Trial Outcomes & Findings for Study to Evaluate the Safety and Efficacy of SDP-4 in Subjects With Dry Eye Disease (DED) (NCT NCT03889886)

NCT ID: NCT03889886

Last Updated: 2022-09-02

Results Overview

Mean change from baseline in total SANDE score at Visit 7/Day 84 The SANDE questionnaire contained two questions regarding the frequency and severity of DED symptoms, with a total score being the square root of the frequency score times the square root of the severity score (range 0 100). A higher score indicates more severe DED symptoms.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

305 participants

Primary outcome timeframe

84 days

Results posted on

2022-09-02

Participant Flow

Participant milestones

Participant milestones
Measure
Vehicle
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Overall Study
STARTED
76
77
76
76
Overall Study
COMPLETED
76
76
75
69
Overall Study
NOT COMPLETED
0
1
1
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Vehicle
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Overall Study
Other
0
1
0
1
Overall Study
Withdrawal by Subject
0
0
1
0
Overall Study
Adverse Event
0
0
0
6

Baseline Characteristics

Study to Evaluate the Safety and Efficacy of SDP-4 in Subjects With Dry Eye Disease (DED)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vehicle
n=76 Participants
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=77 Participants
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=76 Participants
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=76 Participants
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Total
n=305 Participants
Total of all reporting groups
Age, Continuous
59.2 years
STANDARD_DEVIATION 15.2 • n=99 Participants
60.5 years
STANDARD_DEVIATION 15.86 • n=107 Participants
60.1 years
STANDARD_DEVIATION 15.58 • n=206 Participants
61.5 years
STANDARD_DEVIATION 13.68 • n=7 Participants
60.3 years
STANDARD_DEVIATION 15.08 • n=31 Participants
Sex: Female, Male
Female
56 Participants
n=99 Participants
64 Participants
n=107 Participants
61 Participants
n=206 Participants
64 Participants
n=7 Participants
245 Participants
n=31 Participants
Sex: Female, Male
Male
20 Participants
n=99 Participants
13 Participants
n=107 Participants
15 Participants
n=206 Participants
12 Participants
n=7 Participants
60 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
n=99 Participants
9 Participants
n=107 Participants
12 Participants
n=206 Participants
11 Participants
n=7 Participants
42 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
66 Participants
n=99 Participants
68 Participants
n=107 Participants
64 Participants
n=206 Participants
65 Participants
n=7 Participants
263 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
4 Participants
n=107 Participants
1 Participants
n=206 Participants
1 Participants
n=7 Participants
7 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=99 Participants
7 Participants
n=107 Participants
8 Participants
n=206 Participants
14 Participants
n=7 Participants
39 Participants
n=31 Participants
Race (NIH/OMB)
White
64 Participants
n=99 Participants
66 Participants
n=107 Participants
66 Participants
n=206 Participants
61 Participants
n=7 Participants
257 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants

PRIMARY outcome

Timeframe: 84 days

Mean change from baseline in total SANDE score at Visit 7/Day 84 The SANDE questionnaire contained two questions regarding the frequency and severity of DED symptoms, with a total score being the square root of the frequency score times the square root of the severity score (range 0 100). A higher score indicates more severe DED symptoms.

Outcome measures

Outcome measures
Measure
Vehicle
n=76 Participants
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=76 Participants
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=75 Participants
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=69 Participants
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Symptom Assessment in Dry Eye (SANDE) Questionnaire
-25.66 units on a scale
Standard Deviation 26.685
-25.14 units on a scale
Standard Deviation 25.076
-29.95 units on a scale
Standard Deviation 24.883
-24.81 units on a scale
Standard Deviation 26.685

