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CompletedNCT04391959Updated May 16, 2022Results posted

Evaluation of AZR-MD-001 in Patients With Meibomian Gland Dysfunction (MGD)

A Phase 2 interventional study of AZR-MD-001 Active and AZR-MD-001 Vehicle in Meibomian Gland Dysfunction, sponsored by Azura Ophthalmics. Completed at 5 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-16.

Sponsored by Azura Ophthalmics · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

AZ202001 is a multicenter study of AZR-MD-001 ointment and AZR-MD-001 vehicle in patients with Meibomian Gland Dysfunction (MGD)

Read the detailed description

AZ202001 is a multicenter, double-masked, vehicle-controlled, randomized, parallel group study evaluating the safety, efficacy and tolerability of AZR-MD-001 ointment and AZR-MD-001 vehicle in patients with Meibomian Gland Dysfunction (MGD)

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Conditions studied

  • Meibomian Gland Dysfunction
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In context

Meibomian Gland Dysfunction

168 studies on the registry are indexed under Meibomian Gland Dysfunction; 21 are open to participants now.

This study's enrollment of 31 is below the median of 50 across 139 interventional studies indexed under Meibomian Gland Dysfunction.

Browse Meibomian Gland Dysfunction studies →

Lead sponsor

Azura Ophthalmics is the lead sponsor of 6 studies on the registry; none are open to participants now.

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

Inclusion criteria

  • Male or female
  • 18 years of age or older
  • Best-corrected visual acuity (BCVA) of 20/40 or better (Snellen equivalent), using the logarithm of the minimum angle of resolution (LogMAR) in each eye
  • Evidence of meibomian gland obstruction
  • Reported dry eye signs and symptoms within the past 3 months

Exclusion criteria

Exclusion Criteria:

  • Uncontrolled ocular disease (except for MGD and dry eye disease/keratoconjunctivitis sicca) or uncontrolled systemic disease
  • Glaucoma, ocular hypertension, or intraocular pressure (IOP) in either eye at screening ≥24 mm Hg or has planned insertion/removal of glaucoma filtration shunts/devices during the study
  • Corneal abnormality or disorder that impacts normal spreading of the tear film or corneal integrity
  • BCVA worse than 20/40 in either eye
  • Current use of punctal plugs, anticipated insertion during the study, or a history of punctal cautery in either eye
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Study design

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

Study arms

  • Experimental
    AZR-MD-001 Vehicle

    AZR-MD-001 Vehicle will be dosed up to twice weekly.

    Drug: AZR-MD-001 Vehicle

  • Experimental
    AZR-MD-001 Active

    AZR-MD-001 Active will be dosed up to twice weekly.

    Drug: AZR-MD-001 Active

Interventions

  • DrugAZR-MD-001 Active

    AZR-MD-001 is an active ophthalmic ointment

    Also known as: AZR-MD-001 is an ophthalmic ointment

  • DrugAZR-MD-001 Vehicle

    AZR-MD-001 is a vehicle ophthalmic ointment

    Also known as: AZR-MD-001 Vehicle is an ophthalmic ointment

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What researchers measure

Primary outcomes

  1. Meibum Gland Secretion Score (MGS)

    Change from Baseline in MGS. The MGS can range from 0 (highly abnormal) to 45 (Normal). Meibomian gland assessment was completed using a handheld instrument, Meibomian Gland Evaluator, along the eyelid margin to ensure measurement consistency. A total of 15 glands will be evaluated along the lower eyelid margin, consisting of 5 glands located in each of the temporal, central and nasal regions, as shown below. For each of the 15 glands, expressed secretion characteristics will be graded on a 0-3 scale. For more detail see: Lane SS, DuBiner HB, Epstein RJ, et al. A new system, the LipiFlow, for the treatment of meibomian gland dysfunction (MGD). Cornea. 2012; 31(4): 396-404.

    Time frame: Month 3

Secondary outcomes

  1. Total OSDI

    Change from Baseline in Total Ocular Surface Disease Index (OSDI). The Total OSDI can range from 0 (normal) to 100 (abnormal). The OSDI questionnaire consists of 12 questions regarding ocular symptoms, environmental triggers, and vision-related functioning. The patient was asked to rate each symptom using a 5-point scale (0 to 4), where 0 = none of the time; 1 = some of the time; 2 = half of the time; 3 = most of the time; and 4 = all of the time. Seven questions related to visual functioning allow a response of "N/A" (not applicable). The total OSDI was calculated from the raw scores of each of the 12 questions based on the formula: (\[sum of scores for all questions answereda\] X 100)/(\[total number of questions answered\] X 4). Questions answered with N/A were excluded in the calculation of total OSDI.

