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NCT04024891

Safety and Efficacy of Ophthalmic Phentolamine Mesylate to Reverse Pharmacologically Induced Mydriasis

Completed Phase 2 Results posted Last updated 29 August 2023
What this trial tests

Phase 2 trial testing Phentolamine Mesylate Ophthalmic Solution 1% in Mydriasis in 32 participants. Completed in 17 September 2019.

Timeline
13 August 2019
Primary endpoint
17 September 2019
17 September 2019

Quick facts

Lead sponsorOcuphire Pharma, Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingtriple
Primary purposetreatment
Enrollment32
Start date13 August 2019
Primary completion17 September 2019
Estimated completion17 September 2019
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Ocuphire Pharma, Inc. — full company profile →

Who can join

Adults 18 to 45, any sex, with Mydriasis or Dilation. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Pupil Diameter (Change From Max) Primary · 2 hours

Change in pharmacologically-induced mydriatic (maximum) pupil diameter at 2 hours post-treatment in the study eye.

GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-1.69± 0.117
Phentolamine Mesylate Ophthalmic Solution Vehicle-0.69± 0.117
Pupil Diameter (Change From Max) Secondary · 30 min, 1 hours, 4 hours, 6 hours

Change in pharmacologically-induced mydriatic (maximum) pupil diameter at remaining timepoints (30 min, 1 hours, 4 hours, 6 hours)

30 minutes
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-0.06± 0.039
Phentolamine Mesylate Ophthalmic Solution Vehicle-0.13± 0.039
1 hour
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-0.77± 0.072
Phentolamine Mesylate Ophthalmic Solution Vehicle-0.29± 0.072
4 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-2.83± 0.145
Phentolamine Mesylate Ophthalmic Solution Vehicle-1.69± 0.146
6 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-3.24± 0.132
Phentolamine Mesylate Ophthalmic Solution Vehicle-2.54± 0.133
Pupil Diameter Return to Baseline Secondary · 0 min, 1 hour, 2 hours, 4 hours, 6 hours

Percent of Subjects Achieving Pupil Diameter No More Than 0.5 mm Above Baseline by Time Point with either phenylephrine or tropicamide

0 min
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%2
Phentolamine Mesylate Ophthalmic Solution Vehicle3
1 hour
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%6
Phentolamine Mesylate Ophthalmic Solution Vehicle3
2 hour
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%11
Phentolamine Mesylate Ophthalmic Solution Vehicle6
4 hour
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%24
Phentolamine Mesylate Ophthalmic Solution Vehicle12
6 hour
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%31
Phentolamine Mesylate Ophthalmic Solution Vehicle28
Accommodation Measured by the Near Point Rule (Diopters) (Change From Baseline), Percent With Unchanged Accommodation Secondary · 0 min, 2 hours, 4 hours

Change from baseline (-1 hour) in accommodation at each time point (0 min, 2 hours, 4 hours) with Tropicamide and Phenylephrine Worsening of accommodation is defined as an amplitude decrease of greater than 1 diopter compared to baseline

Dilated with Tropicamide, 0 min
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%3
Phentolamine Mesylate Ophthalmic Solution Vehicle2
Phentolamine Mesylate Ophthalmic Solution 1%13
Phentolamine Mesylate Ophthalmic Solution Vehicle14
Dilated with Tropicamide, 2 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%7
Phentolamine Mesylate Ophthalmic Solution Vehicle3
Phentolamine Mesylate Ophthalmic Solution 1%9
Phentolamine Mesylate Ophthalmic Solution Vehicle13
Dilated with Tropicamide, 4 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%11
Phentolamine Mesylate Ophthalmic Solution Vehicle7
Phentolamine Mesylate Ophthalmic Solution 1%5
Phentolamine Mesylate Ophthalmic Solution Vehicle9
Dilated with Phenylephrine, 0 min
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%10
Phentolamine Mesylate Ophthalmic Solution Vehicle11
Phentolamine Mesylate Ophthalmic Solution 1%5
Phentolamine Mesylate Ophthalmic Solution Vehicle4
Dilated with Phenylephrine, 2 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%11
Phentolamine Mesylate Ophthalmic Solution Vehicle13
Phentolamine Mesylate Ophthalmic Solution 1%4
Phentolamine Mesylate Ophthalmic Solution Vehicle2
Dilated with Phenylephrine, 4 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%12
Phentolamine Mesylate Ophthalmic Solution Vehicle13
Phentolamine Mesylate Ophthalmic Solution 1%3
Phentolamine Mesylate Ophthalmic Solution Vehicle2
Conjunctival Hyperemia (Eye Redness) Assessed Visually With the Brien Holden Vision Institute (Formerly Corneal and Contact Lens Research Unit, or CCLRU) Bulbar Redness Scale (0-3) Secondary · 0 min, 30 min, 1 hour, 2 hours, 4 hours, 6 hours

