Trial Outcomes & Findings for Safety and Tolerability of Preservative-free Polyhexamethylene Biguanide (PHMB) Ophthalmic Solution in Healthy Subjects (NCT NCT02506257)

NCT ID: NCT02506257

Last Updated: 2017-02-09

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

90 participants

Primary outcome timeframe

up to 21 days from date of randomization

Results posted on

2017-02-09

Participant Flow

Participant milestones

Participant milestones
Measure
0.04% PHMB
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Overall Study
STARTED
26
28
27
9
Overall Study
COMPLETED
26
26
23
9
Overall Study
NOT COMPLETED
0
2
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
0.04% PHMB
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Overall Study
Adverse Event
0
2
3
0
Overall Study
Protocol Violation
0
0
1
0

Baseline Characteristics

Safety and Tolerability of Preservative-free Polyhexamethylene Biguanide (PHMB) Ophthalmic Solution in Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
0.04% PHMB
n=26 Participants
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 Participants
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 Participants
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 Participants
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Total
n=90 Participants
Total of all reporting groups
Age, Continuous
30.5 years
STANDARD_DEVIATION 12.5 • n=99 Participants
29.4 years
STANDARD_DEVIATION 8.7 • n=107 Participants
30.4 years
STANDARD_DEVIATION 10.3 • n=206 Participants
25.7 years
STANDARD_DEVIATION 4.6 • n=7 Participants
29.6 years
STANDARD_DEVIATION 10.1 • n=31 Participants
Gender
Female
14 Participants
n=99 Participants
15 Participants
n=107 Participants
17 Participants
n=206 Participants
2 Participants
n=7 Participants
48 Participants
n=31 Participants
Gender
Male
12 Participants
n=99 Participants
13 Participants
n=107 Participants
10 Participants
n=206 Participants
7 Participants
n=7 Participants
42 Participants
n=31 Participants

PRIMARY outcome

Timeframe: up to 21 days from date of randomization

Outcome measures

Outcome measures
Measure
0.04% PHMB
n=26 Participants
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 Participants
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 Participants
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 Participants
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Number of Subjects With Dose-limiting Adverse Events
0 participants
2 participants
3 participants
0 participants

SECONDARY outcome

Timeframe: Day14

Outcome measures

Outcome measures
Measure
0.04% PHMB
n=26 Participants
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 Participants
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 Participants
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 Participants
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Plasma Concentration of PHMB
0 micrograms/ml
Standard Deviation 0
0 micrograms/ml
Standard Deviation 0
0 micrograms/ml
Standard Deviation 0
0 micrograms/ml
Standard Deviation 0

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Day 14

Change from baseline systolic blood pressure

Outcome measures

Outcome measures
Measure
0.04% PHMB
n=26 Participants
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 Participants
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 Participants
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 Participants
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Systolic Blood Pressure
-0.7 mmHg
Standard Deviation 9.6
0.6 mmHg
Standard Deviation 8.3
-0.9 mmHg
Standard Deviation 8.6
1.0 mmHg
Standard Deviation 8.6

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Day 14

Change from baseline Visual acuity. Best corrected visual acuity was reported in decimal fraction. A decrease of visual acuity during treatment was considered a negative safety outcome.

Outcome measures

Outcome measures
Measure
0.04% PHMB
n=26 Participants
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 Participants
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 Participants
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 Participants
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Visual Acuity
0.3 decimals
Standard Deviation 1.4
0.3 decimals
Standard Deviation 1.3
0.3 decimals
Standard Deviation 0.1
0.3 decimals
Standard Deviation 0.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Day 14

Change from baseline OSDI at D 14. Score range was betwwen 0-100. An increase of OSDI values with treatment represent a negative outcome.

