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LME636

Phase 2

Dry Eye | Monoclonal antibody | Ophthalmology |Alcon Inc.|Last Updated: Jul 2, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment514

FDA Designations

No designations recorded

Clinical trial landscape

LME636 · 1 trial · 1 indication

Phase 2 1
NCT02365519LME636 in the Relief of Persistent Ocular Discomfort in Subjects With Severe Dry Eye DiseaseDry Eye
COMPLETED514 Analytics
PHASE2COMPLETED
LME636 in the Relief of Persistent Ocular Discomfort in Subjects With Severe Dry Eye Disease
Dry EyeUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Change From Baseline in Global Ocular Discomfort Score at Day 71
Baseline (Day 43), Day 71

Discomfort frequency and severity (each graded on a separate 100-units scale) were assessed daily using a visual analog scale (VAS) displayed on a handheld digital Pad (electronic patient-reported outcome (ePRO)). Frequency score was in response to the question 'how often your eyes felt uncomfortable during the past 24 hours' ranging from 'Rarely' to 'All the time.' Severity score was in response to the question 'how uncomfortable your eyes felt during the past 24 hours' ranging from 'Very mildly uncomfortable' to 'Very severely uncomfortable.' The Global Ocular Discomfort Score, ranging from 0 to 100, was calculated for any given day, as the square root of the product of the discomfort frequency score multiplied by the discomfort severity score. Improvement results in a reduction of the discomfort frequency or severity, or both, translating into a reduction of the resulting Global Ocular Discomfort score as compared to baseline. A negative change from baseline indicates improvement.

Best Corrected Visual Acuity (BCVA)
Baseline (Day 43), Day 57, Day 71, Day 85

Visual Acuity (VA) with the subject's best spectacles or other visual corrective devices was measured using an ETDRS visual acuity chart at 3 meters (10 feet) and reported in letters read correctly. An increase (gain) in letters read indicates improvement. Both eyes contributed to the analysis.

Intraocular Pressure (IOP)
Baseline (Day 43), Day 57, Day 71, Day 85

IOP (fluid pressure inside the eye) was assessed using Goldmann applanation tonometry or Tonopen and measured in millimeters of mercury (mmHg). A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage). Both eyes contributed to the analysis.

Percentage of Subjects With Increase in Slit-Lamp Parameter From Baseline to Any Visit
Baseline (Day 43), Day 57, Day 71, Day 85

Ocular signs (cornea, lens, and iris/anterior chamber) were assessed by slit-lamp biomicroscopy. An increase indicates worsening. Only one eye contributed to the analysis.

Percentage of Subjects With Increase in Dilated Fundus Parameter From Baseline to Any Visit
Baseline (Day 43), Day 57, Day 71, Day 85

The dilated fundus examination was performed to evaluate the health of the vitreous, retina, macula, choroid, and optic nerve. An increase indicates worsening. Only one eye contributed to the analysis.

Secondary Endpoints

Percentage of Subjects With More Than 20 Units Improvement in Global Ocular Discomfort Score From Baseline at Day 71
Baseline (Day 43), Day 71
Percentage of Subjects With LME636 Serum Concentrations Below the Lower Limit of Quantification (LLOQ)
Day 15, Day 29, Day 43, Day 57, Day 71, Day 85
Percentage of Subjects With Anti-LME636 Antibodies by Visit
Day 15, Day 29, Day 43, Day 57, Day 71, Day 85
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LME636EXPERIMENTALLME636 ophthalmic solution, 1 drop (approx. 40 µL; 2.4 mg) administered topically in each eye 3 times a day (TID) for 6 weeks
VehiclePLACEBO_COMPARATORLME636 Vehicle, 1 drop administered topically in each eye TID for 6 weeks

Interventions

NameTypeDescription
LME636 ophthalmic solutionBIOLOGICAL -
LME636 VehicleBIOLOGICALInactive ingredients used as a placebo comparator
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Must sign written informed consent. * Physician diagnosis of DED of at least 6 months prior to Visit 1. * Must use artificial tears, gels, lubricants or re-wetting drops on a regular basis. * Respond as "often" or "constantly" to the question "How often do your eyes feel uncom...

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Frequently asked questions about LME636

What is LME636 used for?

LME636 is an investigational monoclonal antibody being developed by Alcon Inc. for ophthalmology indications, specifically dry eye disease and acute anterior uveitis. It is currently in Phase 2 clinical development and is not yet approved by regulatory authorities.

What does LME636 target?

LME636 is a monoclonal antibody, but its specific molecular target has not been disclosed in available information. The drug is being studied for its potential to treat dry eye disease and acute anterior uveitis, though the precise mechanism of action remains unspecified.

Who makes LME636?

LME636 is being developed by Alcon Inc., a company traded under the ticker symbol ALC. The drug is an investigational monoclonal antibody in Phase 2 clinical trials for ophthalmology indications, including dry eye and acute anterior uveitis.

What phase is LME636 in?

LME636 is in Phase 2 clinical development. It has completed two Phase 2 trials, one for severe dry eye disease and another for acute anterior uveitis. The drug remains investigational and has not received FDA approval.

What clinical trials is LME636 in?

LME636 has completed two Phase 2 clinical trials. NCT02365519 evaluated the drug in 514 subjects with severe dry eye disease, while NCT02482129 assessed its safety and efficacy in 45 patients with acute anterior uveitis. Both trials were randomized, double-blind, and placebo-controlled.

Is LME636 the same as any other drug?

No alternative names for LME636 have been identified. The drug is known solely by its code name LME636 and is being developed by Alcon Inc. for ophthalmology indications.