ClinicalTrials.gg
CompletedNCT03499873Updated Feb 16, 2021Results posted

Clinical Endpoint Study of Nepafenac 0.3% Opthalmic Suspension

A Phase 3 interventional study of Nepafenac 0.3% Oph Susp and Placebos in Cataract, sponsored by Actavis Inc.. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-16.

Sponsored by Actavis Inc. (part of Teva Pharmaceutical Industries, Ltd.) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
448
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 18 studies testing nepafenac in Cataract — none open to participants now, none under way, none of them phase 3. nepafenac · Cataract.

Enrollment
4th of 17
448 · median 126
Started
2018
the only one that year
Phase 3
5 of 18
none open now
Registered
15th of 18
by date
Lead sponsor
1 of 18
Actavis Inc.

Among the 18 studies testing nepafenac in Cataract, this one is the 4th largest by enrollment of the 17 interventional ones that give a count, is the only one that started in 2018, is one of 5 in phase 3, and was the 15th registered.

Cataract

1,629 studies on the registry are indexed under Cataract; 235 are open to participants now.

Browse Cataract studies →

Open to participants now

None of the 18 studies testing nepafenac in Cataract is open now.

About nepafenac

nepafenac: first FDA approval 2005 (NEVANAC), first EMA approval 2007. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 141 Cataract studies recruiting now, 88 (62%) set no upper age limit and 8 (6%) stop at 75 or younger; 10 take children under 18; 16 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Download CSVNarrow it in search →With an account: the 18 studies testing nepafenac in Cataract as a file.
02

Study summary

A randomized, multicenter, double masked, placebo controlled, parallel group, bioequivalence study to evaluate the clinical equivalence and safety of Nepafenac 0.3% ophthalmic suspension (manufactured by Indoco remedies Ltd. for Actavis LLC) with IlevroTM (Nepafenac ophthalmic suspension), 0.3% of Alcon Laboratories, Inc. for the treatment of pain and inflammation associated with cataract surgery.

03

Conditions studied

  • Cataract

Browse trials for

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

  1. Males or non-pregnant, non-lactating females, 18 years of age or older who have a cataract and are expected to undergo cataract extraction.
  2. No aqueous cells, no visible aqueous flare and no significant ocular pain in the selected eye noted during the Screening visit by slit-lamp examination.
  3. Study subjects must have provided IRB approved written using the latest version of the IRB informed consent form. In addition, study subjects must sign a HIPAA authorization, if applicable.
  4. Study subjects should be literate and willing to complete the subject diary regularly as directed.
  5. Study subjects must be in good health and free from any disease apart from indication under study.
  6. Females of child bearing potential (*) must not be pregnant or lactating at baseline visit (as documented by a negative urine pregnancy test with a minimum sensitivity of 25 IU/L or equivalent units of beta-human chorionic gonadotropin (Beta-HCG) at screening and urine pregnancy at baseline.
  7. Female subjects of childbearing potential must be willing to use an acceptable form of from the day of the first dose administration to 30 days after the last administration of IP. For the purpose of this study the following are considered acceptable methods of birth control: oral or injectable contraceptives, contraceptive patches, Depo-Provera® (Medroxyprogesterone acetate-stabilized for at least 3 months); vaginal contraceptive; contraceptive implant; double barrier methods (e.g. condom and spermicide); Nuvaring vaginal hormonal birth control, IUD, or abstinence with a second method of birth control should the subject become sexually active. A sterile sexual partner is NOT considered an adequate form of birth control.
  8. All male subjects must agree to use accepted methods of birth control with their partners, from the day of the first dose administration (to 30 days after the last administration of study drug). Please see acceptable forms for "Female" birth control above. Abstinence is an acceptable method of birth control for males.
  9. Study subjects must be willing and able to understand and comply with the requirements of the protocol, including attendance at the required scheduled study visits.
  10. Study subjects must be willing to refrain from using any other treatments other than the product.

Exclusion criteria

Exclusion Criteria:

