Study to Evaluate OXERVATE® in Patients With Stage 1 Neurotrophic Keratitis
DEFENDO
An 8-week, Multicenter, Open Label, Prospective Study With 24 Weeks of Follow-up to Evaluate Safety and Efficacy of OXERVATE® 0.002% (20 mcg/mL) Cenegermin-bkbj Ophthalmic Solution in Patients With Stage 1 Neurotrophic Keratitis (NK)
1 other identifier
interventional
37
1 country
5
Brief Summary
This study is to evaluate the safety and efficacy of OXERVATE® 0.002% (20 mcg/mL) cenegermin-bkbj ophthalmic solution in patients with Stage 1 neurotrophic keratitis (NK).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Sep 2020
5 active sites
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
First Submitted
Initial submission to the registry
July 21, 2020
CompletedFirst Posted
Study publicly available on registry
July 24, 2020
CompletedStudy Start
First participant enrolled
September 9, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 30, 2022
CompletedResults Posted
Study results publicly available
June 23, 2023
CompletedNovember 17, 2025
November 1, 2025
1.1 years
July 21, 2020
May 22, 2023
November 10, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Corneal Epithelial Healing
Percentage of patients who experienced corneal epithelial healing. Corneal epithelial healing was defined by the central reading center as the absence of persistent epithelial staining abnormalities related to disease.
Week 8
Study Arms (1)
OXERVATE® 0.002% (20 mcg/mL) cenegermin-bkbj
EXPERIMENTALcenegermin-bkbj ophtalmic solution administered as one drop in affected eye(s) every 2 hours 6 times daily for 8 weeks
Interventions
OXERVATE® 0.002% (20 mcg/mL) cenegermin-bkbj ophthalmic solution administered as one drop in the affected eye(s), 6 times a day at 2-hour intervals for 8 weeks, in patients with Stage 1 neurotrophic keratitis.
Eligibility Criteria
You may qualify if:
- Male or female aged ≥ 18 years.
- Patients with Stage 1 NK defined by the Mackie criteria
You may not qualify if:
- Evidence of an active ocular infection (bacterial, viral, protozoal) in either eye.
- Have current or history of conditions that may confound the study data including but not limited to Ocular Cicatricial Pemphigoid (OCP), Graft Versus Host Disease (GVHD), neuromyelitis optica, uncontrolled dry eye, and Steven Johnson's syndrome.
- History of severe systemic allergy or severe ocular allergy (including seasonal conjunctivitis expected during the subject's participation in the trial) or chronic conjunctivitis and/or keratitis other than dry eye disease.
- Patients with severe vision loss with no potential for visual improvement in the study eye, in the opinion of the investigator, or if the subject is deemed legally blind.
- Ocular surgery or elective ocular surgery expected during participation in the trial.
- Patients with eyelid abnormality that may alter eyelid function including but not limited to Blepharospasm, Cerebrovascular accident, entropion, ectropion, floppy lid syndrome.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Dompé Farmaceutici S.p.Alead
- Dompé UScollaborator
Study Sites (5)
San Diego
San Diego, California, 92122, United States
Edgewood
Edgewood, Kentucky, 41017, United States
Boston
Boston, Massachusetts, 02111, United States
Saint Louis
St Louis, Missouri, 63131, United States
Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Related Publications (2)
Mastropasqua L, Massaro-Giordano G, Nubile M, Sacchetti M. Understanding the Pathogenesis of Neurotrophic Keratitis: The Role of Corneal Nerves. J Cell Physiol. 2017 Apr;232(4):717-724. doi: 10.1002/jcp.25623. Epub 2016 Oct 17.
PMID: 27683068BACKGROUNDHamrah P, Massaro-Giordano M, Schanzlin D, Holland E, Berdy G, Goisis G, Pasedis G, Mantelli F. Phase IV Multicenter, Prospective, Open-Label Clinical Trial of Cenegermin (rhNGF) for Stage 1 Neurotrophic Keratopathy (DEFENDO). Ophthalmol Ther. 2024 Feb;13(2):553-570. doi: 10.1007/s40123-023-00866-y. Epub 2024 Jan 4.
PMID: 38175466DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Sarah Wilting, OD MS
- Organization
- Dompé Farmaceutici S.p.A
Study Officials
- STUDY CHAIR
Flavio Mantelli, MD, PhD
Domp Farmaceutici SpA
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- 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
July 21, 2020
First Posted
July 24, 2020
Study Start
September 9, 2020
Primary Completion
September 30, 2021
Study Completion
March 30, 2022
Last Updated
November 17, 2025
Results First Posted
June 23, 2023
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share