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Safety and Efficacy of KPI-121 Compared to Placebo in Subjects With Dry Eye Disease

A Phase 3, Double-Masked, Randomized, Controlled Study of KPI-121 0.25% Ophthalmic Suspension Compared to Vehicle in Subjects With Dry Eye Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02819284
Acronym
STRIDE 2
Enrollment
909
Registered
2016-06-30
Start date
2016-06-30
Completion date
2017-09-30
Last updated
2021-01-05

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

Conditions

Dry Eye Syndromes, Keratoconjunctivitis Sicca

Keywords

Ocular Discomfort, Pain, Corticosteroid, Hyperemia, Dry Eye

Brief summary

The primary purpose of this study is to determine the efficacy and safety of KPI-121 0.25% ophthalmic suspension compared to vehicle (placebo) in subjects who have a documented clinical diagnosis of dry eye disease. The product will be studied over 14 days, with 1-2 drops instilled in each eye four times daily (QID).

Detailed description

This is a Phase 3, multi-center, double-masked, randomized, vehicle-controlled, parallel-group study designed to evaluate the safety and efficacy of KPI-121 0.25% ophthalmic suspension versus vehicle in subjects with dry eye disease.

Interventions

Sponsors

Kala Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Have a documented clinical diagnosis of dry eye disease in both eyes

Exclusion criteria

* Known hypersensitivity or contraindication to the investigational product(s) or components * History of glaucoma, IOP\>21 mmHg at the screening or randomization visits, or being treated for glaucoma in either eye. * Diagnosis of: ongoing ocular infection; severe/serious ocular condition that in judgment of Investigator could confound study assessments or limit compliance; or have been exposed to an investigational drug within 30 days prior to screening. * In the opinion of the Investigator or study coordinator, be unwilling or unable to comply with study protocol or unable to successfully instill eye drops.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)Comparison of mean change from baseline for bulbar conjunctival hyperemia in the study eye between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15)Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Secondary

MeasureTime frameDescription
Change From Baseline/Week 2 (Day 1) in Ocular Discomfort Scores to Day 4Baseline/Visit 2 (Day 1) - Day 4Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.
Change From Baseline/Week 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15) in a SubgroupBaseline/Visit 2 (Day 1) - Visit 4 (Day 15)Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse, in a sub-group of participants with more severe ocular discomfort at baseline, using 3 day means.
Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Day 3 (Diary)Baseline/Visit 2 (Day 1) - Day 3Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.
Change From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 4 (Day 15)Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)Comparison of mean eye dryness between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.
Change From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 3 (Day 8)Baseline/Visit 2 (Day 1) - Visit 3 (Day 8)Comparison of mean eye dryness between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.
Proportion of Subjects With ≥ 1 Unit Improvement From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia Worst Region at Visit 4 (Day 15)Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)Proportion of subjects with ≥1 improvement from baseline in conjunctival hyperemia scores in the study eye. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.
Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Frequency Scores at Visit 4 (Day 15)Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)Comparison of mean ocular discomfort frequency between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.
Change From Baseline/Visit 2 (Day 1) in Subject-rated Ocular Discomfort Frequency Scores at Visit 3 (Day 8)Baseline/Visit 2 (Day 1) - Visit 3 (Day 8)Comparison of mean ocular discomfort frequency between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.
Change From Baseline/Visit 2 (Day 1) in Inferior Corneal Fluorescein Staining Score at Visit 4 (Day 15)Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)Comparison of mean corneal fluorescein staining in the study eye between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using methods developed by the National Eye Institute (NEI) Dry Eye Workshop in evaluating 5 regions of the cornea (superior, inferior, nasal, temporal and central) using a 0-3 grading scale, where 0 = no visible staining, 1 = Mild, 2 = moderate and 3 = severe.
Change From Baseline/Visit 2 (Day 1) in Nasal Corneal Fluorescein Staining Score at Visit 4 (Day 15)Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)Comparison of mean nasal corneal fluorescein staining in the study eye between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using methods developed by the National Eye Institute (NEI) Dry Eye Workshop in evaluating 5 regions of the cornea (superior, inferior, nasal, temporal and central) using a 0-3 grading scale, where 0 = no visible staining, 1 = Mild, 2 = moderate and 3 = severe.
Ocular Discomfort Severity Scores on Day 2 (Diary) Minus Baseline/Visit 2 (Day 1)Baseline/Visit 2 (Day 1) - Day 1Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.
Change From Baseline/ Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Visit 3 (Day 8)Baseline/Visit 2 (Day 1) - Visit 3 (Day 8)Comparison of ocular discomfort scores between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse using 3-day mean scores.

