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Safety and Efficacy of Fixed Combination Phenylephrine-Tropicamide for Pupil Dilation

A Single-Center, Open Label, Phase 4 Study of the Safety and Efficacy of Fixed Combination Phenylephrine 2.5%-Tropicamide 1% Ophthalmic Solution (Mydcombi®) Administered With the Mydcombi Dispenser for Pupil Dilation (THE MIST-2.1 STUDY)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06217796
Enrollment
30
Registered
2024-01-22
Start date
2023-11-28
Completion date
2024-01-09
Last updated
2024-04-18

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

Conditions

Mydriasis

Keywords

Mydriasis

Brief summary

Subjects will receive ½ of the approved dose of MydCombi to determine the dilation curve with the reduced dose.

Detailed description

MydCombi is approved for inducing mydriasis for diagnostic procedures and in conditions where short term pupil dilation is desired. The approved dose is 1 metered spray to the cornea of each eye to be dilated to be repeated after 5 minutes. This study will define the dilation of the pupil with ½ of the approved dose - a single metered spray to the cornea of each eye.

Interventions

COMBINATION_PRODUCTMydCombi

A single metered spray administered with the MydCombi dispenser

Sponsors

Eyenovia Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Intervention model description

All subjects receive the same intervention

Eligibility

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

Inclusion criteria

* Ability to provide signed written consent prior to participation in any study-related procedures. * Ability to return for the study treatment visit. * Photopic screening pupil diameter ≤ 3.5 mm in each eye. * Females not of childbearing potential or negative pregnancy test

Exclusion criteria

* Pregnant or Lactating * Clinically significant abnormalities of the eye * Active eye disease * Using medication that can effect pupil dilation

Design outcomes

Primary

MeasureTime frameDescription
Mean Change in Pupil Diameter30 minutesMean change in pupil diameter at 30 minutes from the time of drug dose versus baseline, as measured by digital pupillometry in highly photopic conditions

Secondary

MeasureTime frameDescription
6.0 mm or Greater at 30 Minutes30 minutesPercentage of eyes achieving pupil diameter of 6.0 mm or greater
7.0 mm or Greater at 30 Minutes30 minutesPercentage of eyes achieving pupil diameter of 7.0 mm or greater
Distribution of Pupil Diameters360 minutesDistribution of pupil diameters at 15, 30, 60, 90, 150, 210 and 360 minutes

Countries

United States

Participant flow

Participants by arm

ArmCount
Open Label Treatment
Single metered spray of MydCombi MydCombi: A single metered spray administered with the MydCombi dispenser
29
Total29

Baseline characteristics

CharacteristicOpen Label Treatment
Age, Continuous36.4 years
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Iris Color
Blue Iris
2 Participants
Iris Color
Brown Iris
26 Participants
Iris Color
Green Iris
1 Participants
Iris Color
Hazel Iris
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
9 Participants
Race (NIH/OMB)
Black or African American
7 Participants
Race (NIH/OMB)
More than one race
1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
11 Participants
Region of Enrollment
United States
29 participants
Sex: Female, Male
Female
15 Participants
Sex: Female, Male
Male
14 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 30
other
Total, other adverse events
3 / 30
serious
Total, serious adverse events
0 / 30

Outcome results

Primary

Mean Change in Pupil Diameter

Mean change in pupil diameter at 30 minutes from the time of drug dose versus baseline, as measured by digital pupillometry in highly photopic conditions

Time frame: 30 minutes

ArmMeasureGroupValue (MEAN)Dispersion
Open Label TreatmentMean Change in Pupil DiameterChange from Baseline3.73 millimetersStandard Deviation 1.293
Open Label TreatmentMean Change in Pupil DiameterPupil Diameter6.46 millimetersStandard Deviation 1.411
Secondary

6.0 mm or Greater at 30 Minutes

Percentage of eyes achieving pupil diameter of 6.0 mm or greater

Time frame: 30 minutes

ArmMeasureValue (NUMBER)
Open Label Treatment6.0 mm or Greater at 30 Minutes67.2 percentage of eyes >6.0 mm
Secondary

7.0 mm or Greater at 30 Minutes

Percentage of eyes achieving pupil diameter of 7.0 mm or greater

Time frame: 30 minutes

ArmMeasureValue (NUMBER)
Open Label Treatment7.0 mm or Greater at 30 Minutes43.1 percentage of eyes >7.0 mm
Secondary

Distribution of Pupil Diameters

Distribution of pupil diameters at 15, 30, 60, 90, 150, 210 and 360 minutes

Time frame: 360 minutes

ArmMeasureGroupValue (MEAN)Dispersion
Open Label TreatmentDistribution of Pupil DiametersBaseline2.73 millimetersStandard Deviation 0.446
Open Label TreatmentDistribution of Pupil Diameters15 Minutes4.80 millimetersStandard Deviation 1.335
Open Label TreatmentDistribution of Pupil Diameters30 Minutes6.46 millimetersStandard Deviation 1.411
Open Label TreatmentDistribution of Pupil Diameters60 minutes6.95 millimetersStandard Deviation 1.255
Open Label TreatmentDistribution of Pupil Diameters90 Minutes6.70 millimetersStandard Deviation 1.249
Open Label TreatmentDistribution of Pupil Diameters150 Minutes6.09 millimetersStandard Deviation 1.36
Open Label TreatmentDistribution of Pupil Diameters210 Minutes5.18 millimetersStandard Deviation 1.334
Open Label TreatmentDistribution of Pupil Diameters360 Minutes3.51 millimetersStandard Deviation 0.774

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