Can a thymosin beta 4 eye drop soothe dry eye?
NCT ID NCT03937882
First seen Aug 28, 2026 · Last updated Aug 28, 2026
Summary
This Phase 3 trial tests whether RGN-259, an eye drop containing thymosin beta 4, can reduce the signs and symptoms of dry eye. About 700 adults with a history of dry eye will use the drops four times a day for two weeks, or a placebo. Researchers will measure changes in corneal staining and eye discomfort to see if the treatment helps.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RGN-259 (Thymosin beta 4) eye drops
- What this could lead to
- If it works, RGN-259 could offer a new treatment option for people with dry eye, potentially reducing discomfort and improving eye surface health.
- What could go wrong
- This is a Phase 3 trial, but success is not guaranteed. The treatment may not prove more effective than placebo, and eye drops can cause irritation or other side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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700 people
The number who actually took part.
- Started
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May 2019
- Finished
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Oct 2021
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Be at least 18 years of age; * Provide written informed consent; * Have a subject reported history of dry eye prior to Visit 1; * Have a history of use or desire to use eye drops for dry eye symptoms Exclusion Criteria: * Have any clinically significant slit-lamp findings at Visit 1 that may include active blepharitis, meibomian gland dysfunction (MGD), lid margin inflammation or active ocular allergies that require therapeutic treatment, and/or in the opinion of the investigator may interfere with study parameters; * Be diagnosed with an ongoing ocular infection (bacterial, viral, or fungal), or active ocular inflammation at Visit 1; * Have worn contact lenses within 7 days of Visit 1 or anticipate using contact lenses during the study; * Have used any eye drops within 2 hours of Visit 1; * Have previously had laser-assisted in situ keratomileusis (LASIK) surgery within the last 6 months; * Have used Restasis®, Xiidra® Cequa®, or TrueTear® within 45 days of Visit 1 or Lipiflow® within 6 months of Visit 1; * Have an intraocular pressure (IOP) \> 25 mmHg at Visit 1; * Have any planned ocular and/or lid surgeries over the study period; * Be using or anticipate using temporary punctal plugs during the study that have not been stable within 30 days of Visit 1; * Be currently taking any topical ophthalmic prescription (including medications for glaucoma) or over-the-counter solutions, artificial tears, gels or scrubs, and cannot discontinue these medications for the duration of the trial (excluding medications allowed for the conduct of the study); * Have corrected visual acuity greater than or equal to logarithm of the minimum angle of resolution (logMAR) +0.7 as assessed by Early Treatment of Diabetic Retinopathy Study (ETDRS) scale in both eyes at Visit 1; * Have an uncontrolled systemic disease; * Be a woman who is pregnant, nursing or planning a pregnancy; * Be unwilling to submit a urine pregnancy test at Visit 1 and Visit 4 (or early termination visit) if of childbearing potential. Non-childbearing potential is defined as a woman who is permanently sterilized (e.g., has had a hysterectomy or bilateral tubal ligation or bilateral oophorectomy), or is post-menopausal (without menses for 12 consecutive months); * Be a woman of childbearing potential who is not using an acceptable means of birth control; acceptable methods of contraception include: hormonal - oral, implantable, injectable, or transdermal contraceptives; mechanical - spermicide in conjunction with a barrier such as a diaphragm or condom; intrauterine device (IUD); or surgical sterilization of partner. For non-sexually active females, abstinence may be regarded as an adequate method of birth control; however, if the subject becomes sexually active during the study, she must agree to use adequate birth control as defined above for the remainder of the study; * Have a known allergy and/or sensitivity to the study drug or its components; * Have a condition or be in a situation which the investigator feels may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study; * Have used an investigational drug or device within 30 days of Visit 1; * Be currently using any medication known to cause ocular drying (e.g., antihistamines, anti-depressants) or increased lacrimation (e.g., cholinergics) that is not used on a stable dosing regimen for at least 30 days prior to Visit 1; * Be receiving systemic corticosteroid therapy (not including inhaled corticosteroids), ophthalmic topical steroids, topical nonsteroidal antiinflammatory drugs (NSAIDs), topical antibiotics, immunotherapy, or cytotoxic therapy within 14 days of Visit 1 or anticipate such therapy throughout the study period. * Be unable or unwilling to follow instructions, including participation in all study assessments and visits.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Andover Eye Associates
Andover, Massachusetts, 01810, United States
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Andover Eye Associates
Raynham, Massachusetts, 02767, United States
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Andover Eye Associates
Warwick, Rhode Island, 02886, United States
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Bergstrom Eye Research, LLC
Fargo, North Dakota, 58103, United States
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Center For Sight
Henderson, Nevada, 89052, United States
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Cornea and Cataract Consultants of Arizona
Phoenix, Arizona, 85032, United States
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Country Hills Eye Center
Ogden, Utah, 84403, United States
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Dovilan Wyatt MD, LLC
Chicago, Illinois, 60619, United States
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Eye Research Foundation
Newport Beach, California, 92663, United States
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Midwest Cornea Associates, LLC
Indianapolis, Indiana, 46290, United States
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Mountain View Eye Center
Layton, Utah, 84041, United States
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Oculus Research, Inc. at the Eye Care Center
Raleigh, North Carolina, 27603, United States
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Piedmont Eye Center
Lynchburg, Virginia, 24502, United States
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Scott & Christie and Associates, PC
Cranberry Township, Pennsylvania, 16066, United States
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Texan Eye/Keystone Research
Austin, Texas, 78731, United States
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The Eye Care Institute
Louisville, Kentucky, 40206, United States
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Total Eye Care, P.A.
Memphis, Tennessee, 38119, United States
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Vision Institute
Colorado Springs, Colorado, 80907, United States
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Visual Eyes Optometric
Shelby, North Carolina, 28150, United States
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Whitson Vision
Indianapolis, Indiana, 46240, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Temporary tear duct filling with hyaluronic acid gel and assessment of dry eye disease (DED) after bilateral cataract surgery in a prospective randomized controlled inter-eye study
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