Countries

United States

Participant flow

Pre-assignment details

909 subjects were randomized, 4 of which were not included in any analysis population as agreed upon with the FDA. 3 individuals had participated in more than one study therefore the data for their second-participation were not included and 1 individual did not receive treatment.

Participants by arm

ArmCount
KPI-121 0.25% Ophthalmic Suspension
Participants randomized to KPI-121 0.25% Ophthalmic Suspension
452
Vehicle of KPI-121 0.25% Ophthalmic Suspension
Participants randomized to Vehicle of KPI-121 0.25% Ophthalmic Suspension
453
Total905

Baseline characteristics

CharacteristicKPI-121 0.25% Ophthalmic SuspensionTotalVehicle of KPI-121 0.25% Ophthalmic Suspension
Age, Continuous59.1 years
STANDARD_DEVIATION 14.48
59.2 years
STANDARD_DEVIATION 14.74
59.3 years
STANDARD_DEVIATION 15.01
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
39 Participants74 Participants35 Participants
Race (NIH/OMB)
Black or African American
58 Participants112 Participants54 Participants
Race (NIH/OMB)
More than one race
2 Participants4 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants2 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants16 Participants9 Participants
Race (NIH/OMB)
White
345 Participants697 Participants352 Participants
Region of Enrollment
United States
452 participants905 participants453 participants
Sex: Female, Male
Female
332 Participants686 Participants354 Participants
Sex: Female, Male
Male
120 Participants219 Participants99 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 4520 / 453
other
Total, other adverse events
57 / 45244 / 453
serious
Total, serious adverse events
3 / 4520 / 453

Outcome results

Primary

Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)

Comparison of mean change from baseline for bulbar conjunctival hyperemia in the study eye between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-4 grading scale. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)-0.3812 score on a scaleStandard Deviation 0.6056
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)-0.2371 score on a scaleStandard Deviation 0.62256
Primary

Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15)

Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15)-11.14 score on a scaleStandard Deviation 19.901
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15)-9.24 score on a scaleStandard Deviation 17.002
Secondary

Change From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 3 (Day 8)

Comparison of mean eye dryness between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Visit 3 (Day 8)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 3 (Day 8)-9.6 score on a scaleStandard Deviation 18.66
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 3 (Day 8)-8.0 score on a scaleStandard Deviation 18.94
Secondary

Change From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 4 (Day 15)

Comparison of mean eye dryness between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 4 (Day 15)-14.0 score on a scaleStandard Deviation 22.78
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Eye Dryness Scores at Visit 4 (Day 15)-11.5 score on a scaleStandard Deviation 20.53
Secondary

Change From Baseline/Visit 2 (Day 1) in Inferior Corneal Fluorescein Staining Score at Visit 4 (Day 15)

Comparison of mean corneal fluorescein staining in the study eye between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using methods developed by the National Eye Institute (NEI) Dry Eye Workshop in evaluating 5 regions of the cornea (superior, inferior, nasal, temporal and central) using a 0-3 grading scale, where 0 = no visible staining, 1 = Mild, 2 = moderate and 3 = severe.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Inferior Corneal Fluorescein Staining Score at Visit 4 (Day 15)-0.6 score on a scaleStandard Deviation 0.86
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Inferior Corneal Fluorescein Staining Score at Visit 4 (Day 15)-0.5 score on a scaleStandard Deviation 0.83
Secondary

Change From Baseline/Visit 2 (Day 1) in Nasal Corneal Fluorescein Staining Score at Visit 4 (Day 15)

Comparison of mean nasal corneal fluorescein staining in the study eye between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using methods developed by the National Eye Institute (NEI) Dry Eye Workshop in evaluating 5 regions of the cornea (superior, inferior, nasal, temporal and central) using a 0-3 grading scale, where 0 = no visible staining, 1 = Mild, 2 = moderate and 3 = severe.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Nasal Corneal Fluorescein Staining Score at Visit 4 (Day 15)-0.6 score on a scaleStandard Deviation 0.86
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Nasal Corneal Fluorescein Staining Score at Visit 4 (Day 15)-0.4 score on a scaleStandard Deviation 0.83
Secondary

Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Frequency Scores at Visit 4 (Day 15)

Comparison of mean ocular discomfort frequency between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Ocular Discomfort Frequency Scores at Visit 4 (Day 15)-10.20 score on a scaleStandard Deviation 20.722
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Ocular Discomfort Frequency Scores at Visit 4 (Day 15)-8.38 score on a scaleStandard Deviation 17.974
Secondary

Change From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Day 3 (Diary)

Comparison of mean ocular discomfort severity between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Day 3

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Day 3 (Diary)-3.28 score on a scaleStandard Deviation 13.697
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Day 3 (Diary)-3.15 score on a scaleStandard Deviation 14.126
Secondary

Change From Baseline/ Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Visit 3 (Day 8)

Comparison of ocular discomfort scores between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse using 3-day mean scores.

