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Dry Eye Disease With Severe KeratitisPhase 3NCT04144413

3-year Study in Dry Eye Disease Patients With Severe Keratitis Receiving Ikervis® (1mg/mL Ciclosporin)

A Phase 3 study testing Open-label Ikervis and Masked Ikervis in people with Dry Eye Disease With Severe Keratitis, run by Santen SAS at 45 sites in 7 countries.

Completed

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

Official record
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Trial summary

The proposed 36-month Post Approval Efficacy Study (PAES) is a prospective, interventional, multicentre study to explore the long-term evolution of signs and symptoms, and occurrence of complications in Dry Eye Disease (DED) patients with severe keratitis receiving Ikervis® (1mg/mL ciclosporin) eye drops administered… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Dry Eye Disease With Severe Keratitis
What is being tested?
Open-label Ikervis and Masked Ikervis
Could I receive a placebo?
No, everyone receives an active treatment
How many people
350 participants
Where
45 sitesin 7 countries
Study dates
31 May 2019to 14 Jul 2023
Phase
Phase 3
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

  • In the opinion of the investigator, the patient is capable of understanding and complying with protocol requirements.
  • The patient has signed and dated a written informed consent form and any required privacy authorization prior to the initiation of any study procedures.
  • Male or female patient is aged 18 years or above.
  • At least 4 weeks of use of tear substitutes prior to the Baseline Visit
  • DED patients with severe keratitis defined as the following:
  • CFS score of 3, 4 or 5 on the modified Oxford scale in at least one eye at Baseline Visits, AND
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  • Schirmer test without anaesthesia scored <10 mm/5min in the same eye at Baseline Visit, AND
  • At least two moderate to very severe symptoms of dry eye disease with a score ≥2 (severity graded on a 0 to 4 grade scale), among the following symptoms: burning/stinging, foreign body sensation, eye dryness, eye pain and blurred/poor vision at Baseline Visit.
  • Patient must be willing and able to undergo and return for scheduled study-related examinations.

Who cannot join

  • Active herpes keratitis or history of ocular herpes.
  • History of ocular trauma or ocular infection (viral, bacterial, fungal, protozoal) within 90 days before the Baseline Visit.
  • Any ocular diseases other than DED requiring topical ocular treatment during the course of the study. Patients taking preservative-free IOP lowering medications are eligible for study enrolment.
  • Concurrent ocular allergy (including seasonal conjunctivitis) or chronic conjunctivitis other than dry eye.
  • Anticipated use of temporary punctal plugs during the study. Patients with punctal plugs placed prior to the Baseline Visit are eligible for enrolment; however, punctal plugs must remain in place during the study.
  • Best corrected distance visual acuity (BCDVA) score ≤ 20/200 Snellen in each eye.
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  • Presence or history of any systemic or ocular disorder, condition or disease that could possibly interfere with the conduct of the required study procedures or the interpretation of study results or judged by the investigator to be incompatible with the study (e.g., diabetes with glycemia out of range, thyroid malfunction, uncontrolled autoimmune disease, current systemic infections, ocular infection…).
  • Known hypersensitivity to one of the components of the study or procedural medications (e.g., fluorescein, etc.).
  • History of ophthalmic malignancy
  • History of malignancy (other than ophthalmic) in the last 5 years.
  • Anticipated change during course of the study in the dose of systemic medications that could affect a dry eye condition [mainly, estrogen-progesterone or other estrogen derivatives (only allowed for post-menopausal women), pilocarpine, isotretinoine, tetracycline, antihistamines, tricyclic antidepressants, anxiolytics, antimuscarinics, beta-blocking agents, phenothiazines, omega-3, systemic corticosteroids]. These treatments are allowed during the study provided they remain stable throughout the course of the study.
  • Use of topical ciclosporin in the past 3 months prior to Baseline visit.
  • Any change in systemic immunosuppressant drugs within 30 days before the Baseline Visit or anticipated change during the course of the study.
  • Pregnancy or lactation at the Baseline Visit.
  • Women of childbearing potential not using a medically acceptable, highly effective method of birth control (such as hormonal implants, injectable or oral contraceptives together with condoms, some intrauterine devices, sexual abstinence or vasectomised partner) from the Baseline Visit throughout the conduct of the study treatment periods and up to 2 weeks after the study end. Post-menopausal women (two years without menstruation) do not need to use any method of birth control.
  • Participation in a clinical trial with an investigational substance within the past 30 days prior to Baseline Visit.
  • Participation in another clinical study at the same time as the present study.

