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Persistence of Efficacy of 0.1% Cyclosporin A Cationic Emulsion in Subjects with Severe Keratitis Due to Dry Eye Disease: A Nonrandomized,Open-label Extension of the SANSIKA Study
Authors:Marc Labetoulle  Andrea Leonardi  Mourad Amrane  Dahlia Ismail  Jean-Sébastien Garrigue  Gerhard Garhöfer  Maite Sainz de la Maza  Christophe Baudouin
Affiliation:1. Department of Ophthalmology, Bicêtre Hospital, AP-HP, Paris-Sud University, Le Kremlin-Bicêtre, France;2. Department of Neuroscience, Ophthalmology Unit, University of Padua, Padua, Italy;3. Santen SAS, Evry, France;4. Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria;5. Institute Clinic of Ophthalmology, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain;6. Quinze-Vingts National Ophthalmology Hospital, Paris, France;7. UPMC University, Paris 6, Vision Institute, INSERM UMRS968, CNRS UMR7210, Paris, France;8. University of Versailles Saint-Quentin en Yvelines, Versailles, France
Abstract:

Purpose

Results from a 6-month double-masked and a 6-month open-label study (SANSIKA) established the efficacy and safety of once-daily 0.1% cyclosporin A cationic emulsion (CsA CE) in severe keratitis due to dry eye disease (DED). This article presents results from the Post-SANSIKA study, a 24-month extension of SANSIKA assessing the sustained efficacy of CsA CE after treatment discontinuation.

Methods

Time to relapse (corneal fluorescein staining [CFS] score ≥4 [modified Oxford scale]) was assessed after treatment discontinuation in patients from the SANSIKA study who had CFS improvement from a score of 4 to ≤2 after 6 or 12 months of treatment with CsA CE.

Findings

Of 62 patients who achieved a CFS score ≤2 at the end of the SANSIKA study, 38 did not relapse and 24 (39%) relapsed during the 24-month period after CsA CE discontinuation; the latter (relapse) group comprised 35% of patients initially treated with CsA CE for 12 months in SANSIKA versus 47% of those treated for 6 months only. Patients spent the most time during the extension study at CFS scores of 1 or 2 (median duration of 8.5 weeks and 14.7 weeks per year, respectively), indicating marked improvement, and less time at scores of 3, 4, or 5 (median time, 2.0 weeks, 0 weeks, and 0 weeks per year). Of 23 patients eligible for safety analysis (ie, patients who received the study treatment at least once), 12 (52.2%) reported a total of 26 ocular adverse events (AEs). Among these, 5 ocular AEs, reported in 5 patients (21.7%), were considered related to study treatment: 3 events of mild instillation site pain in 3 patients (13.0%) and eye discharge and foreign body sensation, each reported in 1 patient (4.3%). Only 1 systemic AE (nasal congestion), reported in 1 patient (4.3%), was considered related to study treatment. None of the AEs led to treatment discontinuation.

Implications

The majority of patients who discontinued CsA CE after experiencing DED improvement in the SANSIKA study did not experience a relapse in this 24-month follow-up study; these patients spent the most time at CFS scores consistent with marked improvement. CsA CE had a favorable safety/tolerability profile over 2 years. Treatment for up to 12 months with CsA CE provides sustained improvements in patients with severe keratitis due to DED. EudraCT registration no. 2012-002066-12.
Keywords:cationic emulsion  cyclosporin A  dry eye disease  inflammation  keratoconjunctivitis sicca  severe keratitis
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