  1. Females who are pregnant, breast feeding, or planning a pregnancy during the course of the study and for 30 days after last study dose.
  2. Females of who do not agree to utilize an adequate form of .
  3. Current or past history of severe hepatic or renal impairment, uncontrolled diabetes mellitus, rheumatoid arthritis or bleeding tendencies.
  4. Current or history within two months prior to baseline of ocular disease, e.g., corneal denervation, corneal epithelial defects, severe dry eye syndrome, ocular trauma to the operative eye, corneal edema, proliferative diabetic retinopathy in the operative eye or ocular infection.
  5. In the operative eye, history of chronic or recurrent inflammatory disease, e.g., iritis, scleritis, uveitis, iridocyclitis or rubeosis iritis, lens pseudoexfoliation syndrome with glaucoma or zonular compromise.
  6. Congenital ocular anomaly, e.g., aniridia or congenital cataract.
  7. Iris atrophy in the operative eye.
  8. Current corneal abnormalities that would prevent accurate IOP readings with the Goldmann applanation tonometer.
  9. Nonfunctional nonoperative eye (visual acuity of 20/200 or worse Snellen or ETDRS).
  10. Known to any component of nepafenac therapy or to other nonsteroidal anti-inflammatory drug (NSAID).
  11. Use within one week prior to baseline of: 1) contact lens, or 2) topical, ophthalmic or systemic NSAID.
  12. Use within two weeks prior to baseline of: 1) topical ophthalmic , 2) topical corticosteroid, or 3) medications which may prolong bleeding time (per investigator discretion and primary care physician approval to discontinue use for surgery).
  13. Use within one month prior to baseline of: 1) systemic corticosteroid, 2) high-dose salicylate therapy, or 3) topical ophthalmic prostaglandin analogs, e.g., bimatoprost, latanoprost or travoprost.
  14. Use within six months prior to baseline of intravitreal or subtenon injection of ophthalmic corticosteroid.
  15. Underwent within six months prior to baseline any complicated intraocular surgery or repeat ocular surgeries (e.g., cataract surgery).
  16. Underwent within twelve months prior to baseline: refractive surgery, filtering surgery or laser surgery for IOP reduction.
  17. History or presence of significant alcoholism or drug abuse in the past one year.
  18. History or presence of significant smoking (more than 20 cigarettes or any other equivalent tobacco product/day).
  19. History of hematologic disorders other than mild anemia.
  20. Severe, unstable, or uncontrolled cardiovascular or pulmonary disease.
  21. Therapy with an agent within the past 30 days prior to screening.
  22. Clinically significant hematologic and / or biochemical abnormalities based on laboratory testing.
  23. Subjects who are in the investigator's best judgment at risk of visual field or visual acuity worsening as a consequence of participation in trial.
  24. Use of any prescribed medication during last two weeks or OTC medicinal products during the last one week preceding the first dosing that results in drug-drug interaction with the study drug.
  25. Major illness, as per investigator discretion, during 3 months before screening.
  26. Subjects who are employees of site or CRO or sponsor or immediate family of employees.
Terms in these criteria, in plain language(7)

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

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

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

Study arms

  • Experimental
    Nepafenac 0.3% Opthalmic Suspension

    Test product manufactured by Indoco Remedies, Ltd for Actavis LLC.

    Drug: Nepafenac 0.3% Oph Susp

  • Active comparator
    Ilevro 0.3% Opthalmic Suspension

    Reference product manufactured by Alcon Laboratories Inc.

    Drug: Nepafenac 0.3% Oph Susp (reference)

  • Placebo comparator
    Placebo (vehicle) Opthalmic Suspension

    Placebo (vehicle) manufactured by Indoco Remedies, Ltd for Actavis LLC.

    Drug: Placebos

Interventions

06

What researchers measure

Primary outcomes

  1. Cure at Day 14

    Number of participants that achieved cure at Day 14 defined as a score of 0 for aqueous cells (Grade 0-4 using a narrow-slit beam (0.5 mm width at least 8 mm length) at maximum luminance), a score of 0 for aqueous flare (Grade 0-3 using a narrow-slit beam (0.5 mm width at least 8 mm length) at maximum luminance) and a score of no more than 3 for pain (Grade 0-5 a positive sensation of the eye, including foreign body sensation, stabbing, throbbing or aching). The scoring indicates from less severe at 0 to very severe as the grading increases.

    Time frame: 14 days

07

Results

Posted Feb 16, 2021

Participant flow

Participant flow — Overall Study
MilestoneNepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic Suspension
Started18318283
Safety population17517480
Per-protocol population14414358
Modified-intent-to-treat17016877
Completed16316256
Not completed202027
Withdrew: Withdrawal by subject461
Withdrew: Subjects condition worsened0311
Withdrew: Adverse event836
Withdrew: Physician decision100
Withdrew: Administrative reasons010
Withdrew: Concomitant therapy547
Withdrew: Miscellaneous122
Withdrew: Investigational product (ip) missed dose compliance110

Outcome measures

PrimaryCure at Day 14

Number of participants that achieved cure at Day 14 defined as a score of 0 for aqueous cells (Grade 0-4 using a narrow-slit beam (0.5 mm width at least 8 mm length) at maximum luminance), a score of 0 for aqueous flare (Grade 0-3 using a narrow-slit beam (0.5 mm width at least 8 mm length) at maximum luminance) and a score of no more than 3 for pain (Grade 0-5 a positive sensation of the eye, including foreign body sensation, stabbing, throbbing or aching). The scoring indicates from less severe at 0 to very severe as the grading increases.

