NCT04169061

Brief Summary

We will need about 36 participants for this study. Volunteers might be able to participate if:

  • they have bad noninfectious keratitis
  • early treatments failed or were not well tolerated Participants will be in the study for about 22 weeks:
  • 4 weeks for tests to see if the study might be good for them
  • 12 weeks of treatment with Acthar gel
  • 4 weeks to wean off Acthar gel and follow-up with the doctor

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
36

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Nov 2019

Shorter than P25 for phase_4

Geographic Reach
1 country

9 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 13, 2019

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

November 14, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

November 19, 2019

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 9, 2020

Completed
28 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 7, 2020

Completed
8 months until next milestone

Results Posted

Study results publicly available

August 18, 2021

Completed
Last Updated

August 18, 2021

Status Verified

July 1, 2021

Enrollment Period

12 months

First QC Date

November 14, 2019

Results QC Date

July 7, 2021

Last Update Submit

July 27, 2021

Conditions

Keywords

Severe or recalcitrant keratitis

Outcome Measures

Primary Outcomes (1)

  • Number of Participants Who Improved on the Impact of Dry Eye on Everyday Life (IDEEL) Scale [Using the Symptom Bother Module at Week 12]

    A 12-point score reduction on the 100-point symptom bother module indicates a clinically important reduction of bothersome dry eye symptoms.

    Week 12

Study Arms (1)

All participants

EXPERIMENTAL

Participants receive: * a shot of Acthar (80 units) under the skin twice a week for 12 weeks * a shot of Acthar (40 units) twice a week for 2 weeks * a shot of Acthar (40 units) once a week for 2 more weeks At each visit they will have medical tests and answer questions about their symptoms.

Drug: Acthar

Interventions

ActharDRUG

Acthar gel for subcutaneous injection

Also known as: Acthar Gel
All participants

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has severe or recalcitrant keratitis
  • Did not respond to, or tolerate, treatment with topical cyclosporine, Lifitegrast, or any immunosuppressant to treat keratitis
  • If able to reproduce, agrees to use 2 forms of effective contraception with a partner of the opposite sex for the duration of the study (through Visit 6)
  • Has normal eyelids, and protocol-defined physical and medical eye attributes
  • Agrees to avoid wearing contact lenses during the trial

You may not qualify if:

  • Is pregnant or breast-feeding
  • Is defined as vulnerable, or is employed by, or related to anyone involved in the study
  • Has a medical condition or history that might, per protocol or in the opinion of the investigator, compromise the participant's safety or study analysis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Cornea and Cataract Consultants of Arizona

Phoenix, Arizona, 85032, United States

Location

Global Research Management, Inc.

Glendale, California, 91204, United States

Location

Eye Research Foundation

Newport Beach, California, 92663, United States

Location

Eye Care Institute

Louisville, Kentucky, 40206, United States

Location

Andover Eye Associates

Raynham, Massachusetts, 02767, United States

Location

Vita Eye Clinic

Shelby, North Carolina, 28150, United States

Location

Scott & Christie and Associates, PC

Cranberry Township, Pennsylvania, 06066, United States

Location

Total Eye Care, P.A.

Memphis, Tennessee, 38119, United States

Location

Advancing Vision Research, LLC

Nashville, Tennessee, 37205, United States

Location

Related Publications (1)

  • Wirta D, McLaurin E, Ousler G, Liu J, Kacmaz RO, Grieco J. Repository Corticotropin Injection (Acthar(R) Gel) for Refractory Severe Noninfectious Keratitis: Efficacy and Safety from a Phase 4, Multicenter, Open-Label Study. Ophthalmol Ther. 2021 Dec;10(4):1077-1092. doi: 10.1007/s40123-021-00400-y. Epub 2021 Oct 20.

MeSH Terms

Conditions

Keratitis

Interventions

Adrenocorticotropic Hormone

Condition Hierarchy (Ancestors)

Corneal DiseasesEye Diseases

Intervention Hierarchy (Ancestors)

MelanocortinsPro-OpiomelanocortinHypothalamic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPituitary Hormones, AnteriorPituitary HormonesNeuropeptidesPeptidesAmino Acids, Peptides, and ProteinsNerve Tissue ProteinsProteins

Results Point of Contact

Title
Medical Information Call Center
Organization
Mallinckrodt

Study Officials

  • Global Clinical Leader

    Mallinckrodt

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 14, 2019

First Posted

November 19, 2019

Study Start

November 13, 2019

Primary Completion

November 9, 2020

Study Completion

December 7, 2020

Last Updated

August 18, 2021

Results First Posted

August 18, 2021

Record last verified: 2021-07

Data Sharing

IPD Sharing
Will not share

Discussion of statistical endpoints and analysis are included in manuscripts. Summary aggregate (basic) results (including adverse events information) and the study protocol are made available on clinicaltrials.gov (NCT04169061) when required by regulation. Individual de-identified patient data will not be disclosed. Requests for additional information should be directed to the company at medinfo@mnk.com.

Locations