Comparison of topical hydrocortisone versus dexamethasone treatment for inflammatory secretions of the conjunctiva in patients with ocular prostheses

2024-517441-14-00 Protocol 35RC21_8901 Phase III and Phase IV (Integrated) Ongoing, recruiting

Start 30 Oct 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol 35RC21_8901

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruiting
Participants planned 30
Countries 1
Sites 1

inflammatory secretions of the conjunctiva (Eye desease)

To study the efficacy of two topical molecules on the secretions of patients with prostheses: Hydrocortisone and Dexamethasone versus a tear substitute, DULCILARMES®, which will serve as a comparator.

Key facts

Sponsor
Centre Hospitalier Universitaire De Rennes
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11], Phenomena and Processes [G] - Ocular Physiological Phenomena [G14], Phenomena and Processes [G] - Immune system processes [G12]
Trial duration
30 Oct 2024 → ongoing
Decision date (initial)
2024-10-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
CHU Rennes · THEA

External identifiers

EU CT number
2024-517441-14-00
EudraCT number
2021-003794-56
ClinicalTrials.gov
NCT05668455

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To study the efficacy of two topical molecules on the secretions of patients with prostheses: Hydrocortisone and Dexamethasone versus a tear substitute, DULCILARMES®, which will serve as a comparator.

Secondary objectives 3

  1. To assess the effect of treatments on : 1) conjunctival inflammation
  2. To assess the effect of treatments on : 2) secretions
  3. To assess the effect of treatments on : 3) quality of life

Conditions and MedDRA coding

inflammatory secretions of the conjunctiva (Eye desease)

VersionLevelCodeTermSystem organ class
20.0 HLT 10030045 Ocular infections inflammations and associated manifestations 10015919

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patient aged 18 years or older
  2. Wearing a permanent prosthesis for more than 6 months
  3. Modified OSDI score ≥ 13 points out of 40 ;
  4. Affiliated to a health insurance scheme,
  5. Having given free, informed and written consent.
  6. Consultant in the ophthalmology department

Exclusion criteria 9

  1. Treatment with eye drops (other than artificial tears or antiseptic) < 1 month
  2. Fatty dermal graft or complicated cavity
  3. Gougerot-Sjögren syndrome
  4. Allergic conjunctivitis
  5. Damaged prosthesis
  6. Impossibility of carrying out the various tests required by the protocol for whatever reason (comprehension problems, motor disability)
  7. Pregnant or breastfeeding woman
  8. Person already included in a RIPH1 research protocol with topical treatment of the cavity or systemic anti-inflammatory treatment and/or who could lead to a bias in the present study
  9. Person under legal protection (safeguard of justice, curatorship, guardianship) or person deprived of liberty

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Secretion Self-Rating Scale score. This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points. (Jacobs et al.; Maucourant et al.)

Secondary endpoints 3

  1. 1) Bulbar conjunctival inflammation score and tarsal conjunctival inflammation score according to the grades of Saini et al.
  2. 2) Secretion frequency (score out of 10) according to the secretion analysis scale (Jacobs et al.) - Colour of secretions (score out of 10) according to the secretion analysis scale (Jacobs et al.) - Amount of secretions (score out of 10) according to the secretion analysis scale (Jacobs et al.) - Thickness/Viscosity of secretions (score out of 10) according to the secretion analysis scale (Jacobs et al.)
  3. 3) OSDI quality of life score adapted to prosthesis wearers, scored on 40 points (10 items with a maximum of 4 points per item) (Maucourant et al.)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

DEXAFREE 1 mg/ml, collyre en solution en récipient unidose

PRD317019 · Product

Active substance
Dexamethasone Phosphate
Pharmaceutical form
EYE DROPS, SOLUTION
Route of administration
TOPICAL ADMINISTRATION
Max daily dose
360 µg microgram(s)
Max total dose
5040 µg microgram(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
S01BA01 — DEXAMETHASONE
Marketing authorisation
34009 374 774 5 1
MA holder
LABORATOIRES THEA
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
used for its anti-inflammatory action in the eye cavity

SOFTACORT 3,35 mg/ml, collyre en solution en récipient unidose

PRD5284446 · Product

Active substance
Hydrocortisone Sodium Phosphate
Pharmaceutical form
EYE DROPS, SOLUTION
Route of administration
TOPICAL ADMINISTRATION
Max daily dose
0.48 mg milligram(s)
Max total dose
6.72 mg milligram(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
S01BA02 — HYDROCORTISONE
Marketing authorisation
34009 300 956 1 4
MA holder
LABORATOIRES THEA
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
used for its anti-inflammatory action in the eye cavity

Comparator 1

DULCILARMES 1,5%, collyre en solution en récipient unidose

PRD1864439 · Product

Active substance
Povidone
Pharmaceutical form
EYE DROPS, SOLUTION
Route of administration
TOPICAL ADMINISTRATION
Max daily dose
4 U unit(s)
Max total dose
56 U unit(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
S01X — OTHER OPHTHALMOLOGICALS
Marketing authorisation
279 562-4 OU 34009 279 562 4 9
MA holder
HORUS PHARMA
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
used in the eye cavity

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Universitaire De Rennes

Sponsor organisation
Centre Hospitalier Universitaire De Rennes
Address
2 Rue Henri Le Guilloux
City
Rennes Cedex 9
Postcode
35033
Country
France

Scientific contact point

Organisation
Centre Hospitalier Universitaire De Rennes
Contact name
Frédéric MOURIAUX

Public contact point

Organisation
Centre Hospitalier Universitaire De Rennes
Contact name
Frédéric MOURIAUX

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 30 1
Rest of world 0

Investigational sites

France

1 site · Ongoing, recruiting
Centre Hospitalier Universitaire De Rennes
Ophtalmology, 2 Rue Henri Le Guilloux, 35033, Rennes Cedex 9

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-10-30 2024-10-30

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 10 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_redacted_clean_2024-517441-14_CRYSTAL 5
Recruitment arrangements (for publication) K1_Recruitment arrangements_CRYSTAL 2
Recruitment arrangements (for publication) K2_Recruitment material description_Poster_2024-517441-14-00_CRYSTAL 1
Subject information and informed consent form (for publication) D4_Patient Facing document_Patient Card_CRYSTAL 1
Subject information and informed consent form (for publication) L1_SIS and ICF_clean_2024-517441-14_CRYSTAL 5
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Dexafree_2024-517441-14_CRYSTAL 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Dulcilarmes_2024-517441-14_CRYSTAL 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Softacort_2024-517441-14_CRYSTAL 2
Synopsis of the protocol (for publication) D1_Protocol Synopsis EN_Redacted_Clean_2024-517441-14_ CRYSTAL 5
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_redacted_clean_2024-517441-14_CRYSTAL 5

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-07 France Acceptable
2024-10-25
2024-10-30
2 SUBSTANTIAL MODIFICATION SM-1 2025-04-16 France Acceptable
2025-05-26
2025-06-05