Clinical Trial To Determine The Efficacy And Safety Of Insulin Eye Drops In Dry Eye In Patients With Topical Hypotensors

2024-518407-22-00 Protocol 01INSULINAGLAUCOMA20 Therapeutic use (Phase IV) Ended

Start 8 Feb 2023 · End 27 Mar 2026 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol 01INSULINAGLAUCOMA20

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 100
Countries 1
Sites 1

Dry eye disease

The goal of this clinical trial is to evaluate the preliminary efficacy of the use of insulin eye drops in the control of dry eye disease in patients with topical hypotensors, compared to placebo (artificial tears).

Key facts

Sponsor
Hospital Clinico San Carlos
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11]
Trial duration
8 Feb 2023 → 27 Mar 2026
Decision date (initial)
2024-10-16
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518407-22-00
EudraCT number
2022-002434-13
ClinicalTrials.gov
NCT06017362

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy

The goal of this clinical trial is to evaluate the preliminary efficacy of the use of insulin eye drops in the control of dry eye disease in patients with topical hypotensors, compared to placebo (artificial tears).

Conditions and MedDRA coding

Dry eye disease

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Patients who provide written informed consent and who are able and willing to comply with all scheduled study visits and procedures.
  2. Patients ≥ 18 years at the screening visit.
  3. Ocular hypertension or glaucoma controlled with hypotensive treatment
  4. Diagnosis of dry eye

Exclusion criteria 15

  1. Uncontrolled glaucoma with expected changes in antihypertensive treatment in the next 6 months
  2. Changes in topical glaucoma treatment in the last 3 months
  3. Severe dry eye requiring immediate treatment
  4. Previous eye surgery, except cataract surgery more than 12 months ago
  5. Laser procedures less than 6 months ago
  6. Other concomitant ocular pathology: scarring disease of the ocular surface, uveitis, infection in the last 90 days, trauma in the last 90 days
  7. Eyelid disorders
  8. Use of contact lenses
  9. Other topical treatment other than dry eye and glaucoma
  10. Patients with a history of allergy or hypersensitivity to the study medication or any of its excipients
  11. Modifications in systemic immunosuppressive treatment in the last 6 months
  12. History of alcohol or drug abuse
  13. Patients who have received an experimental drug or used an experimental medical device in the 30-day period prior to the screening visit.
  14. Systemic pathology (cardiopulmonary pathology, connective tissue disorders, neurological or psychiatric pathology) or situation of the patient that does not allow examination (such as mental or psychomotor retardation).
  15. Any other disease or condition that, at the discretion of the investigator, could constitute a risk to the participant or interfere with the results of the study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Changes in dry eye symptoms from baseline to 6 months after treatment time

Secondary endpoints 8

  1. Change of corneal staining from baseline to 6 months after treatment
  2. Change in corneal aesthesiometry from baseline to 6 months after treatment
  3. Change in conjunctival hyperemia from baseline to 6 months after treatment
  4. Change in non-invasive tear film break-up time from baseline to 6 months after treatment
  5. Change in light dispersion from baseline to 6 months after treatment
  6. Change in cytokine levels from baseline to 6 months after treatment
  7. Changes in therapeutic compliance with hypotensive treatment
  8. Proportion of patients presenting adverse effects

Investigational products

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

Test 1

Insulin Human

SCP152623 · ATC

Active substance
Insulin Human
Substance synonyms
Insulin, human
Route of administration
OPHTHALMIC
Max daily dose
4 Other
Max total dose
732 Other
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
A10AB01 — INSULIN (HUMAN)
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Dose 1 U.I/mL

Placebo 1

Benzalkonium Chloride

SCP107133018 · ATC

Active substance
Benzalkonium Chloride
Substance synonyms
BENZALKONIUM CHLORATUM, ALKYLBENZYLDIMETHYLAMMONIUM CHLORIDE
Route of administration
OPHTHALMIC
Max daily dose
4 Other
Max total dose
732 Other
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
S01XA20 — ARTIFICIAL TEARS AND OTHER INDIFFERENT PREPARATIONS
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hospital Clinico San Carlos

Sponsor organisation
Hospital Clinico San Carlos
Address
Calle Del Profesor Martín Lagos S/n
City
Madrid
Postcode
28040
Country
Spain

Scientific contact point

Organisation
Hospital Clinico San Carlos
Contact name
Barbara Burgos Blasco

Public contact point

Organisation
Hospital Clinico San Carlos
Contact name
Barbara Burgos Blasco

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ended 100 1
Rest of world 0

Investigational sites

Spain

1 site · Ended
Hospital Clinico San Carlos
Ophthalmology, Calle Del Profesor Martín Lagos S/n, 28040, Madrid

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2023-02-08 2026-03-27 2023-02-17 2025-08-08

Results and documents

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

Documents 4 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_01-INSULINAGLAUCOMA-2022_2024-518407-22-00 3
Recruitment arrangements (for publication) K2_Recruitment material poster 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC insulin_01-INSULINAGLAUCOMA-2022 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-06 Spain Acceptable
2024-10-16
2024-10-16