ClinicalTrials.gg
CompletedNCT06182358ArielUpdated Jul 2, 2025

Impact of XDEMVY® on Demodex Blepharitis in Soft Contact Lens Wearers

A Phase 4 interventional study of Lotilaner ophthalmic solution, 0.25% and Vehicle control in Demodex Blepharitis, sponsored by Tarsus Pharmaceuticals, Inc.. Completed at 14 sites in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-07-02.

Sponsored by Tarsus Pharmaceuticals, Inc. · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jan 2025, 1 year 9 months ago, and no results have been posted to the registry.
Phase
Phase 4
Study type
Interventional
Enrollment
145
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

To compare the efficacy of XDEMVY ophthalmic drop to its vehicle control for the treatment of Demodex blepharitis and its impact on the soft contact lens wearing experience.

Read the detailed description

This Phase 4 study is a prospective, multicenter, randomized, vehicle-controlled, double-masked, two-arm, parallel treatment clinical trial of participants who have Demodex blepharitis and are current daily wear soft contact lenses wearers. The primary outcome measure is the reduction of collarettes at Day 43. The secondary outcome measures are the reduction of eyelid margin erythema at Day 43; subject-reported comfortable contact lens daily wear time; and total contact lens wear time. Safety will be determined by assessing adverse effects related to study drug administration as well as evaluating any clinically significant changes from baseline in visual acuity and slit lamp biomicroscopy findings.

02

Conditions studied

  • Demodex Blepharitis

Browse trials for

Keywords

  • Soft contact lenses
03

In context

Blepharitis

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

This study's enrollment of 145 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 to 70 Years
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 form and is deemed capable of complying with the requirements of the study protocol
  • Must meet the following criteria in at least one eye: Have more than 10 eyelashes (Grade 2 or higher) with collarettes on the upper or lower eyelid; have at least Grade 1 erythema of the lower eyelid; and have a total meibomian gland secretion score ≥ 12 but ≤ 32 AND have a minimum of 6 expressible glands for the 15 glands evaluated on the lower eyelid
  • Currently wearing soft contact lenses on both eyes an average of at least 2 days per week with an average minimum wearing time of 6 hours each day over the past 3 months and is able and willing to continue to wear contact lenses during the study

Exclusion criteria

Exclusion Criteria:

  • Use of artificial tears or rewetting drops within 24 hours of the Screening visit or unwilling to forego the use of this treatment during the study
  • Prescription AND systemic, drug delivery implant, ocular topical, or topical: antibacterial, anti-parasitic, or anti-inflammatory treatment within 14 days of the Screening or Day 1 visits
  • Use of TYRVAYA™ Nasal Spray (varenicline solution, Oyster Point Pharma) within 14 days of the Screening visit or unwilling to forego the use of this treatment during the study
  • Use of XDEMVY™ (lotilaner ophthalmic solution) 0.25%, Tarsus Pharmaceuticals, Inc., within 12 months of the Screening visit
  • Treatment for blepharitis (e.g., tea tree oil-based products, hypochlorous acid-based products, commercial eyelid foams, eyelid wipes, lid scrubs, etc.) within 14 days of the Screening visit or unwilling to forego the use of these treatments during the study
  • Use of artificial eyelashes or eyelash extensions at the Screening visit if they limit accurate eyelid margin assessment
  • Currently pregnant or lactating
Terms in these criteria, in plain language(2)

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
145 participants (actual)

Study arms

  • Experimental
    Active Treatment

    XDEMVY (lotilaner ophthalmic solution) 0.25%, administered topically twice a day for approximately 43 days

    Drug: Lotilaner ophthalmic solution, 0.25%

  • Placebo comparator
    Control

    Vehicle of XDEMVY ophthalmic solution, administered topically twice a day for approximately 43 days

    Drug: Vehicle control

Interventions

  • DrugLotilaner ophthalmic solution, 0.25%

    XDEMVY (lotilaner ophthalmic solution) 0.25%, administered topically twice a day for approximately 43 days

  • DrugVehicle control

    Vehicle of XDEMVY administered topically twice a day for approximately 43 days

06

What researchers measure

Primary outcomes

  1. Reduction of collarettes at Day 43

    Change in collarette score at Day 43 compared to baseline, graded from 0 (0 to 2 lashes have collarettes per eyelid) to 4 ( 2/3 or more of lashes have collarettes per eyelid)

    Time frame: 43 days

Secondary outcomes

  1. Reduction of eyelid margin erythema at Day 43

    Change in eyelid margin erythema score at Day 43 compared to baseline, graded from 0 (normal) to 3 (severe)

    Time frame: 43 days

  2. Subject-reported comfortable daily wear time

    Comfortable daily wear time in hours per day

    Time frame: 43 days

  3. Total contact lens wear time

    Total daily wear time in hours per day

    Time frame: 43 days

07

Study locations

14 sites
  • Site
    Cave Creek, Arizona 85331, United States
  • Site
    Long Beach, California 90805, United States
  • Vision Institute
    Colorado Springs, Colorado 80907, United States
  • Site
    Delray Beach, Florida 33484, United States
  • Site
    Indianapolis, Indiana 46240, United States
  • Site
    Pittsburg, Kansas 66762, United States
  • Site
    Louisville, Kentucky 40206, United States
  • Site
    Edina, Minnesota 55436, United States
  • Site
    Shelby, North Carolina 28150, United States
  • Site
    Fargo, North Dakota 58103, United States
  • Site
    Powell, Ohio 43065, United States
  • Site
    Cranberry Township, Pennsylvania 16066, United States
  • Site
    Memphis, Tennessee 38104, United States
  • Site
    Houston, Texas 77005, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06182358
Lead sponsor
Tarsus Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Dec 26, 2023
Start date
Dec 27, 2023
Primary completion
Jan 27, 2025
Completion
Jan 27, 2025
Last update
Jul 2, 2025

Study contacts

Blake Simmons, OD
principal investigator · Vision Institute

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion