Skip to main content
Top
Published in: Advances in Therapy 12/2015

Open Access 01-12-2015 | Original Research

Results of a Multicenter, Randomized, Double-Masked, Placebo-Controlled Clinical Study of the Efficacy and Safety of Visomitin Eye Drops in Patients with Dry Eye Syndrome

Authors: Vladimir V. Brzheskiy, Elena L. Efimova, Tatiana N. Vorontsova, Vladimir N. Alekseev, Olga G. Gusarevich, Ksenia N. Shaidurova, Alla A. Ryabtseva, Olga M. Andryukhina, Tatiana G. Kamenskikh, Elena S. Sumarokova, Eugeny S. Miljudin, Eugeny A. Egorov, Oleg I. Lebedev, Alexander V. Surov, Andrii R. Korol, Illia O. Nasinnyk, Pavel A. Bezditko, Olena P. Muzhychuk, Vladimir A. Vygodin, Elena V. Yani, Alla Y. Savchenko, Elena M. Karger, Oleg N. Fedorkin, Alexander N. Mironov, Victoria Ostapenko, Natalia A. Popeko, Vladimir P. Skulachev, Maxim V. Skulachev

Published in: Advances in Therapy | Issue 12/2015

Login to get access

Abstract

Introduction

This article presents the results of an international, multicenter, randomized, double-masked, placebo-controlled clinical study of Visomitin (Mitotech LLC, Moscow, Russian Federation) eye drops in patients with dry eye syndrome (DES). Visomitin is the first registered (in Russia) drug with a mitochondria-targeted antioxidant (SkQ1) as the active ingredient.

Methods

In this multicenter (10 sites) study of 240 subjects with DES, study drug (Visomitin or placebo) was self-administered three times daily (TID) for 6 weeks, followed by a 6-week follow-up period. Seven in-office study visits occurred every 2 weeks during both the treatment and follow-up periods. Efficacy measures included Schirmer’s test, tear break-up time, fluorescein staining, meniscus height, and visual acuity. Safety measures included adverse events, slit lamp biomicroscopy, tonometry, blood pressure, and heart rate. Tolerability was also evaluated.

Results

This clinical study showed the effectiveness of Visomitin eye drops in the treatment of signs and symptoms of DES compared with placebo. The study showed that a 6-week course of TID topical instillation of Visomitin significantly improved the functional state of the cornea; Visomitin increased tear film stability and reduced corneal damage. Significant reduction of dry eye symptoms (such as dryness, burning, grittiness, and blurred vision) was also observed.

Conclusion

Based on the results of this study, Visomitin is effective and safe for use in eye patients with DES for protection from corneal damage.

