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Treatment Safety and Efficacy of Pro-ocular™ 1% for Chronic Ocular Graft Following Allogeneic HSCT.

Treatment Safety and Efficacy Using Pro-ocular™ 1% for Chronic Ocular Graft-versus-host Disease (GvHD) Following Allogeneic Hematopoietic Stem Cell Transplantation.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03990051
Enrollment
33
Registered
2019-06-18
Start date
2019-10-17
Completion date
2021-11-19
Last updated
2025-05-06

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

Conditions

Chronic Ocular Graft-versus-host Disease

Brief summary

To evaluate the safety and efficacy of Pro-ocular™ 1% topical gel administered twice daily for 70 days in reducing or eliminating symptoms and signs of chronic ocular GvHD.

Detailed description

Ocular graft versus host disease presents a most severe form of ocular surface disease that compromises quality of life of afflicted allogeneic hematopoietic transplantation patients. A controlled study is necessary to verify findings obtained to date in isolated patients. Currently available ophthalmic solutions and suspensions, drugs and devices largely have not been effective in alleviating the suffering of chronic ocular GvHD patients. Thus, this is an unmet need that Pro-ocular™ topical gel can fulfill. Potential benefits: Decrease or cessation of adverse ocular symptoms and signs of chronic ocular GvHD, reduction or elimination of the need for other topical ocular therapeutic treatments for chronic ocular GvHD, and restoration of quality of life.

Interventions

Topical gel for forehead dermal application

Topical gel for forehead dermal application

Sponsors

ORA, Inc.
CollaboratorINDUSTRY
Glia, LLC
Lead SponsorINDUSTRY

Study design

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

Masking description

Randomized double-masked parallel treatment assignment will be made using a block design at the ratio of 2:1, study drug:placebo, (22 subjects:11 subjects). This 70-day double-masked phase will be followed by 6 weeks open-label active drug treatment of the subjects previously on placebo.

Intervention model description

The double-masked phase involves placebo controlled administration of study drug for 70 days or 10 weeks. Subsequently the placebo group will receive the active study drug of 42 days or 6 weeks. Long term open label phase to 27 months.

Eligibility

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

Inclusion criteria

1. Male or female of any race, at least 18 years of age at Visit 1 Screening. 2. Has the diagnosis of chronic ocular GvHD. 3. Has an NIH Consensus Eye Score of at least 2. 4. On the GLIA Ocular Surface Disease Symptoms Questionnaire at Screening, has ocular discomfort at a severity score of moderate or more, and at least one other symptom at a severity of moderate or more. 5. One or more signs from the list of chronic ocular GvHD signs below 6. Has provided verbal and written informed consent. 7. Be able and willing to follow oral and written instructions, including participation in all study assessments and visits.

Exclusion criteria

1. Wearing scleral or contact lenses within the last month, or those who plan to start wearing scleral or contact lenses during the study. 2. Anticipate major changes in systemic GvHD management during study period. 3. Comorbidity with other severe or chronic eye conditions that in the judgment of the investigator will interfere with study assessments, such as but not limited to retinal detachment, recent ocular surgery, Bell's palsy, active trigeminal neuritis or trigeminal neuralgia. 4. Anticipate change of vision correction or anticipate any ocular procedures during study period. 5. A woman who is pregnant, nursing an infant, or planning a pregnancy. 6. A woman of childbearing potential who has a positive urine pregnancy test at Visit 1, or who does not use an adequate method of birth control throughout the study period. 7. Has a known adverse reaction and/or sensitivity to the study drug or its components. 8. Unwilling to cease the use of sunscreen on the forehead or eye area. 9. Intraocular pressure \>22 mm Hg at screening visit with or without ongoing glaucoma treatment. 10. Currently enrolled in an investigational drug or device study for chronic ocular GvHD.

Design outcomes

Primary

MeasureTime frameDescription
Modified SANDE Questionnaire - Frequency, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?
Corneal Fluorescein Stain - Central, Change From Baseline2 weeksChange in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

Secondary

MeasureTime frameDescription
Corneal Fluorescein Stain - Total, Change From Baseline2 weeksChange in score from Baseline for worse eye. Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.
Blurred Vision, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant.
Photophobia, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes. Sensitivity to light symptom is reported by participant.
Lid Edema, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is viewed by slit lamp without stain.
Lid Erythema, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is viewed by slit lamp without stain.
Lid Margin Ulceration, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid margin ulceration is viewed by slit lamp without stain.
Conjunctival Hyperemia, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is viewed by slit lamp without stain.
Dryness, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Dryness symptom is reported by participant.
Ocular Pain, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Ocular pain symptom is reported by participant.
Airflow Sensitivity, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Airflow sensitivity symptom is reported by participant.
Modified SANDE Questionnaire - Frequency, Change From Baseline6 weeksChange in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?
Corneal Fluorescein Stain - Central, Change From Baseline6 weeksChange in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.
Modified SANDE Questionnaire - Global, Change From Baseline2 weeksChange in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity.

