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Efficacy and Safety of Brimonidine Tartrate Ophthalmic Solution in Adult and Geriatric Participants With Ocular Redness

A Single-Center, Double-Masked, Randomized, Vehicle-Controlled, Parallel-Group Study Evaluating the Efficacy and Safety of Brimonidine Tartrate Ophthalmic Solution 0.025% Used Four Times Daily in a Population of Adult and Geriatric Subjects With Ocular Redness

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01959230
Enrollment
60
Registered
2013-10-09
Start date
2013-11-07
Completion date
2013-12-20
Last updated
2019-10-23

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

Conditions

Hyperemia

Keywords

Ocular redness

Brief summary

To compare the efficacy and safety of brimonidine tartrate ophthalmic solution 0.025% with its vehicle for the treatment of ocular redness in a population of adult and geriatric participants with ocular redness.

Interventions

Ophthalmic solution to be applied as directed.

DRUGVehicle

Ophthalmic solution to be applied as directed.

For use as needed during the study for evaluating corneal damage.

For use as needed during the study for intraocular pressure and dilated ophthalmoscopy.

Sponsors

ORA, Inc.
CollaboratorINDUSTRY
Bausch & Lomb Incorporated
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* At least 18 years of age. * Have a history of redness relief drops use or expressed a desire to use drops for redness relief, within the last 6 months. * Have ocular health within normal limits including a calculated best-corrected visual acuity of 0.3 logarithm of the minimum angle of resolution (logMAR) or better in each eye, as measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart.

Exclusion criteria

* Any ocular/systemic health problems. * Use of any disallowed medications.

Design outcomes

Primary

MeasureTime frameDescription
Ocular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale0 (predose), 5, 15, 30, 60, 90, 120, 180, and 240 minutes postdose on Day 1Ocular redness using the Ora Calibra Ocular Hyperemia Scale was scored by the Investigator using the following scale (allowing half unit increments): 0=None; 1.0=Mild-Slightly dilated blood vessels, color of vessels is typically pink, can be quadrantal; 2.0=Moderate-More apparent dilation of blood vessels, vessel color is more intense (redder), involves the majority of the vessel bed; 3.0=Severe-Numerous and obvious dilated blood vessels, in the absence of chemosis the color is deep red, may be less red or pink in presence of chemosis, is not quadrantic; 4.0=Extremely Severe-Large, numerous, dilated blood vessels characterized by unusually severe deep red color, regardless of grade of chemosis, which involves the entire vessel bed. A lower score is indicative of less redness.

Secondary

MeasureTime frameDescription
Ocular Redness as Measured by the ParticipantDay 1 to Day 15; Day 15 to Day 29; Day 29 to Day 36Ocular redness was scored daily pre-dose and post-dose on Days 1 to 29 and scored daily on Days 30 to 36 by the participant using a 0 to 4 unit scale (not allowing half unit increments). A lower score was indicative of less redness. The LOCF method used for this Secondary Outcome Measure was for imputing missing daily post-dose mean scores for entire days. If ≥1 score was provided for a day, imputation was not done. Imputation was done within the dosing period and separately within the follow-up period. The average (mean) daily pre-dose and post-dose scores for the dosing period Day 1 to Day 15 and dosing period Day 15 to Day 29, and the average (mean) daily score for the follow-up period Day 29 to Day 36 are reported.
Change From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia Scale0 (predose), 1, 360, and 480 minutes (min) postdose on Day 1 and 0 (predose), 1, and 5 min postdose on Days 15 and 29Ocular redness using the Ora Calibra Ocular Hyperemia Scale was scored by the Investigator using the following scale (allowing half unit increments): 0=None; 1.0=Mild-Slightly dilated blood vessels, color of vessels is typically pink, can be quadrantal; 2.0=Moderate-More apparent dilation of blood vessels, vessel color is more intense (redder), involves the majority of the vessel bed; 3.0=Severe-Numerous and obvious dilated blood vessels, in the absence of chemosis the color is deep red, may be less red or pink in presence of chemosis, is not quadrantic; 4.0=Extremely Severe-Large, numerous, dilated blood vessels characterized by unusually severe deep red color, regardless of grade of chemosis, which involves the entire vessel bed. A lower score is indicative of less redness.

Countries

United States

Participant flow

Pre-assignment details

Participants were randomized in a 2:1 ratio to receive brimonidine tartrate ophthalmic solution or the vehicle of brimonidine tartrate ophthalmic solution, respectively.

