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A Phase III Study Assessing the Safety and Efficacy of DE-117 Ophthalmic Solution Compared With Latanoprost Ophthalmic Solution in Subjects With OAG or OHT

A Phase III, Randomized, Observer-Masked, Active-Controlled, Parallel-Group, Multinational and Multicenter Study Assessing the Safety and Efficacy of DE-117 Ophthalmic Solution 0.002% Compared With Latanoprost Ophthalmic Solution 0.005% in Subjects With Open-Angle Glaucoma or Ocular Hypertension- PEONY Study

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02981446
Enrollment
370
Registered
2016-12-05
Start date
2017-01-31
Completion date
2019-01-31
Last updated
2024-03-15

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

Conditions

Open Angle Glaucoma or Ocular Hypertension

Brief summary

The purpose of this study is to investigate the intraocular pressure-lowering effect and the safety of DE-117 ophthalmic solution compared with Latanoprost ophthalmic solution in subjects with open angle glaucoma or ocular hypertension.

Interventions

DRUGDE-117

DE-117 ophthalmic solution will be taken one drop, once daily for 3 months in both eyes.

Latanoprost ophthalmic solution will be taken one drop, once daily for 3 months in both eyes.

Sponsors

Santen Pharmaceutical Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)

Eligibility

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

Inclusion criteria

* Patients with open angle glaucoma or ocular hypertension in both eyes

Exclusion criteria

* Patients at risk of progression of visual field loss * Patients with severe visual field defect * Patients with any diseases that preclude participation in this study for safety reasons

Design outcomes

Primary

MeasureTime frameDescription
Mean Diurnal IOP at Month 3Month 3 (average of IOP at 3 time points: 09:00, 13:00, 17:00)The IOP (mmHg) measured in the study eye (identified at Day 1 \[baseline\]) was the efficacy measure for this study. The IOP was measured using a calibrated Goldmann applanation tonometer preferably by the same Investigator (operator) and the same authorized study staff (recorder) during the study for each subject.

Secondary

MeasureTime frameDescription
IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)09:00, 13:00, and 17:00 at Week 1, Week 6, and Month 3.The IOP (mmHg) measured in the study eye (identified at Day 1 \[baseline\]) was the efficacy measure for this study. The IOP was measured using a calibrated Goldmann applanation tonometer preferably by the same Investigator (operator) and the same authorized study staff (recorder) during the study for each subject.
Mean Diurnal IOP at Week 1 (Second Key Secondary Endpoint)Week 1The IOP (mmHg) measured in the study eye (identified at Day 1 \[baseline\]) was the efficacy measure for this study. The IOP was measured using a calibrated Goldmann applanation tonometer preferably by the same Investigator (operator) and the same authorized study staff (recorder) during the study for each subject.

Countries

Singapore

Participant flow

Participants by arm

ArmCount
DE-117 Ophthalmic Solution
DE-117: DE-117 ophthalmic solution will be taken one drop, once daily for 3 months in both eyes.
184
Latanoprost Ophthalmic Solution 0.005%
Latanoprost ophthalmic solution: Latanoprost ophthalmic solution will be taken one drop, once daily for 3 months in both eyes.
185
Total369

Baseline characteristics

CharacteristicTotalDE-117 Ophthalmic SolutionLatanoprost Ophthalmic Solution 0.005%
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
89 Participants47 Participants42 Participants
Age, Categorical
Between 18 and 65 years
280 Participants137 Participants143 Participants
Age, Continuous53.6 years
STANDARD_DEVIATION 13
54.6 years
STANDARD_DEVIATION 12.9
52.6 years
STANDARD_DEVIATION 13.1
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants4 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
339 Participants166 Participants173 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
25 Participants14 Participants11 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
369 Participants184 Participants185 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Region of Enrollment
India
201 participants98 participants103 participants
Region of Enrollment
Singapore
26 participants17 participants9 participants
Region of Enrollment
South Korea
41 participants21 participants20 participants
Region of Enrollment
Taiwan
101 participants48 participants53 participants
Sex: Female, Male
Female
175 Participants78 Participants97 Participants
Sex: Female, Male
Male
194 Participants106 Participants88 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1850 / 185
other
Total, other adverse events
74 / 18555 / 185
serious
Total, serious adverse events
2 / 1852 / 185

