Conjunctivitis, Allergic
Conditions
Brief summary
The objective of this study is to evaluate the dose response, and efficacy of Mapracorat ophthalmic formulation compared to its vehicle for the prevention of symptoms and signs associated with allergic conjunctivitis using a conjunctival allergen challenge (CAC) model.
Interventions
administered daily to each eye for 2 weeks following allergen challenge using a CAC model
administered daily to each eye for 2 weeks following allergen challenge using a CAC model
Sponsors
Study design
Eligibility
Inclusion criteria
* positive history of ocular allergies and a positive skin test reaction * positive bilateral CAC reaction
Exclusion criteria
* have known contraindications or sensitivities to the use of any of the study medications(s) or their components. * have any ocular condition or significant illness that, in the opinion of the investigator, could affect the subject's safety or trial parameters. * had ocular surgical intervention within three (3) months prior to Visit 1 or during the study and/or a history of refractive surgery within the past 3 months; * a known history of retinal detachment, diabetic retinopathy, or active retinal disease; * the presence of an active ocular infection or positive history of an ocular herpetic infection at any visit. * use of any disallowed medications during the period indicated prior to Visit 1 and during the study. * have planned surgery during the trial period or within 30 days after. * have an intraocular pressure that is less than 5 mmHg or greater than 22 mmHg or any type of glaucoma at Visit 1
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ocular Itching | 8 hours | Ocular itching was assessed by the participant on a 0-4 scale with half unit increments allowed. Lower scores indicate less ocular itching. |
| Conjunctival Redness | 8 hours | Conjunctival redness was assessed by the Investigator on a 0-4 scale with half unit increments allowed. Lower scores indicate less conjunctival redness. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ciliary Redness | 8 hours | The Investigator evaluated ciliary redness on a 0-4 scale with half unit increments allowed. A lower score is indicative of less ciliary redness. |
| Episcleral Redness | 8 hours | Episcleral redness was evaluated by the Investigator using a 0-4 scale with half unit increments allowed. A lower score is indicative of less episcleral redness. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 0.3% Once a Day BOL-303242-X dosed in the eye | 34 |
| 2% Once a Day BOL-303242-X dosed in the eye | 34 |
| 3% Once a Day BOL-303242-X dosed in the eye | 34 |
| 0.3% Twice a Day BOL-303242-X dosed in the eye | 33 |
| 2% Twice a Day BOL-303242-X dosed in the eye | 34 |
| 3% Twice a Day BOL-303242-X dosed in the eye | 33 |
| Vehicle Vehicle of BOL-303242-X dosed in the eye | 34 |
| Total | 236 |
Baseline characteristics
| Characteristic | 0.3% Once a Day | 2% Once a Day | 3% Once a Day | 0.3% Twice a Day | 2% Twice a Day | 3% Twice a Day | Vehicle | Total |
|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 36.6 years STANDARD_DEVIATION 10.41 | 35.4 years STANDARD_DEVIATION 13.62 | 37.7 years STANDARD_DEVIATION 16.1 | 31.4 years STANDARD_DEVIATION 11.46 | 36.0 years STANDARD_DEVIATION 13.82 | 32.4 years STANDARD_DEVIATION 12.03 | 35.1 years STANDARD_DEVIATION 13.61 | 35.0 years STANDARD_DEVIATION 13.13 |
| Sex: Female, Male Female | 18 Participants | 19 Participants | 21 Participants | 17 Participants | 17 Participants | 14 Participants | 15 Participants | 121 Participants |
| Sex: Female, Male Male | 16 Participants | 15 Participants | 13 Participants | 16 Participants | 17 Participants | 19 Participants | 19 Participants | 115 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk |
|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 1 / 34 | 0 / 34 | 4 / 34 | 1 / 33 | 2 / 34 | 2 / 33 | 7 / 34 |
| serious Total, serious adverse events | 0 / 34 | 0 / 34 | 0 / 34 | 0 / 33 | 0 / 34 | 0 / 33 | 0 / 34 |
Outcome results
Conjunctival Redness
Conjunctival redness was assessed by the Investigator on a 0-4 scale with half unit increments allowed. Lower scores indicate less conjunctival redness.
