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LE

Phase 4

Undisclosed | Small molecule | Other |Bausch + Lomb Corporation|Trials Updated: Jan 8, 2021

LE development status

Highest phase Phase 4 (NCT00705159)
Phase scored for BLCOPhase 1
Registered trials 8 across 1 sponsor since Jun 2008

LE target and mechanism

ModalitySmall molecule

Also known as LE Gel, Loteprednol Etabonate Ophthalmic Gel dosed TID, Loteprednol Etabonate Ophthalmic Gel dosed BID, Loteprednol etabonate

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials10
Total Enrollment3,191

FDA Designations

No designations recorded

LE clinical trials

LE · 10 trials · 7 indications

Phase 3 8Phase 2 1Phase 1 1
NCT02786901LE Gel for the Treatment of Ocular Inflammation and Pain Following Cataract SurgeryCataract
COMPLETED600 Analytics
NCT02208297Loteprednol Etabonate Ophthalmic Gel for the Treatment of Ocular Inflammation and Pain Following Cataract SurgeryInflammation
COMPLETED326 Analytics
NCT01996839Loteprednol Ophthalmic Gel for the Treatment of Ocular Inflammation and Pain Following Cataract SurgeryInflammation
COMPLETED514 Analytics
NCT01475643Loteprednol vs Prednisolone for the Treatment of Intraocular Inflammation Following Cataract Surgery in Children.Cataract
COMPLETED107 Analytics
NCT01435460Alrex® Versus Patanol in the Treatment of Seasonal Allergic Conjunctivitis(SAC)Seasonal Allergic Conjunctivitis
COMPLETED300 Analytics
NCT01060072Evaluation of Loteprednol Etabonate Versus Vehicle for the Treatment of Inflammation and Pain Following Cataract SurgeryInflammation
COMPLETED407 Analytics
NCT01010633Loteprednol Etabonate Versus Vehicle for the Treatment of Inflammation and Pain Following Cataract SurgeryInflammation
COMPLETED406 Analytics
NCT00699153Loteprednol Etabonate in an Ophthalmic Base vs Vehicle for the Treatment of Inflammation Following Cataract SurgeryOcular Inflammation
COMPLETED400 Analytics
PHASE3COMPLETED
LE Gel for the Treatment of Ocular Inflammation and Pain Following Cataract Surgery
CataractUnlock trial analytics
PHASE3COMPLETED
Loteprednol Etabonate Ophthalmic Gel for the Treatment of Ocular Inflammation and Pain Following Cataract Surgery
InflammationUnlock trial analytics
PHASE3COMPLETED
Loteprednol Ophthalmic Gel for the Treatment of Ocular Inflammation and Pain Following Cataract Surgery
InflammationUnlock trial analytics
PHASE3COMPLETED
Loteprednol vs Prednisolone for the Treatment of Intraocular Inflammation Following Cataract Surgery in Children.
CataractUnlock trial analytics
PHASE3COMPLETED
Alrex® Versus Patanol in the Treatment of Seasonal Allergic Conjunctivitis(SAC)
Seasonal Allergic ConjunctivitisUnlock trial analytics
PHASE3COMPLETED
Evaluation of Loteprednol Etabonate Versus Vehicle for the Treatment of Inflammation and Pain Following Cataract Surgery
InflammationUnlock trial analytics
PHASE3COMPLETED
Loteprednol Etabonate Versus Vehicle for the Treatment of Inflammation and Pain Following Cataract Surgery
InflammationUnlock trial analytics
PHASE3COMPLETED
Loteprednol Etabonate in an Ophthalmic Base vs Vehicle for the Treatment of Inflammation Following Cataract Surgery
Ocular InflammationUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Complete Resolution of Anterior Chamber (AC) Cells at Visit 5 (Postoperative Day 8)
8 days

Slit lamp examination was performed. White blood cell accumulation in anterior aqueous humor was assessed by the Investigator during slit lamp examination and graded on a 5-point scale: Grade 0 = no cells seen; Grade 1 = 1 to 5 cells; Grade 2 = 6 to 15 cells; Grade 3 = 16 to 30 cells; Grade 4 = \> 30 cells. Complete resolution of AC cells was defined as Cell score = 0 in the study eye.

Number of Participants With Complete Resolution of Ocular Pain in Study Eye at Visit 5 (Postoperative Day 8)
8 days

Ocular pain, defined as a positive sensation of the eye, including foreign body sensation, stabbing, throbbing, or aching, was assessed and graded by subjects on a 6-point scale: 0 (None), 1 (Minimal), 2 (Mild), 3 (Moderate), 4 (Moderately Severe), and 5 (Severe). Complete Resolution of Ocular Pain was defined as Pain Score = 0.

