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A Single-Center Evaluation of the Relative Efficacy of EM-100 Compared to Zaditor® (Ketotifen Fumarate Ophthalmic Solution 0.035%) and Vehicle

A Single-Center Evaluation of the Relative Efficacy of EM-100 Compared to Zaditor® (Ketotifen Fumarate Ophthalmic Solution 0.035%) and Vehicle in the Treatment of Ocular Itching Associated With Allergic Conjunctivitis as Induced by the Conjunctival Allergen Challenge Model (Ora-CAC®)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03489941
Enrollment
65
Registered
2018-04-06
Start date
2018-04-07
Completion date
2018-04-29
Last updated
2023-06-08

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

Conditions

Allergic Conjunctivitis

Brief summary

A Single-Center study to demonstrate the non-inferiority of EM-100 to Zaditor® in the treatment of ocular itching.

Interventions

DRUGEM-100

Subjects will receive one drop in one eye only based on the randomization list, one time over the course of the trial.

DRUGZaditor®

Subjects will receive one drop in one eye only based on the randomization list, one time over the course of the trial.

DRUGVehicle

Subjects will receive one drop in one eye only based on the randomization list, one time over the course of the trial.

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

* be at least 18 years old * have a positive history of allergic conjunctivitis and positive skin test reaction to allergens * be willing to avoid disallowed medications for the appropriate washout period and throughout the trial * be willing to avoid contact lens use * be willing to have a pregnancy test * must be able to read an eye chart from 10 feet away

Exclusion criteria

* must not have any allergies to the study medications * must not have any ocular or non ocular condition that investigator feels will interfere with study parameters * must not have used an investigational drug or device in the past 30 days or currently be enrolled in another investigational trial

Design outcomes

Primary

MeasureTime frameDescription
Ocular Itching3, 5 and 7 minutes post-Conjunctival Allergen Challenge (CAC) on Day 1Ocular itching scores were self-assessed by the participant using a 5-point scale with 0.5 unit increments, wherein 0 = None (normal, no itching), 1.0 = Intermittent tickle sensation involving more than just the corner of the eye, 2.0 = Mild continuous itch without desire to rub, 3.0 = Severe itch with desire to rub, and 4.0 = Incapacitating itch with irresistible urge to rub.

Secondary

MeasureTime frameDescription
Conjunctival Redness7, 15 and 20 minutes post-Conjunctival Allergen Challenge (CAC) on Day 1The investigator assessed conjunctival redness scores using a 5-point scale with 0.5 unit increments, wherein 0 = None (normal, no dilated blood vessels), 1 = Mild (slightly dilated blood vessels: pink color; can be quadrantal), 2 = Moderate (more apparent dilation, with redder color, involving majority of the vessel bed), 3 = Severe (numerous and obvious dilated blood vessels, with deep red color and no color, or less red with chemosis), and 4 = Extremely Severe (large, numerous, dilated blood vessels characterized by unusually severe deep red color regardless of chemosis and involving the entire vessel bed).

Countries

United States

Participant flow

Recruitment details

There were 65 participants enrolled (130 eyes). 38 participants received EM-100 in one eye and Zaditor in the other eye. 13 participants received EM-100 in one eye and vehicle in the other eye. 14 participants received Zaditor in one eye and vehicle in the other eye. Thus, of 65 participants, 51 received EM-100 in one of their eyes, 52 received Zaditor in one of their eyes, and 27 received vehicle in one of their eyes. Each participant received 2 of the 3 study treatments, one in each eye.

