Title

Study to Evaluate the Safety and Efficacy of SDP-4 in Subjects With Dry Eye Disease (DED)
A Phase 2, Multicenter, Double-Masked, Randomized, Vehicle-Controlled, Parallel Group, Dose-Response Study of SDP-4 Ophthalmic Solution in Subjects With Dry Eye Disease (DED)
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    305
SDP-4-CS201, is a Phase 2, multi-center, double-masked, randomized, vehicle-controlled, dose-response, parallel-group study designed to evaluate the ocular and systemic safety and efficacy of SDP-4 ophthalmic solution in subjects with moderate to severe dry eye disease over a 12-week treatment period. Three concentrations (0.1%, 1.0% and 3.0%) of SDP-4 ophthalmic solution will be given to parallel groups via topical ocular instillation BID.
Study Started
Apr 16
2019
Primary Completion
Oct 07
2019
Study Completion
Oct 11
2019
Results Posted
Sep 02
2022
Last Update
Sep 02
2022

Drug SDP-4 Ophthalmic Solution (0.1%)

Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.

  • Other names: SDP-4 (0.1%)

Drug SDP-4 Ophthalmic Solution (1.0%)

Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.

  • Other names: SDP-4 (1.0%)

Drug SDP-4 Ophthalmic Solution (3.0%)

Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.

  • Other names: SDP-4 (3.0%)

Drug Vehicle

Investigational product (IP) will be administered via topical ocular instillation, one drop per eye, twice daily (BID) for 12 weeks (84 days). Both eyes will be treated.

Vehicle Placebo Comparator

Vehicle

SDP-4 Ophthalmic Solution (0.1%) Experimental

Low concentration of SDP-4

SDP-4 Ophthalmic Solution (1.0%) Experimental

Mid concentration of SDP-4

SDP-4 Ophthalmic Solution (3.0%) Experimental

High concentration of SDP-4

Criteria

Inclusion Criteria:

Have DED in both eyes for ≥ 6 months prior to Visit 1/Screening.
Total score ≥ 40 on the SANDE questionnaire.
Tear break-up time (TBUT) of ≤ 6 seconds in both eyes.
Anesthetized Schirmer's test tear volume ≥ 4 mm and <10 mm in both eyes.

Exclusion Criteria:

Ocular surface corneal disease, other than DED.
Lid margin disorder other than meibomian gland dysfunction (MGD).
Any previous reconstructive or cosmetic eyelid surgery that may affect the normal function of the lids
Any previous invasive glaucoma and/or corneal surgery
Corneal refractive surgery in the 12 months prior to Visit 1/Screening.
Cataract extraction within 90 days prior to Visit 1/Screening.
Use of ophthlamic corticosteroids, NSAIDs, antibiotics, antihistamines, IOP lowering medication, in the 30 days prior to Visit 1/Screening
Serious systemic disease or uncontrolled medical condition that in the judgment of the Investigator could confound study assessments

Summary

Vehicle

SDP-4 Ophthalmic Solution (0.1%)

SDP-4 Ophthalmic Solution (1.0%)

SDP-4 Ophthalmic Solution (3.0%)

All Events

Event Type Organ System Event Term Vehicle SDP-4 Ophthalmic Solution (0.1%) SDP-4 Ophthalmic Solution (1.0%) SDP-4 Ophthalmic Solution (3.0%)

Symptom Assessment in Dry Eye (SANDE) Questionnaire

Mean change from baseline in total SANDE score at Visit 7/Day 84 The SANDE questionnaire contained two questions regarding the frequency and severity of DED symptoms, with a total score being the square root of the frequency score times the square root of the severity score (range 0 100). A higher score indicates more severe DED symptoms.

Vehicle

-25.66
units on a scale (Mean)
Standard Deviation: 26.685

SDP-4 Ophthalmic Solution (0.1%)

-25.14
units on a scale (Mean)
Standard Deviation: 25.076

SDP-4 Ophthalmic Solution (1.0%)

-29.95
units on a scale (Mean)
Standard Deviation: 24.883

SDP-4 Ophthalmic Solution (3.0%)

-24.81
units on a scale (Mean)
Standard Deviation: 26.685

Tear Breakup Time

Mean change from baseline at each visit

Vehicle

Day 14

1.08
seconds (Mean)
Standard Deviation: 3.430

Day 28

1.0
seconds (Mean)
Standard Deviation: 2.246

Day 56

1.18
seconds (Mean)
Standard Deviation: 2.728

Day 7

0.95
seconds (Mean)
Standard Deviation: 1.816

Day 84

1.44
seconds (Mean)
Standard Deviation: 3.213

SDP-4 Ophthalmic Solution (0.1%)

Day 14

1.15
seconds (Mean)
Standard Deviation: 1.487

Day 28

1.92
seconds (Mean)
Standard Deviation: 4.135

Day 56

1.38
seconds (Mean)
Standard Deviation: 2.020

Day 7

1.29
seconds (Mean)
Standard Deviation: 4.433

Day 84

1.44
seconds (Mean)
Standard Deviation: 2.097

SDP-4 Ophthalmic Solution (1.0%)

Day 14

1.37
seconds (Mean)
Standard Deviation: 2.735

Day 28

2.2
seconds (Mean)
Standard Deviation: 4.498

Day 56

2.13
seconds (Mean)
Standard Deviation: 4.123

Day 7

1.21
seconds (Mean)
Standard Deviation: 2.993

Day 84

1.49
seconds (Mean)
Standard Deviation: 3.177

SDP-4 Ophthalmic Solution (3.0%)