SECONDARY outcome

Timeframe: 84 days

Mean change from baseline at each visit

Outcome measures

Outcome measures
Measure
Vehicle
n=76 Participants
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=76 Participants
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=75 Participants
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=69 Participants
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Tear Breakup Time
Day 7
0.95 seconds
Standard Deviation 1.816
1.29 seconds
Standard Deviation 4.433
1.21 seconds
Standard Deviation 2.993
0.80 seconds
Standard Deviation 3.085
Tear Breakup Time
Day 14
1.08 seconds
Standard Deviation 3.430
1.15 seconds
Standard Deviation 1.487
1.37 seconds
Standard Deviation 2.735
1.09 seconds
Standard Deviation 2.175
Tear Breakup Time
Day 28
1.00 seconds
Standard Deviation 2.246
1.92 seconds
Standard Deviation 4.135
2.20 seconds
Standard Deviation 4.498
1.63 seconds
Standard Deviation 3.750
Tear Breakup Time
Day 56
1.18 seconds
Standard Deviation 2.728
1.38 seconds
Standard Deviation 2.020
2.13 seconds
Standard Deviation 4.123
1.29 seconds
Standard Deviation 1.878
Tear Breakup Time
Day 84
1.44 seconds
Standard Deviation 3.213
1.44 seconds
Standard Deviation 2.097
1.49 seconds
Standard Deviation 3.177
1.09 seconds
Standard Deviation 1.693

SECONDARY outcome

Timeframe: 84 days

Mean change from baseline at Visit7/Day 84

Outcome measures

Outcome measures
Measure
Vehicle
n=76 Participants
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=76 Participants
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=75 Participants
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=69 Participants
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Anesthetized Schirmer's Test
2.53 millimeter
Standard Deviation 5.582
2.95 millimeter
Standard Deviation 6.190
1.89 millimeter
Standard Deviation 4.706
3.75 millimeter
Standard Deviation 5.699

SECONDARY outcome

Timeframe: 84 days

Mean change from baseline at each visit. Reported on a scale of 0-15 with values greater than 3 indicating abnormal incidence of conjunctival surface irregularity.

Outcome measures

Outcome measures
Measure
Vehicle
n=76 Participants
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=76 Participants
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=75 Participants
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=69 Participants
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Conjunctival Hyperemia
Day 7
-0.6 units on a scale
Standard Deviation 1.87
-0.7 units on a scale
Standard Deviation 1.82
-0.9 units on a scale
Standard Deviation 1.91
-0.6 units on a scale
Standard Deviation 2.19
Conjunctival Hyperemia
Day 14
-0.6 units on a scale
Standard Deviation 2.28
-0.8 units on a scale
Standard Deviation 1.78
-0.6 units on a scale
Standard Deviation 2.28
-0.6 units on a scale
Standard Deviation 1.97
Conjunctival Hyperemia
Day 28
-0.8 units on a scale
Standard Deviation 2.70
-0.8 units on a scale
Standard Deviation 1.98
-0.9 units on a scale
Standard Deviation 2.14
-0.6 units on a scale
Standard Deviation 2.59
Conjunctival Hyperemia
Day 56
-0.9 units on a scale
Standard Deviation 2.30
-0.6 units on a scale
Standard Deviation 1.99
-0.7 units on a scale
Standard Deviation 2.48
-0.7 units on a scale
Standard Deviation 2.55
Conjunctival Hyperemia
Day 84
-0.6 units on a scale
Standard Deviation 2.35
-0.8 units on a scale
Standard Deviation 2.60
-0.3 units on a scale
Standard Deviation 2.45
-0.6 units on a scale
Standard Deviation 2.16

SECONDARY outcome

Timeframe: 84 days

Mean change from baseline at each visit Reported on a scale of 0-15 with values greater than 3 indicating abnormal incidence of corneal surface irregularity.