Time frame: Baseline/Visit 2 (Day 1) - Visit 3 (Day 8)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/ Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Visit 3 (Day 8)-6.92 score on a scaleStandard Deviation 15.541
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/ Visit 2 (Day 1) in Ocular Discomfort Severity Scores at Visit 3 (Day 8)-4.86 score on a scaleStandard Deviation 14.911
Secondary

Change From Baseline/Visit 2 (Day 1) in Subject-rated Ocular Discomfort Frequency Scores at Visit 3 (Day 8)

Comparison of mean ocular discomfort frequency between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Visit 3 (Day 8)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Subject-rated Ocular Discomfort Frequency Scores at Visit 3 (Day 8)-5.96 score on a scaleStandard Deviation 16.133
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Visit 2 (Day 1) in Subject-rated Ocular Discomfort Frequency Scores at Visit 3 (Day 8)-4.42 score on a scaleStandard Deviation 16.133
Secondary

Change From Baseline/Week 2 (Day 1) in Ocular Discomfort Scores to Day 4

Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Day 4

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Week 2 (Day 1) in Ocular Discomfort Scores to Day 4-5.09 score on a scaleStandard Deviation 14.523
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Week 2 (Day 1) in Ocular Discomfort Scores to Day 4-4.10 score on a scaleStandard Deviation 14.894
Secondary

Change From Baseline/Week 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15) in a Subgroup

Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse, in a sub-group of participants with more severe ocular discomfort at baseline, using 3 day means.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Sub-group of Intent to Treat population with more severe ocular discomfort minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Week 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15) in a Subgroup-12.45 score on a scaleStandard Deviation 20.352
Vehicle of KPI-121 0.25% Ophthalmic SuspensionChange From Baseline/Week 2 (Day 1) in Ocular Discomfort Severity at Visit 4 (Day 15) in a Subgroup-9.45 score on a scaleStandard Deviation 17.489
Secondary

Ocular Discomfort Severity Scores on Day 2 (Diary) Minus Baseline/Visit 2 (Day 1)

Comparison of mean ocular discomfort between the KPI-121 0.25% ophthalmic suspension group and the vehicle group using a 0-100 visual analog grading scale where 0 was better and 100 was worse.

Time frame: Baseline/Visit 2 (Day 1) - Day 1

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (MEAN)Dispersion
KPI-121 0.25% Ophthalmic SuspensionOcular Discomfort Severity Scores on Day 2 (Diary) Minus Baseline/Visit 2 (Day 1)-2.33 score on a scaleStandard Deviation 13.707
Vehicle of KPI-121 0.25% Ophthalmic SuspensionOcular Discomfort Severity Scores on Day 2 (Diary) Minus Baseline/Visit 2 (Day 1)-2.43 score on a scaleStandard Deviation 13.364
Secondary

Proportion of Subjects With ≥ 1 Unit Improvement From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia Worst Region at Visit 4 (Day 15)

Proportion of subjects with ≥1 improvement from baseline in conjunctival hyperemia scores in the study eye. The grading scale was based on the Cornea and Contact Lens Research Unit Grading Scale where 0 = none, 1 = very slight, 2 = slight, 3 = moderate and 4 = severe.

Time frame: Baseline/Visit 2 (Day 1) - Visit 4 (Day 15)

Population: Intent to Treat population minus subjects in each treatment group that discontinued the study by this time point or otherwise did not have this assessment completed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
KPI-121 0.25% Ophthalmic SuspensionProportion of Subjects With ≥ 1 Unit Improvement From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia Worst Region at Visit 4 (Day 15)171 Participants
Vehicle of KPI-121 0.25% Ophthalmic SuspensionProportion of Subjects With ≥ 1 Unit Improvement From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia Worst Region at Visit 4 (Day 15)127 Participants

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