about dry eye disease

sticky line

The facts about dry eye disease

sticky line

Do some of your patients with dry eye disease deserve a change?

Do some of your patients with dry eye disease deserve a change?

In a previous survey, how many millions of Americans were estimated to be diagnosed with dry eye disease?arrow icon

16 text 16 text

In 2016, how many dry eye disease patients were estimated to be treated with a prescription? arrow icon

1.7 text 1.7 text

Between 2005 and 2012, how much did the prevalence of dry eye disease increase?arrow icon

3x text

FOOTNOTES

*Due to combination use, the number of patients treated by prescription will overstate the actual number of treated patients. Data were compiled by Jefferies Equity Research analysts employed in the United States by Jefferies LLC, a firm registered with the Securities and Exchange Commission and a member of the Financial Industry Regulatory Authority, Inc. Jefferies does and seeks to do business with companies covered in its research reports. As a result, investors should be aware that Jefferies may have a conflict of interest that could affect the objectivity of this report.
Retrospective analysis to assess overall prevalence, annual prevalence, and incidence of DED using the DOD MHS data on beneficiary medical claims from US DOD military and civilian facilities from January 1, 2003, through March 31, 2015. Analysis (2005-2012) was conducted on a total of 9,732,272 MHS beneficiaries, aged 2-80+. The analysis of prevalence and incidence was estimated based on ICD-9 and current procedural terminology (CPT) codes and prescription fills.
DOD=Department of Defense, MHS=Military Health System.

*Due to combination use, the number of patients treated by prescription will overstate the actual number of treated patients. Data were compiled by Jefferies Equity Research analysts employed in the United States by Jefferies LLC, a firm registered with the Securities and Exchange Commission and a member of the Financial Industry Regulatory Authority, Inc. Jefferies does and seeks to do business with companies covered in its research reports. As a result, investors should be aware that Jefferies may have a conflict of interest that could affect the objectivity of this report.

Retrospective analysis to assess overall prevalence, annual prevalence, and incidence of DED using the DOD MHS data on beneficiary medical claims from US DOD military and civilian facilities from January 1, 2003, through March 31, 2015. Analysis (2005-2012) was conducted on a total of 9,732,272 MHS beneficiaries, aged 2-80+. The analysis of prevalence and incidence was estimated based on ICD-9 and current procedural terminology (CPT) codes and prescription fills.

DOD=Department of Defense, MHS=Military Health System.

Dry eye disease is a multifactorial disease that may be progressive and chronic.

Some patients may require more than artificial tears.4-9

Inflammation: a possible underlying cause of dry eye disease8

The American Academy of Ophthalmology suggests that inflammation may be an underlying cause of your patient's dry eye disease. Dry eye disease can be triggered by a variety of proposed factors, including7,8,10:

Xiidra contact removal icon

Contact lenses

Medications such as antihistamines

Antihistamines

Prolonged screen time

Prolonged device
time

Sex (women may be at higher risk) icon

Sex (women may be at higher risk)

Xiidra 1 drop per eye 2 times daily icon

Aging

low humidity icon

Low humidity, cold,
or windy places

Changes in hormones icon

Changes in
hormones

Reading a lot icon

Reading a lot

Xiidra is a unique prescription eye drop specifically designed to inhibit inflammation in dry eye disease.11

The exact mechanism of action of Xiidra in dry eye disease is not known.

Inflammation: a possible underlying cause of dry eye disease8

The American Academy of Ophthalmology suggests that inflammation may be an underlying cause of your patient’s dry eye disease. Dry eye disease can be triggered by a variety of proposed factors, including7,8,10:

Xiidra contact removal icon

Contact lenses

Medications such as antihistamines

Antihistamines

Prolonged screen time

Prolonged device
time

Sex (women may be at higher risk)

Sex (women may be at higher risk)

Xiidra 1 drop per eye 2 times daily icon

Aging


Low humidity cold, or windy places

Low humidity,
cold, or windy
places

changes in hormones

Changes in
hormones

Reading alot

Reading a lot

Xiidra is a unique prescription eye drop specifically designed to inhibit inflammation in dry eye disease.11

The exact mechanism of action of Xiidra in dry eye disease is not known.