Percentage of Participants With Complete Resolution of Anterior Chamber (AC) Cells
8 days

White blood cell accumulation in anterior aqueous humor was assessed by the Investigator during slit lamp examination and graded on a 5-point scale: Grade 0 = no cells seen; Grade 1 = 1 to 5 cells; Grade 2 = 6 to 15 cells; Grade 3 = 16 to 30 cells; Grade 4 = \> 30 cells. Lower score indicated better outcome. Complete resolution of AC cells was defined as cell score = 0 in the study eye.

Percentage of Participants With Grade 0 Pain in the Study Eye.
8 days

Ocular pain, defined as a positive sensation of the eye, including foreign body sensation, stabbing, throbbing, or aching, was assessed and graded by subjects on the 6-point scale, with 0=None and 5=Severe.

Anterior Chamber Inflammation
Postoperative Day 29

Anterior Chamber Inflammation (for subjects that could only be examined with a pen light and a 20D \[g20 Diopter\] magnifying lens): 0 = None Clear anterior chamber with no visible clouding (Tyndall effect and cells combined). Red reflex normal 1. = Mild Mild anterior chamber clouding. Clear iris pattern on visualization. Red reflex normal 2. = Moderate Moderate anterior chamber clouding 3. = Severe Severe anterior chamber clouding. Iris pattern not clearly visualized. Red reflex diminished 4. = Very severe Severe anterior chamber clouding with a white and/or milky appearance of the anterior chamber. Red reflex absent or severely diminished

Bulbar Conjunctival Injection
Change from baseline to day 15 (visit 3)

Bulbar conjunctival injection (sign) evaluated using a grading scale from 0-3: where 0 = Absent and 3 = Severe

Ocular Itching
Change from baseline to day 15 (visit 3)

Ocular itching (symptom) evaluated using a grading scale from 0-4 where 0 = Absent and 4 = Severe

Resolution of Anterior Chamber Cells.
Visit 5 (Postoperative day 8)

Participants with complete resolution of anterior chamber cells(ACC). Cells were graded on a 0-4 scale, where 0=no cells and 4=\>30 cells

Grade 0 Pain
Visit 5 (Postoperative day 8)

Participants with no pain, graded on a 0-5 scale, 0=no pain and 5=severe pain

Resolution of Anterior Chamber Cells (ACC).
Visit 5 (Postoperative day 8)

Number of Study eyes with complete resolution(Grade 0) of anterior chamber cells (ACC) for loteprednol and vehicle. Accumulation of white cells in aqueous graded on a scale of 0-4 where grade 0=no cells. Investigators assessed ACC using a slit lamp.

Participants With Complete Resolution of Anterior Chamber Cells and Flare. Grade=0
Postoperative day 8 (Visit 5)

A combination of the grades for inflammatory cells and flare in the anterior chamber. Cells: accumulation of white blood cells in aqueous. 0=No cells seen; 1=1-5 cells; 2=6-15 cells; 3=16-30 cells; 4= \>30 cells. Flare: Scattering of a slit lamp light beam when directed into the anterior chamber (Tyndall effect). 0=None; 1=Mild; 2=Moderate; 3=Severe; 4=Very severe.

Participants With Grade 0 (no) Pain
Postoperative day 8 (Visit 5)

Pain: A positive sensation of the eye, including foreign body sensation, stabbing, throbbing, or aching. Grade 0 = None; 1=Minimal; 2=Mild; 3=Moderate; 4=Moderately Severe; 5=Severe

Ocular discomfort during CAE exposure
during CAE exposure
Corneal and conjunctival staining and conjunctival redness
After CAE exposure
Tear Fluid Levels
6 hours

Following a single dose of LE gel 0.5% administered into the study eye, tear samples will be collected via a Schirmer strip at 6, 9, 12 and 24 hours following the dose