Outcome measures

Outcome measures
Measure
0.04% PHMB
n=26 Participants
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 Participants
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 Participants
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 Participants
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Ocular Surface Disease Index-OSDI
1.5 scores on a scale
Standard Deviation 3.6
1.3 scores on a scale
Standard Deviation 4.1
4.2 scores on a scale
Standard Deviation 5.8
-2.2 scores on a scale
Standard Deviation 4.9

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Day 14

Change from baseline conjunctival staining at Day 14. Staining with lissamine green was used. The density of staining was graded with the Oxford Score. Score range was between 0-15. An increase in the score after treatment represent a negative outcome

Outcome measures

Outcome measures
Measure
0.04% PHMB
n=26 Participants
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 Participants
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 Participants
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 Participants
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Conjunctival Examination
0.7 scores on a scale
Standard Deviation 1.3
1.2 scores on a scale
Standard Deviation 1.9
1.7 scores on a scale
Standard Deviation 1.8
1.0 scores on a scale
Standard Deviation 1.7

Adverse Events

0.04% PHMB

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

0.06% PHMB

Serious events: 0 serious events
Other events: 23 other events
Deaths: 0 deaths

0.08% PHMB

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

PHMB Vehicle

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
0.04% PHMB
n=26 participants at risk
0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.04% PHMB: 0.04% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.06% PHMB
n=28 participants at risk
0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.06% PHMB: 0.06% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
0.08% PHMB
n=27 participants at risk
0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days 0.08% PHMB: 0.08% PHMB eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
PHMB Vehicle
n=9 participants at risk
PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days PHMB Vehicle: PHMB vehicle eye drops, 1 drop 12 times daily for 7 days, followed by 1 drop 6 times daily for additional 7 days
Eye disorders
conjunctival hypermia
3.8%
1/26 • Number of events 1 • 1 month
14.3%
4/28 • Number of events 4 • 1 month
14.8%
4/27 • Number of events 4 • 1 month
0.00%
0/9 • 1 month
General disorders
Instillation site pain
7.7%
2/26 • Number of events 2 • 1 month
14.3%
4/28 • Number of events 4 • 1 month
18.5%
5/27 • Number of events 5 • 1 month
11.1%
1/9 • Number of events 1 • 1 month
Investigations
conjunctival staining
7.7%
2/26 • Number of events 3 • 1 month
17.9%
5/28 • Number of events 5 • 1 month
33.3%
9/27 • Number of events 11 • 1 month
0.00%
0/9 • 1 month
Investigations
corneal staining
3.8%
1/26 • Number of events 1 • 1 month
17.9%
5/28 • Number of events 5 • 1 month
29.6%
8/27 • Number of events 8 • 1 month
0.00%
0/9 • 1 month
Nervous system disorders
headache
11.5%
3/26 • Number of events 3 • 1 month
14.3%
4/28 • Number of events 5 • 1 month
3.7%
1/27 • Number of events 1 • 1 month
11.1%
1/9 • Number of events 9 • 1 month
Eye disorders
eyelid edema
0.00%
0/26 • 1 month
21.4%
6/28 • Number of events 6 • 1 month
0.00%
0/27 • 1 month
0.00%
0/9 • 1 month
General disorders
Instillation site pain erythema
7.7%
2/26 • Number of events 2 • 1 month
10.7%
3/28 • Number of events 4 • 1 month
0.00%
0/27 • 1 month
0.00%
0/9 • 1 month
General disorders
Instillation site pruritus
3.8%
1/26 • Number of events 1 • 1 month
10.7%
3/28 • Number of events 3 • 1 month
3.7%
1/27 • Number of events 1 • 1 month
0.00%
0/9 • 1 month
General disorders
Instillation site foreign body sensation
3.8%
1/26 • Number of events 1 • 1 month
7.1%
2/28 • Number of events 2 • 1 month
3.7%
1/27 • Number of events 1 • 1 month
11.1%
1/9 • Number of events 1 • 1 month
Eye disorders
eye pain
0.00%
0/26 • 1 month
3.6%
1/28 • Number of events 1 • 1 month
0.00%
0/27 • 1 month
11.1%
1/9 • Number of events 1 • 1 month
Infections and infestations
nasopharyngitis
0.00%
0/26 • 1 month
10.7%
3/28 • Number of events 3 • 1 month
0.00%
0/27 • 1 month
11.1%
1/9 • Number of events 1 • 1 month

Additional Information

Dr. IJE van Der Muelen

AMC Amsterdam

Phone: 020 - 566 9111

Results disclosure agreements

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