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A Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of APP13007 to Treat Inflammation and Pain After Cataract Surgery

A Multicenter, Randomized, Double-Masked, Two-Part, Placebo-Controlled Phase 2A Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of APP13007 for the Treatment of Inflammation and Pain After Cataract Surgery

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04089735
Enrollment
165
Registered
2019-09-13
Start date
2019-08-13
Completion date
2020-04-07
Last updated
2023-06-27

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

Conditions

Ocular Inflammation and Pain After Cataract Surgery

Brief summary

This is a Phase 2a, 2-part study (designated Parts A and B) that will evaluate APP13007 dose strength and dosing frequency in a randomized double-masked fashion for comparison to the respective matching vehicle placebo. Part A will be conducted first to evaluate 0.05% APP13007 and matching vehicle placebo in an approximate 1:1 ratio in approximately 42 subjects who experience postoperative inflammation on the first day following routine, uncomplicated, cataract surgery and who meet all eligibility criteria. Based on the results of Part A, Part B of the study may be open for enrollment to evaluate 0.05% and/or 0.1% APP13007 at various dosing frequency in approximately 84 subjects, also in an approximate 1:1 ratio, active vs. placebo. In each Part, subjects will return periodically for study assessments during the treatment period and then for a follow-up visit approximately 1 week after stopping the study drug.

Interventions

DRUGAPP13007 Placebo, 0.05%

APP13007 placebo eyedrop, 0.05%

DRUGAPP13007 Placebo, 0.1%

APP13007 placebo eyedrop, 0.1%

APP13007 eye drop, 0.05%

DRUGAPP13007, 0.1%

APP13007 eye drop, 0.1%

Sponsors

Formosa 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
50 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Expected to undergo unilateral uncomplicated cataract extraction via phacoemulsification and posterior chamber intraocular lens implantation in one eye. * In Investigator's opinion, have Early Treatment Diabetic Retinopathy Study estimated potential of 0.7 (20/100) or better in study eye. * Have \> 10 and ≤ 30 cells in anterior chamber. * Have an intraocular pressure ≤ 30 mmHg.

Exclusion criteria

* Have an anterior chamber cell count \> 0 or any evidence of intraocular inflammation. * Have a score \> 0 on Ocular Pain Assessment in either eye.

Design outcomes

Primary

MeasureTime frameDescription
Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study EyeBaseline and Post-operative Day 15Ocular pain is measured in each eye using a subject-reported five-point (0-4) ocular pain grade scale (0 = no pain; 4 = severe pain).
Number of Treatment Emergent Adverse EventsFrom First dose to Post-operative Day 28 (Part A) or Day 22 (Part B)Number of treatment emergent adverse events and number of participants.
Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study EyeBaseline and Post-operative Day 22 (Part A) or Day 15 (Part B)Intraocular pressure is measured in mm Hg at each study visit with a Goldmann applanation tonometer. The change from baseline is calculated by subtracting the pretreatment measurement value from the value at each visit.
Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study EyeBaseline and Post-operative Day 15The number of cells in the anterior chamber of the eye are counted using slit-lamp biomicroscopy at each study visit and the results are reported as number of cells in a 1mm x 1mm area.
Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study EyeBaseline and Post-operative Day 22 (Part A) or Day 15 (Part B)The visual acuity in each eye is corrected using the pinhole method and the acuity is quantified on a logMAR (minimal angle of resolution) scale using the 'Early Treatment Diabetic Retinopathy Study' \[ETDRS\] charts for right and left eyes. A logMAR Score is calculated using the number of incorrect letters.

Secondary

MeasureTime frameDescription
Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue MedicationPost-operative Day 15Ocular pain is measured in each eye using a subject-reported five-point (0-4) ocular pain grade scale (0 = no pain; 4 = severe pain).
Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study EyeBaseline and Post-operative Day 22 (Part A) or Day 15 (Part B)The degree of turbidity (flare) in the anterior chamber of the eye is measured using slit-lamp biomicroscopy and quantified on a five-point (0-4) anterior chamber flare grade scale (0 = none; 4 = Intense). The change from baseline is calculated by subtracting the pretreatment measurement value from the value at each visit.
Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-TreatmentFirst dose to Post-operative Day 22 (Part A) or Day 15 (Part B)Subjects who do not respond to study treatment after randomization (anterior chamber cell count \> 30 cells or an increase in anterior chamber cell count by \> 15 cells from pre-dose baseline or ≥ 2 grade of increase in anterior chamber flare from pre-dose baseline) are started on anti-inflammatory medication (referred to as 'Rescue' medication). The number of subjects starting 'Rescue' medication is recorded at each study visit.
Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue MedicationPost-operative Day 15The number of cells in the anterior chamber of the eye are counted using slit-lamp biomicroscopy at each study visit and the results are reported as number of cells in a 1mm x 1mm area.