Conjunctival hyperemia at each timepoint (0 min, 30 min, 1 hour, 2 hours, 4 hours, 6 hours), for study eye; in all subjects. Scale 0-3 (None, Mild, Moderate, Severe)

Baseline (-1 hr)
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.45± 0.568
Phentolamine Mesylate Ophthalmic Solution Vehicle0.35± 0.486
0 min
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.23± 0.497
Phentolamine Mesylate Ophthalmic Solution Vehicle0.29± 0.461
30 min
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%1.52± 0.677
Phentolamine Mesylate Ophthalmic Solution Vehicle0.42± 0.502
1 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%1.55± 0.675
Phentolamine Mesylate Ophthalmic Solution Vehicle0.45± 0.568
2 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%1.42± 0.620
Phentolamine Mesylate Ophthalmic Solution Vehicle0.45± 0.568
4 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%1.10± 0.539
Phentolamine Mesylate Ophthalmic Solution Vehicle0.42± 0.564
6 hr
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.81± 0.654
Phentolamine Mesylate Ophthalmic Solution Vehicle0.35± 0.486
Best Corrected Distance Visual Acuity (BCDVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Light Box Chart (Letters) at 4 Meters (Change From Baseline) Secondary · 0 mins, 30 mins, 1 hour, 2 hours, 4 hours, 6 hours

Change from baseline (-1 hour) in Best Corrected Distance Visual Acuity at each time point (0 min, 30 mins, 1 hour, 2 hours, 6 hours) in Study Eye

0 mins
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-0.45± 2.142
Phentolamine Mesylate Ophthalmic Solution Vehicle-0.81± 2.182
30 mins
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-0.55± 2.188
Phentolamine Mesylate Ophthalmic Solution Vehicle-0.55± 1.690
1 hour
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.29± 1.774
Phentolamine Mesylate Ophthalmic Solution Vehicle-0.10± 2.797
2 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.65± 2.727
Phentolamine Mesylate Ophthalmic Solution Vehicle0.16± 2.162
4 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%1.06± 2.205
Phentolamine Mesylate Ophthalmic Solution Vehicle0.10± 2.119
6 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.45± 3.982
Phentolamine Mesylate Ophthalmic Solution Vehicle0.90± 2.399
Distance-Corrected Near Visual Acuity (DCNVA) Measured by Standard Reading Card (Original Series Sloan Letter ETDRS Card at 16 Inches, LogMAR Units) (Change From Baseline) Secondary · 0 mins, 30 mins, 1 hour, 2 hours, 4 hours, 6 hours

Change from baseline (-1 hour) in Distance Corrected Near Visual Acuity at each time point (0 min, 30 mins, 1 hour, 2 hours, 6 hours) in Study Eye

0 mins
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.14± 0.194
Phentolamine Mesylate Ophthalmic Solution Vehicle0.13± 0.216
30 mins
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.09± 0.156
Phentolamine Mesylate Ophthalmic Solution Vehicle0.09± 0.217
1 hour
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.05± 0.146
Phentolamine Mesylate Ophthalmic Solution Vehicle0.07± 0.142
2 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.03± 0.113
Phentolamine Mesylate Ophthalmic Solution Vehicle0.00± 0.087
4 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%0.00± 0.075
Phentolamine Mesylate Ophthalmic Solution Vehicle0.01± 0.079
6 hours
GroupValue95% CI
Phentolamine Mesylate Ophthalmic Solution 1%-0.02± 0.083
Phentolamine Mesylate Ophthalmic Solution Vehicle0.00± 0.055

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 weeks.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phentolamine Mesylate Ophthalmic Solution 1%
Serious: 0/31 (0%)
Deaths: 0/31
Phentolamine Mesylate Ophthalmic Solution Vehicle
Serious: 0/32 (0%)
Deaths: 0/32
Other adverse events (3 terms — click to expand)

ReactionSystemPhentolamine Mesylate Opht…Phentolamine Mesylate Opht…
Conjunctival HyperemiaEye disorders
Abdominal Pain, UpperGastrointestinal disorders
NauseaGastrointestinal disorders

Data from ClinicalTrials.gov NCT04024891 adverse events section.

Sponsor's own description

The objectives of this study are: * To evaluate the efficacy of Nyxol (phentolamine mesylate ophthalmic solution 1%) to expedite the reversal of pharmacologic mydriasis * To evaluate the safety of Nyxol * To evaluate the effect of Lumify® to suppress conjunctival hyperemia (redness) potentially associated with administration of Nyxol

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Role of adrenergic receptor signalling in neuroimmune communication.
    Chhatar S, Lal G. · · 2021 · cited 76× · PMID 35492402 · DOI 10.1016/j.crimmu.2021.11.001

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04024891.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing