New eye drops aim to heal corneal damage in rare disease
NCT ID NCT05555589
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 study tests whether RGN-259 eye drops can heal persistent corneal defects in people with neurotrophic keratopathy, a condition where the cornea loses sensation and doesn't heal properly. About 70 adults will use the drops five times daily for 28 days or a placebo. The main goal is to see if the defect fully heals by day 29.
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 successful, this could provide a new treatment option for neurotrophic keratopathy, helping heal persistent corneal defects and potentially preventing vision loss.
- What could go wrong
- This is a Phase 3 trial, but with only 70 participants, results may not apply to everyone. The treatment may not work better than placebo, and eye drops can cause irritation or infection.
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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About 70 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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May 2026
An estimate. End dates often move.
- 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 1. Be male or female of any race, at least 18 years of age; 2. Have provided written informed consent; 3. Be able and willing to follow instructions, including participation in all study assessments and visits; 4. At the time of Visit 1, have documentation or observation of a Persistent Epithelial Defect (PED) in one or both eyes, defined as a corneal epithelial defect that has not resolved after 1 week of conventional treatment using non-preserved ocular lubricants, non-preserved topical ophthalmic antibiotics, oral doxycycline, patching, amniotic membrane, serum tears, and/or therapeutic contact lenses; 5. Have stage 2 or 3 neurotrophic keratopathy (Mackie Classification) in at least one eye of which the longest dimension (length or width) of the defect measures a minimum length of 1 mm (study eye) and which is confirmed by the Investigator not to be simply superficial punctate keratitis, at Visit 1; 6. Have evidence of decreased corneal sensitivity ≤40 mm using the Cochet-Bonnet aesthesiometer at Visit 1; 7. Have BCVA score ≤75 letter counts in the study eye based on the ETDRS protocol; 8. Have at least one eye (the same eye) satisfy all criteria for d, e, f, g above; 9. Female subjects of child-bearing potential must be non-lactating and using and agree to continue using an acceptable method of contraception for at least 4 weeks prior to the first dose of study product and until 12 weeks after last dose, and have a negative urine pregnancy test during screening; 10. Male subjects must agree to use an adequate method of contraception. Exclusion Criteria 1. Have any condition that, in the opinion of the Investigator, would interfere with the subject's ability to complete the study, would interfere with the interpretation of safety or efficacy, or would present an undue risk to the subject. 2. Have any clinically significant slit-lamp findings in the study eye that in the opinion of the Investigator may interfere with the study parameters; 3. Clinically significant active blepharitis, meibomian gland dysfunction (MGD), or lid margin inflammation, or active ocular allergy in study eye that requires treatment that in the opinion of the investigator may interfere with the study parameters; 4. Have a Unanesthetized Schirmer's test score of ≤3 mm at Visit 1; 5. Have a lid function abnormality (ex. Lagophthalmos) which, in the opinion of the Investigator, is the primary cause of the persistent epithelial defect; 6. Have an ongoing ocular infection (bacterial, viral or fungal) or active inflammation (e.g., follicular conjunctivitis) in the study eye. 7. History of any ocular surgery (including laser or refractive surgical procedures) within the three months before study enrollment. 8. Prior surgical procedure(s) for the treatment of NK (e.g., tarsorrhaphy, conjunctival flap, etc.) within the three months before study enrollment with the exception of amniotic membrane transplantation. 9. Have any planned ocular surgical procedures or are likely to require ocular surgery for the study eye during the study; 10. Have received Botox® injection to induce blepharoptosis in the study eye within 90 days prior to Visit 1; 11. Have used contact lenses (for therapeutic or refractive correction) in the study eye within 14 days prior to Visit 1, or anticipate use of contact lenses during the study period. 12. Have used OxervateTM in the study eye within the past 2 months; 13. Anticipate use of serum tears in the study eye during the study period. 14. Have a presence or history of any ocular or systemic disorder or condition that might hinder the efficacy of the study treatment or its evaluation, could possibly interfere with the interpretation of study results, or could be judged by the Investigator to be incompatible with the study visit schedule or conduct; 15. Have used drugs which affect lacrimation or function of the trigeminal nerve within 30 days of Visit 1 or anticipate use of these systemic medication throughout the course of the study; 16. Have any autoimmune or chronic inflammatory disease that might have hindered the efficacy of the study treatment or its evaluation; 17. Be on topical (Ocular/Nasal) immunosuppressive therapy within 30 days prior to screening or is likely to require this during the course of the study; 18. Have a known allergy and/or sensitivity to the study product or its components; 19. History of drug, medication or alcohol abuse or addiction; 20. Have participated in an investigational drug study within 30 days prior to screening; 21. Have fever, inflammation, or systemic signs of illness suggestive of systemic or invasive infection, including COVID-19 or a positive test for COVID-19, within 2 weeks prior to first dose of study drug.
