Dry Eye
Conditions
Brief summary
Phase IV, non inferiority, controlled, open, multicenter clinical study to compare the efficacy of the Ophthalmic Solution Humylub Ofteno® PF against Hyabak® and Lagricel Ofteno® PF applied quater in die (QID) for 30 days in patients with mild to moderate dry eye disease.
Interventions
Application of one drop of Humylub Ofteno® PF (Sodium hyaluronate 0.1%/chondroitin sulfate 0.18%) QID in both eyes (OU) during 30 days.
Application of one drop of Hyabak® PF (Sodium hyaluronate 0.15%) QID in OU during 30 days.
Application of one drop of Lagricel Ofteno® PF (Sodium Hyaluronate 0.4%) QID in OU during 30 days.
Sponsors
Study design
Masking description
After signing the informed consent form (ICF), every subject will receive a coded patient number and will be assigned randomly to one of the investigation products.
Intervention model description
Phase IV, non inferiority, controlled, open, comparative, multicenter clinical study
Eligibility
Inclusion criteria
* Being capable of voluntarily grant a signed informed consent. * Being willing and able to meet the requirements of the study such as attending programmed visits, treatment plan and other study procedures. * Age ≥ 18 years old * Women in child-bearing age must assure the continuation (start ≥ 30 days prior to informed consent signing) of a hormonal contraceptive method or intrauterine device (IUD) during the study. * Presenting a mild to moderate dry eye disease diagnosis, defined as: * OSDI score ≥ 13, plus one of the following: * More than 5 dots of corneal staining * More than 9 dots of conjunctival staining * Tear break-up time \< 10 seconds
Exclusion criteria
* \- Pregnancy, breastfeeding or planning to become pregnant during the time of the study * Having participated in clinical trials within 30 days prior to the eligibility visit. * Having participated previously in this study. * BCVA equal or worse than 20/200, in either eye. * Diagnosis of any of the following: * Allergic, viral or bacterial conjunctivitis * Anterior blepharitis * Parasite infestation of any ocular or annex structures (Demodex, for example) * Unresolved history of ocular trauma * Scarring diseases of the ocular surface * Corneal or conjunctival ulcers * Filamentary keratitis * Neurotrophic keratitis * Bullous keratopathy * Neoplastic diseases of the ocular surface or ocular annexes * Diseases presenting fibrovascular proliferations on the corneal or conjunctival surface. * Any retinal or posterior segment diseases that require treatment or threat the visual outcome. * Glaucoma * Any palpebral alteration that causes eyelid malposition, limiting the adequate closure or aperture of this structures, or that cause tearing. * Requiring management for dry eye that includes implementation of treatments described in the step 2 management recommendations of the Tear Film \& Ocular Surface Society's Dry Eye Work Shop II (TFO DEWS II). * Previous history of drug addiction within the last 2 years prior to signing this study's informed consent form. * Having a previous history of any ophthalmological surgical procedure, within the last 3 months prior to the informed consent signing date. * Being a contact lens user, rigid or soft. Inclusion is possible if the use of contact lenses is suspended both during the study period and at least 15 days prior inclusion takes place. * Previous history of any medical affliction, acute or chronic, that according to the investigator may increase either the risk to the patient for participating in this study or the risk of interference of the accurate interpretation of results. * Known hypersensitivity to any of the components of the products used in this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Ocular Surface Disease Index (OSDI) | Days: 0 (± 2) (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit). | OSDI is a 12-item questionnaire used to evaluate symptoms associated with dry eye disease, as well as classify their severity. According the obtained score, categories are as follows: normal (0-12 points), mild (13-22 points), moderate (23-32 points), or severe (33-100 points). A higher score is a worse outcome. • This outcome measure considered the Per Protocol (PP) population. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Noninvasive Keratograph Break-up Time (NIKBUT) | Days: 0 - 2 (baseline visit),17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit). | This evaluation will be performed through an Oculus Keratograph 5M, and the parameter "first break-up time" will be recorded as NIKBUT. A lower value is a worse outcome. This outcome measure considered the Per Protocol (PP) population. |
