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EXE844 Sterile Otic, 0.3%

Phase 3

Otitis Media With Effusion in Children | Small molecule | ENT |Alcon Inc.|Last Updated: Aug 7, 2018

Target and mechanism

ModalitySmall molecule

Also known as EXE844 Sterile Otic Suspension, 0.3%

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials3
Total Enrollment888

FDA Designations

No designations recorded

Clinical trial landscape

EXE844 Sterile Otic, 0.3% · 3 trials · 2 indications

Phase 3 2Phase 1 1
NCT02432105Safety and Efficacy of EXE844 Otic Suspension in Otitis Media at Time of Tympanostomy Tube Insertion (OMTT)Otitis Media With Effusion in Children
COMPLETED470 Analytics
NCT02436304Safety and Efficacy of EXE844 Otic Suspension in Otitis Media at Time of Tympanostomy Tube Insertion (OMTT) - Study 2Otitis Media With Effusion in Children
COMPLETED404 Analytics
PHASE3COMPLETED
Safety and Efficacy of EXE844 Otic Suspension in Otitis Media at Time of Tympanostomy Tube Insertion (OMTT)
Otitis Media With Effusion in ChildrenUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of EXE844 Otic Suspension in Otitis Media at Time of Tympanostomy Tube Insertion (OMTT) - Study 2
Otitis Media With Effusion in ChildrenUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Subjects With Sustained Clinical Cure at Day 8
Day 8

A sustained clinical cure was attained if otorrhea was absent in the study ear at Day 8 (EOT) per the Investigator assessment and continued to be absent through the end of the study. Participants were considered a treatment failure if, at any time during the study, an alternative therapy was initiated to treat the postsurgical infection. All participants with missing or indeterminate outcomes were considered a failure (same as baseline observation carried forward).

Maximum Analyte Plasma Concentration (Cmax)
Day 1, pre-dose 0 hour (up to 30 minutes prior to dose), 0.5, 1, 2, 4, 6 hours post-dose

Based on serum samples collected at pre-determined nominal time points, dependent on observed concentrations. EXE844 (AL-60371) concentration values below the lower limit of quantification (\<0.05 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics. Similarly for EXE844 glucuronide metabolite (AL-91591), concentration values below the lower limit of quantification (\<0.5 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics.

Time to Reach Maximum Concentration (Tmax)
Day 1, pre-dose 0 hour (up to 30 minutes prior to dose), 0.5, 1, 2, 4, 6 hours post-dose

Based on serum samples collected at pre-determined nominal time points, dependent on observed concentrations. EXE844 (AL-60371) concentration values below the lower limit of quantification (\<0.05 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics. Similarly for EXE844 glucuronide metabolite (AL-91591), concentration values below the lower limit of quantification (\<0.5 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics.

Area Under the Plasma Concentration-time Curve to the Last Quantifiable Sampling Time Point (AUC0-last)
Day 1, pre-dose 0 hour (up to 30 minutes prior to dose), 0.5, 1, 2, 4, 6 hours post-dose

Based on serum samples collected at pre-determined nominal time points, dependent on observed concentrations. EXE844 (AL-60371) concentration values below the lower limit of quantification (\<0.05 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics. Similarly for EXE844 glucuronide metabolite (AL-91591), concentration values below the lower limit of quantification (\<0.5 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics.

Area Under the Concentration-time Curve From 0 to Infinity (AUC0-inf)
Day 1, pre-dose 0 hour (up to 30 minutes prior to dose), 0.5, 1, 2, 4, 6 hours post-dose

Based on serum samples collected at pre-determined nominal time points, dependent on observed concentrations. EXE844 (AL-60371) concentration values below the lower limit of quantification (\<0.05 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics. Similarly for EXE844 glucuronide metabolite (AL-91591), concentration values below the lower limit of quantification (\<0.5 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics.

Time to Last Measurable Concentration (Tlast)
Day 1, pre-dose 0 hour (up to 30 minutes prior to dose), 0.5, 1, 2, 4, 6 hours post-dose

Based on serum samples collected at pre-determined nominal time points, dependent on observed concentrations. EXE844 (AL-60371) concentration values below the lower limit of quantification (\<0.05 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics. Similarly for EXE844 glucuronide metabolite (AL-91591), concentration values below the lower limit of quantification (\<0.5 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics.