Countries

United States

Participant flow

Recruitment details

A multi-center US study in which 9 sites recruited subjects between August 2019 and October 2019 for Study Part A and between November 2019 and February 2020 for Study Part B

Pre-assignment details

Of 52 enrolled participants for Part A, 45 met inclusion criteria and were randomized to treatment. Of 113 enrolled participants for Part B, 87 met inclusion criteria and were randomized to treatment.

Participants by arm

ArmCount
APP13007 0.05% Twice Daily (BID)
1 drop 0.05% APP13007 twice daily for 21 days to the operated eye APP13007, 0.05%: APP13007 eye drop, 0.05%
22
APP13007 0.05% Placebo Twice Daily (BID)
1 drop matching vehicle placebo for 0.05% APP13007 twice daily for 21 days to the operated eye APP13007 Placebo, 0.05%: APP13007 placebo eyedrop, 0.05%
23
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)
1 drop 0.05% APP13007 twice daily followed by 1 drop once daily to the operated eye APP13007, 0.05%: APP13007 eye drop, 0.05%
22
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)
1 drop matching vehicle placebo for 0.05% APP13007 twice daily followed by 1 drop once daily to the operated eye APP13007 Placebo, 0.05%: APP13007 placebo eyedrop, 0.05%
22
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)
1 drop 0.1% APP13007 twice daily followed by 1 drop once daily to the operated eye APP13007, 0.1%: APP13007 eye drop, 0.1%
22
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)
1 drop matching vehicle placebo for 0.1% APP13007 twice daily followed by 1 drop once daily to the operated eye APP13007 Placebo, 0.1%: APP13007 placebo eyedrop, 0.1%
21
Total132

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyAdverse Event101100
Overall StudyPhysician Decision030000
Overall StudyRescue therapy, prohibited medication, withdrawn requiring alternate medication for inflammation030516
Overall StudyWithdrawal by Subject001000

Baseline characteristics

CharacteristicAPP13007 0.05% Twice Daily (BID)TotalAPP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)APP13007 0.1% Twice Daily (BID) and Once Daily (QD)APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)APP13007 0.05% Twice Daily (BID) and Once Daily (QD)APP13007 0.05% Placebo Twice Daily (BID)
Age, Continuous69.1 years
STANDARD_DEVIATION 8.6
67.9 years
STANDARD_DEVIATION 6.7
65.2 years
STANDARD_DEVIATION 6.3
70.0 years
STANDARD_DEVIATION 6
70.0 years
STANDARD_DEVIATION 5
66.8 years
STANDARD_DEVIATION 6.6
66.3 years
STANDARD_DEVIATION 6.6
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants18 Participants3 Participants2 Participants2 Participants3 Participants4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants114 Participants18 Participants20 Participants20 Participants19 Participants19 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants11 Participants1 Participants3 Participants2 Participants1 Participants2 Participants
Race (NIH/OMB)
Black or African American
5 Participants20 Participants2 Participants2 Participants2 Participants6 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
15 Participants101 Participants18 Participants17 Participants18 Participants15 Participants18 Participants
Region of Enrollment
United States
22 Participants132 Participants21 Participants22 Participants22 Participants22 Participants23 Participants
Sex: Female, Male
Female
17 Participants87 Participants9 Participants16 Participants14 Participants16 Participants15 Participants
Sex: Female, Male
Male
5 Participants45 Participants12 Participants6 Participants8 Participants6 Participants8 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 220 / 230 / 220 / 220 / 220 / 21
other
Total, other adverse events
2 / 226 / 232 / 225 / 221 / 222 / 21
serious
Total, serious adverse events
0 / 220 / 230 / 220 / 220 / 220 / 21

Outcome results

Primary

Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study Eye

The number of cells in the anterior chamber of the eye are counted using slit-lamp biomicroscopy at each study visit and the results are reported as number of cells in a 1mm x 1mm area.