Common symptoms of dry eye disease8

Burning/
stinging
Itching
Foreign body sensation
Eye dryness
Photophobia
Pain

If your patients are experiencing persistent dry eye symptoms and artificial tears aren’t enough, consider prescribing Xiidra, which was designed to target a source of underlying inflammation that may fuel dry eye disease.4-6,11-13§

§Xiidra blocks LFA-1 on T cells from binding with ICAM-1 that may be overexpressed on the ocular surface in dry eye disease and may prevent formation of an immunologic synapse which, based on in vitro studies, may inhibit T cell activation, migration of activated T cells to the ocular surface, and reduce cytokine release. The exact mechanism of action of Xiidra in dry eye disease is not known.6,11,12

eye icon

Xiidra may provide lasting symptom relief
in as early as 2 weeks11¶

Xiidra reduced symptoms of eye dryness (based on EDS) at 2 weeks in 2 out of 4 studies, with improvements observed at 6 and 12 weeks in all 4 studies.11

The safety and efficacy of Xiidra were assessed in four 12-week, randomized, multicenter, double-masked, vehicle-controlled studies (N=2133). Patients were dosed twice daily. The mean age was 59 years (range, 19-97 years). The majority of patients were female (76%). Use of artificial tears was not allowed during the studies. The study end points included assessment of signs (based on Inferior fluorescein Corneal Staining Score [ICSS] on a scale of 0 to 4) and symptoms (based on patient-reported Eye Dryness Score [EDS] on a visual analogue scale of 0 to 100). Effects on symptoms of dry eye disease: a larger reduction in EDS favoring Xiidra was observed in all studies at day 42 and day 84. Xiidra reduced symptoms of eye dryness at 2 weeks (based on EDS) compared to vehicle in 2 out of 4 clinical trials. Effects on signs of dry eye disease: at day 84, a larger reduction in ICSS favoring Xiidra was observed in 3 out of the 4 studies.11

Indication

Xiidra® (lifitegrast ophthalmic solution) 5% is indicated for the treatment of signs and symptoms of dry eye disease (DED).

Important Safety Information

  • Xiidra is contraindicated in patients with known hypersensitivity to lifitegrast or to any of the other ingredients.
  • In clinical trials, the most common adverse reactions reported in 5-25% of patients were instillation site irritation, dysgeusia and reduced visual acuity. Other adverse reactions reported in 1% to 5% of the patients were blurred vision, conjunctival hyperemia, eye irritation, headache, increased lacrimation, eye discharge, eye discomfort, eye pruritus and sinusitis.
  • To avoid the potential for eye injury or contamination of the solution, patients should not touch the tip of the single-use container to their eye or to any surface.
  • Contact lenses should be removed prior to the administration of Xiidra and may be reinserted 15 minutes following administration.
  • Safety and efficacy in pediatric patients below the age of 17 years have not been established.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for Full Prescribing Information.

INDICATION AND IMPORTANT SAFETY INFORMATION

Indication

Xiidra® (lifitegrast ophthalmic solution) 5% is indicated for the treatment of signs and symptoms of dry eye disease (DED).

Important Safety Information

  • Xiidra is contraindicated in patients with known hypersensitivity to lifitegrast or to any of the other ingredients.
  • In clinical trials, the most common adverse reactions reported in 5-25% of patients were instillation site irritation, dysgeusia and reduced visual acuity. Other adverse reactions reported in 1% to 5% of the patients were blurred vision, conjunctival hyperemia, eye irritation, headache, increased lacrimation, eye discharge, eye discomfort, eye pruritus and sinusitis.
  • To avoid the potential for eye injury or contamination of the solution, patients should not touch the tip of the single-use container to their eye or to any surface.
  • Contact lenses should be removed prior to the administration of Xiidra and may be reinserted 15 minutes following administration.
  • Safety and efficacy in pediatric patients below the age of 17 years have not been established.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for Full Prescribing Information.