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AGN-242428

Phase 1

Dry Eye Disease | Small molecule | Ophthalmology |AbbVie Inc.|Last Updated: May 20, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment292
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04030962A Study of the Drugs AGN-242428 and AGN-231868 in Participants With Dry Eye DiseasePHASE1 COMPLETED 292Mar 4, 2020Mar 18, 2022May 20, 202511 United States
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Study Endpoints
Primary Endpoints
Stage 1: Number of Participants With Adverse Events
Day 1 to Day 15

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Stage 1: Area Under the Plasma Concentration Versus Time Curves After Single and Repeat Dose Administration
Day 2 and Day 15 (Predose and up to 12 hours postdose)

Following single dose administration, the area under the plasma concentration versus time curves from time 0 to time of the last measurable concentration (AUC0-tlast; Visit 3) was calculated. Following repeat dose administration twice daily for 14 days, the area under the plasma concentration versus time curves from time 0 to the end of the dosing interval (AUC0-τ; Visit 5) was calculated. For Visit 3 and Visit 5, tlast was 12 hours post-dose.

Stage 1: Area Under the Tear Concentration Versus Time Curves After Single and Repeat Dose Administration
Day 2 and Day 15 (Predose and up to 12 hours postdose)

Following single dose administration, the area under the tear concentration versus (vs) time curves from time 0 to time of the last measurable concentration (AUC0-tlast; Visit 3) was calculated. Following repeat dose administration twice daily for 14 days, the area under the tear concentration versus time curves from time 0 to the end of the dosing interval (AUC0-τ; Visit 5) was calculated. For Visit 3 and Visit 5, tlast was 12 hours post-dose.

Stage 1: Maximum Plasma Drug Concentration (Cmax) After Single and Repeat Dose Administration
Day 2 and Day 15 (Predose and up to 12 hours postdose)

Following single dose administration, the plasma Cmax (Visit 3) was calculated. Following repeat dose administration twice daily for 14 days, the plasma Cmax (Visit 5) was calculated.

Stage 1: Maximum Tear Drug Concentration (Cmax) After Single and Repeat Dose Administration
Day 2 and Day 15 (Predose and up to 12 hours postdose)

Following single dose administration, the tear Cmax (Visit 3) was calculated. Following repeat dose administration twice daily for 14 days, the tear Cmax (Visit 5) was calculated.

Stage 1: Time of Maximum Plasma Drug Concentration (Tmax) After Single and Repeat Dose Administration
Day 2 and Day 15 (Predose and up to 12 hours postdose)

Following single dose administration, the plasma Tmax (Visit 3) was calculated. Following repeat dose administration twice daily for 14 days, the plasma Tmax (Visit 5) was calculated.

Stage 1: Time of Maximum Tear Drug Concentration (Tmax) After Single and Repeat Dose Administration
Day 2 and Day 15 (Predose and up to 12 hours postdose)

Following single dose administration, the tear Tmax (Visit 3) was calculated. Following repeat dose administration twice daily for 14 days, the tear Tmax (Visit 5) was calculated.

Stage 1: Terminal Elimination Half-life of the Study Drugs (T1/2) in Plasma After Single Dose Administration
Day 2 (Predose and up to 12 hours postdose).

Following single dose administration, the plasma T1/2 (Day 2; Visit 3) was calculated.

Stage 1: Terminal Elimination Half-life of the Study Drugs (T1/2) in Plasma After Repeat Dose Administration
Day 15 (Predose and up to 12 hours postdose)

Following repeat dose administration twice daily for 14 days, plasma T1/2 (Day 15; Visit 5) was calculated.

Stage 1: Terminal Elimination Half-life of the Study Drugs (T1/2) in Tear After Single and Repeat Dose Administration
Day 2 and Day 15 (Predose and up to 12 hours postdose)

Following single dose administration, the tear T1/2 (Visit 3) was calculated. Following repeat dose administration twice daily for 14 days, tear T1/2 (Visit 5) was calculated.

Stage 1: Minimum Tear Drug Concentration at Steady State (Cmin,ss) After Repeat Dose Administration
Day 15 (Predose and up to 12 hours postdose)

Following repeat dose administration twice daily for 14 days, the tear Cmin,ss (Visit 5) was calculated.

Stage 1: Minimum Plasma Drug Concentration at Steady State (Cmin,ss) After Repeat Dose Administration
Day 15 (Predose and up to 12 hours postdose)

Following repeat dose administration twice daily for 14 days, the plasma Cmin,ss (Visit 5) was calculated.