Trial locations and contacts

45 sites in 7 countries.

45 sites in 7 countries

Russia9 sites
  • Federal State Institution Intersectoral Research and Technology Complex Eye microsurgery n.a. academician S.N. Fyodorov - Cheboksary

    Cheboksary, Chuvashskaya Respublika, 428028

  • Ivanovo Regional Clinical Hospital

    Ivanovo, Ivanovo Oblast, 153040

  • State Budget Educational Institution of High Professional Education Moscow State Medical Stomatology University named after A.I.Evdokimov of MoH of RF

    Moscow, Moscow, 111398

  • NMRC ISTC Eye Microsurgery n. a. Fyodorov - Moscow

    Moscow, Moscow, 126486

  • FSBI The Academician S.N. Fyodorov IRTC Eye Microsurgery of the Minzdrava - Novosibirsk

    Novosibirsk, 630120

  • GBOU VPO Omsk State Medical Academy, Ophthalmology Department

    Omsk, 644024

  • Saint Petersburg State Pediatric Medical University

    Saint Petersburg, Sankt-Peterburg, 194100

  • First Saint Petersburg State Medical University named after academician I.P. Pavlov

    Saint Petersburg, Sankt-Peterburg, 197002

  • Saratov Railway Clinic

    Saratov, 41004

Other trials in Russia

Czechia8 sites
  • Fakultní Nemocnice Brno

    Brno, South Moravian, 62500

  • University Hospital Hradec Kralove

    Hradec Králové, Nový Hradec Králové, 50005

  • Fakultni Nemocnice Ostrava, Oční Klinika

    Ostrava, Moravian-Silesian Region, 70800

  • Ocni klinika OFTEX

    Pardubice, Pardubice Region, 53002

  • MEDOKO s.r.o.

    Prague, Prague, 10800

  • Axon clinical s.r.o.

    Prague, Prague, 15000

  • Nemocnice Teplice, Ocni Oddeleni

    Teplice, Ústí nad Labem Region, 41505

  • Masarykova nemocnice, Ocni oddeleni

    Ústí nad Labem, Ústí nad Labem Region, 4001

Other trials in Czechia

Italy7 sites
  • Azienda Ospedaliera Universitaria Policlinico Gaetano Martino - Messina

    Messina, Sicily, 98128

  • Universita degli Studi di Milano - Clinica Oculistica I

    Milan, Lombardy, 20122

  • Universita degli Studi di Milano - Ospedale San Giuseppe - Clinica Oculistica (University Eye Clinic)

    Milan, Lombardy, 20123

  • ASST Santi Paolo e Carlo - Ospedale San Paolo Polo Universitario - Clinica Oculistica III

    Milan, Lombardy, 20142

  • Polo Universita degli Studi di Milano - Ospedale Luigi Sacco - Clinica Oculistica (Eye Clinic)

    Milan, Lombardy, 20157

  • Universita degli Studi di Padova - Azienda Ospedaliera di Padova - Clinica Oculistica

    Padova, Veneto, 35128

  • Universita degli Studi di Pavia - Fondazione IRCCS Policlinico San Matteo - Clinica Oculistic

    Pavia, Lombardy, 27100

Other trials in Italy

Spain7 sites
  • Institut Catala de Retina

    Barcelona, Catalonia, 8017

  • Centro de Oftalmología Barraquer

    Barcelona, Catalonia, 8021

  • Hospital Clinic de Barcelona (Hospital Clinic i Provincial)

