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Tuesday, April 26 2022 - 23:00
AsiaNet
Novaliq Presents Data from Second Phase 3 Trial of Investigational Treatment Cyclasol(R) (0.1% Cyclosporine Ophthalmic Solution) at the American Society of Cataract and Refractive Surgery Annual Meeting
HEIDELBERG, Germany, and CAMBRIDGE, Mass., April 26, 2022 /PRNewswire-AsiaNet/ --

Novaliq, a biopharmaceutical company focusing on first- and best-in-class 
ocular therapeutics based on the unique EyeSol(R) water-free technology, today 
announced that data from the second pivotal Phase 3 trial (ESSENCE-2) 
evaluating the investigational drug CyclASol(R) for the treatment of dry eye 
disease (DED), was presented as part of a podium symposium at the American 
Cataract and Refractive Surgery (ASCRS) annual meeting in Washington D.C. on 
April 24, 2022.

CyclASol(R) is the first topical preservative-free, water-free, 
anti-inflammatory and immunomodulating ophthalmic solution, containing 0.1% 
cyclosporine in a novel vehicle, developed for the treatment of the signs and 
symptoms of DED.

"The ESSENCE-2 data confirms that CyclASol(R) has consistent and superior 
therapeutic effects on the ocular surface in patients with dry eye disease. 
These became significant after 15 days, and 71.6% of patients showed a 
clinically meaningful improvement in total corneal fluorescein staining at 4 
weeks. Patients with high central staining scores showed superior relief of 
blurred vision in the CyclASol(R) group compared to vehicle", highlighted John 
D. Sheppard, MD, MMSc, FACS, Professor of Ophthalmology at Eastern Virginia 
Medical School, Mid-Atlantic Medical Director for Eye Care Partners, and 
leading CyclASol(R) trial investigator. "The fact that 78.6% of patients rated 
their satisfaction with CyclASol(R) as positive or neutral underlines the 
excellent safety and tolerability profile of this novel water-free drug therapy 
to treat inflammatory corneal surface damage secondary to dry eye disease."

DED, one of the most common ocular surface disorders, negatively affects the 
quality of life for millions of people. Progressive corneal surface damage 
secondary to DED can lead to visual impairment and has a measurable impact on 
activities requiring sustained visual attention, including reading, driving, 
and work productivity.1 Corneal surface damage can have deleterious effects on 
visual outcomes of ophthalmologic surgeries including cataract and LASIK 
surgery and multiple guidelines recommend treatment of corneal surface damage 
secondary to DED prior to elective ocular procedures or treatments.2-5

"There is a high unmet need for a rapid, consistent, safe, sustained, and 
comfortable treatment for dry eye disease. These data support that CyclASol(R) 
potentially has the power eye care professionals require with the comfort their 
dry eye disease patents desire," said Dr Christian Roesky, Chief Executive 
Officer Novaliq. "We intend to submit for approval in the USA in July 2022."

ESSENCE-2 is an 834 subject multicenter, randomized, double-masked, 
vehicle-controlled clinical trial to assess efficacy, safety, and tolerability 
of CyclASol(R) for the treatment of signs and symptoms of DED in patients not 
responding to artificial tears. Key results include:

- On day 15 and 29, change from baseline in total Corneal Fluorescein Staining 
(tCFS) was statistically significant in the CyclASol(R) group compared to the 
vehicle group (p values = 0.0022 and 0.0278 respectively)
- On day 29, the proportion of patients showing a clinically meaningful 
improvement in tear production (greater than or equal to 10 mm increase) was 
statistically significantly higher compared to the vehicle 
(p = 0.0487)
- Additionally, 71.6% of CyclASol(R) treated patients had a greater than or 
equal to 3 grade improvement in tCFS at week 4. The proportion of responders 
was significantly higher compared to vehicle-treated patients 
(p = 0.0002).
- These responders also showed statistically significant improvements in a 
variety of symptoms including but not limited to Dryness (p = 0.0074) compared 
to non-responders at day 29.


 

About Dry Eye Disease

Dry eye disease, one of the most common ocular surface disorders, impacts 
quality of life for millions of people. Although a multifactorial chronic 
disease, inflammation and immunologic processes play a key role in the 
pathology of dry eye. Infiltration of immune cells in the lacrimal glands, 
meibomian glands, conjunctiva, and cornea are dominant characteristics in dry 
eye disease. The inflammatory vicious cycle includes tear film instability, 
hyperosmolarity, inflammation and damage to the corneal and conjunctival 
epithelium. Intrinsic and extrinsic factors cause stress to the ocular surface, 
which accelerate the cycle and, in turn, exacerbate dry eye.6

About CyclASol(R) Ophthalmic Solution

CyclASol(R) is a topical anti-inflammatory and immunomodulating ophthalmic 
solution, containing 0.1% cyclosporine in EyeSol(R), developed for the 
treatment of dry eye disease. The multi-dose, preservative-free, smaller and 
more physiologic droplet size profile provides unique clinical benefits and 
outstanding tolerability. Notably, an improvement in visual function associated 
with a clinically significant reduction of central corneal staining, as shown 
in clinical trials, differentiates CyclASol(R) from existing therapies and are 
published in Cornea: The Journal of Cornea and External Disease.7  Results from 
a dose-finding, vehicle-controlled Phase 2 clinical trial with an open-label 
comparator arm (Restasis™, Abbvie) evaluating CyclASol(R) were published in 
Ophthalmology.8  The clinical development program for CyclASol(R) is expected 
to conclude with an ongoing multi-center, open-label, single-arm, 12-month 
safety extension trial (ESSENCE-2 OLE).

About Novaliq

Novaliq is a biopharmaceutical company focusing on the development and 
commercialization of first- and best-in-class ocular therapeutics based on the 
worldwide first water-free technology EyeSol(R). Novaliq's proprietary 
water-free EyeSol(R) technology uses ultrapure semifluorinated alkanes (SFAs) 
that are physically, chemically, and physiologically inert with excellent 
biocompatibility and a very good safety profile. Novaliq offers an 
industry-leading portfolio addressing today's unmet medical needs of millions 
of patients with eye diseases. CyclASol(R) is the first drug product evaluated 
in a phase 3 clinical program utilizing EyeSol(R) as a vehicle to enhance 
topical bioavailability of the drug on the ocular surface and at the same time 
provide outstanding comfort and tolerability. Novaliq GmbH is headquartered in 
Heidelberg, Germany and Novaliq Inc. has an office in Cambridge, MA, USA. The 
long-term shareholder is dievini Hopp BioTech holding GmbH & Co. KG, an active 
investor in Life and Health Sciences companies. More on www.novaliq.com.

References

1. Uchino M. & Schaumberg DA. Current Ophthalmology Reports. 2013; 1(2): 51-57.
2. American Academy of Ophthalmology Preferred Practice Pattern Cornea and 
External Disease. Ophthalmology. 2018; 126(1): 286-334.
3. Starr CE., et al. ASCRS Cornea Clinical Committee. Journal of Cataract & 
Refractive Surgery. 2019; 45(5): 669-684. 
4. Craig JP., et. al. TFOS DEWS II Report Executive Summary. The Ocular 
Surface. 2017; 15(4): 802-812. 
5. Gibbons et al. Clinical Ophthalmology 2016;10: 1965–1970.
6. Yamaguchi T., Investigative Ophthalmology & Visual Science. 2018; 59(14): 
DES192-DES199. 
7. Sheppard JD., et al. Cornea. 2021; 40(10): 1290-1297.
8. Wirta DL., et al. Ophthalmology. 2019; 126(6): 792-800.

 

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