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KPI-121 1% Versus Prednisolone for the Treatment of Inflammation Following Cataract Surgery in Children

Safety and Efficacy of KPI-121 1% Ophthalmic Suspension Versus Prednisolone Acetate Ophthalmic Suspension 1% for the Treatment of Inflammation Following Cataract Surgery in Children 0 to 3 Years of Age

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03596723
Enrollment
2
Registered
2018-07-24
Start date
2018-07-03
Completion date
2018-10-18
Last updated
2020-10-19

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

Conditions

Ocular Inflammation

Brief summary

This study is designed to assess how KPI-121 1% compares to prednisolone acetate in reducing inflammation after cataract surgery in young children. Approximately half the participants will receive KPI-121 1% eye drops and the other half will receive prednisolone acetate.

Interventions

DRUGKPI-121 1%

eye drops

DRUGPrednisolone acetate

eye drops

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
No minimum to 3 Years
Healthy volunteers
No

Inclusion criteria

* Be a candidate for routine, uncomplicated cataract surgery

Exclusion criteria

* Have a post-traumatic cataract. * Have suspected permanent low vision or blindness in the fellow non-study eye. * Have active uveitis in either eye. * Have an ocular neoplasm in either eye. * Have the presence of viral, bacterial, or fungal disease in either eye. * Have glaucoma, ocular hypertension, steroid-induced IOP (intraocular pressure) rise or elevated IOP

Design outcomes

Primary

MeasureTime frameDescription
Anterior Chamber Cell GradeDay 15Anterior chamber cell grading is a way of quantifying the amount of inflammation in inflammatory eye processes. Higher values indicate greater inflammation. The anterior chamber cell grading uses whole numbers from 0 (no cells) to 4 (\> 30 cells) as follows: Anterior chamber cell grade 0 = no cells seen Anterior chamber cell grade 1 = 1 - 5 cells Anterior chamber cell grade 2 = 6 - 15 cells Anterior chamber cell grade 4 = greater than 30 cells

Secondary

MeasureTime frameDescription
Modified Global Overall Assessment of Postoperative InflammationDay 15The Modified Global Overall Assessment is a way of quantifying the amount of post operative healing that has occurred. Lower values indicate greater healing.The Modified Global Assessment grading uses whole numbers from 0 (clear) to 2 (not improving or worsening) as follows: 0 = clear 1. = improving satisfactorily 2. = not improving or worsening

Countries

United States

Participant flow

Participants by arm

ArmCount
KPI-121 1% BID (Twice Daily)
KPI-121 1%: eye drops
1
Prednisolone Acetate QID (Four Times Daily)
Prednisolone acetate: eye drops
1
Total2

Baseline characteristics

CharacteristicPrednisolone Acetate QID (Four Times Daily)TotalKPI-121 1% BID (Twice Daily)
Age, Continuous6.0 months25.0 months44.0 months
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants1 Participants0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 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
1 Participants2 Participants1 Participants
Region of Enrollment
United States
1 participants2 participants1 participants
Sex: Female, Male
Female
0 Participants1 Participants1 Participants
Sex: Female, Male
Male
1 Participants1 Participants0 Participants
Study Eye OD (right eye)1 participants2 participants1 participants
Study Eye OS (left eye)0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 10 / 1
other
Total, other adverse events
1 / 11 / 1
serious
Total, serious adverse events
0 / 10 / 1

Outcome results

Primary

Anterior Chamber Cell Grade

Anterior chamber cell grading is a way of quantifying the amount of inflammation in inflammatory eye processes. Higher values indicate greater inflammation. The anterior chamber cell grading uses whole numbers from 0 (no cells) to 4 (\> 30 cells) as follows: Anterior chamber cell grade 0 = no cells seen Anterior chamber cell grade 1 = 1 - 5 cells Anterior chamber cell grade 2 = 6 - 15 cells Anterior chamber cell grade 4 = greater than 30 cells

Time frame: Day 15

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
KPI-121 1% BIDAnterior Chamber Cell GradeAnterior chamber cell grade = 11 Participants
KPI-121 1% BIDAnterior Chamber Cell GradeAnterior chamber cell grade = 30 Participants
KPI-121 1% BIDAnterior Chamber Cell GradeAnterior chamber cell grade = 20 Participants
KPI-121 1% BIDAnterior Chamber Cell GradeAnterior chamber cell grade = 40 Participants
KPI-121 1% BIDAnterior Chamber Cell GradeAnterior chamber cell grade = 00 Participants
Prednisolone Acetate QIDAnterior Chamber Cell GradeAnterior chamber cell grade = 40 Participants
Prednisolone Acetate QIDAnterior Chamber Cell GradeAnterior chamber cell grade = 00 Participants
Prednisolone Acetate QIDAnterior Chamber Cell GradeAnterior chamber cell grade = 11 Participants
Prednisolone Acetate QIDAnterior Chamber Cell GradeAnterior chamber cell grade = 20 Participants
Prednisolone Acetate QIDAnterior Chamber Cell GradeAnterior chamber cell grade = 30 Participants
Secondary

Modified Global Overall Assessment of Postoperative Inflammation

The Modified Global Overall Assessment is a way of quantifying the amount of post operative healing that has occurred. Lower values indicate greater healing.The Modified Global Assessment grading uses whole numbers from 0 (clear) to 2 (not improving or worsening) as follows: 0 = clear 1. = improving satisfactorily 2. = not improving or worsening

Time frame: Day 15

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
KPI-121 1% BIDModified Global Overall Assessment of Postoperative InflammationModified Global Overall Assessment = 00 Participants
KPI-121 1% BIDModified Global Overall Assessment of Postoperative InflammationModified Global Overall Assessment = 11 Participants
KPI-121 1% BIDModified Global Overall Assessment of Postoperative InflammationModified Global Overall Assessment = 20 Participants
Prednisolone Acetate QIDModified Global Overall Assessment of Postoperative InflammationModified Global Overall Assessment = 00 Participants
Prednisolone Acetate QIDModified Global Overall Assessment of Postoperative InflammationModified Global Overall Assessment = 11 Participants
Prednisolone Acetate QIDModified Global Overall Assessment of Postoperative InflammationModified Global Overall Assessment = 20 Participants

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