    Barcelona, Catalonia, 8036

  • Hospital Universitario Donostia, Oftalmalogia

    Donostia / San Sebastian, Basque Country, 20014

  • Cartujavision Oftalmologia

    Seville, Andalusia, 41092

  • Fundación Oftalmológica del Mediterráneo

    Valencia, 46015

  • Hospital Clinico Universitario Lozano Blesa de Zaragoza

    Zaragoza, Aragon, 50009

Other trials in Spain

Poland6 sites
  • Gabinet Okulistyczny Prof. Edward Wylęgała

    Katowice, Silesian Voivodeship, 40594

  • Uniwersyteckie Centrum Kliniczne Śląskiego Uniwersytetu Medycznego w Katowicach

    Katowice, Silesian Voivodeship, 40952

  • Niepubliczny Zaklad Opieki Zdrowotnej Oko-Laser

    Krakow, Lesser Poland Voivodeship, 30644

  • Samodzielny Publiczny Szpital Kliniczny Nr 1 Klinika Diagnostyki i Mikrochirurgii Jaskry Oddział Okulistyki

    Lublin, Lublin Voivodeship, 20079

  • Retina Szpital Okulistyczny

    Warsaw, Warszawskie, 1364

  • Uniwersytecki Szpital Kiliniczny IM. Jana Milkulicza-Radeckiego we Wroclawiu

    Wroclaw, Wrocławiu, 50556

Other trials in Poland

France4 sites
  • Hopitaux Universitaires Paris-Sud - Hopital Bicetre

    Le Kremlin-Bicêtre, Île-de-France Region, 94270

  • Hospices Civils de Lyon - Hopital de la Croix-Rousse

    Lyon, Auvergne-Rhône-Alpes, 69317

  • Hôpital des Quinze-Vingts

    Paris, Île-de-France Region, 75012

  • Hopitaux Universitaires Paris Nord Val de Seine - Hopital Bichat - Claude Bernard

    Paris, Île-de-France Region, 75877

Other trials in France

Turkey (Türkiye)4 sites
  • Bayındır Kavaklidere Hospital Ophthalmology department

    Ankara, Anatolia, 6680

  • Ege Universitesi Tip Fakultesi Hastanesi Goz Hastaliklari Anabilim Dali

    Bornova, İzmir, 35100

  • Selcuk University School of Medicine Ophthalmology department

    Konya, Selcuklu, 42130

  • Ankara Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı Vehbi Koç Göz Hastanesi

    Mamak, Ankara, 6620

Other trials in Turkey (Türkiye)

About this study

Official title: A Phase IIIb, Prospective, Interventional, Multicentre, 3-year Study to Explore the Long-term Evolution of Sign and Symptoms, and Occurence of Complications in Dry Eye Patients With Severe Keratitis Receiving Ikervis® (1mg/mL Ciclosporin)

The proposed 36-month Post Approval Efficacy Study (PAES) is a prospective, interventional, multicentre study to explore the long-term evolution of signs and symptoms, and occurrence of complications in Dry Eye Disease (DED) patients with severe keratitis receiving Ikervis® (1mg/mL ciclosporin) eye drops administered once daily

Being tested
Open-label Ikervis, Masked Ikervis, Vehicle Comparator: Masked Vehicle

What participants receive

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

  • Open-label IkervisDrug

    NOVA22007, IKERVIS® is a sterile, ophthalmic cationic oil-in-water emulsion containing 1mg/ml CsA.

  • Masked IkervisDrug

    NOVA22007, IKERVIS® is a sterile, ophthalmic cationic oil-in-water emulsion containing 1mg/ml CsA.

  • Vehicle Comparator: Masked VehicleOther

    Vehicle of IKERVIS® - sterile, ophthalmic cationic oil-in-water emulsion containing no active substance.