Funding

Mitotech LLC.
Literature
1.
go back to reference Dry Eye Workshop (DEWS) Committee. 2007 Report of the International Dry Eye Workshop (DEWS. Ocul Surf. 2007;5(2):65–204.CrossRef Dry Eye Workshop (DEWS) Committee. 2007 Report of the International Dry Eye Workshop (DEWS. Ocul Surf. 2007;5(2):65–204.CrossRef
3.
go back to reference Yeh S, Song XJ, Farley W, et al. Apoptosis of ocular surface cells in experimentally induced dry eye. Invest Ophthalmol Vis Sci. 2003;44:124–9.CrossRefPubMed Yeh S, Song XJ, Farley W, et al. Apoptosis of ocular surface cells in experimentally induced dry eye. Invest Ophthalmol Vis Sci. 2003;44:124–9.CrossRefPubMed
5.
go back to reference Brzhesky BB, Somov EE. Corneal and conjunctival xerosis (diagnosis, clinical features, management). 2nd ed. St. Petersburg: Levsha; 2003. pp 119. Brzhesky BB, Somov EE. Corneal and conjunctival xerosis (diagnosis, clinical features, management). 2nd ed. St. Petersburg: Levsha; 2003. pp 119.
6.
go back to reference Brzheskiy BB, Somov EE. Current treatment of corneal and conjunctival xerosis. Proceedings of the 3rd Russian National School Ophthalmologists. 2004. p. 250–7. Brzheskiy BB, Somov EE. Current treatment of corneal and conjunctival xerosis. Proceedings of the 3rd Russian National School Ophthalmologists. 2004. p. 250–7.
7.
go back to reference Tsubota K, Kawashima M, Inaba T, et al. The antiaging approach for the treatment of dry eye. Cornea. 2012;31(Suppl 1):S3–8.CrossRefPubMed Tsubota K, Kawashima M, Inaba T, et al. The antiaging approach for the treatment of dry eye. Cornea. 2012;31(Suppl 1):S3–8.CrossRefPubMed
8.
go back to reference Wakamatsu TH, Dogru M, Tsubota K. Tearful relations: oxidative stress, inflammation and eye diseases. Arq Bras Oftalmol. 2008;71(Suppl 6):72–9.CrossRefPubMed Wakamatsu TH, Dogru M, Tsubota K. Tearful relations: oxidative stress, inflammation and eye diseases. Arq Bras Oftalmol. 2008;71(Suppl 6):72–9.CrossRefPubMed
9.
go back to reference Skulachev VP. Functions of mitochondria: from intracellular power stations to mediators of a senescence program. Cell Mol Life Sci. 2009;66(11–12):1785–93.CrossRefPubMed Skulachev VP. Functions of mitochondria: from intracellular power stations to mediators of a senescence program. Cell Mol Life Sci. 2009;66(11–12):1785–93.CrossRefPubMed
10.
go back to reference Korshunov SS, Skulachev VP, Starkov AA. High protonic potential actuates a mechanism of production of reactive oxygen species in mitochondria. FEBS Lett. 1997;416:15–8.CrossRefPubMed Korshunov SS, Skulachev VP, Starkov AA. High protonic potential actuates a mechanism of production of reactive oxygen species in mitochondria. FEBS Lett. 1997;416:15–8.CrossRefPubMed
11.
go back to reference Kelso GF, Porteous CM, Coulter CV, et al. Selective targeting of a redox-active ubiquinone to mitochondria within cells: antioxidant and antiapoptotic properties. J Biol Chem. 2001;276:4588–96.CrossRefPubMed Kelso GF, Porteous CM, Coulter CV, et al. Selective targeting of a redox-active ubiquinone to mitochondria within cells: antioxidant and antiapoptotic properties. J Biol Chem. 2001;276:4588–96.CrossRefPubMed
12.
go back to reference Antonenko YN, Avetisyan AV, Bakeeva LE, et al. Mitochondria-targeted plastoquinone derivatives as tools to interrupt execution of the aging program. 1. Cationic plastoquinone derivatives: Synthesis and in vitro studies. Biochemistry (Moscow). 2008;73:1273–87. Antonenko YN, Avetisyan AV, Bakeeva LE, et al. Mitochondria-targeted plastoquinone derivatives as tools to interrupt execution of the aging program. 1. Cationic plastoquinone derivatives: Synthesis and in vitro studies. Biochemistry (Moscow). 2008;73:1273–87.
