An Evaluation of the Clinical Utility and Safety of the Visant Medical Canalicular Plug

Visant Medical

Status

Completed

Conditions

Dry Eye

Treatments

Device: Visant Medical Canalicular Plug

Device: Commercially available canalicular plug

Study type

Interventional

Funder types

Industry

Identifiers

NCT04817085

D-348-CSP

Details and patient eligibility

About

This study is designed to evaluate the clinical utility and safety of the Visant Medical Canalicular Plug compared to a commercially available canalicular plug.

Full description

The objective of this study is to evaluate the clinical utility and safety of the Visant Medical Canalicular Plug compared to a commercially available canalicular plug over 6 months of subject follow-up.

Study subjects who are eligible for enrollment and have provided written informed consent will be randomized in a 2:1 ratio (i.e., 2 subjects randomized to the Visant Medical Canalicular Plug for every 1 subject randomized to a commercially available canalicular plug). All study subjects will be treated bilaterally with plugs placed in the inferior canaliculi.

Enrollment

156 patients

Sex

All

Ages

22+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Twenty-two (22) years of age or older
BCDVA of 20/40 or better in each eye
Both eyes with a baseline Schirmer's test with anesthetic ≤ 10 mm/5 minutes
Presence of corneal staining in both eyes in any of the 5 areas defined by the NEI/Industry Workshop Scale
Baseline OSDI score of at least 23 with no more than 3 responses of "not applicable"
Patent bilateral lacrimal drainage system as demonstrated by punctal irrigation
If female, subject must be post-menopausal, medically sterile (e.g hysterectomy, bilateral tubal ligation, bilateral oophorectomy) or have negative urine pregnancy test (UPT) on Day 0 of the study and agree to utilize a medically acceptable form of contraception over the course of the study
Willing and able to sign informed consent and HIPAA authorization, follow study instructions, and complete all study visits.

Exclusion criteria

Use of ophthalmic cyclosporine (Restasis) within 6 months or lifitegrast (Xiidra) within 3 months prior to Day 0 in either eye
History of surgical punctal occlusion (e.g., cautery), canalicular infection or canalicular surgery in either eye
Corneal transplant in either eye
Ocular surgery (such as cataract surgery or LASIK) in either eye within six months of the Baseline Visit
A systemic condition or disease not stabilized or judged by the investigator to be incompatible with participation in the study (e.g. current systemic infection, uncontrolled autoimmune disease, uncontrolled immunodeficiency disease)
The history or presence of any ocular disorder or condition in either eye that, in the opinion of the investigator, would interfere with the interpretation of the study results (e.g., significant corneal or conjunctival scarring, pterygium or nodular pinguecula; current ocular infection (except mild blepharitis), conjunctivitis or inflammation not associated with dry eye; anterior (epithelial) basement membrane corneal dystrophy or other clinically significant corneal dystrophy or degeneration; history of ocular herpetic infection; evidence of keratoconus; lid or lacrimal cancer
Active severe systemic allergy, seasonal allergies, rhinitis or sinusitis requiring treatment (i.e., antihistamines, decongestants, oral or aerosol steroids)
Use of steroids, including administration by systemic or topical ocular routes (dermatologic steroids not applied to the eyelids and inhaled steroids are allowed)
Participation in a clinical trial during the past 30 days
Women who are pregnant, planning a pregnancy, or nursing at study entry