Outcome measures

Outcome measures
Measure
Vehicle
n=76 Participants
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=76 Participants
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=75 Participants
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=69 Participants
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Corneal Fluoroscein Staining
Day 7
-0.2 units on a scale
Standard Deviation 2.15
-1.4 units on a scale
Standard Deviation 2.03
-0.9 units on a scale
Standard Deviation 2.16
-1.4 units on a scale
Standard Deviation 2.00
Corneal Fluoroscein Staining
Day 14
-0.5 units on a scale
Standard Deviation 2.02
-1.2 units on a scale
Standard Deviation 2.21
-1.1 units on a scale
Standard Deviation 1.99
-1.3 units on a scale
Standard Deviation 2.11
Corneal Fluoroscein Staining
Day 28
-0.9 units on a scale
Standard Deviation 2.55
-1.5 units on a scale
Standard Deviation 2.43
-1.3 units on a scale
Standard Deviation 1.97
-1.2 units on a scale
Standard Deviation 2.15
Corneal Fluoroscein Staining
Day 56
-1.2 units on a scale
Standard Deviation 2.36
-1.3 units on a scale
Standard Deviation 2.07
-0.9 units on a scale
Standard Deviation 2.53
-1.6 units on a scale
Standard Deviation 1.96
Corneal Fluoroscein Staining
Day 84
-0.8 units on a scale
Standard Deviation 1.96
-1.3 units on a scale
Standard Deviation 2.45
-1.2 units on a scale
Standard Deviation 2.99
-1.4 units on a scale
Standard Deviation 2.29

Adverse Events

Vehicle

Serious events: 1 serious events
Other events: 15 other events
Deaths: 0 deaths

SDP-4 Ophthalmic Solution (0.1%)

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

SDP-4 Ophthalmic Solution (1.0%)

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

SDP-4 Ophthalmic Solution (3.0%)

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

Serious adverse events

Serious adverse events
Measure
Vehicle
n=76 participants at risk
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=76 participants at risk
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=75 participants at risk
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=69 participants at risk
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Gastrointestinal disorders
Diverticulitis
1.3%
1/76 • Number of events 1 • 84 days
0.00%
0/76 • 84 days
0.00%
0/75 • 84 days
0.00%
0/69 • 84 days

Other adverse events

Other adverse events
Measure
Vehicle
n=76 participants at risk
Vehicle Vehicle: Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (0.1%)
n=76 participants at risk
Low concentration of SDP-4 SDP-4 Ophthalmic Solution (0.1%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (1.0%)
n=75 participants at risk
Mid concentration of SDP-4 SDP-4 Ophthalmic Solution (1.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
SDP-4 Ophthalmic Solution (3.0%)
n=69 participants at risk
High concentration of SDP-4 SDP-4 Ophthalmic Solution (3.0%): Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.
Eye disorders
Eye Disorders
10.5%
8/76 • Number of events 11 • 84 days
11.8%
9/76 • Number of events 13 • 84 days
12.0%
9/75 • Number of events 12 • 84 days
23.2%
16/69 • Number of events 28 • 84 days
General disorders
General Disorders and administration site conditions
7.9%
6/76 • Number of events 6 • 84 days
6.6%
5/76 • Number of events 5 • 84 days
13.3%
10/75 • Number of events 10 • 84 days
8.7%
6/69 • Number of events 7 • 84 days
Investigations
Investigations
2.6%
2/76 • Number of events 2 • 84 days
1.3%
1/76 • Number of events 2 • 84 days
0.00%
0/75 • 84 days
1.4%
1/69 • Number of events 1 • 84 days

Additional Information

Brian Lawrence

SilkTech Biopharmaceuticals

Phone: 6172720691

Results disclosure agreements

  • Principal investigator is a sponsor employee All information concerning SDP-4 and the operations of Silk Technologies, such as patent applications, formulas, manufacturing processes, basic scientific data or formulation information not previously published, are considered CONFIDENTIAL and shall remain the sole property of Silk Technologies. The Investigator agrees to use this information only in accomplishing this study and will not use it for other purposes without the written consent of Silk Technologies
  • Publication restrictions are in place

Restriction type: OTHER