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Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
31 sites in 4 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Advance Vision Research Institute
RECRUITINGLongmont, Colorado, 80503, United States
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Aiken Prevención & Cirugía Ocular
RECRUITINGValencia, Valencia, 46004, Spain
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Azienda Ospedaliero Universitaria Careggi
RECRUITINGFlorence, Firenze, 50134, Italy
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Berkeley Eye Center
RECRUITINGSugar Land, Texas, 77478, United States
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CORE, Inc. / Vita Eye Clinic
ACTIVE_NOT_RECRUITINGShelby, North Carolina, 28150, United States
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Cataract & Laser Institute of Southern Oregon
RECRUITINGMedford, Oregon, 97504, United States
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Cleveland Clinic, Cole Eye Institute
RECRUITINGCleveland, Ohio, 44195, United States
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Connecticut Eye Consultants, P.C. Danbury Eye Physicians & Surgeons
RECRUITINGDanbury, Connecticut, 06810, United States
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Duke Eye Center
RECRUITINGDurham, North Carolina, 27710, United States
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Gabinet Okulistyczny Prof Edward Wylegala
RECRUITINGKatowice, Silesian Voivodeship, 40-594, Poland
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Harvard Eye Associates
RECRUITINGLaguna Hills, California, 92653, United States
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Hospital La Arruzafa
RECRUITINGCórdoba, Córdoba, 14012, Spain
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Huffman & Huffman, PSC
ACTIVE_NOT_RECRUITINGLexington, Kentucky, 40509, United States
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IMO Barcelona, Grupo Miranza
RECRUITINGBarcelona, Barcelona, 08035, Spain
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Instituto Oftalmológico Fernández-Vega
RECRUITINGOviedo, Principality of Asturias, 33012, Spain
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Loma Linda University Eye Institute
RECRUITINGLoma Linda, California, 92354, United States
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MCOA Eye Care
RECRUITINGSan Antonio, Texas, 78240, United States
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Metropolitan Eye Research and Surgery Institute
RECRUITINGPalisades Park, New Jersey, 07650, United States
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Midwest Cornea Associates, LLC.
RECRUITINGCarmel, Indiana, 46290, United States
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Midwest Vision Research Foundation
RECRUITINGChesterfield, Missouri, 63017, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10467, United States
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Nature Coast Clinical Research
RECRUITINGCrystal River, Florida, 34429, United States
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Northwestern
RECRUITINGChicago, Illinois, 60611, United States
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OHSU Casey Eye Institute
RECRUITINGPortland, Oregon, 97239, United States
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Oculus Research
ACTIVE_NOT_RECRUITINGRaleigh, North Carolina, 27617, United States
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Pacific ClearVision Institute
ACTIVE_NOT_RECRUITINGEugene, Oregon, 97401, United States
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Retina Consultants of Southern Colorado
ACTIVE_NOT_RECRUITINGColorado Springs, Colorado, 80909, United States
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Thomas Eye Group, P.C.
RECRUITINGSandy Springs, Georgia, 30328, United States
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UPMC Eye Center
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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University Hospitals Cleveland Medical Center
RECRUITINGCleveland, Ohio, 44106, United States
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University of Miami - Bascom Palmer Eye Institute, Miami
RECRUITINGMiami, Florida, 33136, United States
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University of South Florida, Ophthalmolgoy
RECRUITINGTampa, Florida, 33612, United States
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University of Washington, Department of Ophthalmology
RECRUITINGSeatle, Washington, 98104, United States
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Università di Brescia
RECRUITINGBrescia, Brescia, 25123, Italy
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Virginia Eye Consultants
RECRUITINGNorfolk, Virginia, 23502, United States
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Washington University Eye Center
RECRUITINGSt Louis, Missouri, 63108, United States
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