Time frame: Baseline and Post-operative Day 15

Population: Intent to Treat Population. Last observation carried forward (LOCF) imputation method.

ArmMeasureValue (MEAN)Dispersion
APP13007 0.05% Twice Daily (BID)Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study Eye-16.64 cells/mm^2Standard Deviation 5.8
APP13007 0.05% Placebo Twice Daily (BID)Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study Eye-9.24 cells/mm^2Standard Deviation 10.34
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study Eye-11.48 cells/mm^2Standard Deviation 8.65
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study Eye-5.67 cells/mm^2Standard Deviation 11.73
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study Eye-11.90 cells/mm^2Standard Deviation 4.73
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Absolute Anterior Chamber Cell Count - Change From Baseline (POD1 Prior to Dosing) to POD 15 in the Operated Study Eye-7.43 cells/mm^2Standard Deviation 11.15
Primary

Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study Eye

Intraocular pressure is measured in mm Hg at each study visit with a Goldmann applanation tonometer. The change from baseline is calculated by subtracting the pretreatment measurement value from the value at each visit.

Time frame: Baseline and Post-operative Day 22 (Part A) or Day 15 (Part B)

Population: Safety Population - Participants who had the IOP data at End of Treatment

ArmMeasureValue (MEAN)Dispersion
APP13007 0.05% Twice Daily (BID)Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study Eye1.1 mmHgStandard Deviation 4.2
APP13007 0.05% Placebo Twice Daily (BID)Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study Eye-2.3 mmHgStandard Deviation 4
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study Eye-2.37 mmHgStandard Deviation 3.71
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study Eye-2.38 mmHgStandard Deviation 3.14
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study Eye-1.28 mmHgStandard Deviation 4.36
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Intraocular Pressure - Change From Baseline (POD1 Prior to Dosing) to End-of-Treatment in the Operated Study Eye-1.00 mmHgStandard Deviation 2.3
Primary

Number of Treatment Emergent Adverse Events

Number of treatment emergent adverse events and number of participants.

Time frame: From First dose to Post-operative Day 28 (Part A) or Day 22 (Part B)

Population: Safety Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
APP13007 0.05% Twice Daily (BID)Number of Treatment Emergent Adverse Events4 Participants
APP13007 0.05% Placebo Twice Daily (BID)Number of Treatment Emergent Adverse Events7 Participants
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Number of Treatment Emergent Adverse Events3 Participants
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Number of Treatment Emergent Adverse Events8 Participants
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Number of Treatment Emergent Adverse Events6 Participants
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Number of Treatment Emergent Adverse Events3 Participants
Primary

Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study Eye

Ocular pain is measured in each eye using a subject-reported five-point (0-4) ocular pain grade scale (0 = no pain; 4 = severe pain).

Time frame: Baseline and Post-operative Day 15

Population: Intent to Treat Population. Last observation carried forward (LOCF) imputation method.

ArmMeasureValue (MEAN)Dispersion
APP13007 0.05% Twice Daily (BID)Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study Eye-0.8 gradeStandard Deviation 1
APP13007 0.05% Placebo Twice Daily (BID)Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study Eye-0.4 gradeStandard Deviation 1.1
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study Eye-1.1 gradeStandard Deviation 1
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study Eye-0.4 gradeStandard Deviation 2
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study Eye-0.6 gradeStandard Deviation 1.2
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Ocular Pain Grade - Change From Baseline (POD1 Prior to Dosing) to POD15 in the Operated Study Eye-0.3 gradeStandard Deviation 1.5
Primary

Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye

The visual acuity in each eye is corrected using the pinhole method and the acuity is quantified on a logMAR (minimal angle of resolution) scale using the 'Early Treatment Diabetic Retinopathy Study' \[ETDRS\] charts for right and left eyes. A logMAR Score is calculated using the number of incorrect letters.

Time frame: Baseline and Post-operative Day 22 (Part A) or Day 15 (Part B)

Population: Intent to Treat Population. Last observation carried forward (LOCF) imputation method.

ArmMeasureValue (MEAN)Dispersion
APP13007 0.05% Twice Daily (BID)Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.179 logMAR scoreStandard Deviation 0.266
APP13007 0.05% Placebo Twice Daily (BID)Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.073 logMAR scoreStandard Deviation 0.174
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.106 logMAR scoreStandard Deviation 0.184
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.024 logMAR scoreStandard Deviation 0.133
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.130 logMAR scoreStandard Deviation 0.165
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Visual Acuity - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.025 logMAR scoreStandard Deviation 0.192
Secondary

Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye

The degree of turbidity (flare) in the anterior chamber of the eye is measured using slit-lamp biomicroscopy and quantified on a five-point (0-4) anterior chamber flare grade scale (0 = none; 4 = Intense). The change from baseline is calculated by subtracting the pretreatment measurement value from the value at each visit.

Time frame: Baseline and Post-operative Day 22 (Part A) or Day 15 (Part B)

Population: Intent to Treat Population. Last observation carried forward (LOCF) imputation method.

ArmMeasureValue (MEAN)Dispersion
APP13007 0.05% Twice Daily (BID)Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-1.05 gradeStandard Deviation 0.58
APP13007 0.05% Placebo Twice Daily (BID)Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.39 gradeStandard Deviation 0.94
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.77 gradeStandard Deviation 0.81
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.48 gradeStandard Deviation 0.96
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.64 gradeStandard Deviation 0.49
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Anterior Chamber Flare - Change From Baseline (POD1 Prior to Dosing) to End-of Treatment in the Operated Study Eye-0.10 gradeStandard Deviation 1.04
Secondary

Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-Treatment

Subjects who do not respond to study treatment after randomization (anterior chamber cell count \> 30 cells or an increase in anterior chamber cell count by \> 15 cells from pre-dose baseline or ≥ 2 grade of increase in anterior chamber flare from pre-dose baseline) are started on anti-inflammatory medication (referred to as 'Rescue' medication). The number of subjects starting 'Rescue' medication is recorded at each study visit.

Time frame: First dose to Post-operative Day 22 (Part A) or Day 15 (Part B)

Population: Intent to Treat Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
APP13007 0.05% Twice Daily (BID)Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-Treatment0 Participants
APP13007 0.05% Placebo Twice Daily (BID)Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-Treatment3 Participants
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-Treatment0 Participants
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-Treatment5 Participants
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-Treatment0 Participants
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Subjects Using of Anti-inflammatory 'Rescue' Medication Through End-of-Treatment5 Participants
Secondary

Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue Medication

The number of cells in the anterior chamber of the eye are counted using slit-lamp biomicroscopy at each study visit and the results are reported as number of cells in a 1mm x 1mm area.

Time frame: Post-operative Day 15

Population: Intent to Treat Population. Last observation carried forward (LOCF) imputation method.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
APP13007 0.05% Twice Daily (BID)Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue Medication15 Participants
APP13007 0.05% Placebo Twice Daily (BID)Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue Medication8 Participants
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue Medication10 Participants
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue Medication7 Participants
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue Medication13 Participants
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Subjects With Anterior Chamber Cell Count = 0 at POD15 in the Operated Study Eye Without Rescue Medication8 Participants
Secondary

Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue Medication

Ocular pain is measured in each eye using a subject-reported five-point (0-4) ocular pain grade scale (0 = no pain; 4 = severe pain).

Time frame: Post-operative Day 15

Population: Intent to Treat Population. Last observation carried forward (LOCF) imputation method.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
APP13007 0.05% Twice Daily (BID)Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue Medication21 Participants
APP13007 0.05% Placebo Twice Daily (BID)Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue Medication16 Participants
APP13007 0.05% Twice Daily (BID) and Once Daily (QD)Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue Medication20 Participants
APP13007 0.05% Placebo Twice Daily (BID) and Once Daily (QD)Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue Medication16 Participants
APP13007 0.1% Twice Daily (BID) and Once Daily (QD)Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue Medication19 Participants
APP13007 0.1% Placebo Twice Daily (BID) and Once Daily (QD)Subjects With Ocular Pain Grade = 0 at POD 15 in the Operated Study Eye Without Rescue Medication15 Participants

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