PRO-232 in Patients Subjected to Cataract Surgery

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorLaboratorios Sophia S.A de C.V.

About this trial

The main objective of this study is to evaluate the efficacy and safety of the PRO-232 formulation manufactured by Laboratorios Sophia S.A. de C.V. on the ocular surface of postoperative cataract patients versus a concomitant administration of ophthalmic moxifloxacin and dexamethasone.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

To have the ability to voluntarily grant their signed informed consent (FCI).

Being able and willing to comply with scheduled visits in the treatment plan and other study procedures.

Being 18 years of age or older.

Male or female.

Disqualifiers

Allergy to any of the components of the investigational products or to any of the compounds used during testing.

Surgery on both eyes during the same surgical period.

Not having had surgery within a period of 24 hours before inclusion.

Performing iridectomy, or injury to the pupillary sphincter during phacoemulsification surgery.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Moxifloxacin / Dexamethasone Ophthalmic Solution

    Drug

    Moxifloxacin 0.5% / Dexamethasone phosphate 0.1% Ophthalmic solution

  • Placebo

    Drug

    Same excipients as PRO-232, without active principles (moxifloxacin and dexamethasone)

  • Moxifloxacin Hydrochloride, Ophthalmic

    Drug

    Moxifloxacin 0.5% Ophthalmic solution

  • Dexamethasone phosphate

    Drug

    Dexamethasone phosphate 0.1% Ophthalmic solution

Treatment groups

134 Participants
are divided into 2 treatment groups
Group A: PRO-232Experimental treatment 2 interventions
Group B: Moxifloxacin / DexamethasoneActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Proportion of patients with grade 0 cellularity among interventions

Using a slit lamp, a detailed assessment of cellularity in the anterior chamber of the eye will be performed. Using a 0.5 X 8.0mm beam of light directed obliquely the degree of cellularity will be measured. The grade of cellularity in the anterior chamber will be reported acording to the following scale: Grade Number of cells Grade 0 (≤ 5 cells), grade 1+ (5-10 cells \[mild\]), grade 2+ (11-20 \[moderate\]), grade 3+ (21-50 \[marked\]), grade 4+ (over 50 \[severe\]). The evaluated population for this outcome measure will be the PP population (subjects who finished the study without presenting any mayor deviations to protocol).

Time frame
Day 1, 3, 8 and 15.
2

Proportion of patients presenting unexpected adverse events (AE) related between interventions

The manifested adverse events during the conduction of this trial will be obtained during trial visits and reported in the electronic CRF, where the clinical team of the center included the information from source documents. These will be previously checked by the monitor team, pharmacovigilance specialist, and the medical specialist part of the sponsor's crew to verify concordance with what was stipulated in the protocol. The classification as unexpected and/or related will be based in previously reported AE for the ingredients of the investigational products and comparators. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.

Time frame
Day 1, 3, 8, 15 and 20.

Secondary outcomes

1

Degree of cellularity in the anterior chamber between interventions

Using a slit lamp, a detailed assessment of cellularity in the anterior chamber of the eye will be performed. Using a 0.5 X 8.0mm beam of light directed obliquely the degree of cellularity will be measured. The grade of cellularity in the anterior chamber will be reported acording to the following scale: Grade Number of cells Grade 0 (≤ 5 cells), grade 1+ (5-10 cells \[mild\]), grade 2+ (11-20 \[moderate\]), grade 3+ (21-50 \[marked\]), grade 4+ (over 50 \[severe\]). A higher score is a worse outcome. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.

Time frame
Day 1, 3, 8 and 15.
2

Pain level score between interventions.

The patient's level of eye pain will be assessed using a visual analog scale (Wong-Baker FACES® Visual Analog Scale). The scoring system will be as follows: Severity: (0) Doesn't hurt, (2) Hurts a little, (4) Hurts a little more, (6) Hurts a lot, (8) Hurts too much, (10) Unbearable pain. A higher score is a worse outcome. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.

Time frame
Day 1, 3, 8 and 15.
3

Changes in best corrected visual acuity (BCVA) measurement between interventions

The patient will be evaluated using his/her best refractive correction. BCVA is a test of visual function. It will be evaluated with the Snellen chart. The Snellen chart is the standard tool used to evaluate visual acuity. It was located in a place with adequate lighting, natural or artificial and at a distance of 3 meters from the subject to be evaluated. The contralateral eye to which it will be evaluated is covered, then the examiner detects until the line can clearly see the letters given he or she a score, the normal score for a VA is 20/20.This score can be expressed in fraction (i.e. 20/20) decimal (i.e. 1.0), or LogMAR (i.e. 0) formats. In this study, BCVA wiil be expressed in fraction and LogMAR formats. In fraction format and in LogMAR, a higher denominator number or number (respectively) is a worse outcome.

Time frame
Day 1, 3, 8 and 15.
4

Proportion of patients who present an increase in intraocular pressure (IOP) ≥10 mmHg compared to baseline.

The IOP will be measured through Goldmann tonometer in milligrams of mercury (mmHg). After instillation of topical anesthetic (tetracaine 0.5%) and fluorescein stain, IOP will be evaluated. Normal values are considered between 10 and 21 mmHg.

Time frame
Day 1, 3, 8 and 15.

Other outcomes

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