Terminal Elimination Half-life (T1/2)
Day 1, pre-dose 0 hour (up to 30 minutes prior to dose), 0.5, 1, 2, 4, 6 hours post-dose

Based on serum samples collected at pre-determined nominal time points, dependent on observed concentrations. EXE844 (AL-60371) concentration values below the lower limit of quantification (\<0.05 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics. Similarly for EXE844 glucuronide metabolite (AL-91591), concentration values below the lower limit of quantification (\<0.5 ng/mL) were replaced by one-half the lower limit of quantification in the calculation of the summary statistics.

Secondary Endpoints

Percentage of Subjects With Microbiological Success at Day 14
Day 14
Time to Cessation of Otorrhea
Up to Day 14
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EXE844 for 7 Days + TubesEXPERIMENTALEXE844 Sterile Otic Suspension, 0.3%, ototopical, 4 drops, twice daily (BID) in each ear for 7 days after Tympanostomy Tube Insertion
EXE844 for 3 Days + TubesEXPERIMENTALEXE844 Sterile Otic Suspension, 0.3%, ototopical, 4 drops BID in each ear for 3 days after Tympanostomy Tube Insertion
Tubes OnlyACTIVE_COMPARATORBilateral myringotomy and tympanostomy tube insertion
EXE844EXPERIMENTALEXE844 Sterile Otic Suspension, 0.3%, single ototopical dose (4 drops) in each ear following tympanostomy tube insertion

Interventions

NameTypeDescription
EXE844 Sterile Otic Suspension, 0.3%DRUG -
Tympanostomy Tube InsertionPROCEDURESurgical procedure for treating pediatric cases of recurrent or chronic otitis media
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Eligibility Criteria

Age Range6 Months to 12 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Recurrent acute otitis media (RAOM) or chronic otitis media with effusion (COME) and eligible for bilateral myringotomy and tympanostomy tube insertion. * Suspected bacterial infection at time of surgery in at least 1 ear. * Willing to refrain from water immersion of the ears ...

Countries:United States
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Frequently asked questions about EXE844 Sterile Otic, 0.3%

What is EXE844 Sterile Otic, 0.3% used for?

EXE844 Sterile Otic, 0.3% is an investigational small molecule being studied for otitis media with effusion in children, including recurrent otitis media. It is evaluated in pediatric patients at the time of tympanostomy tube insertion. It is not approved and remains in clinical development.

Who is developing EXE844 Sterile Otic, 0.3%?

EXE844 Sterile Otic, 0.3% is being developed by Alcon Inc., which trades under the ticker ALC. Alcon is the sponsor of the clinical program studying the otic suspension in pediatric otitis media with effusion at the time of tympanostomy tube insertion.

What phase is EXE844 Sterile Otic, 0.3% in?

EXE844 Sterile Otic, 0.3% has completed Phase 3 clinical development. Two Phase 3 safety and efficacy trials and one Phase 1 pediatric pharmacokinetic study have been completed. The program includes 888 enrolled patients across three trials, and no trials are currently active.

What clinical trials is EXE844 Sterile Otic, 0.3% in?

EXE844 Sterile Otic, 0.3% has been studied in three completed trials: NCT02432105 and NCT02436304, both Phase 3 safety and efficacy studies in otitis media at tympanostomy tube insertion, and NCT02539654, a Phase 1 pediatric pharmacokinetic study. The Phase 3 trials enrolled 470 and 404 patients respectively.

Is EXE844 Sterile Otic Suspension, 0.3% the same as EXE844 Sterile Otic, 0.3%?

Yes. EXE844 Sterile Otic Suspension, 0.3% is an alternative name for EXE844 Sterile Otic, 0.3%. Both refer to the same Alcon investigational otic small molecule developed for otitis media with effusion in children at the time of tympanostomy tube insertion.

How was EXE844 Sterile Otic, 0.3% studied in its clinical trials?

The Phase 3 trials of EXE844 Sterile Otic, 0.3% were randomized and active controlled, enrolling children as young as 6 months of both sexes. The studies evaluated safety and efficacy in otitis media with effusion and recurrent otitis media at the time of tympanostomy tube insertion. The trials were not double blind.