ClinicalTrials.gg
CompletedNCT04130802SKYGGNUpdated Sep 10, 2025Results posted

OCS-01 in Treating Inflammation and Pain in Post-cataract Patients

A Phase 2 interventional study of OCS-01 - Dexamethasone Cyclodextrin Nanoparticle Ophthalmic Suspension 1.5% mg/mL and Placebo in Inflammation Corneal and Pain, Postoperative, sponsored by Oculis. Completed at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-10.

Sponsored by Oculis · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
153
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The DX-216 trial is a randomized, double-masked, placebo (vehicle)-controlled study evaluating the efficacy and safety of two doses of OCS-01 compared to vehicle in the treatment of inflammation and pain following cataract surgery. The primary objective is to evaluate the efficacy and safety of OCS-01 compared to placebo and the secondary objective is to evaluate the optimal dosing frequency (once a day [QD] or twice a day [BID]).

Read the detailed description

This is a multi-center, randomized, double-masked, placebo (vehicle)-controlled study, designed to evaluate the efficacy and safety of OCS-01 ophthalmic suspension (QD versus BID) compared to placebo in treating inflammation and pain following cataract surgery. Subjects will be randomized 1:1:1 to receive OCS-01 QD, OCS-01 BID, or placebo BID. Subjects will dose 1 drop in the study eye BID for 14 days, beginning 1 day post-surgery in the operated eye. The study will last up to 24 days, including a follow-up visit at Visit 7 (Day 22 ± 2).

02

Conditions studied

  • Inflammation Corneal
  • Pain, Postoperative

Keywords

  • post-cataract,
  • inflammation
  • Pain
  • post-surgery
  • corticosteroid
  • anterior chamber cells
  • flares
03

In context

Keratitis

108 studies on the registry are indexed under Keratitis; 19 are open to participants now.

This study's enrollment of 153 is above the median of 40 across 70 interventional studies indexed under Keratitis.

Browse Keratitis studies →

Lead sponsor

Oculis is the lead sponsor of 10 studies on the registry; 1 is open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 4 (57%) have results posted.

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

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. Provide written , approved by the appropriate ethics committee;
  2. Be able to comply with the study requirements and visit schedule;
  3. Be at least 18 years of age of either sex or any race;
  4. Be planning to undergo unilateral cataract extraction via phacoemulsification and PCIOL implantation in the study eye;
  5. Have an anterior chamber cell score ≥ 2 at Visit 2 (Day 1 [18 to 30 hours post-uncomplicated cataract surgery without vitreous loss]);
  6. Have a pin-hole visual acuity (VA) without any other correction > 20 letters (approximately 20/400) in the operative eye and > 35 letters (approximately 20/200) in the fellow eye as measured using an Early Treatment for Diabetic Retinopathy Study (ETDRS) chart at Visit 1 (Day -1 to Day -28 [prior to surgery]);
  7. Have a negative urine pregnancy test at Visit 1 (Day -1 to Day -28 [prior to surgery]),

Exclusion criteria

Exclusion Criteria:

  1. Have a known sensitivity or allergy to dexamethasone, , or any of the study medication's components;
  2. Be monocular;
  3. Have any intraocular inflammation (e.g. white blood cells or flare) present in either eye at the Visit 1 (Day -1 to Day -28 [prior to surgery]) slit lamp examination;
  4. Have a score > 0 on the Ocular Pain Assessment at Visit 1 (Day -1 to Day -28 [prior to surgery]) in the study eye;
  5. Use anti-inflammatory agents, analgesics/pain relievers (including opioids, narcotics, and other pain medications), or immunomodulating agents, systemically or in either eye, and/or use medications for benign prostatic hyperplasia (BPH), from the through the duration of the study.
Terms in these criteria, in plain language(3)

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.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
153 participants (actual)

Study arms

  • Experimental
    OCS-01 1.5% mg/mL QD

    eye drops

    Drug: OCS-01 - Dexamethasone Cyclodextrin Nanoparticle Ophthalmic Suspension 1.5% mg/mL · Drug: Placebo

  • Experimental
    OCS-01 1.5% mg/mL BID

    eye drops

    Drug: OCS-01 - Dexamethasone Cyclodextrin Nanoparticle Ophthalmic Suspension 1.5% mg/mL

  • Placebo comparator
    Placebo (Vehicle) BID

    eye drops

    Drug: Placebo

Interventions

  • DrugOCS-01 - Dexamethasone Cyclodextrin Nanoparticle Ophthalmic Suspension 1.5% mg/mL

