Trial Outcomes & Findings for Safety and Efficacy of Phenylephrine 2.5%-Tropicamide 1% Microdose Ophthalmic Solution for Pupil Dilation (NCT NCT03751098)

NCT ID: NCT03751098

Last Updated: 2022-03-18

Results Overview

Difference in 35-minute pupil diameter vs. baseline measured using pupillometry in highly photopic conditions. Pupil diameter is reported in millimeters. For the change in pupil diameter, larger measurements indicate a better outcome.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

76 participants

Primary outcome timeframe

35 minutes after initial dose

Results posted on

2022-03-18

Participant Flow

76 patients signed the study informed consent form and were screened for eligibility between November 19, 2018 and December 14, 2018 at clinical research centers located in San Antonio and Austin, Texas.

70 of the 76 participants enrolled initiated study treatment. Of those who did not initiate treatment, 4 failed to meet all study eligibility criteria and 2 were exited after screening (before treatment) because the required number of subjects had initiated treatment.

Unit of analysis: eyes

Participant milestones

Participant milestones
Measure
1-TR/PE, 2-Placebo, 3-Placebo
Participants were administered the assigned treatment in each eye on separate days in the following order: 1st Treatment Day: Tropicamide 1%/Phenylephrine 2.5%, 2nd Treatment Day: Placebo, 3rd Treatment Day: Placebo. Each treatment was administered with the Optejet microdose dispenser.
1-Placebo, 2-Placebo, 3-TR/PE
Participants were administered the assigned treatment in each eye on separate days in the following order: 1st Treatment Day: Placebo, 2nd Treatment Day: Placebo, 3rd Treatment Day: Tropicamide 1%/Placebo 2.5%. Each treatment was administered with the Optejet microdose dispenser.
Overall Study
STARTED
37 74
33 66
Overall Study
COMPLETED
37 74
32 64
Overall Study
NOT COMPLETED
0 0
1 2

Reasons for withdrawal

Reasons for withdrawal
Measure
1-TR/PE, 2-Placebo, 3-Placebo
Participants were administered the assigned treatment in each eye on separate days in the following order: 1st Treatment Day: Tropicamide 1%/Phenylephrine 2.5%, 2nd Treatment Day: Placebo, 3rd Treatment Day: Placebo. Each treatment was administered with the Optejet microdose dispenser.
1-Placebo, 2-Placebo, 3-TR/PE
Participants were administered the assigned treatment in each eye on separate days in the following order: 1st Treatment Day: Placebo, 2nd Treatment Day: Placebo, 3rd Treatment Day: Tropicamide 1%/Placebo 2.5%. Each treatment was administered with the Optejet microdose dispenser.
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Safety and Efficacy of Phenylephrine 2.5%-Tropicamide 1% Microdose Ophthalmic Solution for Pupil Dilation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=70 Participants
Participants were administered the assigned treatments on 3 separate days (treatment administration sequence was randomized).
Age, Continuous
35.4 years
STANDARD_DEVIATION 14.55 • n=99 Participants
Sex: Female, Male
Female
33 Participants
n=99 Participants
Sex: Female, Male
Male
37 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
35 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=99 Participants
Race (NIH/OMB)
White
62 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
70 participants
n=99 Participants
Iris Color Category
Dark
50 Participants
n=99 Participants
Iris Color Category
Light
20 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 35 minutes after initial dose

Population: Per-protocol population (participants who completed all planned assessments without a major protocol deviation)

Difference in 35-minute pupil diameter vs. baseline measured using pupillometry in highly photopic conditions. Pupil diameter is reported in millimeters. For the change in pupil diameter, larger measurements indicate a better outcome.

