Real-World Effectiveness, Tolerability and Safety of Cyclosporine A 0.1% Cationic Emulsion in Severe Keratitis and Dry Eye Treatment.

Autor: Geerling G; Department of Ophthalmology, University Hospital Düsseldorf, Düsseldorf, Germany. Geerling@med.uni-duesseldorf.de., Hamada S; Queen Victoria Hospital, East Grinstead, UK., Trocmé S; Aleris Specialistvård Sabbatsberg, Europakliniken Department of Ophthalmology, Sabbatsbergs Hospital, Stockholm, Sweden., Ræder S; The Norwegian Dry Eye Clinic, Oslo, Norway., Chen X; The Norwegian Dry Eye Clinic, Oslo, Norway., Fassari C; Santen SA, Geneva, Switzerland., Lanzl I; Chiemsee Augentagesklinik, Prien, Germany.
Jazyk: angličtina
Zdroj: Ophthalmology and therapy [Ophthalmol Ther] 2022 Jun; Vol. 11 (3), pp. 1101-1117. Date of Electronic Publication: 2022 Mar 17.
DOI: 10.1007/s40123-022-00487-x
Abstrakt: Introduction: The PERSPECTIVE study evaluated, in routine clinical practice, the effectiveness, tolerability and safety of cyclosporine A (CsA) 0.1% cationic emulsion (CE) in controlling severe keratitis in adults with dry eye who remained insufficiently controlled despite artificial tear (AT) use.
Methods: A prospective, multicenter, observational study was conducted at 44 ophthalmology clinics across Finland, Germany, Norway, Sweden and the UK. Adults treated with ATs for severe keratitis and dry eye received CsA 0.1% CE therapy (1 drop in both eyes at bedtime) and were followed up at weeks 4, 12 and 24 and at month 12. Primary endpoint was mean [standard deviation (SD)] change from baseline in corneal fluorescein staining (CFS; Oxford Grade Scale) at month 12 following CsA 0.1% CE initiation. Secondary endpoints examined ocular sign and symptom severity and adverse events (AEs).
Results: The full analysis set included 472 adults (75.9% female). Mean (SD) age was 61.9 (15.41) years. Mean (SD) CFS score was significantly reduced from baseline [2.56 (1.10)] at month 12 [1.10 (SD 1.13); P < 0.0001]. CFS score reductions were statistically significant from week 4, with further incremental decreases reported at study visits through month 12 (P < 0.0001). Severity of eyelid and conjunctival erythema was significantly reduced from baseline at week 4 and maintained through month 12 (P < 0.001). Tear film breakup time increased significantly from baseline at all study visits through month 12 (P < 0.001). Ocular symptom severity was significantly reduced from baseline at all study visits through month 12 (P < 0.001). Overall, 101 treatment-related AEs were reported. Most were mild/moderate (83.6%) and resolved by month 12 (73.3%).
Conclusions: In routine clinical practice, CsA 0.1% CE provided statistically significant reductions in dry eye signs and symptoms. Improvements were seen at week 4 and maintained over 12 months. Treatment tolerability was good and consistent with previous CsA 0.1% CE clinical studies.
Trial Registration: EU PAS register number: EUPAS 22376.
(© 2022. The Author(s).)
Databáze: MEDLINE
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