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ISV-403

Phase 4FDA approved 2009

Acute Bacterial Conjunctivitis | Small molecule | Ophthalmology |Bausch + Lomb Corporation|Trials Updated: Mar 24, 2015

ISV-403 development status

FDA approval May 28, 2009 as Besivance
Approval holderBausch And Lomb
ApplicationNDA022308
Highest phase Phase 4 (NCT01455233)
Phase scored for BLCOPhase 3
Registered trials 11 across 2 sponsors since Jul 2006

Label indication BESIVANCE ® (besifloxacin ophthalmic suspension) 0.6% is indicated for the treatment of bacterial conjunctivitis caused by susceptible isolates of the following bacteria: Aerococcus viridans* CDC coryneform group G Corynebacterium pseudodiphtheriticum* Corynebacterium striatum* Haemophilus influenzae Moraxella catarrhalis* Moraxella lacunata* Pseudomonas aeruginosa* Staphylococcus aureus Staphylococcus epidermidis… FDA label

ISV-403 target and mechanism

ModalitySmall molecule

Also known as besifloxacin, Besivance, BOL-303224, BOL-303224-A, Besifloxacin Ophthalmic Suspension 0.6%

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials6
Total Enrollment2,991

FDA Designations

No designations recorded

ISV-403 clinical trials

ISV-403 · 6 trials · 4 indications

Phase 3 2Phase 2 2Phase 1 2
NCT00347932A Study to Determine if 0.6% ISV-403 is Safe and Effective in the Treatment of Bacterial Conjunctivitis.Acute Bacterial Conjunctivitis
COMPLETED957 Analytics
NCT00348348A Study to Investigate the Safety and Efficacy of BOL-303224 in the Treatment of Bacterial ConjunctivitisAcute Bacterial Conjunctivitis
COMPLETED1,161 Analytics
PHASE3COMPLETED
A Study to Determine if 0.6% ISV-403 is Safe and Effective in the Treatment of Bacterial Conjunctivitis.
Acute Bacterial ConjunctivitisUnlock trial analytics
PHASE3COMPLETED
A Study to Investigate the Safety and Efficacy of BOL-303224 in the Treatment of Bacterial Conjunctivitis
Acute Bacterial ConjunctivitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Clinical Resolution of Baseline Bacterial Conjunctivitis
Day 5 +/- 1 day

The absence (grade 0 on the ordinal scale) of ocular discharge and bulbar conjunctival injection

Microbial Eradication of Baseline Bacterial Infection
Day 5 +/- 1 day

Absence (grade 0 on the ordinal scale) of all ocular bacterial species that were present at or above the threshold value for that species from the Cagle list at baseline.

Clinical Resolution
Day 5(+/- 1 day)

Resolution of conjunctival discharge and bulbar conjunctival injection. (mITT, culture confirmed, as treated)

Microbial Eradication
Day 5 (+/- 1 day)

eradication of baseline bacterial infection. modified intent to treat (mITT), culture confirmed, as treated

Clinical Resolution of Baseline Bacterial Conjunctivitis (Day 8 or 9)
Visit 3 - day 8 or 9

Resolution of conjunctival discharge, bulbar conjunctival injection and palpebral conjunctival injection.

Eradication of Baseline Pathogens (Day 8 or 9)
Visit 3 - Day 8 or day 9

Bacterial species eradication of baseline bacterial infection

The Aqueous Humor Drug Concentration.
Visit 2, 1-14 days following screening visit

An aqueous humor specimen was collected from the study eye for determination of drug concentration 60 min after study drug instillation.

Assessment of systemic pharmacokinetics following a single dose and steady-state pharmacokinetics after multiple TID dosing
Blood samples will be collected from 0 to 6 hours on Day 1 and from 0 to 12 hours on Day 6. There will be additional sampling times at 0 hours on Day 2-5.