13.
go back to reference Skulachev VP, Anisimov VN, Antonenko YN, et al. An attempt to prevent senescence: a mitochondrial approach. Biochim Biophys Acta. 2009;1787:437–61.CrossRefPubMed Skulachev VP, Anisimov VN, Antonenko YN, et al. An attempt to prevent senescence: a mitochondrial approach. Biochim Biophys Acta. 2009;1787:437–61.CrossRefPubMed
14.
go back to reference Skulachev MV, Antonenko YN, Anisimov VN, et al. Mitochondrial-targeted plastoquinone derivatives. Effect on senescence and acute age-related pathologies. Curr Drug Targets. 2011;12:800–26.CrossRefPubMed Skulachev MV, Antonenko YN, Anisimov VN, et al. Mitochondrial-targeted plastoquinone derivatives. Effect on senescence and acute age-related pathologies. Curr Drug Targets. 2011;12:800–26.CrossRefPubMed
15.
go back to reference Neroev VV, Archipova MM, Bakeeva LE, et al. Mitochondria-targeted plastoquinone derivatives as tools to interrupt execution of the aging program. 4. Age-related eye disease. SkQ1 returns vision to blind animals. Biochemistry (Moscow). 2008;73:1317–28. Neroev VV, Archipova MM, Bakeeva LE, et al. Mitochondria-targeted plastoquinone derivatives as tools to interrupt execution of the aging program. 4. Age-related eye disease. SkQ1 returns vision to blind animals. Biochemistry (Moscow). 2008;73:1317–28.
16.
go back to reference Snytnikova OA, Tsentalovich YP, Stefanova NA, et al. The therapeutic effect of mitochondria-targeted antioxidant SkQ1 and Cistanche deserticola is associated with increased levels of tryptophan and kynurenine in the rat lens. Dokl Biochem Biophys. 2012;447:300–3.CrossRefPubMed Snytnikova OA, Tsentalovich YP, Stefanova NA, et al. The therapeutic effect of mitochondria-targeted antioxidant SkQ1 and Cistanche deserticola is associated with increased levels of tryptophan and kynurenine in the rat lens. Dokl Biochem Biophys. 2012;447:300–3.CrossRefPubMed
17.
go back to reference Rumyantseva YV, Ryabchikova EI, Fursova AZ, Kolosova NG. Ameliorative effects of SkQ1 eye drops on cataractogenesis in senescence-accelerated OXYS rats. Graefes Arch Clin Exp Ophthalmol. 2015;253(2):237–48.CrossRefPubMed Rumyantseva YV, Ryabchikova EI, Fursova AZ, Kolosova NG. Ameliorative effects of SkQ1 eye drops on cataractogenesis in senescence-accelerated OXYS rats. Graefes Arch Clin Exp Ophthalmol. 2015;253(2):237–48.CrossRefPubMed
18.
go back to reference Yani EV, Katargina LA, Chesnokova NB, et al. The first experience of using the drug Vizomitin in the treatment of dry eyes. Pract Med (Russ). 2012;4(59):134–7. Yani EV, Katargina LA, Chesnokova NB, et al. The first experience of using the drug Vizomitin in the treatment of dry eyes. Pract Med (Russ). 2012;4(59):134–7.
20.
go back to reference Módis L, Szalai E. Dry eye diagnosis and management. Expert Rev Ophthalmol. 2011;6:67–79.CrossRef Módis L, Szalai E. Dry eye diagnosis and management. Expert Rev Ophthalmol. 2011;6:67–79.CrossRef
21.
go back to reference Baudouin C, Aragona P, Van Setten G, et al. Diagnosing the severity of dry eye: a clear and practical algorithm. Br J Ophthalmol. 2014;98(9):1168–76.PubMedCentralCrossRefPubMed Baudouin C, Aragona P, Van Setten G, et al. Diagnosing the severity of dry eye: a clear and practical algorithm. Br J Ophthalmol. 2014;98(9):1168–76.PubMedCentralCrossRefPubMed
22.
