Evidence map›Paper›PMID 38771801›Full record

Trial reportCornea2024

Long-Term Safety and Efficacy of a Water-Free Cyclosporine 0.1% Ophthalmic Solution for Treatment of Dry Eye Disease: ESSENCE-2 OLE.

David L Wirta, Anat Galor, Carol A Aune, Patrick M Vollmer, Eva Liang, Alice S Meides, Sonja Krösser

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in Cornea, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07268599 (Acoltremon Symptom Tracking and Relief Assessment in Moderate-to-Severe Dry Eye Disease), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT07268599 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Acoltremon Symptom Tracking and Relief Assessment in Moderate-to-Severe Dry Eye Disease

TypeobservationalSponsorColvard Kandavel Eye CenterRan2025 to 2026Enrolled50ConditionsDry Eye Disease (DED)ArmsAcoltremon
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Pooled results from two pivotal randomized controlled clinical trials: ESSENCE-1 and ESSENCE-2 to assess efficacy and safety of a water-free ciclosporin 0.1% formulation for the treatment of dry eye disease.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
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.

David L WirtaEye Research Foundation, Newport Beach, CA.
Anat GalorMiami Veterans Administration Medical Center and Bascom Palmer Eye Institute, University of Miami, Miami, FL.
Carol A AuneOculus Research Inc., Garner, NC.
Patrick M VollmerVita Eye Clinic, Shelby, NC.
Eva LiangCenter for Sight, Las Vegas, NV; and.
Alice S MeidesNovaliq GmbH, Heidelberg, Germany.
Sonja KrösserNovaliq GmbH, Heidelberg, Germany.ORCID 0000-0003-2049-2076

Funding

Novaliq GmbH (DE)Novaliq GmbH (DE), U.S. Department of Veterans Affairs, Declare DSMC member
6 · The paper itself

Abstract

purposeThe ESSENCE-2 Open-Label Extension study aimed to demonstrate long-term safety, tolerability, and efficacy of a novel water-free, nonpreserved topical cyclosporine 0.1% ophthalmic solution (US brand name VEVYE) for patients with dry eye disease (DED).

methodsThis was a Phase 3, prospective, multicenter, open-label, clinical study. All patients received cyclosporine 0.1% ophthalmic solution and dosed each eye twice a day for 52 weeks. Primary safety end points were ocular and nonocular adverse events (AEs). Secondary safety end points included visual acuity, biomicroscopy, intraocular pressure, and dilated fundoscopy. Efficacy end points, such as total corneal fluorescein staining (tCFS) score (National Eye Institute [NEI] Scale), ocular symptoms (visual analog scale [VAS]), and Schirmer tear test, were also assessed.

resultsA total of 202 patients were enrolled from the ESSENCE-2 study. At week 52, 175 patients (86.6%) completed ESSENCE-2 open-label extension. A total of 55 patients (27.5%) reported 74 ocular treatment-emergent adverse events (TEAEs). The most common ocular AE was instillation site pain (6.5%), which was of mild intensity in all cases. Patients showed statistically significant improvements in all prespecified efficacy end points compared with baseline at each visit. Corneal staining improvements were early and stabilized over time while tear production improved continuously. Symptomatology improvement followed these effects with scores reaching a minimum after 1 year of treatment.

conclusionsThe water-free cyclosporine 0.1% ophthalmic solution was safe and well tolerated during long-term use. The results demonstrated sustained 1-year efficacy, in both signs and symptoms of DED, and may help understand short and long-term healing dynamics in a predominant inflammatory DED population.

Indexed as

CyclosporineDry Eye SyndromesImmunosuppressive AgentsAdultAgedFemaleFollow-Up StudiesHumansIntraocular PressureMaleMiddle AgedOphthalmic SolutionsProspective StudiesTearsTreatment OutcomeVisual AcuityCyclosporineImmunosuppressive AgentsOphthalmic Solutionscorneal fluorescein stainingcyclosporineDEDlong-term studytolerability

Identifiers

PMID38771801
PMCPMC12052043

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 Socratic graph.