Stage 1: Mean Accumulation Index of Drug Concentration (AI) After Repeat Dose Administration
Day 15 (up to 12 hours) / Day 1 (up to 12 hours)

Following repeat dose administration, the mean plasma and tear AI(area under curve \[AUC\]) was calculated. AI(AUC) is reported as the ratio of exposure (AUC) at steady state (Day 15) to the exposure after a single daily dose (Day 1). Values greater than one are indicative of drug accumulation with repeat dosing.

Stage 1: Mean Drop Tolerability Questionnaire Scores
Day 15

Acute overall tolerability attributes of study interventions on an 8-question visual analog scale (VAS) Drop Tolerability Questionnaire. Visual scale ranges from 0 = not at all comfortable to 100 = very comfortable. Higher mean scores indicate higher levels of comfort with the assigned intervention.

Stage 1: Percentage of Participants Who Met Criteria for Potentially Clinically Significant (PCS) Clinical Laboratory Values
Day 1 to Day 15

The percentage of participants with non-PCS baseline value and met PCS criterion at least once postbaseline for clinical laboratory values.

Stage 1: Percentage of Participants Who Met Criteria for PCS Vital Sign Values (Blood Pressure, Pulse Rate, Weight, Respiration Rate, and Temperature)
Day 1 to Day 15

The percentage of participants who met PCS criteria at least once postbaseline for vital sign values (sitting systolic and diastolic blood pressure, pulse rate, weight, respiration rate, and temperature)

Stage 1: Percentage of Participants Who Met Criteria for PCS Electrocardiogram (ECG) Values
Day 1 to Day 15

The percentage of participants with PCS postbaseline (but not at baseline) ECG values for QRS interval, PR interval, and QTc (Fridericia)

Stage 1: Mean Change From Baseline in Intraocular Pressure (IOP)
Day 1 to Day 15

At least 2 measurements were taken by qualified study site personnel using a Goldmann applanation tonometer affixed to a slit lamp with the participant seated.

Stage 1: Mean Change From Baseline in Best-corrected Visual Acuity (BCVA)
Day 1 to Day 15

BCVA was quantified using the Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity protocol.

Stage 1: Biomicroscopy: Percentage of Participants With Any Severity Increase From Baseline
Day 1 to Day 15

The number of participants with any ophthalmoscopy findings of any severity increase from baseline at one or more visit.

Stage 1: Percentage of Participants With Any Clinically Significant Postbaseline Findings During Dilated Fundus Examination
Day 1 to Day 15

The fundus (posterior pole; periphery, when dilated) was evaluated for pathology. Ophthalmoscopy with clinically significant findings (per investigator assessment) postbaseline are reported.

Stage 2: Number of Participants With Adverse Events
Day 1 to Day 42

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Stage 2: Percentage of Participants With Potentially Clinically Significant (PCS) Clinical Laboratory Values
Day 42

The percentage of participants who have PCS postbaseline clinical laboratory values at Day 42 (Visit 6).

Stage 2: Percentage of Participants Who Met Criteria for PCS Vital Sign Values (Blood Pressure, Pulse Rate, Weight, Respiration Rate, and Temperature)
Day 42

The percentage of participants who met PCS criteria at least once postbaseline for vital sign values at Day 42 (Visit 6) (sitting systolic and diastolic blood pressure, pulse rate, weight, respiration rate, and temperature). The numerator for the incidence is the number of participants with non-PCS baseline and at least one post-baseline value meeting the specific criterion at the visit. The denominator is the number of participants with non-PCS baseline and at least one post-baseline assessment at the visit. If a participant did not have a baseline value, but met the criterion post-baseline, then the participant is counted in the numerator.

Stage 2: Percentage of Participants Who Met Criteria for PCS Electrocardiogram (ECG) Values
Day 42

The percentage of participants who have PCS ECG at Visit 6 (but not baseline) pre and post-controlled adverse environment (CAE). The numerator for the incidence is the number of participants with non-PCS baseline and at least one post-baseline value meeting the specific criterion at the visit. The denominator is the number of participants with non-PCS baseline and at least one post-baseline assessment at the visit. If a participant did not have a baseline value, but met the criterion post-baseline, then the participant is counted in the numerator.

Stage 2: Mean Change From Baseline in Intraocular Pressure (IOP)
Day 1, Day 42

At least 2 IOP measurements were taken by qualified study site personnel using a Goldmann applanation tonometer affixed to a slit lamp with the participant seated. Average intraocular pressure = mean of the 2 (or 3) measures in the study eye and non-study eye. Total fluorescein scores and Schirmer values were used to determine the study eye, and if both eyes qualified, the right eye was designated by default.

