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Chronic Ocular Graft-versus-host DiseasePhase 2NCT03990051

Treatment Safety and Efficacy of Pro-ocular™ 1% for Chronic Ocular Graft Following Allogeneic HSCT.

A Phase 2 study testing Pro-ocular™ topical gel in people with Chronic Ocular Graft-versus-host Disease, run by Glia, LLC at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To evaluate the safety and efficacy of Pro-ocular™ 1% topical gel administered twice daily for 70 days in reducing or eliminating symptoms and signs of chronic ocular GvHD. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Ocular Graft-versus-host Disease
What is being tested?
Pro-ocular™ topical gel
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
33 participants
Where
1 siteUnited States
Study dates
17 Oct 2019to 19 Nov 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female of any race, at least 18 years of age at Visit 1 Screening.
  • Has the diagnosis of chronic ocular GvHD.
  • Has an NIH Consensus Eye Score of at least 2.
  • On the GLIA Ocular Surface Disease Symptoms Questionnaire at Screening, has ocular discomfort at a severity score of moderate or more, and at least one other symptom at a severity of moderate or more.
  • One or more signs from the list of chronic ocular GvHD signs below
  • Has provided verbal and written informed consent.
  • Be able and willing to follow oral and written instructions, including participation in all study assessments and visits.

Who cannot join

  • Wearing scleral or contact lenses within the last month, or those who plan to start wearing scleral or contact lenses during the study.
  • Anticipate major changes in systemic GvHD management during study period.
  • Comorbidity with other severe or chronic eye conditions that in the judgment of the investigator will interfere with study assessments, such as but not limited to retinal detachment, recent ocular surgery, Bell's palsy, active trigeminal neuritis or trigeminal neuralgia.
  • Anticipate change of vision correction or anticipate any ocular procedures during study period.
  • A woman who is pregnant, nursing an infant, or planning a pregnancy.
  • A woman of childbearing potential who has a positive urine pregnancy test at Visit 1, or who does not use an adequate method of birth control throughout the study period.
Show all 10Show fewer
  • Has a known adverse reaction and/or sensitivity to the study drug or its components.
  • Unwilling to cease the use of sunscreen on the forehead or eye area.
  • Intraocular pressure >22 mm Hg at screening visit with or without ongoing glaucoma treatment.
  • Currently enrolled in an investigational drug or device study for chronic ocular GvHD.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Massachusetts Eye and Ear Longwood

    Boston, Massachusetts, 02115

Other trials in United States

About this study

Official title: Treatment Safety and Efficacy Using Pro-ocular™ 1% for Chronic Ocular Graft-versus-host Disease (GvHD) Following Allogeneic Hematopoietic Stem Cell Transplantation.

To evaluate the safety and efficacy of Pro-ocular™ 1% topical gel administered twice daily for 70 days in reducing or eliminating symptoms and signs of chronic ocular GvHD.

Read the detailed description

Ocular graft versus host disease presents a most severe form of ocular surface disease that compromises quality of life of afflicted allogeneic hematopoietic transplantation patients.

A controlled study is necessary to verify findings obtained to date in isolated patients. Currently available ophthalmic solutions and suspensions, drugs and devices largely have not been effective in alleviating the suffering of chronic ocular GvHD patients. Thus, this is an unmet need that Pro-ocular™ topical gel can fulfill.

Potential benefits: Decrease or cessation of adverse ocular symptoms and signs of chronic ocular GvHD, reduction or elimination of the need for other topical ocular therapeutic treatments for chronic ocular GvHD, and restoration of quality of life.

Being tested
Pro-ocular™ topical gel, Placebo topical gel

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pro-ocular™ topical gelDrug

    Topical gel for forehead dermal application

  • Placebo topical gelDrug

    Topical gel for forehead dermal application

Study groups in NCT03990051
Study groupRoleWhat they receive
Pro-ocular™ExperimentalPro-ocular™ 1% topical gel applied dermally to forehead twice daily, morning and before bedtime.
Receives: Drug: Pro-ocular™ topical gel
PlaceboPlacebo comparatorVehicle topical gel without active ingredient applied dermally to forehead twice daily, morning and before bedtime.
Receives: Drug: Placebo topical gel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Modified SANDE Questionnaire - Frequency, Change From Baseline

    Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes.

    Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

    Measured: 2 weeks

  2. Corneal Fluorescein Stain - Central, Change From Baseline

    Change in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

    Measured: 2 weeks

Secondary outcomes (37)
  1. Modified SANDE Questionnaire - Frequency, Change From Baseline

    Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes.

    Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

    Measured: 6 weeks

  2. Modified SANDE Questionnaire - Frequency, Change From Baseline

    Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes.

    Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated?

    Measured: 10 weeks

  3. Corneal Fluorescein Stain - Central, Change From Baseline

    Change in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

    Measured: 6 weeks

  4. Corneal Fluorescein Stain - Central, Change From Baseline

    Change in score from Baseline for worse eye. Fluorescein staining score in central corneal region recorded on visual analog scale 0-10, higher values represent worse outcomes.

    Measured: 10 weeks

  5. Modified SANDE Questionnaire - Global, Change From Baseline

    Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes.

    Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity.

    Measured: 2 weeks

  6. Modified SANDE Questionnaire - Global, Change From Baseline

    Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes.

    Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity.

    Measured: 6 weeks

  7. Modified SANDE Questionnaire - Global, Change From Baseline

    Change in score from Baseline for worse eye. Score is 0-100 on a visual analog scale, higher values represent worse outcomes.

