Trial Outcomes & Findings for Late Phase 2 Study of OPC-12759 Ophthalmic Suspension (NCT NCT00475319)

NCT ID: NCT00475319

Last Updated: 2013-06-13

Results Overview

FCS indicates the damage to the corneal epithelium. Per the National Eye Institute/Industry Workshop report, the cornea was divided into 5 fractions, each of which was given a staining score from 0 to 3, and the total score was calculated(0-15). 0 is better.The change from baseline (CFB) to LOCF at the end of instillation (LOCF endpoint) was used to analyze dose-response. A general linear model was used to examine if slope parameters were not equal to zero.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

308 participants

Primary outcome timeframe

Baseline, 4weeks

Results posted on

2013-06-13

Participant Flow

Subjects were recruited in Japan between 2007 and 2008

Participant flow results are based on the safety set.

Participant milestones

Participant milestones
Measure
1% OPC-12759 Groups
1% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
2% OPC-12759 Groups
2% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Placebo
0% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Overall Study
STARTED
103
102
103
Overall Study
COMPLETED
101
101
99
Overall Study
NOT COMPLETED
2
1
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Late Phase 2 Study of OPC-12759 Ophthalmic Suspension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1% OPC-12759 Groups
n=103 Participants
1% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
2% OPC-12759 Groups
n=102 Participants
2% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Placebo
n=103 Participants
0% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Total
n=308 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
70 Participants
n=99 Participants
61 Participants
n=107 Participants
62 Participants
n=206 Participants
193 Participants
n=7 Participants
Age, Categorical
>=65 years
33 Participants
n=99 Participants
41 Participants
n=107 Participants
41 Participants
n=206 Participants
115 Participants
n=7 Participants
Age Continuous
53.7 years
STANDARD_DEVIATION 16.6 • n=99 Participants
56.3 years
STANDARD_DEVIATION 16.9 • n=107 Participants
55.6 years
STANDARD_DEVIATION 17.2 • n=206 Participants
55.2 years
STANDARD_DEVIATION 16.9 • n=7 Participants
Sex: Female, Male
Female
93 Participants
n=99 Participants
86 Participants
n=107 Participants
90 Participants
n=206 Participants
269 Participants
n=7 Participants
Sex: Female, Male
Male
10 Participants
n=99 Participants
16 Participants
n=107 Participants
13 Participants
n=206 Participants
39 Participants
n=7 Participants
Region of Enrollment
Japan
103 participants
n=99 Participants
102 participants
n=107 Participants
103 participants
n=206 Participants
308 participants
n=7 Participants

PRIMARY outcome

Timeframe: Baseline, 4weeks

FCS indicates the damage to the corneal epithelium. Per the National Eye Institute/Industry Workshop report, the cornea was divided into 5 fractions, each of which was given a staining score from 0 to 3, and the total score was calculated(0-15). 0 is better.The change from baseline (CFB) to LOCF at the end of instillation (LOCF endpoint) was used to analyze dose-response. A general linear model was used to examine if slope parameters were not equal to zero.

Outcome measures

Outcome measures
Measure
1% OPC-12759 Ophthalmic Suspension
n=103 Participants
1% OPC-12759 ophthalmic suspension received one drop to both eyes four times a day for 4 weeks.
2% OPC-12759 Ophthalmic Suspension
n=102 Participants
2% OPC-12759 ophthalmic suspension received one drop to both eyes four times a day for 4 weeks.
Placebo
n=103 Participants
0% OPC-12759 ophthalmic suspension received one drop to both eyes four times a day for 4 weeks.
Change in Fluorescein Corneal Staining (FCS) Score From Baseline to Last Observation Carried Forward (LOCF)
-3.5 FCS score
Standard Deviation 2.2
-3.7 FCS score
Standard Deviation 2.4
-1.8 FCS score
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Baseline, 4weeks

LGCS indicates the damage to the conjunctival epithelium. Per the National Eye Institute/Industry Workshop report, the conjunctival sac and the conjunctina was divided into 6 ractions, each of which was given a staining score from 0 to 3, and the total score was calculated(0-18). 0 is better. The CFB to each study time point was compared between the active-drug groups and the placebo group, and LOCF endpoint scores were used to compare the active-drug groups and the placebo group. In each treatment group, baseline scores and those obtained at each study time point were compared.