Participants by arm

ArmCount
Overall Participants
The 65 enrolled participants had one of the three study treatments instilled in each eye (each subject had 2 of the 3 different treatments, one in each eye). Demographic data were not collected by treatment or by eye.
65
Total65

Baseline characteristics

CharacteristicOverall Participants
Age, Continuous44.4 years
STANDARD_DEVIATION 12.16
Iris color
Black
1 Participants
Iris color
Blue
8 Participants
Iris color
Brown
46 Participants
Iris color
Green
4 Participants
Iris color
Hazel
6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
36 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
29 Participants
Sex: Female, Male
Female
44 Participants
Sex: Female, Male
Male
21 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 65
other
Total, other adverse events
0 / 65
serious
Total, serious adverse events
0 / 65

Outcome results

Primary

Ocular Itching

Ocular itching scores were self-assessed by the participant using a 5-point scale with 0.5 unit increments, wherein 0 = None (normal, no itching), 1.0 = Intermittent tickle sensation involving more than just the corner of the eye, 2.0 = Mild continuous itch without desire to rub, 3.0 = Severe itch with desire to rub, and 4.0 = Incapacitating itch with irresistible urge to rub.

Time frame: 3, 5 and 7 minutes post-Conjunctival Allergen Challenge (CAC) on Day 1

Population: The 65 enrolled participants had one of the three study treatments instilled in each eye (each subject had 2 different treatments, one in each eye).

ArmMeasureGroupValue (MEAN)Dispersion
EM-100Ocular Itching5 minutes post CAC1.09 score on a scaleStandard Deviation 1.047
EM-100Ocular Itching3 minutes post CAC0.81 score on a scaleStandard Deviation 0.787
EM-100Ocular Itching7 minutes post CAC1.17 score on a scaleStandard Deviation 1.103
Zaditor®Ocular Itching5 minutes post CAC1.04 score on a scaleStandard Deviation 0.989
Zaditor®Ocular Itching3 minutes post CAC0.79 score on a scaleStandard Deviation 0.75
Zaditor®Ocular Itching7 minutes post CAC1.04 score on a scaleStandard Deviation 1.047
VehicleOcular Itching3 minutes post CAC1.98 score on a scaleStandard Deviation 0.935
VehicleOcular Itching7 minutes post CAC2.22 score on a scaleStandard Deviation 1.032
VehicleOcular Itching5 minutes post CAC2.17 score on a scaleStandard Deviation 1
Secondary

Conjunctival Redness

The investigator assessed conjunctival redness scores using a 5-point scale with 0.5 unit increments, wherein 0 = None (normal, no dilated blood vessels), 1 = Mild (slightly dilated blood vessels: pink color; can be quadrantal), 2 = Moderate (more apparent dilation, with redder color, involving majority of the vessel bed), 3 = Severe (numerous and obvious dilated blood vessels, with deep red color and no color, or less red with chemosis), and 4 = Extremely Severe (large, numerous, dilated blood vessels characterized by unusually severe deep red color regardless of chemosis and involving the entire vessel bed).

Time frame: 7, 15 and 20 minutes post-Conjunctival Allergen Challenge (CAC) on Day 1

Population: The 65 enrolled participants had one of the three study treatments instilled in each eye (each subject had 2 different treatments, one in each eye).

ArmMeasureGroupValue (MEAN)Dispersion
EM-100Conjunctival Redness15 minutes post-CAC2.25 score on a scaleStandard Deviation 0.783
EM-100Conjunctival Redness7 minutes post-CAC2.13 score on a scaleStandard Deviation 0.824
EM-100Conjunctival Redness20 minutes post-CAC2.16 score on a scaleStandard Deviation 0.857
Zaditor®Conjunctival Redness15 minutes post-CAC2.29 score on a scaleStandard Deviation 0.737
Zaditor®Conjunctival Redness7 minutes post-CAC2.14 score on a scaleStandard Deviation 0.743
Zaditor®Conjunctival Redness20 minutes post-CAC2.24 score on a scaleStandard Deviation 0.704
VehicleConjunctival Redness7 minutes post-CAC2.72 score on a scaleStandard Deviation 0.725
VehicleConjunctival Redness20 minutes post-CAC2.46 score on a scaleStandard Deviation 0.784
VehicleConjunctival Redness15 minutes post-CAC2.61 score on a scaleStandard Deviation 0.847

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