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A Study of the Safety and Efficacy of Gatifloxacin in Patients With Bacterial Conjunctivitis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00518089
Enrollment
859
Registered
2007-08-20
Start date
2008-02-29
Completion date
2009-01-31
Last updated
2019-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bacterial Conjunctivitis

Brief summary

The study will determine the safety and efficacy of gatifloxacin eye drops in patients with bacterial conjunctivitis

Interventions

Day 1 = 1 drop of study medication every 2hrs up to 8 times total; day 2-5 = 1 drop twice daily

Day 1 = 1 drop of study medication every 2hrs up to 8 times total; day 2-5 = 1 drop twice daily

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
1 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Clinically diagnosed with bacterial conjunctivitis

Exclusion criteria

* Signs and/or symptoms of conjunctivitis for more than 96 hours * Signs and/or symptoms suggestive of fungal, viral, or allergic conjunctivitis * Clinical diagnosis of chlamydia in either eye

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge Up to Day 66 DaysPercentage of patients that achieved clinical success, defined as achievement of a score of zero for both conjunctival hyperemia and conjunctival discharge in the study eye up to Day 6. Conjunctival hyperemia and conjunctival discharge were each assessed on a 4-point severity grade scale (0=none, +1=mild, +2=moderate, +3=severe).

Secondary

MeasureTime frameDescription
Percentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge at Day 6Day 6Percentage of patients that achieved clinical success, defined as achievement of a score of zero for both conjunctival hyperemia and conjunctival discharge in the study eye at Day 6. Conjunctival hyperemia and conjunctival discharge were each assessed on a 4-point severity grade scale (0=none, +1=mild, +2=moderate, +3=severe).
Percentage of Patients With Microbiological Cure Up to Day 66 DaysPercentage of patients with microbiological cure, defined such that all bacteria present in the study eye at Day 1 (Baseline) are eradicated up to Day 6 based on a Classification of Microbial Response. (Eradication=pathogen is absent in follow-up culture; Reduction=pathogen is reduced from baseline below threshold count in follow-up culture; Persistence=pathogen reduced from baseline but is above or equal to threshold count in follow-up culture; and Proliferation=pathogen has increased in count from baseline in follow-up culture).
Percentage of Patients With Clinical Improvement of Ocular Signs Up to Day 66 DaysPercentage of patients with clinical improvement of ocular signs up to Day 6 based on a 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe), defined as a decrease (improvement) from Day 1 (Baseline) in the total score of conjunctival hyperemia and mucopurulent discharge (pus), with no increase (worsening) from Day 1 (Baseline) in either individual variable in the study eye.
Percentage of Patients With Clinical Improvement of Ocular Symptoms Up to Day 66 DaysPercentage of patients with clinical improvement of ocular symptoms, defined as a decrease (improvement) up to Day 6 from Day 1 (Baseline) in the total score of itching and tearing (each on 4-point scale: 0 = none, 1 = mild, 2 = moderate, and 3 = severe), with no increase (worsening) from Day 1 (Baseline) in any individual score in the study eye diagnosed with bacterial conjunctivitis.

Countries

India, United States

Participant flow

Participants by arm

ArmCount
Gatifloxacin 0.5% Eye Drops430
Placebo Eye Drops429
Total859

Baseline characteristics

CharacteristicGatifloxacin 0.5% Eye DropsPlacebo Eye DropsTotal
Age, Customized
1-18 years
66 participants74 participants140 participants
Age, Customized
19-65 years
316 participants313 participants629 participants
Age, Customized
>65 years
48 participants42 participants90 participants
Sex: Female, Male
Female
183 Participants156 Participants339 Participants
Sex: Female, Male
Male
247 Participants273 Participants520 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
19 / 42926 / 427
serious
Total, serious adverse events
2 / 4290 / 427

Outcome results

Primary

Percentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge Up to Day 6

Percentage of patients that achieved clinical success, defined as achievement of a score of zero for both conjunctival hyperemia and conjunctival discharge in the study eye up to Day 6. Conjunctival hyperemia and conjunctival discharge were each assessed on a 4-point severity grade scale (0=none, +1=mild, +2=moderate, +3=severe).

Time frame: 6 Days

Population: Modified Intent to Treat; defined as all randomized patients who were culture positive at baseline meaning the culture of the eye grew bacteria. (Note: The Up to Day 6 analysis included all data up to the Day 6 time point but excluded any Day 6 visit data that was collected after the Day 6 time point).