Outcome measures

Outcome measures
Measure
TR/PE - Right Eye
n=69 eyes
Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered to the right eye with the Optejet microdose dispenser
TR/PE - Left Eye
n=69 eyes
Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered to the left eye with the Optejet microdose dispenser.
Placebo - Right Eye
n=69 eyes
Placebo ophthalmic solution administered to the right eye with the Optejet microdose dispenser
Placebo - Left Eye
n=69 eyes
Placebo ophthalmic solution administered to the left eye with the Optejet microdose dispenser
Change in Pupil Diameter From Baseline
Change in 35-minute pupil diameter
4.747 millimeters
Standard Deviation 0.7301
4.779 millimeters
Standard Deviation 0.8032
0.134 millimeters
Standard Deviation 0.4972
0.032 millimeters
Standard Deviation 0.4983
Change in Pupil Diameter From Baseline
Baseline pupil diameter
2.597 millimeters
Standard Deviation 0.4784
2.524 millimeters
Standard Deviation 0.4802
2.632 millimeters
Standard Deviation 0.5202
2.559 millimeters
Standard Deviation 0.4666
Change in Pupil Diameter From Baseline
35-minutes pupil diameter
7.344 millimeters
Standard Deviation 0.7981
7.304 millimeters
Standard Deviation 0.8264
2.766 millimeters
Standard Deviation 0.6598
2.590 millimeters
Standard Deviation 0.5892

OTHER_PRE_SPECIFIED outcome

Timeframe: 35 minutes after initial dose

Population: Per-protocol population (participants who completed all planned assessments without a major protocol deviation)

The percent of eyes with pupil diameter 6.0 mm or larger as measured using pupillometry in highly photopic conditions. As this is a cross-over study, each of the 69 participants received each medication. Data is reported separately for the right and left eyes of the 69 participants. A higher percentage indicates a better outcome.

Outcome measures

Outcome measures
Measure
TR/PE - Right Eye
n=69 eyes
Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered to the right eye with the Optejet microdose dispenser
TR/PE - Left Eye
n=69 eyes
Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered to the left eye with the Optejet microdose dispenser.
Placebo - Right Eye
n=69 eyes
Placebo ophthalmic solution administered to the right eye with the Optejet microdose dispenser
Placebo - Left Eye
n=69 eyes
Placebo ophthalmic solution administered to the left eye with the Optejet microdose dispenser
Proportion of Eyes Achieving Pupil Diameter 6.0 mm or Larger After Receipt of Each Medication
92.8 percentage of eyes
94.2 percentage of eyes
0 percentage of eyes
0 percentage of eyes

OTHER_PRE_SPECIFIED outcome

Timeframe: 35 minutes after initial dose

Population: Per-protocol population (participants who completed all planned assessments without a major protocol deviation)

The percent of eyes with pupil diameter 7.0 mm or larger as measured using pupillometry in highly photopic conditions. As this is a cross-over study, each of the 69 participants received each solution. Data is reported separately for the right and left eyes of the 69 participants. A higher percentage indicates a better outcome.

Outcome measures

Outcome measures
Measure
TR/PE - Right Eye
n=69 eyes
Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered to the right eye with the Optejet microdose dispenser
TR/PE - Left Eye
n=69 eyes
Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered to the left eye with the Optejet microdose dispenser.
Placebo - Right Eye
n=69 eyes
Placebo ophthalmic solution administered to the right eye with the Optejet microdose dispenser
Placebo - Left Eye
n=69 eyes
Placebo ophthalmic solution administered to the left eye with the Optejet microdose dispenser
Proportion of Eyes Achieving Pupil Diameter 7.0 mm or Larger After Receipt of Each Medication
69.6 percentage of eyes
68.1 percentage of eyes
0 percentage of eyes
0 percentage of eyes

Adverse Events

Tropicamide/Phenylephrine

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Tropicamide/Phenylephrine
n=69 participants at risk
Tropicamide 1%/Phenylephrine 2.5% ophthalmic solution administered with the Optejet microdose dispenser
Placebo
n=70 participants at risk
Placebo ophthalmic solution administered with the Optejet microdose dispenser
Eye disorders
Photophobia
1.4%
1/69 • Number of events 1 • Adverse event data was collected over each participant's study participation period, which was a maximum of 14 days.
0.00%
0/70 • Adverse event data was collected over each participant's study participation period, which was a maximum of 14 days.
General disorders
Instillation site pain
1.4%
1/69 • Number of events 1 • Adverse event data was collected over each participant's study participation period, which was a maximum of 14 days.
0.00%
0/70 • Adverse event data was collected over each participant's study participation period, which was a maximum of 14 days.

Additional Information

VP, Development

Eyenovia, Inc.

Phone: 714-269-8838

Results disclosure agreements

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