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Difluprednate 0.05% emulsion

Phase 3

Endogenous Anterior Uveitis | Small molecule | Ophthalmology |Alcon Inc.|Trials Updated: Mar 11, 2013

Difluprednate 0.05% emulsion target and mechanism

Molecular targetNR3C1
Target classAgonist
ModalitySmall molecule

Also known as Difluprednate 0.05% ophthalmic emulsion

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment833

FDA Designations

No designations recorded

Difluprednate 0.05% emulsion clinical trials

Difluprednate 0.05% emulsion · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT01201798Safety and Efficacy of Difluprednate 0.05% for the Treatment of Anterior UveitisEndogenous Anterior Uveitis
COMPLETED111 Analytics
PHASE3COMPLETED
Safety and Efficacy of Difluprednate 0.05% for the Treatment of Anterior Uveitis
Endogenous Anterior UveitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline (Day 0) in Anterior Chamber Cell Grade at Day 14
Baseline (Day 0), Day 14

Inflammatory cells in the anterior chamber were assessed by the investigator during slit lamp examination and graded on a 5-point scale, with 0 = ≤ 1 cell count; 1 = 2 to 10 cell count; 2 = 11 to 20 cell count; 3 = 21 to 50 cell count; and 4 = \> 50 cell count.

Mean Change From Baseline (Week 0) in Visual Analog Scale (VAS) Global Ocular Discomfort Score Over 4 Weeks
Baseline, up to 4 weeks

A Visual Analog Scale (VAS) was used by the subject to assess ocular discomfort, both frequency and severity, at baseline (pre-treatment) and weekly thereafter for 4 additional weeks. Each scale was 100 millimeters (mm) in length. The VAS score was calculated by measuring the length in mm from the start of the line to the intersection point of the vertical mark made by the subject. The Global Ocular Discomfort Score is a composite of the two VAS scores, ranging from 0 (very mildly) to 100 (very severely uncomfortable).

Secondary Endpoints

Change From Baseline (Day 0) in Anterior Chamber Cell Grade at All Time Points Other Than Day 14
Baseline (Day 0), Day 3, Day 7, Day 21, Day 28, Day 35, Day 42
Change From Baseline (Day 0) in Anterior Chamber Flare Grade at All Time Points
Baseline (Day 0), Day 3, Day 7, Day 14, Day 21, Day 28, Day 35, Day 42
Proportion of Subjects With Anterior Chamber Cell Grade of 0
Day 3, Day 7, Day 14, Day 21, Day 28, Day 35, Day 42
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DurezolEXPERIMENTALDifluprednate 0.05% ophthalmic emulsion, 1 drop in study eye, 4 times a day for 14 days, followed by a 14-day tapering period
Pred ForteACTIVE_COMPARATORPrednisolone acetate 1.0% ophthalmic suspension, 1 drop in study eye, 8 times a day for 14 days, followed by a 14-day tapering period
VehiclePLACEBO_COMPARATORDifluprednate vehicle, 1 drop to the study eye 2 times a day for 4 weeks, followed by 1 drop to the study eye once daily for 1 week.

Interventions

NameTypeDescription
Difluprednate 0.05% ophthalmic emulsionDRUG1 drop in study eye, 4 times a day, for 14 days, followed by a 14-day tapering period dependent on the Investigator's determination of adequate response to treatment
Prednisolone acetate 1.0% ophthalmic suspensionDRUG1 drop in study eye, 8 times a day, for 14 days, followed by a 14-day tapering period dependent on the Investigator's determination of adequate response to treatment
Difluprednate vehicleOTHERInactive ingredients used as Run-In and placebo comparator
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Eligibility Criteria

Age Range2 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Diagnosis of endogenous anterior uveitis in at least 1 eye. * The presence of \> 10 cells in the anterior chamber of at least one eye, and a flare score of \> 2 in that same eye. * Age 2 years or older on day of consent. * Negative urine pregnancy test on Day 0 for females of ...

Countries:United States
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Frequently asked questions about Difluprednate 0.05% emulsion

What is difluprednate 0.05% emulsion used for?

Difluprednate 0.05% emulsion is an ophthalmic corticosteroid being studied for Dry Eye Disease and Endogenous Anterior Uveitis. It is a small molecule formulated as a topical eye emulsion. The dry eye program has completed a Phase 2 trial, and an anterior uveitis trial has also been completed.

What does difluprednate 0.05% emulsion target?

Difluprednate 0.05% emulsion targets NR3C1, the glucocorticoid receptor, and acts as an agonist. By binding and activating this receptor, it produces anti-inflammatory effects in ocular tissue. This mechanism underlies its investigation in inflammatory eye conditions such as Dry Eye Disease and Endogenous Anterior Uveitis.

Who makes difluprednate 0.05% emulsion?

Difluprednate 0.05% emulsion is developed by Alcon Inc., which trades under the ticker ALC. Alcon is the sponsor of the clinical program evaluating this ophthalmic emulsion in Dry Eye Disease and Endogenous Anterior Uveitis.

What phase is difluprednate 0.05% emulsion in?

Difluprednate 0.05% emulsion is in Phase 2 development for Dry Eye Disease. A completed Phase 3 trial has also evaluated the emulsion in Endogenous Anterior Uveitis. It remains an investigational product and is not approved for these indications.

What clinical trials is difluprednate 0.05% emulsion in?

Two completed trials have studied difluprednate 0.05% emulsion. NCT01276223 was a Phase 2, randomized, double-blind, placebo-controlled trial in Dry Eye Disease that enrolled 722 participants in the United States. NCT01201798 was a Phase 3 trial in Endogenous Anterior Uveitis that enrolled 111 participants.

Is difluprednate 0.05% emulsion the same as difluprednate 0.05% ophthalmic emulsion?

Yes, difluprednate 0.05% emulsion and difluprednate 0.05% ophthalmic emulsion refer to the same product. The ophthalmic emulsion name describes the topical eye drop formulation. Both names identify the Alcon Inc. small molecule being studied in Dry Eye Disease and Endogenous Anterior Uveitis.