Other

MeasureTime frameDescription
Corneal Fluorescein Stain - Total1 yearFluorescein staining score Total for worse eye. Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.
Blurred Vision1 yearScore for worse eye, recorded on a visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant.
Lid Edema1 yearScore for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is scored by ophthalmologist using slit lamp biomicroscopy without staining.
Lid Erythema1 yearScore for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is scored by ophthalmologist using slit lamp biomicroscopy without staining.
Lid Ulceration1 yearScore for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid ulceration is scored by ophthalmologist using slit lamp biomicroscopy without staining.
Conjunctival Hyperemia1 yearScore for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is scored by ophthalmologist using slit lamp biomicroscopy without staining.
Modified SANDE Questionnaire - Frequency1 yearScore on a visual analog scale 0-100, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?
Modified SANDE Questionnaire - Global1 yearScore on a visual analog scale 0-100, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. Global score is square root of how often do eyes feel dry and/or irritated x how severe are your symptoms of dryness and/or irritation?
Corneal Fluorescein Stain - Central1 yearFluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

Countries

United States

Participant flow

Recruitment details

Double masked phase 10 weeks. Both Pro-ocular and Placebo groups received active treatment after 10 weeks for remainder of 2 years total from first dose..

Participants by arm

ArmCount
Pro-ocular™
Pro-ocular™ 1% topical gel
22
Placebo
Placebo topical gel
11
Total33

Withdrawals & dropouts

PeriodReasonFG000FG001
Long Term PeriodDeath11
Long Term PeriodLost to Follow-up72
Masked PeriodLost to Follow-up10

Baseline characteristics

CharacteristicTotalPlaceboPro-ocular™
Age, Continuous60.9 years
STANDARD_DEVIATION 12.6
58.9 years
STANDARD_DEVIATION 13.2
61.9 years
STANDARD_DEVIATION 12.48
Concomitant artificial tears and gel30 Participants9 Participants21 Participants
Concomitant ocular ciclosporin4 Participants2 Participants2 Participants
Concomitant ocular corticosteroid23 Participants8 Participants15 Participants
Concomitant systemic anti-inflammatory20 Participants9 Participants11 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants11 Participants22 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
NIH Eye Score
Score 0-1
0 Participants0 Participants0 Participants
NIH Eye Score
Score 2
18 Participants5 Participants13 Participants
NIH Eye Score
Score 3
15 Participants6 Participants9 Participants
Ocular Graft versus Host Diagnosis33 Participants11 Participants22 Participants
Punctal plugs history29 Participants11 Participants18 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants1 Participants1 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
1 Participants1 Participants0 Participants
Race (NIH/OMB)
White
30 Participants9 Participants21 Participants
Region of Enrollment
United States
33 participants11 participants22 participants
Sex: Female, Male
Female
12 Participants3 Participants9 Participants
Sex: Female, Male
Male
21 Participants8 Participants13 Participants
Time of HSCT to oGvHD Diagnosis31.6 months
STANDARD_DEVIATION 33.8
40.0 months
STANDARD_DEVIATION 49.9
27.5 months
STANDARD_DEVIATION 22.5

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
1 / 220 / 221 / 110 / 11
other
Total, other adverse events
21 / 2217 / 2211 / 118 / 11
serious
Total, serious adverse events
8 / 220 / 227 / 112 / 11

Outcome results

Primary

Corneal Fluorescein Stain - Central, Change From Baseline

Change in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Central, Change From Baseline-0.90 score on a scaleStandard Error 0.213
PlaceboCorneal Fluorescein Stain - Central, Change From Baseline0.20 score on a scaleStandard Error 0.304
p-value: 0.0039Mixed Models Analysis
Primary

Modified SANDE Questionnaire - Frequency, Change From Baseline

Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Frequency, Change From Baseline-22.00 score on a scaleStandard Error 4.246
PlaceboModified SANDE Questionnaire - Frequency, Change From Baseline-4.59 score on a scaleStandard Error 6.009
p-value: 0.0197Mixed Models Analysis
Secondary

