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CompletedNCT03565887Updated Sep 16, 2020Results posted

Study of Safety and Efficacy of RVL-1201 in the Treatment of Blepharoptosis

A Phase 3 interventional study of RVL-1201 and Vehicle ophthalmic solution in Blepharoptosis, sponsored by RVL Pharmaceuticals, Inc.. Completed at 36 sites in United States. Open to participants aged 9 Years and older. Per ClinicalTrials.gov, last updated 2020-09-16.

Sponsored by RVL Pharmaceuticals, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
164
Allocation
Randomized
Ages
9 Years and older
Sex
All
01

Study summary

Phase 3 study to evaluate the safety and efficacy of treatment with RVL-1201 compared to placebo for treatment of blepharoptosis. Eligible subjects will be randomized to one of 2 treatment arms.

02

Conditions studied

  • Blepharoptosis

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03

In context

Blepharoptosis

58 studies on the registry are indexed under Blepharoptosis; 16 are open to participants now.

This study's enrollment of 164 is above the median of 46 across 47 interventional studies indexed under Blepharoptosis.

Browse Blepharoptosis studies →

Lead sponsor

RVL Pharmaceuticals, Inc. is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Male or Female 9 years of age or older
  2. Females must not be pregnant or planning to get pregnant and must use acceptable form of contraception
  3. Must be able to self-administer study medication
  4. Must be able to understand and sign an informed consent form. For minor subjects, the subject's parent or legal guardian must provide permission by signing an ICF on behalf of the subject and the subject should provide assent.

Exclusion criteria

Exclusion Criteria:

  1. Congenital ptosis
  2. Horner syndrome
  3. Myasthenia gravis
  4. Mechanical ptosis
  5. Previous ptosis surgery
  6. Resting heart rate outside the normal range
  7. Hypertension with resting diastolic blood pressure
  8. Pregnancy or lactation
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
164 participants (actual)

Study arms

  • Experimental
    RVL-1201 ophthalmic solution 0.1%

    RVL-1201 (oxymetazoline hydrochloride) ophthalmic solution 0.1%

    Drug: RVL-1201

  • Placebo comparator
    Vehicle ophthalmic solution

    Vehicle placebo ophthalmic solution

    Other: Vehicle ophthalmic solution

Interventions

  • DrugRVL-1201

    RVL-1201 ophthalmic solution 0.1%

  • OtherVehicle ophthalmic solution

    Vehicle placebo ophthalmic solution

06

What researchers measure

Primary outcomes

  1. Mean Change in Number of Points Seen on the Leicester Peripheral Field Test (LPFT) in RVL-1201 Group vs. Vehicle Group

    LPFT Total Score is the number of points seen in the top 4 rows on the LPFT. Possible scores range from 0 (no points seen) to 35 (all points seen).

    Time frame: Mean change from Baseline (Day 1, Hour 0) compared with Day 1, (Hour 6), and Day 14 (Hour 2)

Secondary outcomes

  1. Mean Change From Baseline in Marginal Reflex Distance (MRD) in the Study Eye

    The Marginal Reflex Distance (MRD) is the distance from the center pupillary light reflex to the central margin of the upper eyelid. The MRD is measured from an external photograph using a handheld caliper and a millimeter ruler label placed on the subject's forehead as a measurement legend.

    Time frame: Baseline Day 1 (Hour 0) and Day 1, Day 14, and Day 42

07

Results

Posted Sep 16, 2020

Participant flow

Planned sample size was approximately 156 subjects, 104 subjects in the RVL-1201 group, and 52 in the Vehicle group, to be enrolled at approximately 30 clinical sites in the U.S.

Participant flow — Overall Study
MilestoneRVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic Solution
Started10955
Completed10853
Not completed12
Withdrew: Adverse event10
Withdrew: Withdrawal by subject02

Outcome measures

PrimaryMean Change in Number of Points Seen on the Leicester Peripheral Field Test (LPFT) in RVL-1201 Group vs. Vehicle Group

LPFT Total Score is the number of points seen in the top 4 rows on the LPFT. Possible scores range from 0 (no points seen) to 35 (all points seen).