Outcome results

Primary

Mean Diurnal IOP at Month 3

The IOP (mmHg) measured in the study eye (identified at Day 1 \[baseline\]) was the efficacy measure for this study. The IOP was measured using a calibrated Goldmann applanation tonometer preferably by the same Investigator (operator) and the same authorized study staff (recorder) during the study for each subject.

Time frame: Month 3 (average of IOP at 3 time points: 09:00, 13:00, 17:00)

Population: One subject in the DE-117 arm was excluded from the FAS due to no data for at least 1 post-baseline IOP measurement.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DE-117 Ophthalmic SolutionMean Diurnal IOP at Month 317.5 mmHgStandard Error 0.25
Latanoprost Ophthalmic Solution 0.005%Mean Diurnal IOP at Month 316.8 mmHgStandard Error 0.25
Secondary

IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)

The IOP (mmHg) measured in the study eye (identified at Day 1 \[baseline\]) was the efficacy measure for this study. The IOP was measured using a calibrated Goldmann applanation tonometer preferably by the same Investigator (operator) and the same authorized study staff (recorder) during the study for each subject.

Time frame: 09:00, 13:00, and 17:00 at Week 1, Week 6, and Month 3.

Population: One subject in the DE-117 arm was excluded from the FAS due to no data for at least 1 post-baseline IOP measurement.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 1 13:0018.4 mmHgStandard Error 0.28
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 6 17:0017.5 mmHgStandard Error 0.26
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 6 09:0017.8 mmHgStandard Error 0.26
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Month 3 09:0017.9 mmHgStandard Error 0.27
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 1 17:0018.0 mmHgStandard Error 0.28
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Month 3 13:0017.2 mmHgStandard Error 0.25
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 6 13:0017.6 mmHgStandard Error 0.27
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Month 3 17:0017.2 mmHgStandard Error 0.26
DE-117 Ophthalmic SolutionIOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 1 09:0019.0 mmHgStandard Error 0.28
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Month 3 17:0016.7 mmHgStandard Error 0.27
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 1 09:0018.8 mmHgStandard Error 0.29
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 1 13:0018.4 mmHgStandard Error 0.29
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 1 17:0018.3 mmHgStandard Error 0.28
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 6 09:0017.4 mmHgStandard Error 0.26
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 6 13:0017.2 mmHgStandard Error 0.27
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Week 6 17:0017.1 mmHgStandard Error 0.27
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Month 3 09:0017.0 mmHgStandard Error 0.27
Latanoprost Ophthalmic Solution 0.005%IOP at 9 Timepoints (First Key Secondary Efficacy Endpoint)Month 3 13:0016.7 mmHgStandard Error 0.26
Secondary

Mean Diurnal IOP at Week 1 (Second Key Secondary Endpoint)

The IOP (mmHg) measured in the study eye (identified at Day 1 \[baseline\]) was the efficacy measure for this study. The IOP was measured using a calibrated Goldmann applanation tonometer preferably by the same Investigator (operator) and the same authorized study staff (recorder) during the study for each subject.

Time frame: Week 1

Population: One subject in the DE-117 arm was excluded from the FAS due to no data for at least 1 post-baseline IOP measurement.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DE-117 Ophthalmic SolutionMean Diurnal IOP at Week 1 (Second Key Secondary Endpoint)18.5 mmHgStandard Error 0.26
Latanoprost Ophthalmic Solution 0.005%Mean Diurnal IOP at Week 1 (Second Key Secondary Endpoint)18.5 mmHgStandard Error 0.27

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026