| Change of Conjunctival and Corneal Staining With Lissamine Green | Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit). | The change in proportion of participant's abscence of conjunctival and corneal staining with lissamine green will be analyzed. The evaluation will take place after applying the lissamine green stain on the ocular surface and evaluating the resulting staining pattern. This will be measured through the Oxford scale which includes 6 grades: Absent (0), Minimal (I), Mild (II), Moderate (III), Marked (IV), Severe (V). This outcome measure considered the Per Protocol (PP) population. |
| Change of Conjunctival and Corneal Staining With Fluorescein | Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit). | The change in proportion of participant's abscence of conjunctival and corneal staining with fluorescein will be analyzed. The evaluation will take place after applying the fluorescein stain on the ocular surface and evaluating the resulting staining pattern. This will be measured through the Oxford scale which includes 6 grades: Absent (0), Minimal (I), Mild (II), Moderate (III), Marked (IV), Severe (V). This outcome measure considered the Per Protocol (PP) population. |
| Change in Conjunctival Hyperemia | Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit). | The change in proportion of participant's score will be analyzed. Rate of conjunctival hyperemia will be evaluated through the Efron scale which includes 5 grades: Normal (0), Very Mild (I), Mild (II), Moderate (3), and Severe (4). This outcome measure considered the Per Protocol (PP) population. |
| Incidence of Related Non Expected Adverse Events | Days: 0 (eligibility visit), 0 - 2 (baseline visit),17 - 19 (± 1) (first follow-up visit), 31 - 33 (± 1) (final visit), and 38 - 40 (± 1) (safety call). | Number of related non expected adverse events observed per group. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study. |
| Change in Best Corrected Visual Acuity (BCVA) | Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit). | With the patient's best possible refractive correction, visual acuity will be evaluated through the Snellen chart. Its notation (decimal) is described as the distance from the chart at which the test is performed, divided by the distance at which a letter equals vertically 5 minutes of arc. Visual acuity (VA) is a test of visual function. It will be evaluated with the Snellen chart. The Snellen chart is the standard tool used to evaluate visual acuity. It was located in a place with adequate lighting, natural or artificial and at a distance of 3 meters from the subject to be evaluated. The contralateral eye to which it will be evaluated is covered, then the examiner detects until the line can clearly see the letters given he or she a score, the normal score for a VA is 20/20. This score can be expressed in fraction (i.e. 20/20) decimal (i.e. 1.0), or LogMAR (i.e. 0) formats. In this study, VA is expressed in decimal format. In decimal format, a lower number is a worse outcome. |
| Change in Incidence of Chemosis | Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit). | Chemosis will be evaluated as present (if conjunctiva separates from the sclera in ≥ 1/3 of the palpebral opening area or if it exceeds the eyelid's gray line) or absent per subject. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study. |
Countries
Mexico
Participant flow
Pre-assignment details
The minimun sample size was not reached secondary to follow up loss and protocol deviations. Therefore, the efficacy analysis was performed in an exploratory manner and it was not possible to contrast the hypoteses.
Participants by arm
| Arm | Count |
|---|---|
| Arm 1; Humylub Ofteno® PF Humylub Ofteno® PF (sodium hyaluronate 0.1%/chondroitin sulfate 0.18%) ophthalmic solution applied QID for 30 days.
Sodium hyaluronate 0.1%/chondroitin sulfate 0.18%: Application of one drop of Humylub Ofteno® PF (Sodium hyaluronate 0.1%/chondroitin sulfate 0.18%) QID in both eyes (OU) during 30 days. | 61 |
| Arm 2; Hyabak® Hyabak® PF (sodium hyaluronate 0.15%) ophthalmic solution applied QID for 30 days.
Sodium hyaluronate 0.15%: Application of one drop of Hyabak® PF (Sodium hyaluronate 0.15%) QID in OU during 30 days. | 61 |
| Arm 3; Lagricel Ofteno® PF Lagricel Ofteno® PF (sodium hyaluronate 0.4%) ophthalmic solution applied QID for 30 days.