Time frame:
Mean change from Baseline (Day 1, Hour 0) compared with Day 1, (Hour 6), and Day 14 (Hour 2)
Reported as:
Mean · Points seen
Mean Change in Number of Points Seen on the Leicester Peripheral Field Test (LPFT) in RVL-1201 Group vs. Vehicle Group
Points seenRVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic Solution
Mean change from baseline LPFT-Day 1 Hour 66.3 ± 6.722.1 ± 4.28
Mean change from baseline LPFT-Day 14 Hour 27.7 ± 6.412.4 ± 5.26
Statistical analysis
  • RVL-1201 Ophthalmic Solution 0.1% vs Vehicle Ophthalmic Solution · ANCOVA · p = <0.0001 (If both primary endpoints (LPFT) are significant at 0.05 significance level, then the secondary efficacy endpoints (MRD) were also tested sequentially. Testing stopped if a P≥ 0.05 for a comparison.)2 sided t-test with treatment as fixed factor and baseline as covariate.
SecondaryMean Change From Baseline in Marginal Reflex Distance (MRD) in the Study Eye

The Marginal Reflex Distance (MRD) is the distance from the center pupillary light reflex to the central margin of the upper eyelid. The MRD is measured from an external photograph using a handheld caliper and a millimeter ruler label placed on the subject's forehead as a measurement legend.

Time frame:
Baseline Day 1 (Hour 0) and Day 1, Day 14, and Day 42
Reported as:
Mean · Millimeters (mm)
Mean Change From Baseline in Marginal Reflex Distance (MRD) in the Study Eye
Millimeters (mm)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic Solution
Day 1, Minute 50.59 ± 0.7210.20 ± 0.571
Day 1, Minute 150.93 ± 0.8110.32 ± 0.641
Day 1, Hour 21.05 ± 0.9030.33 ± 0.555
Day 1, Hour 60.98 ± 0.8670.35 ± 0.567
Day 14, Minute 50.77 ± 0.8530.42 ± 0.775
Day 14, Minute 151.11 ± 0.9220.41 ± 0.833
Day 14, Hour 21.22 ± 0.9260.43 ± 0.734
Day 14, Hour 61.06 ± 0.9020.47 ± 0.737
Day 42, Minute 50.86 ± 0.8490.42 ± 0.799
Day 42, Minute 151.04 ± 0.9120.47 ± 0.926
Statistical analysis
  • RVL-1201 Ophthalmic Solution 0.1% vs Vehicle Ophthalmic Solution · ANCOVA · p = <0.0151

Adverse events

Collected over Treatment-emergent adverse events (AEs) were assessed at Baseline through Day 42 (end of study).. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
RVL-1201 Ophthalmic Solution, 0.1%0/109 (0%)1/109 (0.9%)13/109 (11.9%)
Vehicle Ophthalmic Solution0/55 (0%)1/55 (1.8%)8/55 (14.5%)
Most frequent serious events
Most frequent serious events
EventRVL-1201 Ophthalmic Solution, 0.1%Vehicle Ophthalmic Solution
Lower gastrointestinal haemorrhageGastrointestinal disorders0/1091/55
Cerebrovascular accidentNervous system disorders1/1090/55
Most frequent other events
Most frequent other events
EventRVL-1201 Ophthalmic Solution, 0.1%Vehicle Ophthalmic Solution
Conjunctival hyperaemiaEye disorders6/1091/55
Vital dye straining cornea presentInvestigations1/1093/55
Punctate keratitisEye disorders4/1091/55
Eye pruritusEye disorders0/1092/55
Instillation site complicationGeneral disorders0/1092/55
Eye painEye disorders3/1090/55

