Assessment of Efficacy and Safety of the Use of Two Eye Gel Products Containing 5% Dexpanthenol in Patients With Moderate to Severe Dry Eye Syndrome

Launched by FIDIA FARMACEUTICI S.P.A. · Jan 15, 2024

Keywords

ClinConnect Summary

This clinical trial is studying two eye gel products, Myrialen® and Recugel®, that both contain 5% dexpanthenol, to see which one works better for people with moderate to severe dry eye syndrome. The goal is to determine if Myrialen® is at least as effective as Recugel® in improving the condition of the eye surface. To participate, you must be at least 18 years old, have a diagnosis of dry eye syndrome, and not have used any other eye treatments in the last 15 days. The study will involve around 110 patients who will be divided into two groups, with each group using one of the eye gels.

If you join the trial, you can expect to attend several visits where your eye health will be assessed through various tests. These tests will help determine how well the eye gels are working. It’s important to note that participants must be able to understand the study's purpose and follow the instructions given by the study team. This trial is currently recruiting participants, so if you or someone you know is experiencing dry eye symptoms, this could be an opportunity to receive treatment while contributing to important research.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Patient written informed consent to participate in the study obtained according to Good Clinical Practice (GCP);
• • 2. Male and female patients aged ≥18 years;
• • 3. Patients with new diagnosis of dry eye syndrome (according to Tear Film and Ocular Surface Society \[TFOS\] Dry Eye Workshop \[DEWS\] II definition), or previous diagnosis of dry eye syndrome not treated in the previous 15 days;
• • 4. Diagnosis of dry eye syndrome performed through the following exams: slit lamp examination (SLE), Impact of Dry Eye on Everyday Living (IDEEL) questionnaire, tear (lacrimal) meniscus exam, Schirmer's test, Tear Film Break-Up Time (TFBUT), fluorescein and lissamine green staining of the cornea and conjunctiva (respectively). In case of bilateral dry eye syndrome, only the worst eye, defined as the eye with the higher severity of impairment according to theInvestigator's judgment based on the above exams, will be considered for assessments (although both eyes will be treated). In the case of bilateral dry eye syndrome with both eyes having the same level of impairment, the right eye will be considered for assessments by convention;
• • 5. Sodium fluorescein and lissamine green staining score of the cornea and conjunctiva(respectively) ≥ 2 National Eye Institute (NEI) grid, defined as the sum of 5 areas per eye using a 0 (normal) to 3 (severe) scale) in the worst eye for the corneal staining and the sum of 6 areas per eye using a 0 (normal) to 3 (severe) scale in the worst eye for the conjunctival staining;
• • 6. A Schirmer test value \< 10 mm;
• • 7. A TFBUT value ≥ 5 sec;
• • 8. Patient able to comprehend the full nature and the purpose of the study, including possible risks and side effects, and subjects able to cooperate with the Investigator and to comply with the requirements of the entire study (including ability to attend all the planned study visits according to the time limits), based on Investigator's judgment;
• 9. Females of childbearing potential (i.e., not permanently sterilised - post hysterectomy or tubal ligation status - or not postmenopausal for at least one year) must have a negative urine pregnancy test result at Screening and must use an appropriate method of contraception for at least 30 days before inclusion in the study and during the whole study period, according to the definition in ICH M3 Guideline:
• A highly effective method is defined as that which results in a low failure rate (i.e., less than 1% per year) when used consistently and correctly. Highly effective birth control methods include:
• • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal); progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable); intrauterine device (IUD); intrauterine hormone-releasing system (IUS); bilateral tubal occlusion; vasectomised partner; sexual abstinence.
• Exclusion Criteria:
• • 1. Any ocular disease other than dry eye syndrome requiring treatment with ophthalmological topical medications with re-epithelizing, trophic, anti-infective or anti-inflammatory effect (e.g. antibiotics, corticosteroids, gel re-epithelizing, platelet-rich plasma, autologous serum, medication with vitamin A, hyaluronic acid-based products) in either eye at the time of study enrolment and in the previous 30 days;
• • 2. Any active ocular infection or active inflammation in either eye unrelated to dry eye syndrome;
• • 3. Presence or history of any systemic or ocular disorder, condition or disease (with particular attention to malignancies and neuro-oncological diseases) that, according to Investigator's judgment, can interfere with the conduct of the required study procedures or the assessment of the efficacy or the interpretation of the study results or the incidence of adverse events;
• • 4. Use of therapeutic or refractive contact lenses in either eye in the previous 20 days and at the time of study enrolment;
• • 5. History of ocular surgery in either eye, excluding corneal refractive or cataract procedures, within 90 days of study enrolment;
• • 6. Treatment with any other therapy that, according to Investigator's judgment, could interfere with the assessment of the efficacy or incidence of adverse events;
• • 7. Hypersensitivity and/or allergy to any of Myrialen® gel and/or Recugel® ingredients;
• • 8. Women pregnant or breastfeeding or women who could become pregnant and are not using effective contraception;
• • 9. Patients unlikely to comply with the protocol or unable to understand the nature, scope and possible consequences of the investigation;
• • 10. Participation in another clinical investigation within the past 30 days or previous enrolment in this investigation.