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Table 2 Effect on Ocular Surface Disease Activity

From: Efficacy and safety of 0.05% micellar nano-particulate (MNP) cyclosporine ophthalmic emulsion in the treatment of moderate-to-severe keratoconjunctivitis sicca: a 12-week, multicenter, randomized, active-controlled trial

 

ITT population

PP population

Treatment group

A

B

C

A

B

C

Number of eyes

96

98

96

60

64

56

Restoration of corneal surface integrity: Corneal Fluorescein Staining Scores (CFSS)

Mean score at baseline (± SD)

8.7 (3.4)

9.5 (3.5)

8.7 (3.6)

8.9 (3.0)

9.5 (3.3)

8.5 (3.1)

Mean score at 12 weeks (± SD)

3.3 (3.4)

3.9 (3.0)

4.5 (2.9)

2.2 (2.2)

3.8 (3.4)

3.9 (3.2)

Mean change from baseline (± SD)

− 5.3 (4.1)

− 5.6 (3.8)

− 4.4 (3.7)

− 6.8 (4.0)

− 5.7 (3.9)

− 4.6 (3.6)

P value (test groups vs. control)

0.0912

0.0247

-

0.0026

0.1101

-

P value (A vs. B)

0.6475

-

-

0.1329

-

-

ANCOVA P value

0.0142

0.0641

-

0.0007

0.4101

-

Effect on tear formation: Shirmer Tear Test Values (STT)

Mean score at baseline (± SD)

6.4 (3.0)

6.7 (3.2)

6.3 (3.6)

6.8 (2.9)

6.6 (3.1)

5.9 (4.0)

Mean score at 12 weeks (± SD)

17.5 (10.5)

15.9 (9.4)

15.1 (8.6)

21.0 (10.3)

17.3 (9.7)

15.8 (9.9)

Mean change from baseline (± SD)

11.1 (9.9)

9.2 (8.4)

8.8 (7.1)

14.2 (9.9)

10.7 (8.3)

10.0 (7.8)

P value (test groups vs. control)

0.0634

0.7115

-

0.0129

0.6483

-

P value (A vs. B)

0.1457

-

-

0.0334

-

-

ANCOVA P value

0.0610

0.7302

-

0.0120

0.7064

-

Healing of conjunctival lesions: Conjunctival Lissamine Green Staining (CLGS)

Mean score at baseline (± SD)

9.4 (4.6)

10.2 (4.4)

9.7 (4.7)

10.3 (4.3)

10.5 (4.1)

9.5 (3.7)

Mean score at 12 weeks (± SD)

4.1 (3.6)

4.6 (3.3)

5.0 (4.0)

3.1 (3.0)

4.3 (3.3)

4.8 (4.1)

Mean change from baseline (± SD)

− 5.3 (5.5)

− 5.5 (4.8)

− 4.8 (5.0)

− 7.2 (5.9)

− 6.2 (4.7)

− 4.7 (5.3)

P value (test groups vs. control)

0.4924

0.2736

-

0.0203

0.1066

-

P value (A vs. B)

0.7375

-

-

0.3251

-

-

ANCOVA P value

0.1094

0.3066

-

0.0065

0.3069

-

Patient-reported improvement in disease severity: Ocular Surface Disease Index (OSDI)

Number of patients

48

49

47

30

32

28

Mean score at baseline (± SD)

54.4 (23.4)

55.0 (23.2)

52.5 (26.1)

56.8 (23.5)

56.9 (23.6)

45.9 (21.7)

Mean score at 12 weeks (± SD)

22.6 (18.1)

24.1 (16.3)

25.2 (12.2)

17.3 (15.6)

23.6 (16.8)

22.3 (11.0)

Mean change from baseline (± SD)

− 31.8 (27.2)

− 30.9 (24.2)

− 28.0 (25.5)

− 39.5 (28.7)

− 33.3 (22.1)

− 23.6 (21.8)

P value (test groups vs. control)

0.4875

0.5757

-

0.0217

0.0911

-

P value (A vs. B)

0.8605

-

-

0.3464

-

-

ANCOVA P value

0.3644

0.6249

-

0.0276

0.4583

-

  1. † Independent samples Student’s t test
  2. ‡ Difference in mean change from baseline vs. control, with baseline value as covariate