go back to reference Zeev MS, Miller DD, Latkany R. Diagnosis of dry eye disease and emerging technologies. Clin Ophthalmol. 2014;8:581–90.PubMedCentralPubMed Zeev MS, Miller DD, Latkany R. Diagnosis of dry eye disease and emerging technologies. Clin Ophthalmol. 2014;8:581–90.PubMedCentralPubMed
23.
go back to reference Schein OD, Tielsch JM, Munoz B, Bandeen-Roche K, West S. Relation between signs and symptoms of dry eye in the elderly. A population-based perspective. Ophthalmology. 1997;104:1395–401.CrossRefPubMed Schein OD, Tielsch JM, Munoz B, Bandeen-Roche K, West S. Relation between signs and symptoms of dry eye in the elderly. A population-based perspective. Ophthalmology. 1997;104:1395–401.CrossRefPubMed
24.
go back to reference Foulks GN. Challenges and pitfalls in clinical trials of treatments for dry eye. Ocul Surf. 2003;1:20–30.CrossRefPubMed Foulks GN. Challenges and pitfalls in clinical trials of treatments for dry eye. Ocul Surf. 2003;1:20–30.CrossRefPubMed
25.
go back to reference Nichols KK, Nichols JJ, Mitchell GL. The lack of association between signs and symptoms in patients with dry eye disease. Cornea. 2004;23:762–70.CrossRefPubMed Nichols KK, Nichols JJ, Mitchell GL. The lack of association between signs and symptoms in patients with dry eye disease. Cornea. 2004;23:762–70.CrossRefPubMed
26.
go back to reference Sullivan BD, Whitmer D, Nichols KK, et al. An objective approach to dry eye disease severity. Invest Ophthalmol Vis Sci. 2010;51:6125–6.CrossRefPubMed Sullivan BD, Whitmer D, Nichols KK, et al. An objective approach to dry eye disease severity. Invest Ophthalmol Vis Sci. 2010;51:6125–6.CrossRefPubMed
27.
go back to reference Tutt R, Bradley A, Begley C, Thibos LN. Optical and visual impact of tear break-up in human eyes. Invest Ophthalmol Vis Sci. 2000;41:4117–23.PubMed Tutt R, Bradley A, Begley C, Thibos LN. Optical and visual impact of tear break-up in human eyes. Invest Ophthalmol Vis Sci. 2000;41:4117–23.PubMed
28.
go back to reference Lemp MA. Advances in understanding and managing dry eye disease. Am J Ophthalmology. 2008;146:350–6.CrossRef Lemp MA. Advances in understanding and managing dry eye disease. Am J Ophthalmology. 2008;146:350–6.CrossRef
29.
30.
go back to reference Zinovkin RA, Romaschenko VP, Galkin II, et al. Role of mitochondrial reactive oxygen species in age-related inflammatory activation of endothelium. Aging (Albany NY). 2014;6(8):661–74.PubMedCentralPubMed Zinovkin RA, Romaschenko VP, Galkin II, et al. Role of mitochondrial reactive oxygen species in age-related inflammatory activation of endothelium. Aging (Albany NY). 2014;6(8):661–74.PubMedCentralPubMed
Metadata
Title
Results of a Multicenter, Randomized, Double-Masked, Placebo-Controlled Clinical Study of the Efficacy and Safety of Visomitin Eye Drops in Patients with Dry Eye Syndrome
Authors
Vladimir V. Brzheskiy
Elena L. Efimova
Tatiana N. Vorontsova
Vladimir N. Alekseev
Olga G. Gusarevich
Ksenia N. Shaidurova
Alla A. Ryabtseva
Olga M. Andryukhina
Tatiana G. Kamenskikh
Elena S. Sumarokova
Eugeny S. Miljudin
Eugeny A. Egorov
Oleg I. Lebedev
Alexander V. Surov
Andrii R. Korol
Illia O. Nasinnyk
Pavel A. Bezditko
Olena P. Muzhychuk
Vladimir A. Vygodin
Elena V. Yani
Alla Y. Savchenko
Elena M. Karger
Oleg N. Fedorkin
Alexander N. Mironov
Victoria Ostapenko
Natalia A. Popeko
Vladimir P. Skulachev
Maxim V. Skulachev
Publication date
01-12-2015
Publisher
Springer Healthcare
Published in
Advances in Therapy / Issue 12/2015
Print ISSN: 0741-238X
Electronic ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-015-0273-6

Other articles of this Issue 12/2015

Advances in Therapy 12/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.