Participants by arm

ArmCount
Brimonidine Tartrate
Participants applied 1 drop of brimonidine tartrate ophthalmic solution 0.025% into each eye 4 times daily for up to 4 consecutive weeks.
40
Brimonidine Tartrate Vehicle
Participants applied 1 drop of the vehicle of brimonidine tartrate ophthalmic solution into each eye 4 times daily for up to 4 consecutive weeks.
20
Total60

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdministrative reasons20
Overall StudyFailure to follow study procedures01
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicBrimonidine TartrateBrimonidine Tartrate VehicleTotal
Age, Continuous47.6 years
STANDARD_DEVIATION 15.37
47.4 years
STANDARD_DEVIATION 15.36
47.5 years
STANDARD_DEVIATION 15.24
Sex: Female, Male
Female
22 Participants16 Participants38 Participants
Sex: Female, Male
Male
18 Participants4 Participants22 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
10 / 401 / 20
serious
Total, serious adverse events
0 / 400 / 20

Outcome results

Primary

Ocular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale

Ocular redness using the Ora Calibra Ocular Hyperemia Scale was scored by the Investigator using the following scale (allowing half unit increments): 0=None; 1.0=Mild-Slightly dilated blood vessels, color of vessels is typically pink, can be quadrantal; 2.0=Moderate-More apparent dilation of blood vessels, vessel color is more intense (redder), involves the majority of the vessel bed; 3.0=Severe-Numerous and obvious dilated blood vessels, in the absence of chemosis the color is deep red, may be less red or pink in presence of chemosis, is not quadrantic; 4.0=Extremely Severe-Large, numerous, dilated blood vessels characterized by unusually severe deep red color, regardless of grade of chemosis, which involves the entire vessel bed. A lower score is indicative of less redness.

Time frame: 0 (predose), 5, 15, 30, 60, 90, 120, 180, and 240 minutes postdose on Day 1

Population: All randomized participants who received at least 1 dose of study drug and completed at least 1 post instillation ocular redness evaluation at Baseline (Intent-to-Treat \[ITT\] Population). Last Observation Carried Forward (LOCF) was used to impute missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale5 minutes Postdose0.58 units on a scaleStandard Deviation 0.497
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale180 minutes Postdose0.73 units on a scaleStandard Deviation 0.449
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia ScalePredose1.82 units on a scaleStandard Deviation 0.412
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale15 minutes Postdose0.58 units on a scaleStandard Deviation 0.497
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale30 minutes Postdose0.59 units on a scaleStandard Deviation 0.511
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale60 minutes Postdose0.61 units on a scaleStandard Deviation 0.509
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale90 minutes Postdose0.60 units on a scaleStandard Deviation 0.476
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale120 minutes Postdose0.63 units on a scaleStandard Deviation 0.47
Brimonidine TartrateOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale240 minutes Postdose0.82 units on a scaleStandard Deviation 0.474
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale120 minutes Postdose1.53 units on a scaleStandard Deviation 0.612
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale5 minutes Postdose1.40 units on a scaleStandard Deviation 0.666
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale90 minutes Postdose1.45 units on a scaleStandard Deviation 0.672
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale30 minutes Postdose1.40 units on a scaleStandard Deviation 0.641
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale180 minutes Postdose1.54 units on a scaleStandard Deviation 0.586
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale240 minutes Postdose1.54 units on a scaleStandard Deviation 0.575
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia ScalePredose1.71 units on a scaleStandard Deviation 0.365
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale60 minutes Postdose1.40 units on a scaleStandard Deviation 0.646
Brimonidine Tartrate VehicleOcular Redness as Measured by the Investigator Using the Ora Calibra™ Ocular Hyperemia Scale15 minutes Postdose1.35 units on a scaleStandard Deviation 0.651
Secondary

Change From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia Scale

Ocular redness using the Ora Calibra Ocular Hyperemia Scale was scored by the Investigator using the following scale (allowing half unit increments): 0=None; 1.0=Mild-Slightly dilated blood vessels, color of vessels is typically pink, can be quadrantal; 2.0=Moderate-More apparent dilation of blood vessels, vessel color is more intense (redder), involves the majority of the vessel bed; 3.0=Severe-Numerous and obvious dilated blood vessels, in the absence of chemosis the color is deep red, may be less red or pink in presence of chemosis, is not quadrantic; 4.0=Extremely Severe-Large, numerous, dilated blood vessels characterized by unusually severe deep red color, regardless of grade of chemosis, which involves the entire vessel bed. A lower score is indicative of less redness.

Time frame: 0 (predose), 1, 360, and 480 minutes (min) postdose on Day 1 and 0 (predose), 1, and 5 min postdose on Days 15 and 29

Population: All randomized participants who received at least 1 dose of study drug and completed at least 1 post instillation ocular redness evaluation at Baseline (ITT Population) with evaluable Investigator-recorded ocular redness data.

