Trial Outcomes & Findings for Assessing the Efficacy of Maxidex® and Patanol® for the Treatment of Allergic Conjunctivitis (NCT NCT01119287)

NCT ID: NCT01119287

Last Updated: 2014-02-28

Results Overview

Ocular redness ratings were collected for nasal and temporal areas of each eye and scored on a scale from 0 (none) to 4 (extremely severe), 0.5 unit steps permitted. The AUC computation was based on peak redness score (maximum of four areas of redness) at each time point (pre-treatment, 0.25, 0.5, 1.0, 1.5, 2.0, 2.5, 3 hours in the EEC and 3.5, 4, 5, 6, 7, 8, 9, 10 hours in the Clinic). The patient was dosed AM 30 minutes prior to entering the EEC (Visit 6). This outcome measure evaluates a late-phase effect, for which Maxidex vs. Placebo is the meaningful comparison.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

180 participants

Primary outcome timeframe

Baseline (Visit 3, pre-treatment); Visit 6 (Day 9 of treatment)

Results posted on

2014-02-28

Participant Flow

Patients were recruited from one study center in Canada.

Of the 180 patients enrolled, 170 were identified as either ragweed allergic or cat allergic, randomized to one of three study treatments, and received at least one dose of study treatment. Ten additional patients identified as ragweed allergic participated in Visits 1 to 3 only, per protocol design.

Participant milestones

Participant milestones
Measure
Maxidex/Ragweed Allergic
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Patanol/Ragweed Allergic
Olopatadine hydrochloride 0.1% ophthalmic solution, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Ragweed Allergic
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Maxidex/Cat Allergic
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Patanol/Cat Allergic
Olopatadine hydrochloride 0.1% ophthalmic solution, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Cat Allergic
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Overall Study
STARTED
26
24
26
31
31
32
Overall Study
COMPLETED
26
24
24
29
30
32
Overall Study
NOT COMPLETED
0
0
2
2
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Maxidex/Ragweed Allergic
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Patanol/Ragweed Allergic
Olopatadine hydrochloride 0.1% ophthalmic solution, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Ragweed Allergic
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Maxidex/Cat Allergic
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Patanol/Cat Allergic
Olopatadine hydrochloride 0.1% ophthalmic solution, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Cat Allergic
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Overall Study
Patient Decision, not related to AE
0
0
2
2
1
0

Baseline Characteristics

Assessing the Efficacy of Maxidex® and Patanol® for the Treatment of Allergic Conjunctivitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Maxidex/Ragweed Allergic
n=26 Participants
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Patanol/Ragweed Allergic
n=24 Participants
Olopatadine hydrochloride 0.1% ophthalmic solution, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Ragweed Allergic
n=26 Participants
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Maxidex/Cat Allergic
n=31 Participants
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Patanol/Cat Allergic
n=31 Participants
Olopatadine hydrochloride 0.1% ophthalmic solution, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Cat Allergic
n=32 Participants
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Total
n=170 Participants
Total of all reporting groups
Age, Continuous
34.0 years
STANDARD_DEVIATION 9.6 • n=99 Participants
39.2 years
STANDARD_DEVIATION 13.8 • n=107 Participants
40.0 years
STANDARD_DEVIATION 10.0 • n=206 Participants
34.5 years
STANDARD_DEVIATION 11.6 • n=7 Participants
32.9 years
STANDARD_DEVIATION 9.3 • n=31 Participants
35.9 years
STANDARD_DEVIATION 8.4 • n=30 Participants
35.91 years
STANDARD_DEVIATION 10.62 • n=3 Participants
Sex: Female, Male
Female
11 Participants
n=99 Participants
13 Participants
n=107 Participants
17 Participants
n=206 Participants
23 Participants
n=7 Participants
22 Participants
n=31 Participants
24 Participants
n=30 Participants
110 Participants
n=3 Participants
Sex: Female, Male
Male
15 Participants
n=99 Participants
11 Participants
n=107 Participants
9 Participants
n=206 Participants
8 Participants
n=7 Participants
9 Participants
n=31 Participants
8 Participants
n=30 Participants
60 Participants
n=3 Participants
Region of Enrollment
Canada
26 participants
n=99 Participants
24 participants
n=107 Participants
26 participants
n=206 Participants
31 participants
n=7 Participants
31 participants
n=31 Participants
32 participants
n=30 Participants
170 participants
n=3 Participants

PRIMARY outcome

Timeframe: Baseline (Visit 3, pre-treatment); Visit 6 (Day 9 of treatment)

Population: Number of subjects with data available in the specific treatment group

Ocular redness ratings were collected for nasal and temporal areas of each eye and scored on a scale from 0 (none) to 4 (extremely severe), 0.5 unit steps permitted. The AUC computation was based on peak redness score (maximum of four areas of redness) at each time point (pre-treatment, 0.25, 0.5, 1.0, 1.5, 2.0, 2.5, 3 hours in the EEC and 3.5, 4, 5, 6, 7, 8, 9, 10 hours in the Clinic). The patient was dosed AM 30 minutes prior to entering the EEC (Visit 6). This outcome measure evaluates a late-phase effect, for which Maxidex vs. Placebo is the meaningful comparison.