ArmMeasureValue (NUMBER)
Gatifloxacin 0.5% Eye DropsPercentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge Up to Day 651.8 Percentage of Patients
Placebo Eye DropsPercentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge Up to Day 641.3 Percentage of Patients
Secondary

Percentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge at Day 6

Percentage of patients that achieved clinical success, defined as achievement of a score of zero for both conjunctival hyperemia and conjunctival discharge in the study eye at Day 6. Conjunctival hyperemia and conjunctival discharge were each assessed on a 4-point severity grade scale (0=none, +1=mild, +2=moderate, +3=severe).

Time frame: Day 6

Population: Modified Intent to Treat; defined as all randomized patients who were culture positive at baseline meaning the culture of the eye grew bacteria. (Note: The Day 6 analysis included all Day 6 visit data, regardless of whether it was collected on Day 6 or on a later day).

ArmMeasureValue (NUMBER)
Gatifloxacin 0.5% Eye DropsPercentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge at Day 659.6 Percentage of Patients
Placebo Eye DropsPercentage of Patients With Clearing (Clinical Success) of Conjunctival Hyperemia and Conjunctival Discharge at Day 646.7 Percentage of Patients
Secondary

Percentage of Patients With Clinical Improvement of Ocular Signs Up to Day 6

Percentage of patients with clinical improvement of ocular signs up to Day 6 based on a 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe), defined as a decrease (improvement) from Day 1 (Baseline) in the total score of conjunctival hyperemia and mucopurulent discharge (pus), with no increase (worsening) from Day 1 (Baseline) in either individual variable in the study eye.

Time frame: 6 Days

Population: Modified Intent to Treat; defined as all randomized patients who were culture positive at baseline meaning the culture of the eye grew bacteria. (Note: The Up to Day 6 analysis included all data up to the Day 6 time point but excluded any Day 6 visit data that was collected after the Day 6 time point).

ArmMeasureValue (NUMBER)
Gatifloxacin 0.5% Eye DropsPercentage of Patients With Clinical Improvement of Ocular Signs Up to Day 697.0 Percentage of Patients
Placebo Eye DropsPercentage of Patients With Clinical Improvement of Ocular Signs Up to Day 692.2 Percentage of Patients
Secondary

Percentage of Patients With Clinical Improvement of Ocular Symptoms Up to Day 6

Percentage of patients with clinical improvement of ocular symptoms, defined as a decrease (improvement) up to Day 6 from Day 1 (Baseline) in the total score of itching and tearing (each on 4-point scale: 0 = none, 1 = mild, 2 = moderate, and 3 = severe), with no increase (worsening) from Day 1 (Baseline) in any individual score in the study eye diagnosed with bacterial conjunctivitis.

Time frame: 6 Days

Population: Modified Intent to Treat; defined as all randomized patients who were culture positive at baseline meaning the culture of the eye grew bacteria. (Note: The Up to Day 6 analysis included all data up to the Day 6 time point but excluded any Day 6 visit data that was collected after the Day 6 time point).

ArmMeasureValue (NUMBER)
Gatifloxacin 0.5% Eye DropsPercentage of Patients With Clinical Improvement of Ocular Symptoms Up to Day 692.8 Percentage of Patients
Placebo Eye DropsPercentage of Patients With Clinical Improvement of Ocular Symptoms Up to Day 688.6 Percentage of Patients
Secondary

Percentage of Patients With Microbiological Cure Up to Day 6

Percentage of patients with microbiological cure, defined such that all bacteria present in the study eye at Day 1 (Baseline) are eradicated up to Day 6 based on a Classification of Microbial Response. (Eradication=pathogen is absent in follow-up culture; Reduction=pathogen is reduced from baseline below threshold count in follow-up culture; Persistence=pathogen reduced from baseline but is above or equal to threshold count in follow-up culture; and Proliferation=pathogen has increased in count from baseline in follow-up culture).

Time frame: 6 Days

Population: Modified Intent to Treat; defined as all randomized patients who were culture positive at baseline meaning the culture of the eye grew bacteria. (Note: The Up to Day 6 analysis included all data up to the Day 6 time point but excluded any Day 6 visit data that was collected after the Day 6 time point).

ArmMeasureValue (NUMBER)
Gatifloxacin 0.5% Eye DropsPercentage of Patients With Microbiological Cure Up to Day 692.2 Percentage of Patients
Placebo Eye DropsPercentage of Patients With Microbiological Cure Up to Day 680.2 Percentage of Patients

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026