Day 14

1.09
seconds (Mean)
Standard Deviation: 2.175

Day 28

1.63
seconds (Mean)
Standard Deviation: 3.750

Day 56

1.29
seconds (Mean)
Standard Deviation: 1.878

Day 7

0.8
seconds (Mean)
Standard Deviation: 3.085

Day 84

1.09
seconds (Mean)
Standard Deviation: 1.693

Anesthetized Schirmer's Test

Mean change from baseline at Visit7/Day 84

Vehicle

2.53
millimeter (Mean)
Standard Deviation: 5.582

SDP-4 Ophthalmic Solution (0.1%)

2.95
millimeter (Mean)
Standard Deviation: 6.190

SDP-4 Ophthalmic Solution (1.0%)

1.89
millimeter (Mean)
Standard Deviation: 4.706

SDP-4 Ophthalmic Solution (3.0%)

3.75
millimeter (Mean)
Standard Deviation: 5.699

Conjunctival Hyperemia

Mean change from baseline at each visit. Reported on a scale of 0-15 with values greater than 3 indicating abnormal incidence of conjunctival surface irregularity.

SDP-4 Ophthalmic Solution (3.0%)

Day 14

-0.6
units on a scale (Mean)
Standard Deviation: 1.97

Day 28

-0.6
units on a scale (Mean)
Standard Deviation: 2.59

Day 56

-0.7
units on a scale (Mean)
Standard Deviation: 2.55

Day 7

-0.6
units on a scale (Mean)
Standard Deviation: 2.19

Day 84

-0.6
units on a scale (Mean)
Standard Deviation: 2.16

Vehicle

Day 14

-0.6
units on a scale (Mean)
Standard Deviation: 2.28

Day 28

-0.8
units on a scale (Mean)
Standard Deviation: 2.70

Day 56

-0.9
units on a scale (Mean)
Standard Deviation: 2.30

Day 7

-0.6
units on a scale (Mean)
Standard Deviation: 1.87

Day 84

-0.6
units on a scale (Mean)
Standard Deviation: 2.35

SDP-4 Ophthalmic Solution (0.1%)

Day 14

-0.8
units on a scale (Mean)
Standard Deviation: 1.78

Day 28

-0.8
units on a scale (Mean)
Standard Deviation: 1.98

Day 56

-0.6
units on a scale (Mean)
Standard Deviation: 1.99

Day 7

-0.7
units on a scale (Mean)
Standard Deviation: 1.82

Day 84

-0.8
units on a scale (Mean)
Standard Deviation: 2.60

SDP-4 Ophthalmic Solution (1.0%)

Day 14

-0.6
units on a scale (Mean)
Standard Deviation: 2.28

Day 28

-0.9
units on a scale (Mean)
Standard Deviation: 2.14

Day 56

-0.7
units on a scale (Mean)
Standard Deviation: 2.48

Day 7

-0.9
units on a scale (Mean)
Standard Deviation: 1.91

Day 84

-0.3
units on a scale (Mean)
Standard Deviation: 2.45

Corneal Fluoroscein Staining

Mean change from baseline at each visit Reported on a scale of 0-15 with values greater than 3 indicating abnormal incidence of corneal surface irregularity.

Vehicle

Day 14

-0.5
units on a scale (Mean)
Standard Deviation: 2.02

Day 28

-0.9
units on a scale (Mean)
Standard Deviation: 2.55

Day 56

-1.2
units on a scale (Mean)
Standard Deviation: 2.36

Day 7

-0.2
units on a scale (Mean)
Standard Deviation: 2.15

Day 84

-0.8
units on a scale (Mean)
Standard Deviation: 1.96

SDP-4 Ophthalmic Solution (0.1%)

Day 14

-1.2
units on a scale (Mean)
Standard Deviation: 2.21

Day 28

-1.5
units on a scale (Mean)
Standard Deviation: 2.43

Day 56

-1.3
units on a scale (Mean)
Standard Deviation: 2.07

Day 7

-1.4
units on a scale (Mean)
Standard Deviation: 2.03

Day 84

-1.3
units on a scale (Mean)
Standard Deviation: 2.45

SDP-4 Ophthalmic Solution (1.0%)

Day 14

-1.1
units on a scale (Mean)
Standard Deviation: 1.99

Day 28

-1.3
units on a scale (Mean)
Standard Deviation: 1.97

Day 56

-0.9
units on a scale (Mean)
Standard Deviation: 2.53

Day 7

-0.9
units on a scale (Mean)
Standard Deviation: 2.16

Day 84

-1.2
units on a scale (Mean)
Standard Deviation: 2.99

SDP-4 Ophthalmic Solution (3.0%)

Day 14

-1.3
units on a scale (Mean)
Standard Deviation: 2.11

Day 28

-1.2
units on a scale (Mean)
Standard Deviation: 2.15

Day 56

-1.6
units on a scale (Mean)
Standard Deviation: 1.96

Day 7

-1.4
units on a scale (Mean)
Standard Deviation: 2.00

Day 84

-1.4
units on a scale (Mean)
Standard Deviation: 2.29

Total

305
Participants

Age, Continuous

60.3
years (Mean)
Standard Deviation: 15.08

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Sex: Female, Male

Overall Study

Vehicle

SDP-4 Ophthalmic Solution (0.1%)

SDP-4 Ophthalmic Solution (1.0%)

SDP-4 Ophthalmic Solution (3.0%)

Drop/Withdrawal Reasons

SDP-4 Ophthalmic Solution (0.1%)

SDP-4 Ophthalmic Solution (1.0%)

SDP-4 Ophthalmic Solution (3.0%)