Loteprednol Ophthalmic Gel for the Treatment of Ocular Inflammation and Pain Following Cataract Surgery

Study Overview
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Brief Summary
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The objective of this study is to evaluate the safety and efficacy of loteprednol etabonate ophthalmic gel

Detailed Description
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The objective of this study is to evaluate the safety and efficacy of loteprednol etabonate ophthalmic gel, 0.38% (BID and TID) for the treatment of postoperative inflammation and pain following cataract surgery.

Official Title
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Loteprednol Etabonate Ophthalmic Gel, 0.38% (BID and TID) Versus Vehicle Gel for the Treatment of Ocular Inflammation and Pain Following Cataract Surgery

Conditions
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Pain, Inflammation, Cataract

Intervention / Treatment
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* Drug: Loteprednol Etabonate Gel (BID)
* Drug: Loteprednol Etabonate Gel (TID)
* Drug: Vehicle (BID)
* Drug: Vehicle (TID)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Visit 1 (Screening Visit) Be willing and able to comply with all treatment and follow-up/study procedures. Be a candidate for routine, uncomplicated cataract surgery Visit 3 (Postoperative Day 1) Have undergone routine, uncomplicated cataract surgery (phaco- emulsification with posterior chamber IOL implantation, not combined with any other surgery) in the study eye. Have ≥ Grade 2 anterior chamber (AC) cells (6-15 cells) in the study eye. Exclusion Criteria: Have a severe/serious ocular condition or history/presence of chronic generalized systemic disease that the Investigator feels might increase the risk to the subject or confound the result(s) of the study. Have known hypersensitivity or contraindication to the study drug(s) or their components.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Loteprednol Etabonate Gel (BID)<br>Loteprednol Etabonate Gel 0.38% administered two times daily (BID). | Drug: Loteprednol Etabonate Gel (BID)<br>* One drop of LE gel instilled into the study eye two times per day (BID) for 14 days<br>* Other names: Lotemax;|
| Active Comparator: Vehicle (BID)<br>Vehicle of Loteprednol Etabonate Gel 0.38% administered two times daily (BID). | Drug: Vehicle (BID)<br>* One drop of vehicle instilled into the study eye two times per day (BID) for 14 days<br>* Other names: Vehicle;|
| Experimental: Loteprednol Etabonate Gel (TID)<br>Loteprednol Gel 0.38% administered three times daily (TID). | Drug: Loteprednol Etabonate Gel (TID)<br>* One drop of LE gel instilled into the study eye three times per day (TID) for 14 days.<br>* Other names: Lotemax;|
| Active Comparator: Vehicle (TID)<br>Vehicle of Loteprednol Etabonate Gel 0.38% administered three times daily (TID). | Drug: Vehicle (TID)<br>* One drop of vehicle instilled into the study eye three times per day (TID) for 14 days<br>* Other names: Vehicle;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of Participants With Complete Resolution of Anterior Chamber (AC) Cells | 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. | 8 days | 
| Percentage of Participants With Grade 0 Pain in the Study Eye. | 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. | 8 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of Participants With Complete Resolution of Anterior Chamber (AC) Cells by Visit | 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. | 18 days | 
| Percentage of Participants With Grade 0 Pain in the Study Eye by Visit. | 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. | 18 days | 
| Percentage of Participants With Complete Resolution of Anterior Chamber (AC) Flare in the Study Eye by Visit. | Flare was evaluated by the Investigator by assessing the scattering of a slit lamp light beam directed into the anterior chamber (Tyndall effect). Flare was graded on the 5-point scale, with 0=None (best) and 4=Very Severe (worst). Complete resolution of AC flare was defined as Grade 0. | 18 days | 
| Percentage of Participants With Complete Resolution of Anterior Chamber (AC) Cells and AC Flare in the Study Eye by Visit. | 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. Flare was evaluated by the Investigator by assessing the scattering of a slit lamp light beam directed into the anterior chamber (Tyndall effect). Flare was graded on the 5-point scale, with 0=None (best) and 4=Very Severe (worst). | 18 days |