ArmMeasureGroupValue (MEAN)Dispersion
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 480 min Postdose on Day 1-0.63 units on a scaleStandard Deviation 0.57
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScalePredose on Day 291.64 units on a scaleStandard Deviation 0.461
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScalePredose on Day 11.82 units on a scaleStandard Deviation 0.412
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 1 min Postdose on Day 1-1.06 units on a scaleStandard Deviation 0.625
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 360 min Postdose on Day 1-0.78 units on a scaleStandard Deviation 0.517
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScalePredose on Day 151.57 units on a scaleStandard Deviation 0.645
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 1 min Postdose on Day 15-0.78 units on a scaleStandard Deviation 0.496
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 5 min Postdose on Day 15-1.03 units on a scaleStandard Deviation 0.569
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 1 min Postdose on Day 29-0.88 units on a scaleStandard Deviation 0.469
Brimonidine TartrateChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 5 min Postdose on Day 29-1.21 units on a scaleStandard Deviation 0.416
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScalePredose on Day 291.36 units on a scaleStandard Deviation 0.304
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 480 min Postdose on Day 1-0.13 units on a scaleStandard Deviation 0.459
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScalePredose on Day 151.24 units on a scaleStandard Deviation 0.349
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 5 min Postdose on Day 29-0.37 units on a scaleStandard Deviation 0.347
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 1 min Postdose on Day 15-0.16 units on a scaleStandard Deviation 0.279
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScalePredose on Day 11.71 units on a scaleStandard Deviation 0.365
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 1 min Postdose on Day 29-0.24 units on a scaleStandard Deviation 0.306
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 1 min Postdose on Day 1-0.23 units on a scaleStandard Deviation 0.486
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 5 min Postdose on Day 15-0.25 units on a scaleStandard Deviation 0.354
Brimonidine Tartrate VehicleChange From Predose Ocular Redness Score as Measured by the Investigator Using the Ora Calibra Ocular Hyperemia ScaleChange from Predose at 360 min Postdose on Day 1-0.10 units on a scaleStandard Deviation 0.44
Secondary

Ocular Redness as Measured by the Participant

Ocular redness was scored daily pre-dose and post-dose on Days 1 to 29 and scored daily on Days 30 to 36 by the participant using a 0 to 4 unit scale (not allowing half unit increments). A lower score was indicative of less redness. The LOCF method used for this Secondary Outcome Measure was for imputing missing daily post-dose mean scores for entire days. If ≥1 score was provided for a day, imputation was not done. Imputation was done within the dosing period and separately within the follow-up period. The average (mean) daily pre-dose and post-dose scores for the dosing period Day 1 to Day 15 and dosing period Day 15 to Day 29, and the average (mean) daily score for the follow-up period Day 29 to Day 36 are reported.

Time frame: Day 1 to Day 15; Day 15 to Day 29; Day 29 to Day 36

Population: All randomized participants who received at least 1 dose of study drug and completed at least 1 post instillation ocular redness evaluation at Baseline (ITT Population) with evaluable participant-recorded ocular redness data. LOCF method used as described in the Outcome Measure Description.

ArmMeasureGroupValue (MEAN)Dispersion
Brimonidine TartrateOcular Redness as Measured by the ParticipantDaily Postdose Score of Day 15 to Day 290.80 units on a scaleStandard Deviation 0.81
Brimonidine TartrateOcular Redness as Measured by the ParticipantDaily Score of Day 29 to Day 361.69 units on a scaleStandard Deviation 0.885
Brimonidine TartrateOcular Redness as Measured by the ParticipantDaily Predose Score of Day 1 to Day 151.52 units on a scaleStandard Deviation 0.857
Brimonidine TartrateOcular Redness as Measured by the ParticipantDaily Postdose Score of Day 1 to Day 150.85 units on a scaleStandard Deviation 0.86
Brimonidine TartrateOcular Redness as Measured by the ParticipantDaily Predose Score of Day 15 to Day 291.45 units on a scaleStandard Deviation 0.811
Brimonidine Tartrate VehicleOcular Redness as Measured by the ParticipantDaily Predose Score of Day 15 to Day 291.59 units on a scaleStandard Deviation 1.012
Brimonidine Tartrate VehicleOcular Redness as Measured by the ParticipantDaily Postdose Score of Day 1 to Day 151.85 units on a scaleStandard Deviation 0.843
Brimonidine Tartrate VehicleOcular Redness as Measured by the ParticipantDaily Score of Day 29 to Day 361.69 units on a scaleStandard Deviation 0.897
Brimonidine Tartrate VehicleOcular Redness as Measured by the ParticipantDaily Postdose Score of Day 15 to Day 291.63 units on a scaleStandard Deviation 0.887
Brimonidine Tartrate VehicleOcular Redness as Measured by the ParticipantDaily Predose Score of Day 1 to Day 151.83 units on a scaleStandard Deviation 0.975

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