Airflow Sensitivity, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Airflow sensitivity symptom is reported by participant.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Airflow Sensitivity, Change From Baseline-1.69 score on a scaleStandard Error 0.407
PlaceboAirflow Sensitivity, Change From Baseline-0.53 score on a scaleStandard Error 0.583
p-value: 0.1032Mixed Models Analysis
Secondary

Airflow Sensitivity, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Airflow sensitivity symptom is reported by participant.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Airflow Sensitivity, Change From Baseline-1.93 score on a scaleStandard Error 0.401
PlaceboAirflow Sensitivity, Change From Baseline-0.68 score on a scaleStandard Error 0.567
p-value: 0.0098ANCOVA
Secondary

Airflow Sensitivity, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Airflow sensitivity symptom is reported by participant.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Airflow Sensitivity, Change From Baseline-1.76 score on a scaleStandard Error 0.407
PlaceboAirflow Sensitivity, Change From Baseline-0.31 score on a scaleStandard Error 0.567
p-value: 0.0389Mixed Models Analysis
Secondary

Blurred Vision, Change From Baseline

Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Blurred Vision, Change From Baseline-2.23 score on a scaleStandard Error 0.404
PlaceboBlurred Vision, Change From Baseline-0.31 score on a scaleStandard Error 0.568
p-value: 0.0067Mixed Models Analysis
Secondary

Blurred Vision, Change From Baseline

Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Blurred Vision, Change From Baseline-2.09 score on a scaleStandard Error 0.404
PlaceboBlurred Vision, Change From Baseline0.39 score on a scaleStandard Error 0.568
p-value: 0.0005Mixed Models Analysis
Secondary

Blurred Vision, Change From Baseline

Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Blurred Vision, Change From Baseline-2.07 score on a scaleStandard Error 0.4
PlaceboBlurred Vision, Change From Baseline0.40 score on a scaleStandard Error 0.568
p-value: 0.0005Mixed Models Analysis
Secondary

Conjunctival Hyperemia, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is viewed by slit lamp without stain.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Conjunctival Hyperemia, Change From Baseline-1.72 score on a scaleStandard Error 0.24
PlaceboConjunctival Hyperemia, Change From Baseline-0.99 score on a scaleStandard Error 0.333
p-value: 0.083Mixed Models Analysis
Secondary

Conjunctival Hyperemia, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is viewed by slit lamp without stain.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Conjunctival Hyperemia, Change From Baseline-1.50 score on a scaleStandard Error 0.235
PlaceboConjunctival Hyperemia, Change From Baseline-0.70 score on a scaleStandard Error 0.333
p-value: 0.0515Mixed Models Analysis
Secondary

Conjunctival Hyperemia, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is viewed by slit lamp without stain.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Conjunctival Hyperemia, Change From Baseline-1.75 score on a scaleStandard Error 0.24
PlaceboConjunctival Hyperemia, Change From Baseline-0.92 score on a scaleStandard Error 0.333
p-value: 0.044Mixed Models Analysis
Secondary

Corneal Fluorescein Stain - Central, Change From Baseline

Change in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Central, Change From Baseline-0.93 score on a scaleStandard Error 0.216
PlaceboCorneal Fluorescein Stain - Central, Change From Baseline-0.01 score on a scaleStandard Error 0.304
p-value: 0.0138Mixed Models Analysis
Secondary

Corneal Fluorescein Stain - Central, Change From Baseline

Change in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Central, Change From Baseline-1.18 score on a scaleStandard Error 0.216
PlaceboCorneal Fluorescein Stain - Central, Change From Baseline0.06 score on a scaleStandard Error 0.307
p-value: 0.0014Mixed Models Analysis
Secondary

Corneal Fluorescein Stain - Total, Change From Baseline

Change in score from Baseline for worse eye. Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Total, Change From Baseline-3.97 score on a scaleStandard Error 0.537
PlaceboCorneal Fluorescein Stain - Total, Change From Baseline-1.54 score on a scaleStandard Error 0.763
p-value: -3.97Mixed Models Analysis
Secondary

Corneal Fluorescein Stain - Total, Change From Baseline

Change in score from Baseline for worse eye. Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Total, Change From Baseline-2.53 score on a scaleStandard Error 0.527
PlaceboCorneal Fluorescein Stain - Total, Change From Baseline-0.23 score on a scaleStandard Error 0.753
p-value: 0.0143Mixed Models Analysis
Secondary

