Study evaluating a new drug for the treatment of blepharitis (eyelid inflammation) due to Demodex (mite) infestation

ISRCTN ISRCTN24398865
DOI https://doi.org/10.1186/ISRCTN24398865
ClinicalTrials.gov number Nil known
Secondary identifying numbers TRS-005
Submission date
05/05/2021
Registration date
17/05/2021
Last edited
23/08/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Chronic blepharitis is inflammation that primarily involves the eyelid and is a common cause of eye irritation. The presence of the Demodex folliculorum mite in the eyelid structures of man has been recognized and implicated as a cause of chronic blepharitis. This interventional study was designed to evaluate the safety and efficacy of TP-03 for the treatment of blepharitis due to Demodex infestation.

Who can participate?
Males and females 18 years of age or older were randomized to the vehicle control in a previous study.

What does the study involve?
Participants will instill one drop of the active treatment solution (TP-03, 0.25%) in each eye, twice a day, morning and evening for 42 days.

What are the possible benefits and risks of participating?
Benefits include a possible reduction in the participant's cylindrical dandruff/collarette grade, mite eradication, and ocular comfort. Risks may include mild blurriness and mild burning following drop instillation.

Where is the study run from?
Asociación para Evitar la Ceguera en México I.A.P., Mexico

When is the study starting and how long is it expected to run for?
May 2019 to January 2020

Who is funding the study?
Tarsus Pharmaceuticals, Inc. (USA)

Who is the main contact?
Dr Roberto González Salinas, dr.gonzalezsalinas@gmail.com

Contact information

Dr Roberto González-Salinas
Scientific

Vicente García Torres 46
Colonia Barrio San Lucas Coyoacán
Ciudad de México
04030
Mexico

ORCiD logoORCID ID 0000-0001-6654-5191
Phone +52 442 219 9424
Email dr.gonzalezsalinas@gmail.com

Study information

Study designProspective single arm open-label treatment single centre study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleSingle arm, open-label trial to evaluate the safety and efficacy of TP-03 for the treatment of blepharitis due to Demodex infestation
Study objectivesTreatment with TP-03 will result in a cure, defined as 2 or fewer collarettes for the upper eyelid of the analysis eye at the completion of treatment, for a statistically significant proportion of the participants.
Ethics approval(s)Approved 11/05/2019, APEC Ethics Committee of the Association to Prevent Blindness in Mexico (Vicente Garcia Torres No. 46, Colonia Barrio San Lucas, Coyoacan, Ciudad de Mexico, Mexico, 04030; +55 1084 1400; comunicacion@apec.com.mx), ref: TRS-005
Health condition(s) or problem(s) studiedBlepharitis due to Demodex infestation
InterventionParticipants will instill one drop of the active treatment solution (TP-03, 0.25%) in each eye, twice a day, morning and evening for 42 days.

Participants will be seen for follow-up visits at Days 7, 14, 28 and 42.

Assessments of collarettes by slit lamp examination and Demodex density, measured by lash epilation and mite counting by microscope, will be conducted at visit Days 14, 28 and 42. Safety will be determined by assessing any adverse effects related to treatment as well as assessing any changes in visual acuity and slit lamp biomicroscopy findings.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)TP-03 lotilaner ophthalmic solution 0.25%
Primary outcome measureSigns of blepharitis measured using collarette grading at Days 7, 14, 28, and 42
Secondary outcome measuresDemodex density measured by lash epilation and mite counting via microscope at Days 7, 14, 28, and 42
Overall study start date11/05/2019
Completion date20/01/2020

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants30
Total final enrolment18
Key inclusion criteria1. Subjects greater or equal to 18 years of age with blepharitis due to Demodex infestation
2. Willing to sign the informed consent and deemed capable of complying with the requirements of the study protocol
3. Participants must meet the following criteria in at least one eye: Have more than 10 collarettes present on the upper lid or an average Demodex density, upper and lower eyelids combined, of at least 1.5 mites per lash
Key exclusion criteria1. Systemic or topical antibacterial, antiparasitic or anti-inflammatory steroid treatment within the last 14 days
2. Topical tea tree oil or hypochlorous acid treatment of the ophthalmic area within the last 14 days
3. The use of lid hygiene products (lid scrubs) within the last 14 days or unwilling to forego the use of lid hygiene products during the study treatment phase
4. Contact lens wear within the last 7 days or unwilling to forego contact lens wear during the study treatment phase
Date of first enrolment11/11/2019
Date of final enrolment25/11/2019

Locations

Countries of recruitment

  • Mexico

Study participating centre

Asociación para Evitar la Ceguera en México I.A.P.
Vicente García Torres 46
Colonia Barrio San Lucas Coyoacán
Ciudad de México
04030
Mexico

Sponsor information

Tarsus Pharmaceuticals, Inc.
Industry

15440 Laguna Canyon Rd.
Suite 160
Irvine
92618
United States of America

Phone +1 5415544415
Email info@tarsusrx.com
Website https://tarsusrx.com

Funders

Funder type

Industry

Tarsus Pharmaceuticals, Inc.

No information available

Results and Publications

Intention to publish date15/12/2021
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a peer-reviewed journal.
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 20/08/2021 23/08/2021 Yes No

Editorial Notes

23/08/2021: Publication reference added.
17/05/2021: Trial's existence confirmed by APEC Ethics Committee of the Association to Prevent Blindness in Mexico.