Sodium hyaluronate 0.4%: Application of one drop of Lagricel Ofteno® PF (Sodium Hyaluronate 0.4%) QID in OU during 30 days. | 60 |
| Total | 182 |
Baseline characteristics
| Characteristic | Arm 1; Humylub Ofteno® PF | Arm 2; Hyabak® | Arm 3; Lagricel Ofteno® PF | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 61 Participants | 61 Participants | 60 Participants | 182 Participants |
| Age, Continuous | 29.5 years STANDARD_DEVIATION 11 | 31.7 years STANDARD_DEVIATION 11.7 | 31.4 years STANDARD_DEVIATION 10.2 | 30.9 years STANDARD_DEVIATION 11 |
| Conjunctival hyperemia | 24 Participants | 19 Participants | 16 Participants | 59 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 61 Participants | 61 Participants | 60 Participants | 182 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment Mexico | 61 participants | 61 participants | 60 participants | 182 participants |
| Sex: Female, Male Female | 33 Participants | 33 Participants | 36 Participants | 102 Participants |
| Sex: Female, Male Male | 28 Participants | 28 Participants | 24 Participants | 80 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 61 | 0 / 61 | 0 / 60 |
| other Total, other adverse events | 40 / 61 | 39 / 61 | 43 / 60 |
| serious Total, serious adverse events | 1 / 61 | 0 / 61 | 0 / 60 |
Outcome results
Change in Ocular Surface Disease Index (OSDI)
OSDI is a 12-item questionnaire used to evaluate symptoms associated with dry eye disease, as well as classify their severity. According the obtained score, categories are as follows: normal (0-12 points), mild (13-22 points), moderate (23-32 points), or severe (33-100 points). A higher score is a worse outcome. • This outcome measure considered the Per Protocol (PP) population.
Time frame: Days: 0 (± 2) (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit).
Population: In total, 18 participants were discontinued from the study.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm 1; Humylub Ofteno® PF | Change in Ocular Surface Disease Index (OSDI) | First follow-up visit | 16.4 score on a scale | Standard Deviation 8.3 |
| Arm 1; Humylub Ofteno® PF | Change in Ocular Surface Disease Index (OSDI) | Elegibility visit | 26.4 score on a scale | Standard Deviation 5.1 |
| Arm 1; Humylub Ofteno® PF | Change in Ocular Surface Disease Index (OSDI) | Final visit | 11.2 score on a scale | Standard Deviation 9.4 |
| Arm 2; Hyabak® | Change in Ocular Surface Disease Index (OSDI) | First follow-up visit | 14.0 score on a scale | Standard Deviation 10.4 |
| Arm 2; Hyabak® | Change in Ocular Surface Disease Index (OSDI) | Elegibility visit | 26.3 score on a scale | Standard Deviation 5.8 |
| Arm 2; Hyabak® | Change in Ocular Surface Disease Index (OSDI) | Final visit | 8.8 score on a scale | Standard Deviation 7.5 |
| Arm 3; Lagricel Ofteno® PF | Change in Ocular Surface Disease Index (OSDI) | Elegibility visit | 26.6 score on a scale | Standard Deviation 4.9 |
| Arm 3; Lagricel Ofteno® PF | Change in Ocular Surface Disease Index (OSDI) | Final visit | 10.7 score on a scale | Standard Deviation 9 |
| Arm 3; Lagricel Ofteno® PF | Change in Ocular Surface Disease Index (OSDI) | First follow-up visit | 15.2 score on a scale | Standard Deviation 8.3 |
Change in Best Corrected Visual Acuity (BCVA)
With the patient's best possible refractive correction, visual acuity will be evaluated through the Snellen chart. Its notation (decimal) is described as the distance from the chart at which the test is performed, divided by the distance at which a letter equals vertically 5 minutes of arc. Visual acuity (VA) is a test of visual function. It will be evaluated with the Snellen chart. The Snellen chart is the standard tool used to evaluate visual acuity. It was located in a place with adequate lighting, natural or artificial and at a distance of 3 meters from the subject to be evaluated. The contralateral eye to which it will be evaluated is covered, then the examiner detects until the line can clearly see the letters given he or she a score, the normal score for a VA is 20
Time frame: Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit).
Population: This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm 1; Humylub Ofteno® PF | Change in Best Corrected Visual Acuity (BCVA) | Elegibility visit | 0.97 decimal | Standard Deviation 0.18 |
| Arm 1; Humylub Ofteno® PF | Change in Best Corrected Visual Acuity (BCVA) | First follow-up visit | 0.99 decimal | Standard Deviation 0.17 |
| Arm 1; Humylub Ofteno® PF | Change in Best Corrected Visual Acuity (BCVA) | Final visit | 0.99 decimal | Standard Deviation 0.2 |
| Arm 2; Hyabak® | Change in Best Corrected Visual Acuity (BCVA) | Elegibility visit | 0.95 decimal | Standard Deviation 0.21 |
| Arm 2; Hyabak® | Change in Best Corrected Visual Acuity (BCVA) | First follow-up visit | 0.98 decimal | Standard Deviation 0.26 |
| Arm 2; Hyabak® | Change in Best Corrected Visual Acuity (BCVA) | Final visit | 0.96 decimal | Standard Deviation 0.18 |
| Arm 3; Lagricel Ofteno® PF | Change in Best Corrected Visual Acuity (BCVA) | Final visit | 0.96 decimal | Standard Deviation 0.22 |
| Arm 3; Lagricel Ofteno® PF | Change in Best Corrected Visual Acuity (BCVA) | First follow-up visit | 0.96 decimal | Standard Deviation 0.22 |
| Arm 3; Lagricel Ofteno® PF | Change in Best Corrected Visual Acuity (BCVA) | Elegibility visit | 0.94 decimal | Standard Deviation 0.2 |
Change in Conjunctival Hyperemia
The change in proportion of participant's score will be analyzed. Rate of conjunctival hyperemia will be evaluated through the Efron scale which includes 5 grades: Normal (0), Very Mild (I), Mild (II), Moderate (3), and Severe (4). This outcome measure considered the Per Protocol (PP) population.
Time frame: Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit).
Population: In total, 18 participants were discontinued from the study.
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Mild | 3 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Severe | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Normal | 21 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Moderate | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Moderate | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Very Mild | 17 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Severe | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Mild | 9 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Normal | 23 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Normal | 32 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Severe | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Mild | 6 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Very Mild | 11 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Moderate | 2 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Very Mild | 14 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Elegibility visit | Very Mild | 17 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | First follow-up visit | Mild | 5 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | First follow-up visit | Moderate | 0 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | First follow-up visit | Severe | 0 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Final visit | Normal | 33 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Final visit | Very Mild | 14 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Final visit | Mild | 2 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Final visit | Moderate | 0 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Final visit | Severe | 0 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | First follow-up visit | Normal | 22 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | First follow-up visit | Very Mild | 22 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Elegibility visit | Normal | 15 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Elegibility visit | Mild | 15 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Elegibility visit | Moderate | 2 Participants |
| Arm 2; Hyabak® | Change in Conjunctival Hyperemia | Elegibility visit | Severe | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Mild | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Moderate | 3 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Normal | 14 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Very Mild | 13 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Normal | 27 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Very Mild | 12 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Severe | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Mild | 4 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Mild | 11 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Severe | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Moderate | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Normal | 22 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Final visit | Moderate | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | Elegibility visit | Severe | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Conjunctival Hyperemia | First follow-up visit | Very Mild | 14 Participants |
Change in Incidence of Chemosis
Chemosis will be evaluated as present (if conjunctiva separates from the sclera in ≥ 1/3 of the palpebral opening area or if it exceeds the eyelid's gray line) or absent per subject. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.
Time frame: Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit).
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Arm 1; Humylub Ofteno® PF | Change in Incidence of Chemosis | Elegibility visit | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Incidence of Chemosis | First follow-up visit | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change in Incidence of Chemosis | Final visit | 0 Participants |
| Arm 2; Hyabak® | Change in Incidence of Chemosis | First follow-up visit | 0 Participants |
| Arm 2; Hyabak® | Change in Incidence of Chemosis | Elegibility visit | 0 Participants |
| Arm 2; Hyabak® | Change in Incidence of Chemosis | Final visit | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Incidence of Chemosis | First follow-up visit | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Incidence of Chemosis | Final visit | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change in Incidence of Chemosis | Elegibility visit | 0 Participants |
Change of Conjunctival and Corneal Staining With Fluorescein
The change in proportion of participant's abscence of conjunctival and corneal staining with fluorescein will be analyzed. The evaluation will take place after applying the fluorescein stain on the ocular surface and evaluating the resulting staining pattern. This will be measured through the Oxford scale which includes 6 grades: Absent (0), Minimal (I), Mild (II), Moderate (III), Marked (IV), Severe (V). This outcome measure considered the Per Protocol (PP) population.
Time frame: Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit).
Population: In total, 18 participants were discontinued from the study.
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | 0 | 36 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | I | 19 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | III | 1 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | II | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | 0 | 19 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | 0 | 31 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | I | 10 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | III | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | I | 12 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | II | 7 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | III | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | II | 3 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | II | 2 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | III | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | 0 | 34 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | I | 15 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | I | 27 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | II | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | II | 4 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | III | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | III | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | 0 | 23 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | 0 | 20 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | I | 22 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | III | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | III | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | 0 | 16 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | I | 20 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | II | 4 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Elegibility visit | III | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | 0 | 25 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | I | 14 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | 0 | 24 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | I | 14 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | Final visit | II | 2 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Fluorescein | First follow-up visit | II | 1 Participants |
Change of Conjunctival and Corneal Staining With Lissamine Green
The change in proportion of participant's abscence of conjunctival and corneal staining with lissamine green will be analyzed. The evaluation will take place after applying the lissamine green stain on the ocular surface and evaluating the resulting staining pattern. This will be measured through the Oxford scale which includes 6 grades: Absent (0), Minimal (I), Mild (II), Moderate (III), Marked (IV), Severe (V). This outcome measure considered the Per Protocol (PP) population.