Secondary Endpoints

Clinical Resolution of Baseline Bacterial Conjunctivitis
Day 8 or 9
Microbial Eradication of Baseline Bacterial Infection
Day 8 or 9
Clinical Resolution
Day 8 or Day 9
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ISV-403EXPERIMENTAL0.6% ISV-403 ophthalmic suspension
VehiclePLACEBO_COMPARATORVehicle of ISV-403 ophthalmic suspension
Moxifloxacin solutionACTIVE_COMPARATORMoxifloxacin hydrochloride ophthalmic solution 0.5%
Besifloxacin SuspensionEXPERIMENTALBesifloxacin hydrochloride ophthalmic suspension 0.6%
BesifloxacinEXPERIMENTAL0.6% ophthalmic suspension
MoxifloxacinACTIVE_COMPARATORVigamox (moxifloxacin ophthalmic solution, 0.5%)
GatifloxacinACTIVE_COMPARATORZymar (gatifloxacin ophthalmic solution, 0.3%)
BOL-303224-AEXPERIMENTALSystemic exposure of BOL-303224-A following single and multiple topical doses

Interventions

NameTypeDescription
ISV-403DRUGSubjects with bacterial conjunctivitis were randomized to receive 0.6% ISV-403 eye drops three times a day (TID) for 5 days.
VehicleDRUGSubjects with bacterial conjunctivitis were randomized to receive vehicle eye drops three times a day (TID) for 5 days.
BesifloxacinDRUGBesifloxacin hydrochloride ophthalmic suspension, 0.6% as base, administered TID for 5 days
Moxifloxacin solutionDRUGMoxifloxacin hydrochloride ophthalmic solution 0.5% administered TID for 5 days.
Vehicle (Placebo)DRUGVehicle administered to the study eye two times a day for three days.
Besifloxacin hydrochlorideDRUGInstill besifloxacin study medication in the study eye prior to making an incision for cataract extraction surgery.
moxifloxacin hydrochlorideDRUGInstill moxifloxacin study medication in the study eye prior to making an incision for cataract extraction surgery.
gatifloxacinDRUGInstill gatifloxacin study medication in the study eye prior to making an incision for cataract extraction surgery.
BOL-303224-ADRUG1 drop in each eye, TID for 5 days at approximately 6 h intervals, with a final, single dose on the morning of Visit 7 (Day 6).
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Eligibility Criteria

Age Range1 Year to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Must have a diagnosis of acute bacterial conjunctivitis and exhibit purulent conjunctival discharge and redness in at least one eye. * Females of childbearing potential must utilized reliable contraceptive methods and have a negative pregnancy test. Exclusion Criteria: * Pre...

Countries:United States
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Frequently asked questions about ISV-403

What is ISV-403 used for?

ISV-403 is an investigational small molecule being developed for the treatment of bacterial conjunctivitis, including acute bacterial conjunctivitis. It is administered as an ophthalmic formulation. The drug is currently in clinical development and has not been approved by regulatory authorities.

Who is developing ISV-403?

ISV-403 is being developed by Bausch + Lomb Corporation, which trades under the ticker symbol BLCO. The company is conducting clinical trials to evaluate the safety and efficacy of ISV-403 for the treatment of bacterial conjunctivitis.

What phase is ISV-403 in?

ISV-403 is in Phase 3 clinical development for the treatment of acute bacterial conjunctivitis. A Phase 3 trial has been completed, and the drug remains investigational. It is not yet approved by the FDA or other regulatory agencies.

What clinical trials has ISV-403 been in?

ISV-403 has been studied in two completed clinical trials. NCT00347932 was a Phase 3 study with 957 participants evaluating the safety and efficacy of 0.6% ISV-403 in acute bacterial conjunctivitis. NCT00622908 was a Phase 2 study with 270 participants assessing clinical and microbial efficacy in bacterial conjunctivitis.

Is ISV-403 the same as other drugs for bacterial conjunctivitis?

ISV-403 is a distinct investigational drug being developed by Bausch + Lomb. No alternative names have been reported for this compound. It is being studied specifically for its potential role in treating bacterial conjunctivitis, but it is not yet commercially available.