Study groups in NCT04144413
Study groupRoleWhat they receive
Period 1 Open-label IkervisExperimentalPeriod 1 for all patients: IKERVIS® (1mg/ml CsA). Instillation of one drop in each affected eye, once daily at bedtime. From Baseline for the first 12 months of treatment.
Receives: Drug: Open-label Ikervis
Period 2 Masked IkervisExperimentalPeriod 2 for markedly improved patients at Month 12 only, and double-masked fashion. IKERVIS® (1mg/ml CsA). Instillation of one drop in each affected eye, once daily at bedtime. From Month 12 to Month 36.
Receives: Drug: Masked Ikervis
Period 2 Masked VehicleOtherOther: Vehicle Comparator. Period 2 for markedly improved patients at Month 12 only, and double-masked fashion. Vehicle. Instillation of one drop in each affected eye, once daily at bedtime. From Month 12 to Month 36.
Receives: Other: Vehicle Comparator: Masked Vehicle

What is being measured

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

  1. The Correlation Between Mean Change From Baseline in Corneal Fluorescein Staining (CFS) Score and Symptom Assessment iN Dry Eye (SANDE) Symptoms Score at Each Visit.

    For analysis, SCC (Spearman Correlation Coefficient) and its 95% Confidence Interval were calculated for the correlation analysis between change from baseline in CFS (Corneal Fluorescein Staining) score at visit X and SANDE (Symptom Assessment iN Dry Eye) symptoms score using the FAS (Full Analysis Set) Period 1 Population.

    Measured: Months 3, 6, 9, and 12

Secondary outcomes (1)
  1. Corneal Fluorescein Staining (CFS) Score and Change From Baseline by Visit

    Period 1 is Baseline to Month 12 included. CFS is Corneal Fluorescein Score. Staining using fluorescein was graded using the modified Oxford scale (7-point ordinal scale, score 0, 0.5, and 1 to 5 per area [cornea + nasal and temporal conjunctiva]) for cornea and conjunctiva separately. On this modified scale, the score 0 corresponds to no staining dots and the score 0.5 corresponds to one staining dot per area.

    A CFS grade of 0 represents complete corneal clearing.

    Measured: Baseline, Months 3, 6, 9 and 12

Timeline

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

  1. First posted30 Oct 2019
  2. Study start31 May 2019
  3. Primary completion14 Jul 2023
  4. Study completion14 Jul 2023

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
In order to assess the response to IKERVIS® for DED patients with severe keratitis, after 12-month IKERVIS® (once daily) treatment, patients who have shown a marked improvement at Month 12 (as defined below) will be randomised to receive IKERVIS® or Vehicle (ration 3:2) in double-masked fashion.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
350 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04144413
Sponsor's protocol ID
NVG14L127
Status last verified
Aug 2024
First submitted
25 Oct 2019
Last updated
28 Aug 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Leonardi A, Aragona P, Sainz de la Maza M, Seleznev A, Wylegala E, Villani E, Baudouin C; Study Investigators. Long-Term Evolution of Treatment Outcomes with Once-Daily Ciclosporin A 0.1% Cationic Emulsion in Patients with Dry Eye Disease and Severe Keratitis. Ophthalmol Ther. 2026 Jul;15(7):2413-2429. doi: 10.1007/s40123-026-01411-3. Epub 2026 Jun 12.

    PubMed 42283972

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Open-label Ikervis and Masked Ikervis in people with Dry Eye Disease With Severe Keratitis, run by Santen SAS at 45 sites in 7 countries.

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 9 inclusion and 17 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 28 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in Russia, Czechia, Italy, Spain, Poland and 2 more countries. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 28 Aug 2024). 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?

The Correlation Between Mean Change From Baseline in Corneal Fluorescein Staining (CFS) Score and Symptom Assessment iN Dry Eye (SANDE) Symptoms Score at Each Visit. (time frame: Months 3, 6, 9, and 12). 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 NCT04144413, 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 28 Aug 2024.

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