Outcome measures

Outcome measures
Measure
Maxidex/Ragweed Allergic
n=26 Participants
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Ragweed Allergic
n=24 Participants
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Maxidex/Cat Allergic
n=29 Participants
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Cat Allergic
n=32 Participants
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Mean Change From Baseline in Staff-Assessed Ocular Redness, Area Under the Curve From Time Zero to Hour 10 [AUC (0-10)], Maxidex and Placebo
Change
-6.450 hours x units on a scale
Standard Deviation 7.002
-3.576 hours x units on a scale
Standard Deviation 6.959
-5.511 hours x units on a scale
Standard Deviation 5.916
-3.748 hours x units on a scale
Standard Deviation 6.351
Mean Change From Baseline in Staff-Assessed Ocular Redness, Area Under the Curve From Time Zero to Hour 10 [AUC (0-10)], Maxidex and Placebo
Baseline (Visit 3, pre-treatment)
18.120 hours x units on a scale
Standard Deviation 6.260
19.362 hours x units on a scale
Standard Deviation 7.666
16.823 hours x units on a scale
Standard Deviation 5.530
17.572 hours x units on a scale
Standard Deviation 6.803
Mean Change From Baseline in Staff-Assessed Ocular Redness, Area Under the Curve From Time Zero to Hour 10 [AUC (0-10)], Maxidex and Placebo
Visit 6 (Day 9 of treatment)
11.671 hours x units on a scale
Standard Deviation 5.983
15.786 hours x units on a scale
Standard Deviation 6.514
11.313 hours x units on a scale
Standard Deviation 3.943
13.824 hours x units on a scale
Standard Deviation 4.792

PRIMARY outcome

Timeframe: Baseline (Visit 2, pre-treatment), Visit 5 (Day 8 of treatment)

Population: Number of subjects with data available in the specific treatment group

Ocular itching was scored a scale from 0 (none) to 4 (incapacitating itch with irresistible urge to rub) in 0.5 unit steps. The AUC computation was based on the score at each time point (pre-treatment, 0.25, 0.5, 1.0, 1.5, 2.0, 2.5, and 3 hours in the EEC). The patient was dosed AM 30 minutes prior to entering the EEC (Visit 5). This outcome measure evaluates an early-phase effect, for which Patanol vs. Placebo is the meaningful comparison.

Outcome measures

Outcome measures
Measure
Maxidex/Ragweed Allergic
n=24 Participants
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Ragweed Allergic
n=24 Participants
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Maxidex/Cat Allergic
n=30 Participants
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II/Cat Allergic
n=32 Participants
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Mean Change From Baseline Patient-Assessed Ocular Itching, Area Under the Curve From Time Zero to Hour 3 [AUC (0-3)], Patanol and Placebo
Baseline (Visit 2, pre-treatment)
4.776 hours x units on a scale
Standard Deviation 1.759
5.669 hours x units on a scale
Standard Deviation 2.062
5.904 hours x units on a scale
Standard Deviation 2.224
5.654 hours x units on a scale
Standard Deviation 2.408
Mean Change From Baseline Patient-Assessed Ocular Itching, Area Under the Curve From Time Zero to Hour 3 [AUC (0-3)], Patanol and Placebo
Visit 5 (Day 8 of treatment)
2.630 hours x units on a scale
Standard Deviation 1.877
3.990 hours x units on a scale
Standard Deviation 2.781
2.881 hours x units on a scale
Standard Deviation 2.203
2.586 hours x units on a scale
Standard Deviation 2.181
Mean Change From Baseline Patient-Assessed Ocular Itching, Area Under the Curve From Time Zero to Hour 3 [AUC (0-3)], Patanol and Placebo
Change
-2.146 hours x units on a scale
Standard Deviation 1.913
-1.680 hours x units on a scale
Standard Deviation 2.065
-3.023 hours x units on a scale
Standard Deviation 2.668
-3.068 hours x units on a scale
Standard Deviation 2.361

Adverse Events

Maxidex

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Patanol

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Tears Naturale II

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Maxidex
n=57 participants at risk
Dexamethasone 0.1% ophthalmic suspension, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Patanol
n=55 participants at risk
Olopatadine hydrochloride 0.1% ophthalmic solution, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Tears Naturale II
n=58 participants at risk
Inactive ingredients, used as placebo, 2 drops in each eye, 2-5 minutes apart, twice a day, for 9 days \[Visit 4 through Visit 6 morning only\]
Eye disorders
Eye irritation
7.0%
4/57 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
7.3%
4/55 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
6.9%
4/58 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
Eye disorders
Eye pain
8.8%
5/57 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
0.00%
0/55 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
0.00%
0/58 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
Nervous system disorders
Headache
7.0%
4/57 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
5.5%
3/55 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.
5.2%
3/58 • Adverse events were collected for the duration of the study (5 months, 29 days).
The safety population included all randomized patients. Adverse events were reported for any clinically relevant untoward (unfavorable and unintended) change from baseline in the patient's medical health following exposure to the study treatment, as reported spontaneously by the patient and solicited by the investigator.

Additional Information

Head, Alcon Clinical

Alcon Research

Phone: 1-888-451-3937

Results disclosure agreements

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

Restriction type: OTHER