    OCS-01 eye drops

    Also known as: DexNP

  • DrugPlacebo

    Vehicle eye drops

    Also known as: Vehicle

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Absence of Anterior Chamber Cells (i.e. Score of '0')

    Absence of anterior chamber cells as measured by slit beam with fluorescein. The anterior chamber cell count was recorded as the actual number of cells observed if ≤10 cells were seen, otherwise a range was reported. The observed anterior chamber cell count at Visit 6 was used and categorized for analysis as follows: * Absence of anterior chamber cells: anterior chamber cell count of 0 / Grade 0 * Presence of anterior chamber cells: anterior chamber cell count of 1 or more / Grade 1, 2, 3, or 4

    Time frame: at Day 15 (visit 6)

  2. Number of Subjects With Absence of Ocular Pain (i.e. Score of '0')

    Absence of pain as assessed by Ocular Pain Grading Scale (Min 0, Max 10) in which 0 is no pain and 10 is the worst possible. Ocular pain was assessed by the patient at screening and at each follow-up visit, utilizing a numerical pain rating scale. Scores ranged from 0 to 10, where 0 = No Pain and 10 = Severe Pain, such that larger scores corresponded to higher levels of pain.

    Time frame: at Day 4 (visit 4)

07

Results

Posted Mar 15, 2022

Participant flow

Participant flow — Overall Study
MilestoneOCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BID
Started515151
Completed505048
Not completed113

Outcome measures

PrimaryNumber of Subjects With Absence of Anterior Chamber Cells (i.e. Score of '0')

Absence of anterior chamber cells as measured by slit beam with fluorescein. The anterior chamber cell count was recorded as the actual number of cells observed if ≤10 cells were seen, otherwise a range was reported. The observed anterior chamber cell count at Visit 6 was used and categorized for analysis as follows: * Absence of anterior chamber cells: anterior chamber cell count of 0 / Grade 0 * Presence of anterior chamber cells: anterior chamber cell count of 1 or more / Grade 1, 2, 3, or 4

Time frame:
at Day 15 (visit 6)
Reported as:
Number · participants
Number of Subjects With Absence of Anterior Chamber Cells (i.e. Score of '0')
participantsOCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BID
Number of Subjects With Absence of Anterior Chamber Cells (i.e. Score of '0')263410
PrimaryNumber of Subjects With Absence of Ocular Pain (i.e. Score of '0')

Absence of pain as assessed by Ocular Pain Grading Scale (Min 0, Max 10) in which 0 is no pain and 10 is the worst possible. Ocular pain was assessed by the patient at screening and at each follow-up visit, utilizing a numerical pain rating scale. Scores ranged from 0 to 10, where 0 = No Pain and 10 = Severe Pain, such that larger scores corresponded to higher levels of pain.

Time frame:
at Day 4 (visit 4)
Reported as:
Number · participants
Number of Subjects With Absence of Ocular Pain (i.e. Score of '0')
participantsOCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BID
Number of Subjects With Absence of Ocular Pain (i.e. Score of '0')373223

Adverse events

Collected over The AEs were queried at visit 2 (Day 1, 18 - 30h post surgery), visit 4 (Day 4) , visit 5 (Day 8), visit 6 (Day 15) & visit 7 (Day 22). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
OCS-01 1.5% mg/mL QD0/51 (0%)0/51 (0%)17/51 (33.3%)
OCS-01 1.5% mg/mL BID0/51 (0%)1/51 (2%)10/51 (19.6%)
Placebo (Vehicle) BID1/51 (2%)1/51 (2%)20/51 (39.2%)
Most frequent serious events
Most frequent serious events
EventOCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BID
Respiratory failureRespiratory, thoracic and mediastinal disorders0/510/511/51
noninfectious endophthamitisEye disorders0/511/510/51
AnemiaBlood and lymphatic system disorders0/510/511/51
Most frequent other events
Showing 10 of 43
Most frequent other events
EventOCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BID
conjunctival hyperaemiaEye disorders3/512/518/51
corneal edemaEye disorders5/511/518/51
eye painEye disorders0/510/514/51
anteror chamber inflammationEye disorders1/513/510/51
iritisEye disorders3/510/512/51
vitreous detachmentEye disorders2/511/510/51
posterior capsule opacificationEye disorders2/510/510/51
eye inflammationEye disorders1/510/512/51
visual acuity reducedEye disorders0/510/512/51
foreign body sensation in eyesEye disorders1/511/511/51