Corneal Fluorescein Stain - Total, Change From Baseline

Change in score from Baseline for worse eye. Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Total, Change From Baseline-3.28 score on a scaleStandard Error 0.537
PlaceboCorneal Fluorescein Stain - Total, Change From Baseline-1.35 score on a scaleStandard Error 0.753
p-value: 0.0398Mixed Models Analysis
Secondary

Dryness, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Dryness symptom is reported by participant.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Dryness, Change From Baseline-3.67 score on a scaleStandard Error 0.398
PlaceboDryness, Change From Baseline-2.28 score on a scaleStandard Error 0.554
p-value: 0.0435Mixed Models Analysis
Secondary

Dryness, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Dryness symptom is reported by participant.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Dryness, Change From Baseline-2.48 score on a scaleStandard Error 0.391
PlaceboDryness, Change From Baseline-2.23 score on a scaleStandard Error 0.554
p-value: 0.7147Mixed Models Analysis
Secondary

Dryness, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Dryness symptom is reported by participant.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Dryness, Change From Baseline-2.91 score on a scaleStandard Error 0.398
PlaceboDryness, Change From Baseline-2.76 score on a scaleStandard Error 0.554
p-value: 0.8251Mixed Models Analysis
Secondary

Lid Edema, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is viewed by slit lamp without stain.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Edema, Change From Baseline-2.21 score on a scaleStandard Error 0.21
PlaceboLid Edema, Change From Baseline-0.98 score on a scaleStandard Error 0.293
p-value: 0.001Mixed Models Analysis
Secondary

Lid Edema, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is viewed by slit lamp without stain.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Edema, Change From Baseline-1.73 score on a scaleStandard Error 0.206
PlaceboLid Edema, Change From Baseline-0.80 score on a scaleStandard Error 0.293
p-value: 0.0105Mixed Models Analysis
Secondary

Lid Edema, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is viewed by slit lamp without stain.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Edema, Change From Baseline-1.72 score on a scaleStandard Error 0.21
PlaceboLid Edema, Change From Baseline-0.83 score on a scaleStandard Error 0.293
p-value: 0.0155Mixed Models Analysis
Secondary

Lid Erythema, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is viewed by slit lamp without stain.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Erythema, Change From Baseline-1.53 score on a scaleStandard Error 0.229
PlaceboLid Erythema, Change From Baseline-0.58 score on a scaleStandard Error 0.317
p-value: 0.0117Mixed Models Analysis
Secondary

Lid Erythema, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is viewed by slit lamp without stain.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Erythema, Change From Baseline-1.08 score on a scaleStandard Error 0.224
PlaceboLid Erythema, Change From Baseline-0.13 score on a scaleStandard Error 0.317
p-value: 0.016Mixed Models Analysis
Secondary

Lid Erythema, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is viewed by slit lamp without stain.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Erythema, Change From Baseline-1.42 score on a scaleStandard Error 0.229
PlaceboLid Erythema, Change From Baseline-1.27 score on a scaleStandard Error 0.354
p-value: 0.4649Mixed Models Analysis
Secondary

Lid Margin Ulceration, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid margin ulceration is viewed by slit lamp without stain.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Margin Ulceration, Change From Baseline-1.57 score on a scaleStandard Error 0.245
PlaceboLid Margin Ulceration, Change From Baseline-0.59 score on a scaleStandard Error 0.341
p-value: 0.0225Mixed Models Analysis
Secondary

Lid Margin Ulceration, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid margin ulceration is viewed by slit lamp without stain.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Margin Ulceration, Change From Baseline-1.85 score on a scaleStandard Error 0.245
PlaceboLid Margin Ulceration, Change From Baseline-1.27 score on a scaleStandard Error 0.354
p-value: 0.1822Mixed Models Analysis
Secondary

Lid Margin Ulceration, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Lid margin ulceration is viewed by slit lamp without stain.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Margin Ulceration, Change From Baseline-1.14 score on a scaleStandard Error 0.24
PlaceboLid Margin Ulceration, Change From Baseline-0.01 score on a scaleStandard Error 0.341
p-value: 0.0082Mixed Models Analysis
Secondary

Modified SANDE Questionnaire - Frequency, Change From Baseline

Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Frequency, Change From Baseline-31.75 score on a scaleStandard Error 4.313
PlaceboModified SANDE Questionnaire - Frequency, Change From Baseline-1.95 score on a scaleStandard Error 6.009
p-value: <0.0001Mixed Models Analysis
Secondary