    Time frame: Day 14 to Month 3

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Results

Posted May 16, 2022

Participant flow

Participant flow — Overall Study
MilestoneAZR-MD-001 VehicleAZR-MD-001 Active
Started1615
Completed1510
Not completed15

Outcome measures

PrimaryMeibum Gland Secretion Score (MGS)

Change from Baseline in MGS. The MGS can range from 0 (highly abnormal) to 45 (Normal). Meibomian gland assessment was completed using a handheld instrument, Meibomian Gland Evaluator, along the eyelid margin to ensure measurement consistency. A total of 15 glands will be evaluated along the lower eyelid margin, consisting of 5 glands located in each of the temporal, central and nasal regions, as shown below. For each of the 15 glands, expressed secretion characteristics will be graded on a 0-3 scale. For more detail see: Lane SS, DuBiner HB, Epstein RJ, et al. A new system, the LipiFlow, for the treatment of meibomian gland dysfunction (MGD). Cornea. 2012; 31(4): 396-404.

Time frame:
Month 3
Reported as:
Mean · score on a scale
Meibum Gland Secretion Score (MGS)
score on a scaleAZR-MD-001 VehicleAZR-MD-001 Active
Meibum Gland Secretion Score (MGS)0.5 ± 1.837.4 ± 1.53
SecondaryTotal OSDI

Change from Baseline in Total Ocular Surface Disease Index (OSDI). The Total OSDI can range from 0 (normal) to 100 (abnormal). The OSDI questionnaire consists of 12 questions regarding ocular symptoms, environmental triggers, and vision-related functioning. The patient was asked to rate each symptom using a 5-point scale (0 to 4), where 0 = none of the time; 1 = some of the time; 2 = half of the time; 3 = most of the time; and 4 = all of the time. Seven questions related to visual functioning allow a response of "N/A" (not applicable). The total OSDI was calculated from the raw scores of each of the 12 questions based on the formula: (\[sum of scores for all questions answereda\] X 100)/(\[total number of questions answered\] X 4). Questions answered with N/A were excluded in the calculation of total OSDI.

Time frame:
Day 14 to Month 3
Reported as:
Mean · score on a scale
Total OSDI
score on a scaleAZR-MD-001 VehicleAZR-MD-001 Active
Total OSDI-2.0 ± 3.49-8.1 ± 2.86

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AZR-MD-001 Vehicle0/16 (0%)0/16 (0%)2/16 (12.5%)
AZR-MD-001 Active1/15 (6.7%)1/15 (6.7%)8/15 (53.3%)
Most frequent serious events
Most frequent serious events
EventAZR-MD-001 VehicleAZR-MD-001 Active
dysuriaRenal and urinary disorders0/161/15
Most frequent other events
Most frequent other events
EventAZR-MD-001 VehicleAZR-MD-001 Active
Eye painEye disorders1/164/15
Eye irritationEye disorders1/162/15
Eye pruritusEye disorders0/162/15
Ocular discomfortEye disorders0/162/15
Vision blurredEye disorders0/162/15
Conjunctival hyperaemiaEye disorders0/161/15
Dry eyeEye disorders1/161/15
Foreign body sensationEye disorders0/161/15
PhotophobiaEye disorders0/161/15

Baseline characteristics

Age, Continuous
Age, Continuous(years)AZR-MD-001 VehicleAZR-MD-001 ActiveTotal
Mean58.6 ± 13.2156 ± 20.7457.3 ± 16.98
Sex: Female, Male
Sex: Female, Male(Participants)AZR-MD-001 VehicleAZR-MD-001 ActiveTotal
Female7815
Male9615
Race (NIH/OMB)
Race (NIH/OMB)(Participants)AZR-MD-001 VehicleAZR-MD-001 ActiveTotal
American Indian or Alaska Native000
Asian156
Native Hawaiian or Other Pacific Islander000
Black or African American000
White12921
More than one race303
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)AZR-MD-001 VehicleAZR-MD-001 ActiveTotal
Australia11920
New Zealand5510
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Study locations

5 sites
  • Fiona Stapleton
    Sydney, New South Wales, Australia
  • Scott A Read
    Brisbane, Queensland, Australia
  • Susan Thackwray
    Maroochydore, Queensland, Australia
  • Jagrut Lallu
    Auckland, New Zealand
  • Jennifer P Craig
    Auckland, New Zealand
09

References and documents

Study documents

  • Study protocol · Mar 12, 2020
  • Statistical analysis plan · Jan 25, 2021

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

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2022, 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
NCT04391959
Lead sponsor
Azura Ophthalmics
Collaborators
Avania
Responsible party
Sponsor
First posted
May 18, 2020
Start date
Jul 17, 2020
Primary completion
Jan 6, 2021
Completion
Jan 6, 2021
Results posted
May 16, 2022
Last update
May 16, 2022

Study contacts

Jacqueline Tan-Showyin
principal investigator · School of Optometry and Vision Science, University of New South Wales

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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