    Symptom Assessment iN Dry Eye Questionnaire. How often do eyes feel dry and/or irritated? Global score is sqrt of Frequency x Severity.

    Measured: 10 weeks

  8. Corneal Fluorescein Stain - Total, Change From Baseline

    Change in score from Baseline for worse eye. Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

    Measured: 2 weeks

  9. Corneal Fluorescein Stain - Total, Change From Baseline

    Change in score from Baseline for worse eye. Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

    Measured: 6 weeks

  10. Corneal Fluorescein Stain - Total, Change From Baseline

    Change in score from Baseline for worse eye. Fluorescein staining score in Total comprise Central, Inferior and Superior regions, sum score 0-30, higher values represent worse outcomes.

    Measured: 10 weeks

  11. Blurred Vision, Change From Baseline

    Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes.

    Blurred vision symptom is reported by participant.

    Measured: 2 weeks

  12. Blurred Vision, Change From Baseline

    Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes.

    Blurred vision symptom is reported by participant.

    Measured: 6 weeks

  13. Blurred Vision, Change From Baseline

    Change in score from Baseline for worse eye. Score measured from visual analog scale 0-10, higher values represent worse outcomes.

    Blurred vision symptom is reported by participant.

    Measured: 10 weeks

  14. Photophobia, Change From Baseline

    Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes.

    Sensitivity to light symptom is reported by participant.

    Measured: 2 weeks

  15. Photophobia, Change From Baseline

    Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes.

    Sensitivity to light symptom is reported by participant.

    Measured: 6 weeks

  16. Photophobia, Change From Baseline

    Change in score from Baseline for worse eye. Score is recorded on a visual analog scale 0-10, higher values represent worse outcomes.

    Sensitivity to light symptom is reported by participant.

    Measured: 10 weeks

  17. Lid Edema, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid edema is viewed by slit lamp without stain.

    Measured: 2 weeks

  18. Lid Edema, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid edema is viewed by slit lamp without stain.

    Measured: 6 weeks

  19. Lid Edema, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid edema is viewed by slit lamp without stain.

    Measured: 10 weeks

  20. Lid Erythema, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid erythema is viewed by slit lamp without stain.

    Measured: 2 weeks

  21. Lid Erythema, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid erythema is viewed by slit lamp without stain.

    Measured: 6 weeks

  22. Lid Erythema, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid erythema is viewed by slit lamp without stain.

    Measured: 10 weeks

  23. Lid Margin Ulceration, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid margin ulceration is viewed by slit lamp without stain.

    Measured: 2 weeks

  24. Lid Margin Ulceration, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid margin ulceration is viewed by slit lamp without stain.

    Measured: 6 weeks

  25. Lid Margin Ulceration, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Lid margin ulceration is viewed by slit lamp without stain.

    Measured: 10 weeks

  26. Conjunctival Hyperemia, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Conjunctival hyperemia is viewed by slit lamp without stain.

    Measured: 2 weeks

  27. Conjunctival Hyperemia, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Conjunctival hyperemia is viewed by slit lamp without stain.

    Measured: 6 weeks

  28. Conjunctival Hyperemia, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Conjunctival hyperemia is viewed by slit lamp without stain.

    Measured: 10 weeks

  29. Dryness, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Dryness symptom is reported by participant.

    Measured: 2 weeks

  30. Dryness, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Dryness symptom is reported by participant.

    Measured: 6 weeks

  31. Dryness, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Dryness symptom is reported by participant.

    Measured: 10 weeks

  32. Ocular Pain, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Ocular pain symptom is reported by participant.

    Measured: 2 weeks

  33. Ocular Pain, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Ocular pain symptom is reported by participant.

    Measured: 6 weeks

  34. Ocular Pain, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Ocular pain symptom is reported by participant.

    Measured: 10 weeks

  35. Airflow Sensitivity, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Airflow sensitivity symptom is reported by participant.

    Measured: 2 weeks

  36. Airflow Sensitivity, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Airflow sensitivity symptom is reported by participant.

    Measured: 6 weeks

  37. Airflow Sensitivity, Change From Baseline

    Change in score from Baseline for worse eye. Score on a visual analog scale 0-10, higher values represent worse outcomes.

    Airflow sensitivity symptom is reported by participant.

    Measured: 10 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jun 2019
  2. Study start17 Oct 2019
  3. Primary completion31 Oct 2021
  4. Study completion19 Nov 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The double-masked phase involves placebo controlled administration of study drug for 70 days or 10 weeks. Subsequently the placebo group will receive the active study drug of 42 days or 6 weeks. Long term open label phase to 27 months.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03990051
Sponsor's protocol ID
oGvHD-1
Status last verified
Nov 2024
First submitted
11 Jun 2019
Last updated
6 May 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Data may be shared with other investigators.

Publications

  • Luo ZK, Domenech-Estarellas EA, Han A, Lee D, Khatri R, Wahl JL, Cutler C, Armand P, Antin JH, Koreth J, Gooptu M, Alyea EP, Soiffer RJ, Ho VT. Efficacy and Safety of 1% Progesterone Gel to the Forehead for Ocular Chronic Graft-versus-Host Disease. Transplant Cell Ther. 2021 May;27(5):433.e1-433.e8. doi: 10.1016/j.jtct.2021.02.008. Epub 2021 Feb 14.

    PubMed 33942724

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pro-ocular™ topical gel in people with Chronic Ocular Graft-versus-host Disease, run by Glia, LLC at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 May 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Modified SANDE Questionnaire - Frequency, Change From Baseline (time frame: 2 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03990051, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2025.

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