Outcome measures

Outcome measures
Measure
1% OPC-12759 Ophthalmic Suspension
n=103 Participants
1% OPC-12759 ophthalmic suspension received one drop to both eyes four times a day for 4 weeks.
2% OPC-12759 Ophthalmic Suspension
n=102 Participants
2% OPC-12759 ophthalmic suspension received one drop to both eyes four times a day for 4 weeks.
Placebo
n=103 Participants
0% OPC-12759 ophthalmic suspension received one drop to both eyes four times a day for 4 weeks.
Change in Lissamine Green Conjunctival Staining (LGCS) Score From Baseline to Last Observation Carried Forward (LOCF)
-4.0 LGCS score
Standard Deviation 2.8
-4.5 LGCS score
Standard Deviation 2.9
-1.9 LGCS score
Standard Deviation 3.0

Adverse Events

1% OPC-12759 Groups

Serious events: 0 serious events
Other events: 30 other events
Deaths: 0 deaths

2% OPC-12759 Groups

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1% OPC-12759 Groups
n=103 participants at risk
1% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
2% OPC-12759 Groups
n=102 participants at risk
2% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Placebo
n=103 participants at risk
0% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Respiratory, thoracic and mediastinal disorders
pneumonia
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1

Other adverse events

Other adverse events
Measure
1% OPC-12759 Groups
n=103 participants at risk
1% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
2% OPC-12759 Groups
n=102 participants at risk
2% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Placebo
n=103 participants at risk
0% OPC-12759 ophthalmic suspension received one drop of to both eyes four times a day for 4 weeks
Eye disorders
Abnormal sensation in eye
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
Eye disorders
Blepharitis
1.9%
2/103 • Number of events 2
0.98%
1/102 • Number of events 1
1.9%
2/103 • Number of events 2
Eye disorders
Conjunctival haemorrhage
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Eye disorders
Conjunctivitis
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Eye disorders
Conjunctivitis allergic
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
Eye disorders
Corneal erosion
0.00%
0/103
0.98%
1/102 • Number of events 1
0.97%
1/103 • Number of events 1
Eye disorders
Episcleritis
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Eye disorders
Eye irritation
3.9%
4/103 • Number of events 4
2.0%
2/102 • Number of events 2
4.9%
5/103 • Number of events 5
Eye disorders
Iritis
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Eye disorders
Ocular hyperaemia
0.97%
1/103 • Number of events 1
0.00%
0/102
0.97%
1/103 • Number of events 1
Eye disorders
Vision blurred
0.97%
1/103 • Number of events 1
0.98%
1/102 • Number of events 1
0.00%
0/103
Eye disorders
Vitreous floaters
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Eye disorders
Foreign body sensation in eyes
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
Eye disorders
Conjunctival hyperaemia
0.00%
0/103
2.0%
2/102 • Number of events 2
0.00%
0/103
Eye disorders
Eyelids pruritus
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
Eye disorders
Eye pruritus
0.97%
1/103 • Number of events 1
0.98%
1/102 • Number of events 1
0.00%
0/103
Eye disorders
Dacryostenosis acquired
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Eye disorders
Ulcerative keratitis
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Gastrointestinal disorders
Dental caries
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
Gastrointestinal disorders
Diarrhoea
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Gastrointestinal disorders
Nausea
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
Gastrointestinal disorders
Vomiting
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
General disorders
Oedema peripheral
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
General disorders
Pain
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Hepatobiliary disorders
Hepatic steatosis
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Infections and infestations
Bronchitis
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Infections and infestations
Cystitis
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Infections and infestations
Epiglottitis
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Infections and infestations
Nasopharyngitis
3.9%
4/103 • Number of events 4
2.9%
3/102 • Number of events 3
1.9%
2/103 • Number of events 2
Infections and infestations
Pharyngitis
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Infections and infestations
Tinea pedis
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Infections and infestations
Conjunctivitis bacterial
0.97%
1/103 • Number of events 1
0.00%
0/102
1.9%
2/103 • Number of events 2
Injury, poisoning and procedural complications
Joint sprain
0.97%
1/103 • Number of events 1
0.00%
0/102
0.00%
0/103
Investigations
Blood cholesterol increased
0.00%
0/103
0.00%
0/102
1.9%
2/103 • Number of events 2
Investigations
Blood creatinine increased
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Investigations
Blood potassium decreased
0.00%
0/103
0.00%
0/102
1.9%
2/103 • Number of events 2
Investigations
Blood potassium increased
1.9%
2/103 • Number of events 2
0.00%
0/102
0.00%
0/103
Investigations
Blood urea increased
0.97%
1/103 • Number of events 1
0.98%
1/102 • Number of events 1
0.00%
0/103
Investigations
Gamma-glutamyltransferase increased
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Investigations
Glucose urine present
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Investigations
Platelet count decreased
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Investigations
White blood cell count decreased
0.00%
0/103
2.0%
2/102 • Number of events 2
1.9%
2/103 • Number of events 2
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Nervous system disorders
Dizziness
0.97%
1/103 • Number of events 1
0.98%
1/102 • Number of events 1
0.00%
0/103
Nervous system disorders
Dysgeusia
13.6%
14/103 • Number of events 14
15.7%
16/102 • Number of events 16
0.97%
1/103 • Number of events 1
Reproductive system and breast disorders
Breast pain
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Tonsillar hypertrophy
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Respiratory, thoracic and mediastinal disorders
Rhinalgia
0.00%
0/103
0.98%
1/102 • Number of events 1
0.00%
0/103
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/103
0.00%
0/102
0.97%
1/103 • Number of events 1

Additional Information

Eiji Murakami

Dermatologicals & Ophthalmologicals, Otsuka Pharmaceutical Co., Ltd.

Phone: +81-6-6231-6067

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place