Stage 2: Mean Change From Baseline in Best-corrected Visual Acuity (BCVA)
Day 1, Day 42

BCVA was quantified using the Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity protocol in the study eye and the non-study eye. Total fluorescein scores and Schirmer values were used to determine the study eye, and if both eyes qualified, the right eye was designated by default.

Stage 2: Slit-lamp Biomicroscopy: Percentage of Participants With Any Clinically Significant Finding Postbaseline
Day 1 to Day 42

Percentage of participants with a clinically significant finding postbaseline, post-CAE. A clinically significant finding is defined as more than one severity grade increase (worsening) from baseline or positive status change from absence at baseline to presence at postbaseline (not associated with a severity grade) in one or both eyes.

Stage 2: Percentage of Participants With Any Clinically Significant Postbaseline Findings During Dilated Fundus Examination
Day 1 to Day 42

The fundus (posterior pole; periphery, when dilated) was evaluated for pathology. Ophthalmoscopy with clinically significant findings (per investigator assessment) postbaseline are reported.

Stage 2: Drop Tolerability Questionnaire Score (Post-controlled Adverse Environment)
Day 42 (Post-CAE)

Acute overall tolerability attributes of study interventions on an 8-question visual analog scale (VAS) Drop Tolerability Questionnaire. Participants completed questionnaires after exposure to a controlled adverse environment (CAE) for approximately 90 minutes. Visual scale ranges from 0 = not at all comfortable to 100 = very comfortable. Higher mean scores indicate higher levels of comfort with the assigned intervention.

Secondary Endpoints
Stage 2: Trough Plasma Concentration (Ctrough) and Plasma Concentration at 0.5 Hours Postdose (C0.5h)
Day 42
Stage 2: Trough Tear Concentration (Ctrough) and Tear Concentration at 0.5 Hours Postdose (C0.5h)
Day 42
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Stage 1 Cohort 1A: AGN-242428 Low DoseEXPERIMENTALAdministration of AGN-242428 ophthalmic solution
Stage 1 Cohort 1A: AGN-242428 VehiclePLACEBO_COMPARATORAdministration of matching placebo (vehicle) ophthalmic solution
Stage 1 Cohort 1A: AGN-231868 Lose DoseEXPERIMENTALAdministration of AGN-231868 ophthalmic solution
Stage 1 Cohort 1A: AGN-231868 VehiclePLACEBO_COMPARATORAdministration of matching placebo (vehicle) ophthalmic solution
Stage 1 Cohort 1B: AGN-242428 High DoseEXPERIMENTALAdministration of AGN-242428 ophthalmic solution
Stage 1 Cohort 1B: AGN-242428 VehiclePLACEBO_COMPARATORAdministration of matching placebo (vehicle) ophthalmic solution
Stage 1 Cohort 1B: AGN-231868 High DoseEXPERIMENTALAdministration of AGN-231868 ophthalmic solution
Stage 1 Cohort 1B: AGN-231868 VehiclePLACEBO_COMPARATORAdministration of matching placebo (vehicle) ophthalmic solution
Stage 2 Cohort 2: AGN-242428 High DoseEXPERIMENTALAdministration of AGN-242428 ophthalmic solution
Stage 2 Cohort 2: AGN-242428 VehiclePLACEBO_COMPARATORAdministration of matching placebo (vehicle) ophthalmic solution
Stage 2 Cohort 2: AGN-231868 High DoseEXPERIMENTALAdministration of AGN-231868 ophthalmic solution
Stage 2 Cohort 2: AGN-231868 VehiclePLACEBO_COMPARATORAdministration of matching placebo (vehicle) ophthalmic solution
Stage 2 Cohort 2: Lifitegrast Ophthalmic SolutionACTIVE_COMPARATORAdministration of Lifitegrast ophthalmic solution
Interventions
NameTypeDescription
AGN-242428DRUGOphthalmic solution administered as a topical eye drop
AGN-231868DRUGOphthalmic solution administered as a topical eye drop
AGN-242428 VehicleOTHERMatching placebo (vehicle) ophthalmic solution administered as a topical eye drop
AGN-231868 VehicleOTHERMatching placebo (vehicle) ophthalmic solution administered as a topical eye drop
Lifitegrast 5% Ophthalmic SolutionDRUGOphthalmic solution administered as a topical eye drop
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: Stage 1 \& Stage 2: * Male participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study. * Female participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study. * Capable of giving signed informe...

Countries:United States
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