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CompletedNCT03821415Updated Dec 20, 2019

Effects of RP101 in Post-menopausal Women With Dry Eye Syndrome

A Phase 2 interventional study of RP101 in Dry Eye Syndromes, sponsored by Redwood Pharma AB. Completed at 8 sites in 3 countries. Open to female participants. Per ClinicalTrials.gov, last updated 2019-12-20.

Sponsored by Redwood Pharma AB · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
104
Allocation
Randomized
Sex
Female
01

Study summary

The main purpose of this study is to establish whether RP101 can reduce symptoms of dry eye syndrome in post-menopausal women.

Read the detailed description

Redwood Pharma is developing the novel ophthalmic product RP101 containing the known active substance 17β-oestradiol-3-phosphate and based upon the drug delivery platform IntelliGel which controls the active substance release. The novel formulation is planned to meet the still unmet medical need of an efficacious treatment against chronic dry eye in postmenopausal women.

The efficacy of the novel formulation RP101 will be investigated for the first time in the present multicentre, randomised, double-masked, parallel-group, placebo-controlled Phase II study in women post-menopausal for at least 3 years presenting with symptoms specific for dry eye syndrome of moderate to severe intensity.

The planned study will be conducted in Austria, Germany and Hungary. The primary objective of the study is to establish the effective dose/dose regimen of RP101 in these patients applying RP101 ophthalmic sterile solution or matching placebo (vehicle) once (q.d.) or twice a day (b.i.d.) for 3 months. One hundred (100) patients will be enrolled in this study. The subjects will be randomly assigned (1:1:1:1) to a treatment group and will receive one of the treatments for 90 consecutive days.

Evaluation of the clinical efficacy during and at the end of the treatment will be done on the basis of the Schirmer's test type II (with anaesthesia).

The secondary objectives of the study are:

  • to evaluate the safety and tolerability of the treatment
  • to evaluate the pharmacokinetics (PK) of serum 17β-oestradiol after the 1st and the last dose (only PK substudy).
02

Conditions studied

  • Dry Eye Syndromes

Keywords

  • Keratoconjunctivitis sicca
  • Dry Eye Disease
  • Slow-release
  • Ophthalmology
  • Topical Eye Disease
03

In context

Dry Eye Syndromes

1,292 studies on the registry are indexed under Dry Eye Syndromes; 191 are open to participants now.

This study's enrollment of 104 is above the median of 60 across 1,077 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

This is the only study on the registry with Redwood Pharma AB as lead sponsor.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Informed consent: signed written informed consent before inclusion in the study
  • Sex and menopause: postmenopausal women; postmenopausal condition defined as final menstrual period at least 3 years before the screening
  • Dry eye syndrome: patients with moderate to severe dry eye syndrome
  • Tear film breakup time: TFBUT ≤ 10 sec in the worse eye (study eye)
  • Visual acuity: corrected visual acuity ≥ 20/200 in each eye
  • Symptoms: at least 2 of the typical dry eye syndrome symptoms since at least 3 months before the screening: foreign body sensation, burning/stinging, redness, tearing, pain, itching, blurred vision, photophobia, eyelid swelling, moisture and mucous discharge
  • Full comprehension: ability to comprehend the full nature and purpose of the study, including possible risks and side effects; ability to co-operate with the investigator and to comply with the requirements of the entire study

Exclusion criteria

Exclusion Criteria:

  • Meibomian gland dysfunction: severe Meibomian gland dysfunction defined as lid deformity, marked lid margin hyperaemia or severe Meibomian gland loss
  • Ophthalmic treatment: current use of topical ophthalmic medications other than ocular lubricants or artificial tears within 30 days before the screening
  • Ocular infection and inflammation: presence of any bacterial or viral or fungal infection in either eye or active inflammation not related to dry eye disease (i.e. follicular conjunctivitis, iris or preauricular adenopathy) in either eye
  • Ophthalmic diseases: severe forms of ophthalmic surface diseases e.g. ocular pemphigoid, Sjögren's disease, exposure keratitis
  • Ophthalmic surgery: history of ophthalmic surgery or trauma in the last 6 months; history of laser-assisted in situ keratomileusis (LASIK) in the previous 12 months
  • Diseases: uncontrolled systemic diseases including cardiovascular, pulmonary and/or renal diseases, diabetes, hypertension; history of ovarian, breast or uterine cancer or unexplained vaginal bleeding
  • Investigative drug studies: participation in the evaluation of any investigational product or medical device for 30 days before this study
05

Study design

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

Study arms

  • Experimental
    1 - RP101 0.05%

    RP101 0.05% (w/w) 17β-oestradiol-3-phosphate ophthalmic sterile solution, one drop each eye every 12 h (b.i.d.) for 90 consecutive days

    Drug: RP101

  • Experimental
    2 - RP101 0.1% / Placebo

    RP101 0.1% (w/w) 17β-oestradiol-3-phosphate ophthalmic sterile solution, one drop each eye in the morning (q.d.) followed by one drop of placebo each eye in the evening for 90 consecutive days

    Drug: RP101

  • Experimental
    3 - RP101 0.1%

    RP101 0.1% (w/w) 17β-oestradiol-3-phosphate ophthalmic sterile solution, one drop each eye every 12 h (b.i.d.) for 90 consecutive days

    Drug: RP101

  • Placebo comparator
    4 - Placebo

    RP101 matching placebo, ophthalmic sterile solution, one drop each eye every 12 h (b.i.d.) for 90 consecutive days

    Drug: RP101

Interventions

  • DrugRP101

    17β-oestradiol-3-phosphate ophthalmic sterile solution

    Also known as: 17β-oestradiol-3-phosphate

06

What researchers measure

Primary outcomes

  1. Schirmer's test type II (with anaesthesia)

    Schirmer's test uses sterile strips inserted into the eye to measure the basal aqueous tear secretion.

    Time frame: From Screening up to 90 days

Secondary outcomes

  1. Visual analogue scale (VAS) for ocular tolerability (foreign body sensation, burning/stinging, itching, pain, sticky feeling, blurred vision, redness, tearing, eyelid swelling and photophobia)

    It will be assigned by the patients using a 100 mm VAS.

    Time frame: From Screening up to 90 days

  2. Symptom assessment in Dry Eye (SANDE)

    The patient symptoms of ocular dryness and/or irritation will be quantified on a Visual Analogue Scale (VAS) 0-100 mm based on two questions that inquire about both severity and frequency of symptoms. The patients will evaluate their symptoms on the VAS scale giving the value they are feeling from none (0 mm) to an extreme value (100 mm).

    Time frame: From Screening up to 90 days

  3. Visual acuity assessment using an Early Treatment Diabetic Retinopathy Study [ETDRS] chart

    Best correction will be determined by careful refraction using a retroilluminated ETDRS 4 meter distance acuity chart. The correct number of letters read by the patient is recorded and evaluated.

    Time frame: From Screening up to 90 days

  4. Slit lamp examination (SLE)

    The SLE will be performed before the instillation of any dilating or anaesthetic eye drops or the fluorescein agent.

    Time frame: From Screening up to 90 days

  5. TFBUT

    Tear film break up time (TFBUT) will be measured by determining the time to tear break-up after instillation of sodium fluorescein solution into the inferior conjunctival culde-sac of each eye.

    Time frame: From Screening up to 90 days

  6. Fundus ophthalmoscopy

    The fundus examination will include ophthalmoscopic assessments of vitreous, macula, retina and optic nerve head for both eyes.

    Time frame: From Screening up to 90 days

  7. Corneal fluorescein staining

    The corneal fluorescein staining evaluates cornea and conjunctiva epithelium damage.

    Time frame: From Screening up to 90 days

  8. Treatment-emergent Adverse Event (TEAEs)

    All adverse events (AEs) derived by spontaneous, unsolicited reports of the subjects, by observation and by routine open questioning will be collected and reported.

    Time frame: From Screening up to 104 days

  9. 17-β-oestradiol serum concentrations

    Using a fully validated analytical method.

    Time frame: Day 1 and Day 90

07

Study locations

8 sites
  • Medical University of Vienna - Department of Clinical Pharmacology
    Vienna, 1090, Austria
  • Universitätsmedizin Greifswald, Klinik und Poliklinik für Augenheilkunde
    Greifswald, 17475, Germany
  • Universitätsmedizin Mainz Augenklinik und Poliklinik Klinisches
    Mainz, 55131, Germany
  • Klinikum rechts der Isar der Technischen Universität München, Anstalt des öffentlichen Rechts Klinik und Poliklinik für Augenheilkunde
    München, 81675, Germany
  • Óbudai Egészség Centrum
    Budapest, 1036, Hungary
  • Swan Med Hungary Kft.
    Létavértes, 4281, Hungary
  • MacroKlinika
    Miskolc, 3526, Hungary
  • Mentaház Magánorvosi Központ
    Székesfehérvár, 8000, Hungary
08

References and documents

Publications

  • Schmidl D, Szalai L, Kiss OG, Schmetterer L, Garhofer G. A Phase II, Multicenter, Randomized, Placebo-Controlled, Double-Masked Trial of a Topical Estradiol Ophthalmic Formulation in Postmenopausal Women with Moderate-to-Severe Dry Eye Disease. Adv Ther. 2021 Apr;38(4):1975-1986. doi: 10.1007/s12325-021-01680-3. Epub 2021 Mar 12. PubMed 33710587 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03821415
Lead sponsor
Redwood Pharma AB
Collaborators
Cross Research S.A.
Responsible party
Sponsor
First posted
Jan 29, 2019
Start date
Jan 18, 2019
Primary completion
Nov 18, 2019
Completion
Nov 18, 2019
Last update
Dec 20, 2019

Study contacts

Ulf Björklund, MSc Pharm
study director · Redwood Pharma AB

Oversight

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

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