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)OCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BIDTotal
<=18 years0000
Between 18 and 65 years13221550
>=65 years382936103
Age, Continuous
Age, Continuous(years)OCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BIDTotal
Mean68.0 ± 6.8665.8 ± 6.5967.5 ± 8.4167.1 ± 7.34
Sex: Female, Male
Sex: Female, Male(Participants)OCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BIDTotal
Female333632101
Male18151952
Race (NIH/OMB)
Race (NIH/OMB)(Participants)OCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BIDTotal
American Indian or Alaska Native0000
Asian1001
Native Hawaiian or Other Pacific Islander0101
Black or African American38415
White474247136
More than one race0000
Unknown or Not Reported0000
Region of Enrollment
Region of Enrollment(participants)OCS-01 1.5% mg/mL QDOCS-01 1.5% mg/mL BIDPlacebo (Vehicle) BIDTotal
United States515151153
08

Study locations

4 sites
  • Medical cennre
    Petaluma, California 94954, United States
  • Medical center
    Roseburg, Oregon 97471, United States
  • Medical center
    Houston, Texas 77008, United States
  • Medical center
    San Antonio, Texas 78229, United States
09

References and documents

Publications

  • Ohira A, Hara K, Johannesson G, Tanito M, Asgrimsdottir GM, Lund SH, Loftsson T, Stefansson E. Topical dexamethasone gamma-cyclodextrin nanoparticle eye drops increase visual acuity and decrease macular thickness in diabetic macular oedema. Acta Ophthalmol. 2015 Nov;93(7):610-5. doi: 10.1111/aos.12803. Epub 2015 Jul 23. PubMed 26201996 ↗
  • Tanito M, Hara K, Takai Y, Matsuoka Y, Nishimura N, Jansook P, Loftsson T, Stefansson E, Ohira A. Topical dexamethasone-cyclodextrin microparticle eye drops for diabetic macular edema. Invest Ophthalmol Vis Sci. 2011 Oct 10;52(11):7944-8. doi: 10.1167/iovs.11-8178. PubMed 21896859 ↗
  • Johannesson G, Moya-Ortega MD, Asgrimsdottir GM, Lund SH, Thorsteinsdottir M, Loftsson T, Stefansson E. Kinetics of gamma-cyclodextrin nanoparticle suspension eye drops in tear fluid. Acta Ophthalmol. 2014 Sep;92(6):550-6. doi: 10.1111/aos.12334. Epub 2013 Dec 24. PubMed 24373641 ↗
  • Saari KM, Nelimarkka L, Ahola V, Loftsson T, Stefansson E. Comparison of topical 0.7% dexamethasone-cyclodextrin with 0.1% dexamethasone sodium phosphate for postcataract inflammation. Graefes Arch Clin Exp Ophthalmol. 2006 May;244(5):620-6. doi: 10.1007/s00417-005-0124-2. Epub 2005 Oct 11. PubMed 16217662 ↗
  • Korenfeld M, Gira J, Jong K, Martel J, Vold S, Walters T, Usner D, Donnenfeld E. OCS-01 (Novel Topical Dexamethasone Formulation) in Inflammation and Pain Post Cataract Surgery: A Randomized, Double-Masked, Vehicle-Controlled Study. Clin Ther. 2022 Dec;44(12):1577-1587. doi: 10.1016/j.clinthera.2022.11.003. Epub 2022 Dec 8. PubMed 36503736 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2019 to primary completion in Jan 2020, 4 months.

Results were first posted in Mar 2022, 2 years 1 month after primary completion. A results delay was requested in Jan 2021.

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

Registered
Oct 16, 2019
First posted
Oct 17, 2019
StartActual
Sep 27, 2019
Primary completionActual
Jan 31, 2020
CompletionActual
Jan 31, 2020
Results delay requested
Jan 13, 2021
Results first posted
Mar 15, 2022
Last update
Sep 10, 2025
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 Sep 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04130802
Lead sponsor
Oculis
Responsible party
Sponsor
First posted
Oct 17, 2019
Start date
Sep 27, 2019
Primary completion
Jan 31, 2020
Completion
Jan 31, 2020
Results posted
Mar 15, 2022
Last update
Sep 10, 2025

Oversight

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

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