Modified SANDE Questionnaire - Frequency, Change From Baseline

Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Frequency, Change From Baseline-30.72 score on a scaleStandard Error 4.313
PlaceboModified SANDE Questionnaire - Frequency, Change From Baseline-2.18 score on a scaleStandard Error 6.009
p-value: 0.0002ANCOVA
Secondary

Modified SANDE Questionnaire - Global, Change From Baseline

Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Global, Change From Baseline-16.02 score on a scaleStandard Error 4.063
PlaceboModified SANDE Questionnaire - Global, Change From Baseline-3.78 score on a scaleStandard Error 5.753
p-value: 0.0849Mixed Models Analysis
Secondary

Modified SANDE Questionnaire - Global, Change From Baseline

Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Global, Change From Baseline-25.87 score on a scaleStandard Error 4.128
PlaceboModified SANDE Questionnaire - Global, Change From Baseline-1.04 score on a scaleStandard Error 0.006
p-value: 0.0006Mixed Models Analysis
Secondary

Modified SANDE Questionnaire - Global, Change From Baseline

Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Global, Change From Baseline-26.35 score on a scaleStandard Error 4.128
PlaceboModified SANDE Questionnaire - Global, Change From Baseline-5.64 score on a scaleStandard Error 5.753
p-value: 0.0041Mixed Models Analysis
Secondary

Ocular Pain, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Ocular pain symptom is reported by participant.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Ocular Pain, Change From Baseline-1.64 score on a scaleStandard Error 0.31
PlaceboOcular Pain, Change From Baseline-0.29 score on a scaleStandard Error 0.439
p-value: 0.013Mixed Models Analysis
Secondary

Ocular Pain, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Ocular pain symptom is reported by participant.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Ocular Pain, Change From Baseline-1.53 score on a scaleStandard Error 0.316
PlaceboOcular Pain, Change From Baseline-0.99 score on a scaleStandard Error 0.439
p-value: 0.3205Mixed Models Analysis
Secondary

Ocular Pain, Change From Baseline

Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes. Ocular pain symptom is reported by participant.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Ocular Pain, Change From Baseline-1.86 score on a scaleStandard Error 0.316
PlaceboOcular Pain, Change From Baseline-1.06 score on a scaleStandard Error 0.499
p-value: 0.1401Mixed Models Analysis
Secondary

Photophobia, Change From Baseline

Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes. Sensitivity to light symptom is reported by participant.

Time frame: 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Photophobia, Change From Baseline-1.68 score on a scaleStandard Error 0.437
PlaceboPhotophobia, Change From Baseline0.62 score on a scaleStandard Error 0.613
p-value: 0.0028Mixed Models Analysis
Secondary

Photophobia, Change From Baseline

Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes. Sensitivity to light symptom is reported by participant.

Time frame: 10 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Photophobia, Change From Baseline-1.82 score on a scaleStandard Error 0.437
PlaceboPhotophobia, Change From Baseline0.01 score on a scaleStandard Error 0.612
p-value: 0.0067Mixed Models Analysis
Secondary

Photophobia, Change From Baseline

Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes. Sensitivity to light symptom is reported by participant.

Time frame: 2 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Photophobia, Change From Baseline-1.23 score on a scaleStandard Error 0.432
PlaceboPhotophobia, Change From Baseline0.18 score on a scaleStandard Error 0.695
p-value: 0.0636Mixed Models Analysis
Other Pre-specified

Blurred Vision

Score for worse eye, recorded on a visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant.

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Blurred Vision7.59 units on a scaleStandard Deviation 2.61
PlaceboBlurred Vision1.66 units on a scaleStandard Deviation 2.768
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Blurred Vision

Score for worse eye, recorded on a visual analog scale 0-10, higher values represent worse outcomes. Blurred vision symptom is reported by participant.