Time frame: 8 hours
Population: Participants with results at the 8 hour timepoint are included, with no imputation for missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 0.3% Once a Day | Conjunctival Redness | 2.05 score on a scale | Standard Deviation 0.757 |
| 2% Once a Day | Conjunctival Redness | 1.56 score on a scale | Standard Deviation 0.723 |
| 3% Once a Day | Conjunctival Redness | 2.01 score on a scale | Standard Deviation 0.791 |
| 0.3% Twice a Day | Conjunctival Redness | 1.82 score on a scale | Standard Deviation 0.779 |
| 2% Twice a Day | Conjunctival Redness | 1.72 score on a scale | Standard Deviation 0.828 |
| 3% Twice a Day | Conjunctival Redness | 1.81 score on a scale | Standard Deviation 0.757 |
| Vehicle | Conjunctival Redness | 2.14 score on a scale | Standard Deviation 0.631 |
Ocular Itching
Ocular itching was assessed by the participant on a 0-4 scale with half unit increments allowed. Lower scores indicate less ocular itching.
Time frame: 8 hours
Population: Participants with results at the 8 hour timepoint are included, with no imputation for missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 0.3% Once a Day | Ocular Itching | 1.71 score on a scale | Standard Deviation 1.212 |
| 2% Once a Day | Ocular Itching | 1.34 score on a scale | Standard Deviation 0.757 |
| 3% Once a Day | Ocular Itching | 2.11 score on a scale | Standard Deviation 1.196 |
| 0.3% Twice a Day | Ocular Itching | 2.06 score on a scale | Standard Deviation 0.88 |
| 2% Twice a Day | Ocular Itching | 1.65 score on a scale | Standard Deviation 0.804 |
| 3% Twice a Day | Ocular Itching | 1.58 score on a scale | Standard Deviation 0.842 |
| Vehicle | Ocular Itching | 2.28 score on a scale | Standard Deviation 0.985 |
Ciliary Redness
The Investigator evaluated ciliary redness on a 0-4 scale with half unit increments allowed. A lower score is indicative of less ciliary redness.
Time frame: 8 hours
Population: Participants with results at the 8 hour timepoint are included, with no imputation for missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 0.3% Once a Day | Ciliary Redness | 1.88 score on a scale | Standard Deviation 0.903 |
| 2% Once a Day | Ciliary Redness | 1.39 score on a scale | Standard Deviation 0.86 |
| 3% Once a Day | Ciliary Redness | 1.89 score on a scale | Standard Deviation 0.875 |
| 0.3% Twice a Day | Ciliary Redness | 1.60 score on a scale | Standard Deviation 0.85 |
| 2% Twice a Day | Ciliary Redness | 1.58 score on a scale | Standard Deviation 0.915 |
| 3% Twice a Day | Ciliary Redness | 1.65 score on a scale | Standard Deviation 0.751 |
| Vehicle | Ciliary Redness | 2.02 score on a scale | Standard Deviation 0.78 |
Episcleral Redness
Episcleral redness was evaluated by the Investigator using a 0-4 scale with half unit increments allowed. A lower score is indicative of less episcleral redness.
Time frame: 8 hours
Population: Participants with results at the 8 hour timepoint are included, with no imputation for missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| 0.3% Once a Day | Episcleral Redness | 2.11 score on a scale | Standard Deviation 0.739 |
| 2% Once a Day | Episcleral Redness | 1.56 score on a scale | Standard Deviation 0.735 |
| 3% Once a Day | Episcleral Redness | 2.07 score on a scale | Standard Deviation 0.763 |
| 0.3% Twice a Day | Episcleral Redness | 1.85 score on a scale | Standard Deviation 0.805 |
| 2% Twice a Day | Episcleral Redness | 1.79 score on a scale | Standard Deviation 0.868 |
| 3% Twice a Day | Episcleral Redness | 1.97 score on a scale | Standard Deviation 0.772 |
| Vehicle | Episcleral Redness | 2.25 score on a scale | Standard Deviation 0.632 |