Baseline characteristics

Intent to Treat (ITT) Population

Age, Categorical
Age, Categorical(Participants)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
<=18 years011
Between 18 and 65 years462268
>=65 years633295
Age, Continuous
Age, Continuous(years)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
Mean63.6 ± 14.3163.3 ± 16.5163.5 ± 15.03
Age, Customized
Age, Customized(years)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
Median67.0 (20 to 92)67.0 (14 to 85)67.0 (14 to 92)
Sex: Female, Male
Sex: Female, Male(Participants)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
Female7739116
Male321648
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
Hispanic or Latino13619
Not Hispanic or Latino9649145
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
American Indian or Alaska Native000
Asian426
Native Hawaiian or Other Pacific Islander000
Black or African American639
White9950149
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
United States10955164
Iris Color OD (right eye)
Iris Color OD (right eye)(Participants)RVL-1201 Ophthalmic Solution 0.1%Vehicle Ophthalmic SolutionTotal
OD-Blue401858
OD-Brown461864
OD-Green7310
OD-Hazel151530
OD-Grey112

1 further baseline measures are reported on the registry.

08

Study locations

36 sites
  • Barnet, Dulany Perkins
    Phoenix, Arizona 85016, United States
  • Orange County Ophthalmology
    Garden Grove, California 92843, United States
  • North Valley Eye
    Mission Hills, California 941345, United States
  • Eye Research Foundation
    Newport Beach, California 92663, United States
  • Pendelton Eye Center
    Oceanside, California 92056, United States
  • North Bay Eye Associates
    Petaluma, California 94954, United States
  • Michael Tran
    Westminster, California 92683, United States
  • Danbury Eye Physicians
    Danbury, Connecticut 06810, United States
  • Hernando Eye Institute
    Brooksville, Florida 34615, United States
  • Shettle Eye Research
    Largo, Florida 33773, United States
  • West Coast Eye
    Lecanto, Florida 34461, United States
  • Sabal Eye Care
    Longwood, Florida 32779, United States
  • Maitland Vision Center
    Maitland, Florida 32751, United States
  • Sarasota Retina Institute
    Sarasota, Florida 34239, United States
  • East Florida Eye
    Stuart, Florida 34994, United States
  • Coastal Research Associates
    Roswell, Georgia 30076, United States
  • Kennar Eye Care
    Pittsburg, Kansas 66762, United States
  • Heart of America Eye
    Shawnee Mission, Kansas 66204, United States
  • Seidenberg Protzko Eye
    Havre De Grace, Maryland 21078, United States
  • Mississippi Eye
    Ocean Springs, Mississippi 39564, United States
  • Silverstein Eye
    Kansas City, Missouri 64133, United States
  • Comprehensive Eye Care
    Washington, Missouri 63090, United States
  • Rochester Ophthalmological
    Rochester, New York 14618, United States
  • South Shore Eye
    Wantagh, New York 11793, United States
  • CEENTA
    Charlotte, North Carolina 28210, United States
  • Cornerstone Eye
    High Point, North Carolina 27262, United States
  • Quinn, Foster & Assoc.
    Athens, Ohio 45701, United States
  • Apex Eye
    Cincinnati, Ohio 45243, United States
  • Apex Eye
    Cincinnati, Ohio 45247, United States
  • Abrams Eye Center
    Cleveland, Ohio 44115, United States
  • Nashville vision Associates
    Nashville, Tennessee 37205, United States
  • Round Rock Eye
    Austin, Texas 78681, United States
  • Texan Eye / Keystone
    Austin, Texas 78731, United States
  • Lake Travis Eye
    Lakeway, Texas 78734, United States
  • R&R Research
    San Antonio, Texas 78229, United States
  • Medical Center Ophthalmology Assocs - Keystone Research
    San Antonio, Texas 78240, United States
09

References and documents

Study documents

  • Study protocol · Oct 9, 2018
  • Statistical analysis plan · Apr 15, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03565887
Lead sponsor
RVL Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Jun 21, 2018
Start date
Jun 28, 2018
Primary completion
Apr 11, 2019
Completion
Apr 22, 2019
Results posted
Sep 16, 2020
Last update
Sep 16, 2020

Oversight

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

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This study is completed, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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