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Blurred Vision7.59 units on a scaleStandard Deviation 2.61
PlaceboBlurred Vision2.20 units on a scaleStandard Deviation 2.582
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Conjunctival Hyperemia

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Conjunctival Hyperemia3.67 score on a scaleStandard Deviation 2.354
PlaceboConjunctival Hyperemia0.46 score on a scaleStandard Deviation 0.886
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Conjunctival Hyperemia

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Conjunctival hyperemia is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Conjunctival Hyperemia3.67 score on a scaleStandard Deviation 2.354
PlaceboConjunctival Hyperemia0.80 score on a scaleStandard Deviation 1.238
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Corneal Fluorescein Stain - Central

Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Central3.57 units on a scaleStandard Deviation 2.779
PlaceboCorneal Fluorescein Stain - Central1.12 units on a scaleStandard Deviation 1.522
p-value: 0.0002t-test, 2 sided
Other Pre-specified

Corneal Fluorescein Stain - Central

Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Central3.57 units on a scaleStandard Deviation 2.779
PlaceboCorneal Fluorescein Stain - Central0.77 units on a scaleStandard Deviation 1.224
p-value: 0.0001t-test, 2 sided
Other Pre-specified

Corneal Fluorescein Stain - Total

Fluorescein staining score Total for worse eye. Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Total11.52 units on a scaleStandard Deviation 7.137
PlaceboCorneal Fluorescein Stain - Total3.65 units on a scaleStandard Deviation 3.289
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Corneal Fluorescein Stain - Total

Fluorescein staining score Total for worse eye. Total comprises Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Corneal Fluorescein Stain - Total11.52 units on a scaleStandard Deviation 7.137
PlaceboCorneal Fluorescein Stain - Total2.81 units on a scaleStandard Deviation 3.699
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Lid Edema

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Edema3.74 score on a scaleStandard Deviation 2.785
PlaceboLid Edema0.71 score on a scaleStandard Deviation 1.085
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Lid Edema

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid edema is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Edema3.74 score on a scaleStandard Deviation 2.785
PlaceboLid Edema0.72 score on a scaleStandard Deviation 0.995
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Lid Erythema

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Erythema3.92 score on a scaleStandard Deviation 2.738
PlaceboLid Erythema1.17 score on a scaleStandard Deviation 1.457
p-value: 0.0001t-test, 2 sided
Other Pre-specified

Lid Erythema

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Erythema3.92 score on a scaleStandard Deviation 2.738
PlaceboLid Erythema0.80 score on a scaleStandard Deviation 1.144
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Lid Ulceration

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid ulceration is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Ulceration4.07 score on a scaleStandard Deviation 2.289
PlaceboLid Ulceration1.14 score on a scaleStandard Deviation 1.143
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Lid Ulceration

Score for worse eye on a visual analog scale 0-10, higher values represent worse outcomes. Lid erythema is scored by ophthalmologist using slit lamp biomicroscopy without staining.

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Lid Ulceration4.07 score on a scaleStandard Deviation 2.289
PlaceboLid Ulceration0.42 score on a scaleStandard Deviation 0.628
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Modified SANDE Questionnaire - Frequency

Score on a visual analog scale 0-100, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

Time frame: 2 years

Population: The total number of participants were combined in one group for the 2 year analysis as all participants were dosed with active Pro-ocular after 10 weeks.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Frequency82.03 units on a scaleStandard Deviation 11.719
PlaceboModified SANDE Questionnaire - Frequency35.29 units on a scaleStandard Deviation 27.637
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Modified SANDE Questionnaire - Frequency

Score on a visual analog scale 0-100, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

Time frame: 1 year

Population: The total number of participants were combined in one group for the 1 year analysis as all participants were dosed with active Pro-ocular after 10 weeks.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Frequency82.03 units on a scaleStandard Deviation 11.719
PlaceboModified SANDE Questionnaire - Frequency33.04 units on a scaleStandard Deviation 27.517
Comparison: Score in 1 year compared to baselinep-value: <0.00001t-test, 2 sided
Other Pre-specified

Modified SANDE Questionnaire - Global

Score on a visual analog scale 0-100, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. Global score is square root of how often do eyes feel dry and/or irritated x how severe are your symptoms of dryness and/or irritation?

Time frame: 2 years

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Global74.39 units on a scaleStandard Deviation 16.62
PlaceboModified SANDE Questionnaire - Global31.04 units on a scaleStandard Deviation 22.037
p-value: <0.00001t-test, 2 sided
Other Pre-specified

Modified SANDE Questionnaire - Global

Score on a visual analog scale 0-100, higher values represent worse outcomes. Symptom Assessment iN Dry Eye Questionnaire. Global score is square root of how often do eyes feel dry and/or irritated x how severe are your symptoms of dryness and/or irritation?

Time frame: 1 year

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pro-ocular™Modified SANDE Questionnaire - Global74.39 units on a scaleStandard Deviation 16.62
PlaceboModified SANDE Questionnaire - Global32.63 units on a scaleStandard Deviation 24.407
p-value: <0.00001t-test, 2 sided

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