The objectives of this study are: * To evaluate the safety of Nyxol in pediatric subjects * To evaluate the efficacy of Nyxol to expedite the reversal of pharmacologically induced mydriasis in pediatric subjects The Sponsor intends to use this study to evaluate Nyxol in pediatric subjects aged 3 to 11 for the indication "the treatment of pharmacologically induced mydriasis produced by adrenergic (phenylephrine) or parasympatholytic (tropicamide) agents, or a combination thereof."
This is a randomized, parallel-arm, double-masked, placebo-controlled study in approximately 20 randomized pediatric subjects evaluating the safety and efficacy of Nyxol in pediatric subjects with pharmacologically induced mydriasis with three dilating agents (e.g., phenylephrine, tropicamide, and Paremyd). Pediatric subjects will be recruited for the study into 2 age groups as follows:1) 3 to 5 years of age: 10 subjects 2) 6 to 11 years of age: 10 subjects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
23
0.75% phentolamine ophthalmic solution (Nyxol), a non-selective alpha-1 and alpha-2 adrenergic antagonist
Phentolamine Ophthalmic Solution Vehicle
Clinical Site 1
Longwood, Florida, United States
Clinical Site 2
Athens, Ohio, United States
Safety Measurements
Study Eye Change from Baseline (-1 Hour) Conjunctival Hyperemia Grading; Cornea and Contact Lens Research Unit (CCLRU scale) Grades range from 0 to 3, with 3 being considered the most severe.
Time frame: 0 Minutes, 90 Minutes, 3 Hours, 24 Hours
Vital Signs
Change from Screening Heart Rate
Time frame: 3 Hours, 24 Hours
Vital Signs
Change from Screening Blood Pressure (Systolic)
Time frame: 3 Hours, 24 Hours
Safety Measurement
Study Eye Change from Baseline (-1 Hour) in Best Corrected Distance Visual Acuity
Time frame: 0 Minutes, 3 Hours, 24 Hours
Change From Screening Blood Pressure (Diastolic)
Time frame: 3 Hours, 24 Hours
Efficacy Measurement: Pupil Diameter
Percentage of Subjects Returning to ≤ 0.2 mm from Baseline (-1 hour) Pupil Diameter (Study Eye)
Time frame: 90 Minutes, 3 Hours, and 24 Hours
Efficacy Measurement: Pupil Diameter
Change (in mm) in Pupil Diameter from Max Pupil Dilation (0 minutes) (Study Eye)
Time frame: 90 Minutes, 3 Hours, and 24 Hours
Efficacy Measurement: Pupil Diameter
Time (Hours) to Return to ≤ 0.2 mm from Baseline (-1 Hour) Pupil Diameter (Time-savings Analysis) (Study Eye)
Time frame: Up to 24 Hours
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