Sylentis misses end point in Phase 3 SYL1001_V trial for dry eye caused by Sjögren syndrome

News
Article

Phase 3 of the randomized, double-masked, placebo-controlled study had a primary end point to evaluate the signs and symptoms of dry eye disease caused by Sjögren syndrome.

Researchers sitting at table in clinical trial Image Credit: AdobeStock/DavidL/peopleimages.com

Image Credit: AdobeStock/DavidL/peopleimages.com

Results from the Phase 3 SYL10111_V (tivanisiran) indicate that the drug’s primary end point to evaluate the signs and symptoms of dry eye disease caused by Sjögren syndrome was not met. The trial, sponsored by PharmaMar subsidiary Sylentis,1 measured the change of baseline in corneal fluorescein staining, measured on a scale from 0 to 3, and dry eye symptoms, measured on a scale from 0 to 100, brought on by Sjögren symdrome. Symptoms were measured in an 85-day time frame.2

The trial was a randomized, double-masked, placebo-controlled study that included more than 40 hospitals in the US and 8 in Spain, totaling 203 participants, according to a news release. The study examined the efficacy and safety of the tivanisiran sodium eye drops versus vehicle after a 2-week run-in phase. Participants were dosed once daily for 3 months.2

Sylentis defines tivanisiran as a small interfering RNA (siRNA), which inhibits the synthesis of Transient Receptor Potential V1, also known as Transient Receptor Potential Vanilloid-1, or TRPV1.3

Inclusion criteria for the study included male or female participants at or over 18 years of age, those that used artificial tears, autologous serum, or specific dry eye medications during the last 6 months prior to selection, willing to not use that artificial tears or autologous serum during the study, and those diagnosed with Sjögren syndrome. Those who had any concomitant treatment or prior ocular procedures or surgeries, any alterations of the dose of systematic medications at the time of entry, use of contact lenses during the study, or significant eye diseases as determined by an investigator’s opinion were excluded from the study.2

First record submissions for the study were in March 2021.2

References:
  1. Sylentis, a PharmaMar Group company, announces the results of the Phase 3 SYL1001)V trial with tivanisiran for the treatment of dry-eye disease associated with Sjögren’s Syndrome. PharmaMar. Published February 9, 2024. Accessed February 12, 2024. https://pharmamar.com/en/sylentis-grupo-pharmamar-anuncia-los-resultados-del-estudio-fase-iii-syl1001_v-con-tivanisiran-para-el-tratamiento-de-ojo-seco-asociado-al-sindrome-de-sjogren/
  2. Tivanisiran for dry eye in subjects with Sjögren’s Syndrome. Sylentis, SA. NCT04819269. Updated February 17, 2023. Accessed February 12, 2024. https://clinicaltrials.gov/study/NCT04819269?aggFilters=phase:3,status:rec&cond=Sj%C3%B6gren%27s%20Syndrome&spons=Sylentis,%20S.A.&rank=1
  3. Our science: Sylentis pipline. Sylentis. Updated 2024. Accessed February 12, 2024. https://sylentis.com/products-tivanisiran/

Newsletter

Want more insights like this? Subscribe to Optometry Times and get clinical pearls and practice tips delivered straight to your inbox.

Recent Videos
Mitch Ibach, OD, FAAO, details a presentation he gave with Tanner Ferguson, MD, at the Collaborative Care Symposium 2025.
Mitch Ibach, OD, FAAO, details the importance of identifying the best candidates and practicing comanagement for refractive surgery.
Mark Bullimore, MCOptom, PhD, details the importance of preparing optometric students for myopic patient care in a Collaborative Care Symposium (CCS) 2025 presentation.
Peter Hersh, MD, stated that the key takeaway from a handful of presentations he gave at CCS 2025 is that successfully treating patients with keratoconus is identifying the disease early.
Mitch Ibach, OD, FAAO, details the importance to unveiling the underlying cause of dry eye in a CCS 2025 presentation.
Bridgitte Shen Lee, OD, FAAO, FBCLA, FEAOO, ponders what she would like to see develop as both a researcher and a clinician in the dry eye space.
Bridgitte Shen Lee, OD, FAAO, FBCLA, FEAOO, discussed research that utilized IQVIA longitudinal prescription claims data from September through November 2023, coinciding with Miebo's FDA approval in September.
Dr Julie Poteet reports on patient-reported outcomes using lipid-containing artificial tear
Susana Marcos, PhD, discusses the implications her research presents for the role optical coherence tomography (OCT) could play in presbyopia and myopia accommodation efforts.
Susana Marcos, PhD, outlines a presentation she gave at ARVO 2025 on a unique utilization of optical coherence tomography.
© 2025 MJH Life Sciences

All rights reserved.