ClinicalTrials.gg
CompletedNCT04784091Saturn-2Updated Dec 21, 2023Results posted

Trial to Evaluate the Safety and Efficacy of TP-03 for the Treatment of Demodex Blepharitis

A Phase 3 interventional study of TP-03 and TP-03 Vehicle in Blepharitis, sponsored by Tarsus Pharmaceuticals, Inc.. Completed at 21 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-21.

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

Phase
Phase 3
Study type
Interventional
Enrollment
412
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare the safety and efficacy of TP-03, an eyedrop, to its vehicle control for the treatment of blepharitis due to Demodex, a microscopic mite frequently found in human hair follicles.

Read the detailed description

This Phase 3 study is a randomized, controlled, multicenter, double-masked, parallel trial to compare the safety and efficacy of TP-03 to vehicle control for the treatment of Demodex blepharitis. The primary objective of the study is to assess the safety and efficacy of TP-03, 0.25% compared to its vehicle from Day 1 to Day 43 in adult participants with mild to severe Demodex blepharitis. The primary efficacy endpoint will be cure based upon collarettes. Safety will be determined by assessing adverse effects related to the treatment as well as evaluating any changes in visual acuity, intraocular pressure, slit lamp biomicroscopy, endothelial cell density, hematology, blood chemistry, and urinalysis.

02

Conditions studied

  • Blepharitis

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Keywords

  • Demodex
03

In context

Blepharitis

73 studies on the registry are indexed under Blepharitis; 9 are open to participants now.

This study's enrollment of 412 is above the median of 60 across 65 interventional studies indexed under Blepharitis.

Browse Blepharitis studies →

Lead sponsor

Tarsus Pharmaceuticals, Inc. is the lead sponsor of 13 studies on the registry; 2 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 3 (38%) 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

  • Be willing to sign the and deemed capable of complying with the requirements of the study protocol
  • Meet all of the following criteria in at least one eye: Have more than 10 lashes with collarettes present on the upper lid; have at least mild erythema of the upper eyelid margin; have an average Demodex density, upper and lower eyelids combined, of 1.5 or more mites per lash

Exclusion criteria

Exclusion Criteria:

  • Have used lid hygiene products within 14 days of Screening or unwilling to forego the use of lid hygiene products during the study
  • Have used a prostaglandin analogue to promote eyelash growth within 30 days of Screening or any plans to initiate treatment during the study
  • Have used artificial eyelashes or eyelash extensions within 7 days of Screening or be unwilling to forego their use during the study
  • Be pregnant or lactating at the time of Screening
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
412 participants (actual)

Study arms

  • Experimental
    Active

    TP-03, lotilaner ophthalmic solution, 0.25%, administered topically twice a day for approximately 43 days

    Drug: TP-03

  • Placebo comparator
    Control

    Vehicle of TP-03 ophthalmic solution, administered topically twice a day for approximately 43 days

    Drug: TP-03 Vehicle

Interventions

  • DrugTP-03

    TP-03, lotilaner ophthalmic solution, 0.25%, administered twice a day

  • DrugTP-03 Vehicle

    Vehicle of TP-03 ophthalmic solution, administered twice a day

06

What researchers measure

Primary outcomes

  1. The Proportion of Participants Cured Based on Their Collarette Score of 0 for the Upper Eyelid.

    The proportion of subjects cured where cure is defined as 0-2 lashes with collarettes on the upper eyelid of the analysis eye. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values

    Time frame: 43 days

Secondary outcomes

  1. The Proportion of Participants With Their Demodex Mites Eradicated.

    The proportion of participants with Demodex mites eradicated at Day 43 where eradication is defined as a mite density of 0 mites/lash for the analysis eye. The mite density is obtained by epilating four of more lashes and dividing the number of mites observed under the microscope by the number of lashes. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values

    Time frame: 43 days

  2. The Proportion of Participants Cured Based on a Composite of Collarette Score and Erythema Score

    The proportion of participants cured where cure is defined as a composite of the collarettes, 0-2 lashes with collarettes on the upper eyelid of the analysis eye, and normal lid margin erythema for the upper eyelid of the analysis eye at Day 43. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values.

    Time frame: 43 days

  3. The Proportion of Participants Cured Based on Erythema Score.

    The proportion of participants cured based on erythema where cure is defined as having a normal eyelid erythema of the analysis eye at day 43. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values.

    Time frame: 43 days

07

Results

Posted Dec 21, 2023

Participant flow

Participant flow — Overall Study
MilestoneActiveControl
Started203209
Completed193200
Not completed109

Outcome measures

PrimaryThe Proportion of Participants Cured Based on Their Collarette Score of 0 for the Upper Eyelid.

The proportion of subjects cured where cure is defined as 0-2 lashes with collarettes on the upper eyelid of the analysis eye. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values

Time frame:
43 days
Reported as:
Least squares mean · Proportion cured
The Proportion of Participants Cured Based on Their Collarette Score of 0 for the Upper Eyelid.
Proportion curedActiveControl
The Proportion of Participants Cured Based on Their Collarette Score of 0 for the Upper Eyelid.0.547 ± 0.0350.122 ± 0.023
SecondaryThe Proportion of Participants With Their Demodex Mites Eradicated.