Time frame:
14 days
Reported as:
Count of participants · Participants
Cure at Day 14
ParticipantsNepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic Suspension
Cure949724
Failure504634
Statistical analysis
  • Nepafenac 0.3% Opthalmic Suspension vs Ilevro 0.3% Opthalmic Suspension · Mean difference (net): -0.026 · 90% CI -0.124 to 0.073
  • Nepafenac 0.3% Opthalmic Suspension vs Placebo (Vehicle) Opthalmic Suspension · ANOVA · p = 0.0005
  • Ilevro 0.3% Opthalmic Suspension vs Placebo (Vehicle) Opthalmic Suspension · ANOVA · p = 0.0003

Adverse events

Collected over 1 month. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nepafenac 0.3% Opthalmic Suspension0/175 (0%)0/175 (0%)54/175 (30.9%)
Ilevro 0.3% Opthalmic Suspension0/174 (0%)0/174 (0%)42/174 (24.1%)
Placebo (Vehicle) Opthalmic Suspension0/80 (0%)0/80 (0%)26/80 (32.5%)
Most frequent other events
Showing 10 of 74
Most frequent other events
EventNepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic Suspension
HeadacheNervous system disorders8/1758/1748/80
Corneal oedemaEye disorders2/1752/1744/80
Eye painEye disorders4/1753/1744/80
Intraocular pressure increasedInvestigations8/1753/1741/80
Ocular hyperaemiaEye disorders0/1750/1743/80
PhotophobiaEye disorders1/1751/1743/80
Blood glucose increasedInvestigations5/1756/1741/80
Anterior chamber inflammationEye disorders4/1752/1742/80
Eye irritationEye disorders0/1750/1742/80
Posterior capsule opacificationEye disorders4/1751/1742/80

Baseline characteristics

Demographics provided for Safety Population

Age, Continuous
Age, Continuous(years)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
Mean68.1 ± 8.7368.5 ± 9.1267.0 ± 10.1968.1 ± 9.17
Sex: Female, Male
Sex: Female, Male(Participants)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
Female1138947249
Male628533180
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
Hispanic or Latino504221113
Not Hispanic or Latino11712052289
Unknown or Not Reported812727
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
American Indian or Alaska Native1102
Asian83213
Native Hawaiian or Other Pacific Islander2114
Black or African American24241361
White11712256295
More than one race1001
Unknown or Not Reported2223853
Iris Colour
Iris Colour(Participants)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
Blue38471398
Green811928
Grey2125
Hazel1921949
Brown978141219
Black1113630
Baseline Ocular Pain Grade in Study Eye
Baseline Ocular Pain Grade in Study Eye(Participants)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
Grade 0 (less severe)17217280424
Grade 11102
Grade 20000
Grade 30000
Grade 40000
Grade 5 (most severe)0000
Missing2103
Baseline Aqueous Cells Grade in Study Eye
Baseline Aqueous Cells Grade in Study Eye(Participants)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
Grade 0 (least severe)17317380426
Grade 10000
Grade 20000
Grade 30000
Grade 4 (most severe)0000
Missing2103
Baseline Aqueous Flare Grade in Study Eye
Baseline Aqueous Flare Grade in Study Eye(Participants)Nepafenac 0.3% Opthalmic SuspensionIlevro 0.3% Opthalmic SuspensionPlacebo (Vehicle) Opthalmic SuspensionTotal
Grade 0 (least severe)17317380426
Grade 10000
Grade 20000
Grade 3 (most severe)0000
Missing2103
08

Study locations

1 site
  • Key-Whitman Eye Center
    Dallas, Texas 75243, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Oct 2018, 7 months.

Results were first posted in Feb 2021, 2 years 3 months after primary completion.

Of 23 industry-sponsored phase 3 interventional studies under Cataract, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 15. This study's 7 months is below that.

Counting every sponsor, half of 31 studies reached it within 13 months; a quarter within 9 and three quarters within 38.

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

Registered
Mar 23, 2018
First posted
Apr 17, 2018
StartActual
Mar 28, 2018
Primary completionActual
Oct 31, 2018
CompletionActual
Dec 18, 2018
Results first posted
Feb 16, 2021
Last update
Feb 16, 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 Feb 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03499873
Lead sponsor
Actavis Inc.
Responsible party
Sponsor
First posted
Apr 17, 2018
Start date
Mar 28, 2018
Primary completion
Oct 31, 2018
Completion
Dec 18, 2018
Results posted
Feb 16, 2021
Last update
Feb 16, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Nepafenac

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