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WithdrawnNCT02707120Updated Feb 6, 2025

Efficacy and Safety of Plasma Rich in Growth Factors (PRGF-Endoret) Eye-drops in the Treatment of Neurotrophic Keratitis

A Phase 4 interventional study of PRGF-Endoret and Artificial tears eye-drops in Neurotrophic Keratitis, sponsored by Biotechnology Institute IMASD. Withdrawn at 4 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-06.

Sponsored by Biotechnology Institute IMASD · Phase 4, Interventional, and Treatment

Why this study was withdrawn
The study was suspended due to recruitment difficulties
Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Neurotrophic keratitis (NK) is a rare degenerative corneal disease caused by altered innervation of the trigeminal nerve that leads to rupture of the corneal epithelium, the regeneration deterioration and development of corneal ulceration, their fusion, and perforation The main characteristic in the NK is a decrease or absence of corneal sensitivity.

Read the detailed description

The goals of treatment in the neurotrophic keratitis are prevent the progression of corneal damage, maintain eye structure and improve the transparency of the cornea. Therapy should be initiated early and based on the clinical stage of the disease because it depends on epithelial state and in the degree of corneal hypoesthesia.

Plasma rich in growth factors (PRGF-Endoret) represent a new technology using autologous proteins, growth factors and biomaterials as therapeutic formulations for different regenerative purposes. Under strict pharmaceutical development, it is possible to develop biologically stable eye drops, which have been shown to be useful for treating diverse ocular surface diseases. PRGF-Endoret eye drops could be an alternative therapy for patients with NK, and thus the objective of this clinical trial is to demonstrate its possible efficacy and its safety in patients with NK in stages 2 and 3.

02

Conditions studied

  • Neurotrophic Keratitis

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Keywords

  • PRGF, Neurotrophic Keratitis, platelet rich plasma, PRP
03

In context

Keratitis

108 studies on the registry are indexed under Keratitis; 19 are open to participants now.

Browse Keratitis studies →

Lead sponsor

Biotechnology Institute IMASD is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients aged 18 or over.
  • With neurotrophic keratitis at stages 2 or 3 affecting only one eye.
  • Persistent epithelial defect or corneal ulcer of at least 2 weeks duration resistant to one or more traditional non-surgical treatments .
  • Corneal sensitivity reduction test in the area of the persistent epithelial defect or corneal ulcer and out of the defect area in at least one corneal quadrant.
  • No objective clinical evidence of improvement in the two weeks prior to enrollment.
  • Patients who have previously read and signed the .

Exclusion criteria

Exclusion Criteria:

  • Patients with neurotrophic keratitis stages 2 or 3 that affects both eyes.
  • With active ocular infection or inflammation not related to the neurotrophic keratitis
  • Any other eye disease that requires of topical ocular treatment in the affected eye during study.
  • Patients with severe vision loss
  • Patients with severe blepharitis and/or severe Meibomian glands disease
  • History of eye surgery in the three months prior to enter the study, or patients who plan to undergo surgery.
  • Having received previously surgical procedures for the treatment of NK.
  • Use of therapeutic contact lenses or for refractive correction during study.
  • Patients with punctual occlusion or insertion of punctual plugs previous to the study
  • Evidence of corneal ulcer affecting the corneal stroma or cornea perforation.
  • Presence of any disorder or ocular or systemic disease that could limit the treatment effectiveness or its evaluation,
  • Any need of change (at that time or planned) in the dose of systemic drugs known to disrupt the functioning of the trigeminal nerve
  • Known to any of the procedural compounds (eg. fluoresceine).
  • Presence of blood disorders associated with disorders or clotting, or receiving anticoagulants drugs or antiplatelet agents.
  • Patients with positive result in one of the serological tests for syphilis, -C or AIDS I / II.
  • Patient in current treatment for their pathology already well managed.
  • Use of any drug within 4 weeks prior to the screening visit.
  • Pregnant women or intended to be pregnant.
  • Participating in another clinical trial.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    PRGF-Endoret eye-drops

    Drug: PRGF-Endoret

  • Active comparator
    Artificial tears eye-drops

    Drug: Artificial tears eye-drops

Interventions

  • DrugPRGF-Endoret

    Active treatment will be PRP eye drops obtained by the PRGF-Endoret system.

  • DrugArtificial tears eye-drops

    Artificial tear moisturizing eyedrops (Hidrathea®, Nacl 0.9 % solution without preservatives).

06

What researchers measure

Primary outcomes

  1. Percentage of patients with a reduction of corneal defect of >50%

    Time frame: 4 weeks

Secondary outcomes

  1. Percentage of patients with a reduction of corneal defect of >50%

    Time frame: 2 weeks

  2. Percentage of patients showing complete healing of the corneal defect

    Time frame: 4 weeks

  3. Percentage of patients showing complete healing of the corneal defect

    Time frame: 2 weeks

  4. Measurement of the depth of the corneal defect (mm)

    Time frame: 2 and 4 weeks

  5. Changes in percentage in Best corrected visual acuity (BCVA LogMAR)

    Time frame: 2 and 4 weeks

  6. Ocular pain with VAS scale

    Time frame: 2 and 4 weeks

  7. Osmolarity of lacrimal film

    Time frame: 2 and 4 weeks

  8. Measurement of treatment tolerance

    Measurement of treatment tolerance with a 0 4 score

    Time frame: 2 and 4 weeks

  9. Adverse events

    Percentage of adverse event occurrence

    Time frame: 2 and 4 weeks

07

Study locations

4 sites
  • Instituto Oftalmológico Fernández-Vega
    Oviedo, Asturias, Spain
  • Instituto Clínico Quirúrgico de Oftalmología (ICQO)
    Bilbao, Bizkaia, Spain
  • Instituto de Microcirugía Ocular (IMO)
    Barcelona, Spain
  • Hospital Ramón y Cajal
    Madrid, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02707120
Lead sponsor
Biotechnology Institute IMASD
Responsible party
Sponsor
First posted
Mar 14, 2016
Start date
Jan 4, 2018 (estimated)
Primary completion
Jan 2019 (estimated)
Completion
Jan 2020 (estimated)
Last update
Feb 6, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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