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CompletedNCT06365762Updated Apr 16, 2024

The Safety and Efficacy Study of Ethylenediaminetetraacetic Acid (EDTA) Ophthalmic Solution in Patients With Loss of Contrast Sensitivity Due to Age-Related, Low-Grade Nuclear Cataract

A Phase 1/2 interventional study of EDTA Ophthalmic Solution 2.6% and EDTA Ophthalmic Solution 1.3% in Age Related Cataracts, sponsored by Livionex Inc.. Completed at 6 sites in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2024-04-16.

Sponsored by Livionex Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 18 years 3 months after the study started (first participant enrolled Jan 2006, registered Apr 2024).
Phase
Phase 1/2
Study type
Interventional
Enrollment
111
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

The study objectives were:

  • To evaluate the efficacy of EDTA 1.3% and 2.6% ophthalmic solution (C-KAD) in improving visual function as assessed by contrast sensitivity;
  • To evaluate the safety and tolerability of two doses of EDTA ophthalmic solution (C-KAD); and
  • To determine the optimal clinical dose of EDTA ophthalmic solution (C-KAD) which to proceed into pivotal study(s).
Read the detailed description

This was a prospective, randomized, placebo-controlled, double-masked, parallel evaluation of the safety and efficacy of EDTA ophthalmic solution in patients with loss of contrast sensitivity due to age-related, low-grade cataract.

111 subjects were enrolled at six study sites within the U.S. and randomly assigned in 1:1:1 ratio to treatment with 2.6% C-KAD, 1.3% C-KAD and placebo. The treatment duration was 120 days with a run-in period and follow-up period of 14 days each.

During the Run-in Period, patients received pre-treatment with lubricating eye drops (Refresh® Plus Lubricant Eye Drops) in both eyes to ensure uniformity in the level of ocular hydration at Baseline in patients randomized into the study.

Patients were evaluated at a Screening Visit (Day -14), at Baseline (Day 0), during the dosing period (Days 30, 60, 90, 120) and at the Follow-up Visit (Day 134), two weeks after completion of active treatment.

Tolerability and efficacy were assessed by Slit Lamp and Fundus Examinations, Best-Corrected Distance Visual Acuity, Contrast Sensitivity, Endothelial Cell Count, Pentacam Imaging, Tear Film Break-Up Time, IOP measurements, Pupil Size measurement and evaluation of Adverse Events.

02

Conditions studied

  • Age Related Cataracts

Keywords

  • Contrast Sensitivity
03

In context

Cataract

1,701 studies on the registry are indexed under Cataract; 230 are open to participants now.

This study's enrollment of 111 is above the median of 80 across 1,155 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

This is the only study on the registry with Livionex Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female patients ≥ 50 years of age
  • Presence of early nuclear sclerosis cataract in both eyes below the level recommended for surgical replacement
  • Both eyes having contrast sensitivity measurements of:

    • Screening Visit:
    • Less than or equal to 6, 4 and 4 in spatial frequencies C, D and E, respectively under mesopic illumination
    • Baseline Visit:
    • Less than or equal to 6, 4 and 4 in spatial frequencies C, D and E, respectively under mesopic illumination and
    • Greater than 0 in all five spatial frequencies (Patches A, B, C, D and E) under photopic illumination
  • Best-Corrected Distance Visual Acuity (BCDVA) measurement by ETDRS of better than or equal to 20/50 in both eyes attributable to low- grade nuclear cataract
  • Patient must be willing and able to provide written informed consent
  • Patient must be willing and able to comply with study visits as described in the protocol

Exclusion criteria

Exclusion Criteria:

  • Clinical evidence of any active ocular infection (i.e., bacterial, viral, parasitic or fungal) in either eye
  • History of herpetic ocular infection in either eye
  • Presence or history of glaucoma in either eye
  • Presence or history of intraocular pressure of >22 mm Hg in either eye
  • Amblyopia in either eye
  • Presence of any corneal disorder including pterygium or superficial keratitis
  • Dry eyes which require the use of a prescription medication
  • Presence of posterior subcapsular cataract
  • Presence of cortical cataract that intrudes within the central 4mm of the lens
  • Presence or history of any ocular inflammatory disorder in either eye (e.g., uveitis, ocular allergies)
  • Patients with known allergies to EDTA preservatives
  • Presence of any optic nerve or retinal disorders including, but not limited to, age-related macular degeneration, optic neuropathy, etc. in either eye
  • Prior intraocular, refractive and/or laser surgery of any type in either eye
  • Anticipated need for ocular surgery in either eye within six months of study enrollment
  • History of diabetes
  • Pseudo-exfoliation syndrome
  • Contact lens use (soft contact lens wear within 2 weeks of the date of randomization, rigid lens wear within three months of the date of randomization. No contact lens use throughout duration of the study)
  • Current use or anticipated use of any ocular medications (over-the- counter or prescription). Use of topical ophthalmic drugs should be discontinued 14 days prior to enrollment into the treatment arm of the study
  • Current or anticipated use of any systemic or ocular steroids or chronic use of topical steroids within 30 days of study enrollment
  • Females who are pregnant, lactating or pre- or peri menopausal and unwilling to use adequate birth control for the duration of the study
  • Participation in an investigational device or drug trial within the last 30 day
  • Presence of any condition, abnormality or situation at Screening or at Baseline that in the opinion of the Principal Investigator may preclude the patient's ability to comply with study requirements, including completion of the study or the quality of the data
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
111 participants (actual)

Study arms

  • Experimental
    C-KAD 2.6%

    Administered four times a day (QID; no less than 3 hours apart) in both eyes for 120 days

    Drug: EDTA Ophthalmic Solution 2.6%

  • Experimental
    C-KAD 1.3%

    Administered four times a day (QID; no less than 3 hours apart) in both eyes for 120 days

    Drug: EDTA Ophthalmic Solution 1.3%

  • Placebo comparator
    Placebo

    Administered four times a day (QID; no less than 3 hours apart) in both eyes for 120 days

    Drug: Saline Solution (Placebo)

Interventions

  • DrugEDTA Ophthalmic Solution 2.6%

    Also known as: C-KAD 2.6%

  • DrugEDTA Ophthalmic Solution 1.3%

    Also known as: C-KAD 1.3%

  • DrugSaline Solution (Placebo)

    Also known as: Software Saline

06

What researchers measure

Primary outcomes

  1. Contrast Sensitivity (Mesopic) Responder Analysis

    Proportion of patients with ≥ 2-patch (0.30 logCS) contrast sensitivity improvement in at least two spatial frequencies under mesopic illumination

    Time frame: Baseline, Days 30, 60, 90, and 120

Secondary outcomes

  1. Cumulative Improvement in Contrast Sensitivity (Mesopic)

    total changes in patches of contrast sensitivity measurements across all five spatial frequencies (1.5, 3, 6, 12, and 18 cycles per degree)

    Time frame: Baseline, Days 30, 60, 90, and 120

Other outcomes

  1. Mean Change in Contrast Sensitivity (Mesopic)

    Mean change in contrast sensitivity from baseline under mesopic illumination

    Time frame: Baseline, Days 30, 60, 90, and 120

  2. Mean Change in Best-Corrected Visual Acuity (BCVA)

    Mean change in BCVA from baseline using ETDRS charts

    Time frame: Baseline, Days 30, 60, 90, and 120

  3. Pentacam Imaging

    Densitometric Analysis using Scheimpflug Images (substudy patients at a selected study site only)

    Time frame: Baseline, Baseline, Days 120

07

Study locations

6 sites
  • St Mary's Eye Specialists, Inc.
    San Francisco, California 94117, United States
  • Hunkeler Eye Institute
    Overland Park, Kansas 66210, United States
  • The Johns Hopkins Hospital & Health System, Wilmer Eye Institute
    Lutherville, Maryland 21093, United States
  • Harvard Medical School, Massachusetts Eye and Ear Infirmary
    Boston, Massachusetts 02114, United States
  • Charlotte Eye, Ear, Nose, and Throat Associates
    Charlotte, North Carolina 28210, United States
  • University of Utah, John Moran Eye Center
    Salt Lake City, Utah 84132, 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 Apr 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06365762
Lead sponsor
Livionex Inc.
Responsible party
Sponsor
First posted
Apr 15, 2024
Start date
Jan 1, 2006
Primary completion
Dec 31, 2006
Completion
Apr 30, 2007
Last update
Apr 16, 2024
View the source record on ClinicalTrials.gov ↗

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