Secondary Endpoints

Number of Participants With Complete Resolution of Anterior Chamber (AC) Cells in the Study Eye at Final On-treatment Visit.
14 days
Number of Participants With Complete Resolution of Ocular Pain in Study Eye at Final On-Treatment Visit
14 days
Number of Participants With Complete Resolution of Anterior Chamber (AC) Flare in the Study Eye at Final On-Treatment Visit
14 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Loteprednol Etabonate Ophthalmic Gel dosed TIDEXPERIMENTALGel
Loteprednol Etabonate Ophthalmic Gel dosed BIDEXPERIMENTALGel
Vehicle GelPLACEBO_COMPARATORVehicle
Loteprednol Etabonate Gel (BID)EXPERIMENTALLoteprednol Etabonate Gel 0.38% administered two times daily (BID)
Vehicle Gel (BID)PLACEBO_COMPARATORVehicle gel administered two times daily (BID)
Vehicle (BID)ACTIVE_COMPARATORVehicle of Loteprednol Etabonate Gel 0.38% administered two times daily (BID).
Loteprednol Etabonate Gel (TID)EXPERIMENTALLoteprednol Gel 0.38% administered three times daily (TID).
Vehicle (TID)ACTIVE_COMPARATORVehicle of Loteprednol Etabonate Gel 0.38% administered three times daily (TID).
Loteprednol etabonateEXPERIMENTALLoteprednol etabonate 0.5%
Prednisolones acetateACTIVE_COMPARATORPrednisolone acetate 1.0%
AlrexEXPERIMENTALOphthalmic formulation containing the active ingredient loteprednol etabonate, 0.2%
PatanolACTIVE_COMPARATOROphthalmic solution containing olopatadine, 0.1%
VehiclePLACEBO_COMPARATORVehicle of loteprednol etabonate ophthalmic suspension
Loteprednol Etabonate TIDEXPERIMENTALloteprednol etabonate ophthalmic suspension, 0.5%, TID
Loteprednol Etabonate QIDEXPERIMENTALloteprednol etabonate ophthalmic suspension, 0.5%, QID
LE GelEXPERIMENTALA single dose LE Gel 0.5% administered into the study eye, tear samples collected at 6, 9, 12, and 24 hours after instillation by Schirmer strip to measures levels of LE in tears.

Interventions

NameTypeDescription
Loteprednol Etabonate Ophthalmic Gel dosed TIDDRUGGel
Loteprednol Etabonate Ophthalmic Gel dosed BIDDRUGGel
Vehicle GelDRUGGel
Loteprednol Etabonate Gel (BID)DRUGOne drop of LE gel instilled into the study eye two times per day (BID) for 14 days
Vehicle Gel (BID)DRUGOne drop of vehicle gel instilled into the study eye two times per day (BID) for 14 days
Loteprednol Etabonate Gel (TID)DRUGOne drop of LE gel instilled into the study eye three times per day (TID) for 14 days.
Vehicle (BID)DRUGOne drop of vehicle instilled into the study eye two times per day (BID) for 14 days
Vehicle (TID)DRUGOne drop of vehicle instilled into the study eye three times per day (TID) for 14 days
Loteprednol etabonateDRUG1-2 Ophthalmic drops administered to study eye four times daily (QID) for 14 days post surgery. Tapered to twice daily (BID) for 7 days. Then once daily (QD) for 7 days.
Prednisolones acetateDRUG1-2 Ophthalmic drops administered to study eye four times daily (QID) for 14 days post surgery. Tapered to twice daily (BID) for 7 days. Then once daily (QD) for 7 days.
Loteprednol etabonate 0.2%DRUG1 drop of Alrex 4 times daily (QID) in both eyes at approximately 4 hour intervals for 2 weeks.
Olopatadine 0.1%DRUG1 drop of Patanol 2 times daily (BID)at intervals of 6-8 hours or more for 2 weeks.
Vehicle of Loteprednol EtabonateDRUGTopical administration of vehicle of loteprednol etabonate ophthalmic suspension 1-2 drops in study eye QID, postoperative day 1-14.
Vehicle of Ophthalmic Loteprednol EtabonateDRUGVehicle of ophthalmic loteprednol etabonate administered postoperatively to study eye 4 times a day(QID) for 14 days.
loteprednol etabonate ophthalmic suspension, 0.5%DRUGTID
LE GelDRUGSingle drop of LE Gel 0.5% administered to the study eye on visit 2
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Key Inclusion Criteria: 1. Be 18 years or older on the date the Informed Consent Form (ICF) is signed and with the capacity to provide voluntary informed consent. 2. Be able to read, understand, and provide written informed consent on the Institutional Review Board (IRB)/Ethics Committee (EC) appro...

Countries:United StatesSingapore
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Frequently asked questions about LE

What is LE?

LE is an investigational small molecule developed by Bausch + Lomb Corporation under the ticker BLCO. It is also known as LE Gel. The program is in Phase 1 clinical development, and its intended therapeutic indications have not been disclosed.

Who makes LE?

LE is being developed by Bausch + Lomb Corporation, which trades under the ticker BLCO. The company is the sponsor of the clinical work conducted on this asset.

What phase is LE in?

LE is in Phase 1 clinical development. It is an investigational small molecule and has not been approved by the FDA. One Phase 1 trial has been completed, and no trials are currently active.

What clinical trials is LE in?

LE has been studied in one completed Phase 1 trial, NCT01736527, titled Tear Fluid Levels of Loteprednol Etabonate Ophthalmic Gel 0.5% Following a Single Instillation. The trial enrolled 12 healthy adult volunteers in the United States and assessed pharmacokinetics.

Is LE the same as LE Gel?

Yes, LE Gel is another name for LE. Both names refer to the same investigational small molecule being developed by Bausch + Lomb Corporation under the ticker BLCO.