Evidence map›Paper›PMID 28708219›Full record

Trial reportEuropean journal of ophthalmology2017

One-Year Efficacy and Safety of 0.1% Cyclosporine a Cationic Emulsion in the Treatment of Severe Dry Eye Disease.

Christophe Baudouin, Maite Sainz de la Maza, Mourad Amrane, Jean-Sébastien Garrigue, Dahlia Ismail, Francisco C Figueiredo, Andrea Leonardi

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of ophthalmology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Topical cyclosporine A therapy for dry eye syndrome.The Cochrane database of systematic reviews · 2019
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  14. Real-world insights and outcomes related to ciclosporin A 0.1% cationic emulsion for the long-term treatment of dry eye disease in Germany: Country-level sub-analysis of the PERSPECTIVE study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Christophe Baudouin1 Quinze-Vingts National Ophthalmology Hospital, Paris - France.
Maite Sainz de la Maza4 Institute Clinic of Ophthalmology, Hospital Clinic of Barcelona, University of Barcelona, Barcelona - Spain.
Mourad Amrane5 Santen SAS, Evry - France.
Jean-Sébastien Garrigue5 Santen SAS, Evry - France.
Dahlia Ismail5 Santen SAS, Evry - France.
Francisco C Figueiredo6 Department of Ophthalmology, Royal Victoria Infirmary and Newcastle University, Newcastle upon Tyne - UK.
Andrea Leonardi7 Ophthalmology Unit, Department of Neuroscience, University of Padua, Padua - Italy.
Santen (France) · FRCentre National de la Recherche Scientifique · FRRoyal Victoria Infirmary · GBUniversitat de Barcelona · ESUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe SANSIKA study evaluated the efficacy/safety of 0.1% (1 mg/mL) cyclosporine A cationic emulsion (CsA CE) for treating dry eye disease (DED) with severe keratitis. The double-masked phase demonstrated that CsA CE was effective in reducing corneal damage and ocular surface inflammation, and was well-tolerated over 6 months. Here we report efficacy and safety findings of SANSIKA's open-label extension (OLE).

methodsIn this multicenter, double-masked, phase III study, patients with severe DED (corneal fluorescein staining [CFS] grade 4, modified Oxford scale) were randomized to once-daily CsA CE (Ikervis

resultsA total of 177 patients completed the OLE. Efficacy results reiterated the double-masked phase: CsA CE reduced CFS score and human leukocyte antigen-antigen D related expression, improved corneal clearing, and produced continuous improvements in global symptom scores (ocular surface disease index [OSDI], visual analogue scale). The CFS-OSDI response rates (≥2 CFS points, ≥30% OSDI improvement vs baseline) at 12 vs 6 months were 39.1% vs 28.6%, respectively, for CsA CE/CsA CE and 38.0% vs 23.1% for vehicle/CsA CE. Cyclosporine A CE's safety profile was similar to the initial 6 months. The most common treatment-related treatment-emergent adverse event was instillation site pain (7.8%, CsA CE/CsA CE group; 19.0%, vehicle/CsA CE group). No unexpected safety signals were observed; systemic CsA levels were undetectable/negligible in all patients except 2 previously treated with systemic CsA.

conclusionsIn this 12-month study, once-daily CsA CE was well-tolerated and showed reductions in ocular surface inflammation and improvements in signs/symptoms in DED patients with severe keratitis.

Indexed as

AdultAgedCyclosporineDouble-Blind MethodDry Eye SyndromesEmulsionsFemaleFluoresceinHumansImmunosuppressive AgentsKeratitisMaleMiddle AgedOphthalmic SolutionsTearsCyclosporineEmulsionsFluoresceinImmunosuppressive AgentsOphthalmic SolutionsCationic emulsionCyclosporineInflammationKeratoconjunctivitis siccaOpen-label extensionSevere keratitis

Identifiers

PMID28708219
PMCPMC6380090
OpenAlexW2726354588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.