- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04492878
Efficacy and Safety of Ikervis Under Controlled Environmental Conditions Environment
A Phase IV Open-Label Clinical Trial to Evaluate the Efficacy of Ikervis® on Clinical Parameters and Molecular/Cellular Biomarkers in Dry Eye Patients With Severe Keratitis Who Have Not Improved Despite Regular Use of Tear Substitutes Before and After Exposure to an Adverse Controlled Environment
The proposed study is a prospective, open-label, unicentric, phase IV clinical trial.
This study is design to find new efficacy biomarkers for IKERVIS® (1mg/mL ciclosporin) eye drops after 1 and 3 month after initiation of therapy. Additionally, this study intends to investigate whether IKERVIS® will help patients to better overcome situations of desiccating stress by exposing them to an adverse controlled environment (ACE) and analyzing both clinical and molecular parameters.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Valladolid, Spain, 47011
- Institute of Applied Ophthalmobiology (IOBA)
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age > 18 years.
- Diagnosis of DED with Severe Keratitis who have not improved despite regular use of tear substitutes by an ophthalmologist, at least 2 months previously.
- Not stable (as defined by the two items below) under at least 2 months of constant and regular use of artificial tears (at least 4 drops a day)
- Fluorescein corneal staining ≥ 2 (Oxford scale) in both eyes.
- DEQ-5 > 6 points
- Use of at least 4 times daily of an ocular artificial tears.
- Any concomitant medication that may affect DED, ocular surface condition or vision, must have a start date at least 3 months prior to baseline and dosage is not expected to change during the study.
- Best corrected visual acuity (BCVA) of at least 0.1 logMar at 6 meters with each eye.
- Signature of written informed consent form and data protection form.
Exclusion Criteria:
- Known allergy or sensitivity to the study product(s) or its components.
- Any ocular pathology other than DED.
- History of severe ocular inflammation other than that due to DED or infection in the 6 previous months to the study inclusion.
- Any ocular surgery or trauma that may affect corneal sensitivity and/or normal tear distribution in the 6 previous months or any ocular or systemic surgery or procedure planned during the study duration that may affect the study as assessed by principal investigator.
- History of refractive surgery in the previous 18 months.
- Contact lens use in the ONE previous month to study inclusion and during the duration of the study.
- Use of any ocular topical medication for pathologies other than DED.
- Use of any other ocular topical medication for DED other than artificial tears during the last ONE (steroids) or THREE months (ciclosporine, tacrolimus) .
- Any uncontrolled severe systemic disease that may affect the eye (except for Sjögren's syndrome)
- The start date of any systemic medication that may affect DED, ocular surface condition or vision is < 3 months prior to baseline or a change in dosage is anticipated during the study.
- Occlusion of the lacrimal puncta either surgically or with plugs within one month prior to study, or anticipated use of the same during the study.
- Pregnancy or breastfeeding.
- Current enrolments in an investigational drug or device study or participation in such a study within 30 day of entry into this study at baseline.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: IKERVIS® (1mg/mL ciclosporin) eye drops
|
One drop of study medication once daily in each eye at bedtime during 90 days.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Corneal fluoresceing staining
Time Frame: V1 (baseline) vs V2 (30 days of treatment); V1 (baseline) vs V3 (90 days of treatment); V2 (30 days of treatment) vs V3 (90 days of treatment)
|
Significant reduction in corneal fluorescein staining
|
V1 (baseline) vs V2 (30 days of treatment); V1 (baseline) vs V3 (90 days of treatment); V2 (30 days of treatment) vs V3 (90 days of treatment)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response against adverse environmental conditions
Time Frame: V1 (baseline) vs V2 (30 days of treatment); V1 (baseline) vs V3 (90 days of treatment)
|
Significant differences in the percentage of patients suffering a worsening in clinical signs and/or symptoms following exposure to adverse environmental conditions
|
V1 (baseline) vs V2 (30 days of treatment); V1 (baseline) vs V3 (90 days of treatment)
|
Molecular changes
Time Frame: V1 (baseline) vs V2 (30 days of treatment); V1 (baseline) vs V3 (90 days of treatment)
|
Significant reduction in median expression of HLA-DR by conjunctival epithelial cells.
|
V1 (baseline) vs V2 (30 days of treatment); V1 (baseline) vs V3 (90 days of treatment)
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IOBA-ImmunEyez_011-2018
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Dry Eye
-
Gordon Schanzlin New VisionCompletedDry Eye | Dry Eye Disease | Evaporative Dry Eye | Kerato Conjunctivitis Sicca | Evaporative Dry Eye Disease | Dry Eye, EvaporativeUnited States
-
Kao (Taiwan) CorporationChang Gung Memorial HospitalCompletedEye Fatigue | Dry Eye SymptomTaiwan
-
Alcon ResearchCompletedVisual Performance | Dry Eye Symptoms
-
Alcon ResearchCompletedModerate to Severe Dry Eye
-
Singapore National Eye CentreCompleted
-
AllerganCompletedDry Eye Syndrome | Dry Eye DiseaseUnited States
-
Senju Pharmaceutical Co., Ltd.CompletedDry Eye Syndrome | Dry Eye DiseaseUnited States
-
Bausch & Lomb IncorporatedCompletedDry Eye Disease (DED)United States
-
Centre for Contact Lens ResearchCoopervision, Inc.CompletedContact Lens Related Dry EyeCanada
-
Singapore National Eye CentreCompleted
Clinical Trials on IKERVIS®1mg/mL
-
Santen SASCompleted
-
Jiangsu Kanion Pharmaceutical Co., LtdBeijing Bionovo Medicine Development Co., Ltd.Completed
-
Inovio PharmaceuticalsCompletedProstate CancerUnited States
-
CytoSorbents Europe GmbHBRAHMS GmbH; MedInnovation GmbHRecruiting
-
Sanofi Pasteur, a Sanofi CompanyCompleted
-
Ahn-Gook Pharmaceuticals Co.,LtdCompletedBronchitis, COPDKorea, Republic of
-
Novo Nordisk A/SCompletedDiabetes Mellitus, Type 2Germany
-
Aalborg UniversityUnknown
-
Centre Hospitalier Universitaire de la RéunionUnité de Soutien Méthodologique (CHU de La Réunion); SAMU de Paris, Hôpital...CompletedShock | Coma | Major Trauma | Respiratory DistressFrance
-
POLYSAN Scientific & Technological Pharmaceutical...CompletedPeripheral Arterial DiseaseRussian Federation