The proportion of participants with Demodex mites eradicated at Day 43 where eradication is defined as a mite density of 0 mites/lash for the analysis eye. The mite density is obtained by epilating four of more lashes and dividing the number of mites observed under the microscope by the number of lashes. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values

Time frame:
43 days
Reported as:
Least squares mean · Proportion eradicated
The Proportion of Participants With Their Demodex Mites Eradicated.
Proportion eradicatedActiveControl
The Proportion of Participants With Their Demodex Mites Eradicated.0.499 ± 0.0360.14 ± 0.024
SecondaryThe Proportion of Participants Cured Based on a Composite of Collarette Score and Erythema Score

The proportion of participants cured where cure is defined as a composite of the collarettes, 0-2 lashes with collarettes on the upper eyelid of the analysis eye, and normal lid margin erythema for the upper eyelid of the analysis eye at Day 43. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values.

Time frame:
43 days
Reported as:
Median · Proportion cured
The Proportion of Participants Cured Based on a Composite of Collarette Score and Erythema Score
Proportion curedActiveControl
The Proportion of Participants Cured Based on a Composite of Collarette Score and Erythema Score0.187 ± 0.0280.039 ± 0.014
SecondaryThe Proportion of Participants Cured Based on Erythema Score.

The proportion of participants cured based on erythema where cure is defined as having a normal eyelid erythema of the analysis eye at day 43. The primary outcome analysis is the combined result from 20 analyses each with missing data imputed. Missing data were imputed per the method described in the SAP. The least square mean is computed from the result of the 20 analyses with imputed missing values.

Time frame:
43 days
Reported as:
Least squares mean · Proportion cured
The Proportion of Participants Cured Based on Erythema Score.
Proportion curedActiveControl
The Proportion of Participants Cured Based on Erythema Score.0.303 ± 0.0330.091 ± 0.02

Adverse events

Collected over 90 Days. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active0/203 (0%)4/203 (2%)49/203 (24.1%)
Control0/209 (0%)3/209 (1.4%)28/209 (13.4%)
Most frequent serious events
Most frequent serious events
EventActiveControl
Diabetic retinopathyEye disorders1/2030/209
Gastrointestinal haemorrhageGastrointestinal disorders1/2030/209
Uterine prolapseReproductive system and breast disorders1/2030/209
Intestinal obstructionGastrointestinal disorders1/2030/209
Bladder CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2031/209
DyspnoeaRespiratory, thoracic and mediastinal disorders0/2031/209
Covid-19Infections and infestations0/2031/209
Most frequent other events
Showing 10 of 13
Most frequent other events
EventActiveControl
Instillation site painGeneral disorders16/20313/209
Visual acuity reducedEye disorders5/2036/209
Dry eyeEye disorders4/2032/209
Punctate keratitisEye disorders4/2031/209
HordeolumInfections and infestations4/2031/209
ChalazionEye disorders3/2030/209
Conjunctival hyperaemiaEye disorders3/2030/209
Eyelid oedemaEye disorders3/2031/209
Urinary tract infectionInfections and infestations3/2032/209
NasopharyngitisInfections and infestations3/2031/209

Baseline characteristics

Age, Continuous
Age, Continuous(years)ActiveControlTotal
Mean63.9 ± 15.1565.1 ± 13.3564.5 ± 14.26
Age, Customized
Age, Customized(Participants)ActiveControlTotal
< 65 years8480164
≥ 65 years119129248
Sex: Female, Male
Sex: Female, Male(Participants)ActiveControlTotal
Female97103200
Male106106212
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)ActiveControlTotal
Hispanic or Latino171734
Not Hispanic or Latino186192378
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ActiveControlTotal
American Indian or Alaska Native112
Asian336
Native Hawaiian or Other Pacific Islander202
Black or African American201535
White176187363
More than one race101
Unknown or Not Reported033
Region of Enrollment
Region of Enrollment(Participants)ActiveControlTotal
United States203209412
08

Study locations

21 sites
  • Global Retina Institute
    Scottsdale, Arizona 85254, United States
  • Shultz Chang Vision
    Northridge, California 91325, United States
  • East Bay Eye Center
    San Ramon, California 94583, United States
  • Vision Institute
    Colorado Springs, Colorado 80907, United States
  • Pinnacle Research Institute
    Fort Lauderdale, Florida 33309, United States
  • Jackson Eye, S.C.
    Lake Villa, Illinois 60046, United States
  • Pankratz Eye Institute
    Columbus, Indiana 47203, United States
  • Michael Washburn Center for Ophthalmic Research LLC
    Indianapolis, Indiana 46113, United States
  • Kannarr Eye Care
    Pittsburg, Kansas 66762, United States
  • The Eye Care Institute
    Louisville, Kentucky 40206, United States
  • Complete Eye Care of Medina
    Medina, Minnesota 55340, United States
  • Tauber Eye Center
    Kansas City, Missouri 64111, United States
  • Ophthalmology Associates
    Saint Louis, Missouri 63131, United States
  • NC Eye Associates
    Apex, North Carolina 27502, United States
  • Pure Ophthalmic Research
    Mint Hill, North Carolina 28227, United States
  • Vita Eye Clinic
    Shelby, North Carolina 28150, United States
  • Northern Ophthalmic Associates
    Jenkintown, Pennsylvania 19046, United States
  • Alpine Research Organization / Healthy Heart Clinics of America
    Clinton, Utah 84015, United States
  • Alpine Research Organization Inc./ Country Hills Eye Center
    Ogden, Utah 84403, United States
  • Periman Eye Institute
    Seattle, Washington 98119, United States
  • New River Vision Care
    Oak Hill, West Virginia 25901, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04784091
Lead sponsor
Tarsus Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Mar 5, 2021
Start date
Apr 29, 2021
Primary completion
May 9, 2022
Completion
May 9, 2022
Results posted
Dec 21, 2023
Last update
Dec 21, 2023

Study contacts

John Meyer, MD
principal investigator · The Eye Care Institute

Oversight

Data monitoring committee
No
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 Dec 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: TP-03

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