Time frame: Days: 0 (eligibility visit), 17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit).
Population: In total, 18 participants were discontinued from the study.
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | 0 | 25 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | II | 3 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | 0 | 33 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | I | 16 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | I | 21 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | IV | 1 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | II | 4 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | II | 1 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | III | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | III | 2 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | IV | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | 0 | 20 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | IV | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | III | 0 Participants |
| Arm 1; Humylub Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | I | 12 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | I | 15 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | 0 | 23 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | I | 22 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | II | 4 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | III | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | IV | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | 0 | 28 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | I | 19 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | II | 1 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | III | 1 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | IV | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | 0 | 32 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | II | 2 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | III | 0 Participants |
| Arm 2; Hyabak® | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | IV | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | 0 | 25 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | III | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | 0 | 23 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | IV | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | III | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | I | 17 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | II | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | 0 | 16 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | II | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | II | 3 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Eligibility visit | I | 24 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | III | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | I | 12 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | Final visit | IV | 0 Participants |
| Arm 3; Lagricel Ofteno® PF | Change of Conjunctival and Corneal Staining With Lissamine Green | First follow-up visit | IV | 0 Participants |
Incidence of Related Non Expected Adverse Events
Number of related non expected adverse events observed per group. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.
Time frame: Days: 0 (eligibility visit), 0 - 2 (baseline visit),17 - 19 (± 1) (first follow-up visit), 31 - 33 (± 1) (final visit), and 38 - 40 (± 1) (safety call).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm 1; Humylub Ofteno® PF | Incidence of Related Non Expected Adverse Events | 5 adverse events |
| Arm 2; Hyabak® | Incidence of Related Non Expected Adverse Events | 5 adverse events |
| Arm 3; Lagricel Ofteno® PF | Incidence of Related Non Expected Adverse Events | 10 adverse events |
Noninvasive Keratograph Break-up Time (NIKBUT)
This evaluation will be performed through an Oculus Keratograph 5M, and the parameter first break-up time will be recorded as NIKBUT. A lower value is a worse outcome. This outcome measure considered the Per Protocol (PP) population.
Time frame: Days: 0 - 2 (baseline visit),17 - 19 (± 1) (first follow-up visit), and 31 - 33 (± 1) (final visit).
Population: In total, 18 participants were discontinued from the study.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Arm 1; Humylub Ofteno® PF | Noninvasive Keratograph Break-up Time (NIKBUT) | First follow-up visit | 7.3 seconds | Standard Deviation 4.8 |
| Arm 1; Humylub Ofteno® PF | Noninvasive Keratograph Break-up Time (NIKBUT) | Baseline visit | 6.8 seconds | Standard Deviation 3.9 |
| Arm 1; Humylub Ofteno® PF | Noninvasive Keratograph Break-up Time (NIKBUT) | Final visit | 8.7 seconds | Standard Deviation 5.3 |
| Arm 2; Hyabak® | Noninvasive Keratograph Break-up Time (NIKBUT) | First follow-up visit | 6.9 seconds | Standard Deviation 4.8 |
| Arm 2; Hyabak® | Noninvasive Keratograph Break-up Time (NIKBUT) | Baseline visit | 5.2 seconds | Standard Deviation 3 |
| Arm 2; Hyabak® | Noninvasive Keratograph Break-up Time (NIKBUT) | Final visit | 7.8 seconds | Standard Deviation 4.9 |
| Arm 3; Lagricel Ofteno® PF | Noninvasive Keratograph Break-up Time (NIKBUT) | Baseline visit | 7.1 seconds | Standard Deviation 4.3 |
| Arm 3; Lagricel Ofteno® PF | Noninvasive Keratograph Break-up Time (NIKBUT) | Final visit | 7.1 seconds | Standard Deviation 3.9 |
| Arm 3; Lagricel Ofteno® PF | Noninvasive Keratograph Break-up Time (NIKBUT) | First follow-up visit | 7.7 seconds | Standard Deviation 4.9 |