PMID- 25611308 OWN - NLM STAT- MEDLINE DCOM- 20151030 LR - 20151119 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) VI - 93 IP - 4 DP - 2015 Jun TI - A randomized phase I clinical study of cis-urocanic acid eye drops in healthy adult subjects. PG - 368-76 LID - 10.1111/aos.12651 [doi] AB - PURPOSE: To evaluate safety, ocular tolerability and pharmacokinetics of 0.5% and 2.5% cis-urocanic acid (cis-UCA) eye drops. METHODS: In this phase I, double-blinded, placebo-controlled trial, 37 healthy volunteers were randomized to three treatment arms: 0.5% cis-UCA (12 subjects), 2.5% cis-UCA (12 subjects) and placebo eye drops (13 subjects). In the first part, the subjects were dosed topically on a randomized eye with one drop three times at 7 +/- 1 hr intervals during 1 day. In the second part, the subjects self-administered three daily drops at 7 +/- 1 hr intervals on both eyes for 14 days. Physical examination of the eyes was performed seven times during the study. Tolerability of cis-UCA was assessed by ocular comfort rating questionnaire. Pharmacokinetic blood and urine samples were analysed under good laboratory practice (GLP). RESULTS: All subjects completed both parts of the study. There were no significant adverse events (AEs). The most common treatment-related ocular AE was eye irritation (62.2% of subjects). Cis-UCA concentrations in plasma remained below the limit of quantification (0.195 mug/ml) in all but two subjects. The fraction of the administered drug excreted into urine over the total collection period ranged from 3.2% to 61.6% of the last dose and from 1.1% to 20.5% of the daily dose. CONCLUSIONS: Topical ocular administration of cis-UCA solution is safe and apart from mild- and short-lasting eye irritation after administration well tolerated in healthy adult subjects. Topical ocular dosing leads to transient systemic exposure to cis-UCA that does not cause systemic AEs. CI - (c) 2015 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. FAU - Jauhonen, Hanna-Mari AU - Jauhonen HM AD - Department of Ophthalmology, Kuopio University Hospital, Kuopio, Finland. AD - Department of Ophthalmology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Kari, Eeva AU - Kari E AD - Laurantis Pharma Ltd, Turku, Finland. FAU - Pylkkanen, Liisa AU - Pylkkanen L AD - Laurantis Pharma Ltd, Turku, Finland. AD - Cancer Society of Finland, Helsinki, Finland. FAU - Poutanen, Jutta AU - Poutanen J AD - Laurantis Pharma Ltd, Turku, Finland. FAU - Laihia, Jarmo AU - Laihia J AD - Laurantis Pharma Ltd, Turku, Finland. FAU - Kaarniranta, Kai AU - Kaarniranta K AD - Department of Ophthalmology, Kuopio University Hospital, Kuopio, Finland. AD - Department of Ophthalmology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Leino, Lasse AU - Leino L AD - Laurantis Pharma Ltd, Turku, Finland. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20150121 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Ophthalmic Solutions) RN - G8D26XJJ3B (Urocanic Acid) SB - IM MH - Administration, Topical MH - Adult MH - Anti-Inflammatory Agents, Non-Steroidal/*adverse effects/*pharmacokinetics MH - Biological Availability MH - Double-Blind Method MH - Eye/drug effects/metabolism MH - Female MH - Healthy Volunteers MH - Humans MH - Male MH - Middle Aged MH - Ophthalmic Solutions MH - Surveys and Questionnaires MH - Urocanic Acid/*adverse effects/*pharmacokinetics MH - Young Adult OTO - NOTNLM OT - cis-UCA OT - clinical study OT - inflammatory ocular surface disease OT - ocular topical treatment EDAT- 2015/01/23 06:00 MHDA- 2015/10/31 06:00 CRDT- 2015/01/23 06:00 PHST- 2014/06/17 00:00 [received] PHST- 2014/11/30 00:00 [accepted] PHST- 2015/01/23 06:00 [entrez] PHST- 2015/01/23 06:00 [pubmed] PHST- 2015/10/31 06:00 [medline] AID - 10.1111/aos.12651 [doi] PST - ppublish SO - Acta Ophthalmol. 2015 Jun;93(4):368-76. doi: 10.1111/aos.12651. Epub 2015 Jan 21.