline/Visit 2 (Day 1) in the Subgroup of Participants With More Severe Ocular Discomfort.
Comparison of mean ocular discomfort severity 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.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)
Change in Ocular Discomfort Severity Scores on Day 4 (Diary) Minus Baseline/Visit 2 (Day 1)
Comparison of mean ocular discomfort severity 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.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)
Change in Ocular Discomfort Severity Scores on Day 4 Day 4 (Diary) Minus Baseline/Visit 2 (Day 1) in the Subgroup of Participants With More Severe Ocular Discomfort
Comparison of mean ocular discomfort severity 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, in a sub-group of participants with more severe ocular discomfort at baseline.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 3 (Day 8)
Change From Baseline/Visit 2 (Day 1) in Conjunctival Hyperemia Scores With a Day 1 Conjunctival Hyperemia Score of ≥ 2 in the Subgroup of Participants With More Severe Ocular Discomfort
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale in a sub-group of participants with more severe ocular discomfort at baseline.. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
Time frame: Baseline/Visit 2 (Day 1) and to Visit 4 (Day 15)
Subjects With a Grade of 0 in Conjunctival Hyperemia Score at Visit 4 (Day 15)
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe
Time frame: Visit 4 (Day 15)
| Milestone | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Started | 459 | 456 |
| Completed | 455 | 453 |
| Not completed | 4 | 3 |
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15) | -0.4049 ± 0.65062 | -0.1574 ± 0.60704 |
Comparison of mean ocular discomfort severity 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.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15) | -14.53 ± 20.636 | -9.16 ± 17.924 |
Comparison of mean corneal fluorescein staining between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using methods developed by the National Eye Institute (NEI) Dry Eye Workshop in evaluating 5 regions of the cornea (superior, inferior, nasal, temporal and central) using a 0-3 grading scale, where 0 = no visible staining, 1 = Mild, 2 = moderate and 3 = severe.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change From Baseline/Visit 2 (Day 1) in Corneal Fluorescein Staining Score at Visit 4 (Day 15) | -0.5 ± 0.84 | -0.4 ± 0.79 |
Comparison of mean ocular discomfort severity 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, in a sub-group of participants with more severe ocular discomfort at baseline.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change From Baseline/Visit 2 (Day 1) Ocular Discomfort Severity at Visit 4 (Day 15) in the Subgroup of Participants With More Severe Ocular Discomfort | -16.67 ± 21.937 | -10.76 ± 18.037 |
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change in Conjunctival Hyperemia Scores at Visit 4 (Day 15) in the Subgroup of Participants With More Severe Ocular Discomfort at Baseline (Day 1) | -0.4648 ± 0.66770 | -0.2045 ± 0.62567 |
Proportion of subjects with ≥1 improvement from baseline in conjunctival hyperemia scores. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
| Participants | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Proportion of Subjects With ≥1 Improvement in Conjunctival Hyperemia at Visit 4 (Day 15) | 189 | 98 |
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change From Baseline/Visit 2 (Day 1) Conjunctival Hyperemia Scores at Visit 4 (Day 15) for the Mean of All Regions (Nasal, Temporal, Frontal) | -0.2980 ± 0.59018 | -0.0421 ± 0.51921 |
Comparison of mean ocular discomfort severity 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.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change in Ocular Discomfort Severity Scores Prior to Visit 3 (Day 8) Minus the Mean of the Scores to Baseline/Visit 2 (Day 1) | -8.12 ± 16.880 | -4.81 ± 14.851 |
Comparison of mean ocular discomfort severity 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.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change in Ocular Discomfort Severity Scores Prior to Visit 3 (Day 8) Minus Baseline/Visit 2 (Day 1) in the Subgroup of Participants With More Severe Ocular Discomfort. | -9.90 ± 17.835 | -6.38 ± 15.289 |
Comparison of mean ocular discomfort severity 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.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change in Ocular Discomfort Severity Scores on Day 4 (Diary) Minus Baseline/Visit 2 (Day 1) | -6.60 ± 16.710 | -3.20 ± 15.125 |
Comparison of mean ocular discomfort severity 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, in a sub-group of participants with more severe ocular discomfort at baseline.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change in Ocular Discomfort Severity Scores on Day 4 Day 4 (Diary) Minus Baseline/Visit 2 (Day 1) in the Subgroup of Participants With More Severe Ocular Discomfort | -8.48 ± 17.412 | -5.20 ± 14.903 |
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale in a sub-group of participants with more severe ocular discomfort at baseline.. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
| score on a scale | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Change From Baseline/Visit 2 (Day 1) in Conjunctival Hyperemia Scores With a Day 1 Conjunctival Hyperemia Score of ≥ 2 in the Subgroup of Participants With More Severe Ocular Discomfort | -0.47 ± 0.631 | -0.22 ± 0.577 |
Comparison of mean bulbar conjunctival hyperemia between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe
| Participants | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Subjects With a Grade of 0 in Conjunctival Hyperemia Score at Visit 4 (Day 15) | 27 | 16 |
Collected over Adverse events were collected at Visit 2 (Day 1) until they exited the study at Visit 4 (Day 15).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| KPI-121 0.25% Ophthalmic Suspension | 0/459 (0%) | 0/459 (0%) | 66/459 (14.4%) |
| Vehicle of KPI-121 0.25% Ophthalmic Suspension | 0/456 (0%) | 0/456 (0%) | 62/456 (13.6%) |
| Event | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension |
|---|---|---|
| Installation site painGeneral disorders | 28/459 | 28/456 |
| Eye IrritationEye disorders | 5/459 | 7/456 |
| Conjunctival hyperemiaEye disorders | 2/459 | 4/456 |
| Foreign Body SensationEye disorders | 2/459 | 4/456 |
| Eye PruritusEye disorders | 1/459 | 4/456 |
| Instillation site pruritusGeneral disorders | 1/459 | 3/456 |
| NasopharyngitisInfections and infestations | 0/459 | 3/456 |
| BlepharitisEye disorders | 3/459 | 0/456 |
| Lacrimination increasedEye disorders | 3/459 | 2/456 |
| Intraocular pressure increasedInvestigations | 3/459 | 1/456 |
| Age, Continuous(Years) | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension | Total |
|---|---|---|---|
| Mean | 58.1 ± 15.41 | 58.3 ± 14.66 | 58.2 ± 15.03 |
| Sex: Female, Male(Participants) | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension | Total |
|---|---|---|---|
| Female | 367 | 359 | 726 |
| Male | 92 | 97 | 189 |
| Race (NIH/OMB)(Participants) | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension | Total |
|---|---|---|---|
| American Indian or Alaska Native | 2 | 0 | 2 |
| Asian | 18 | 18 | 36 |
| Native Hawaiian or Other Pacific Islander | 1 | 1 | 2 |
| Black or African American | 69 | 71 | 140 |
| White | 362 | 361 | 723 |
| More than one race | 1 | 1 | 2 |
| Unknown or Not Reported | 6 | 4 | 10 |
| Region of Enrollment(participants) | KPI-121 0.25% Ophthalmic Suspension | Vehicle of KPI-121 0.25% Ophthalmic Suspension | Total |
|---|---|---|---|
| United States | 459 | 456 | 915 |
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Studies of the drug tested here: Loteprednol Etabonate
Kala Pharmaceuticals, Inc.