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RecruitingNCT03249337Updated Aug 11, 2021

Glanatec(R) for Descemet Stripping in Fuch's Endothelial Dystrophy

A Phase 4 interventional study of Ripasudil hydrochloride hydrate 0.4% ophthalmic solution in Fuchs' Endothelial Dystrophy, sponsored by Marian Macsai, MD. Recruiting at 1 site in United States. Open to participants aged 18 Years to 91 Years. Per ClinicalTrials.gov, last updated 2021-08-11.

Sponsored by Marian Macsai, MD · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2021, 4 years 11 months ago, but the record still lists the study as recruiting.
  • Started Dec 2017; still recruiting 8 years 11 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 91 Years
Sex
All
01

Study summary

In brief, the objective of this study is to investigate whether the drug Glanatec ® which is approved in Japan for glaucoma and ocular hypertension, can be used in patients with Fuchs endothelial dystrophy who have had a descemet stripping procedure without endothelial keratoplasty. While some limited data exists as a proof of concept in in vitro or animal studies, and Glanatec® has been successfully used in a recently published case series for this indication, there is insufficient data to show that this drug can be effectively used for corneal cell clearing while maintaining patient safety.

The goal of the study is to provide sufficient proof of concept for the use of this drug in patients with FED whose only treatment alternative is to undergo corneal transplant.

02

Conditions studied

  • Fuchs' Endothelial Dystrophy
03

In context

Fuchs' Endothelial Dystrophy

92 studies on the registry are indexed under Fuchs' Endothelial Dystrophy; 27 are open to participants now.

This study's planned enrollment of 30 is below the median of 50 across 62 interventional studies indexed under Fuchs' Endothelial Dystrophy.

Browse Fuchs' Endothelial Dystrophy studies →

Lead sponsor

This is the only study on the registry with Marian Macsai, MD as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 91 Years
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

    • Ability to understand read and sign the form.

      • Age between 30 and \<91 years
      • Ability to understand and follow instructions and study procedures
      • Willingness to comply with all study procedures and be available for the duration of the study
      • Ability to apply eye drop medication and willing to adhere to study medication regimen
      • Diagnosed with Fuchs dystrophy (clinically and on confocal microscopy) by the study investigator.
      • Pseudophakic FED with posterior capsule supported, suture-fixated, or sulcus-supported posterior chamber intraocular lens.
      • Fuchs dystrophy grades 2-4 on the Krachmer grading scale
      • Presence of central guttae deemed by the investigator to be the chief cause of visual symptoms, rather than cataract or corneal stromal edema
      • Clear peripheral cornea with an endothelial cell count >1000 cells/mm2 on specular microscopy
      • Best corrected visual acuity in the study eye is 20/40 or worse at study enrollment
      • The patient is dissatisfied with current vision
      • The patient is otherwise to be offered a corneal graft
      • For females with , willingness to use highly effective (e.g., hormonal contraception, barrier contraception, intrauterine device, or abstinence).
      • Indication for surgery may include cataract extraction and posterior chamber intraocular lens implantation

Exclusion criteria

Exclusion Criteria:

    • Uncontrolled glaucoma (IOP >25 mmHg)

      • Presence of secondary corneal pathology such as infective or keratitis
      • Advanced corneal stromal edema defined as the presence of haze, bullae, or DM folds on slit-lamp biomicroscopy
      • History of herpes simplex virus or cytomegalovirus keratitis
      • Prior endothelial keratoplasty
      • Aphakic in study eye.
      • Allergy to any component of the Ripasudil hydrochloride hydrate 0.4% that will be used in the course of the study
      • For women of : Pregnant or lactating, or planning to become pregnant within the next 6 months.
      • Any other ocular condition that, in the opinion of the investigator, may preclude the subject from study participation.
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

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    Glanatec(R) 3 times a day

    Drug: Ripasudil hydrochloride hydrate 0.4% ophthalmic solution

  • Active comparator
    Glanatec (R) 6 times a day

    Drug: Ripasudil hydrochloride hydrate 0.4% ophthalmic solution

Interventions

06

What researchers measure

Primary outcomes

  1. Corneal Clearing

    The first primary aim of this study is to examine whether Glanatec® administered three or six times daily significantly increases corneal clearing at 12 months versus baseline in patients with Fuchs endothelial dystrophy (FED) undergoing Descemet stripping

    Time frame: 12 months

  2. pachymetry measurement

    The second primary aim of this study is to examine whether Glanatec® administered three or six times daily significantly reduces the pachymetry measurement at 12 months versus baseline in patients with Fuchs endothelial dystrophy (FED) undergoing Descemet stripping.

    Time frame: 12 months

Secondary outcomes

  1. Visual Acuity

    The secondary aim of this study is to examine whether Glanatec® administered three or six times daily affects best corrected visual acuity at 12 months (measured by Snellen lines) as compared to baseline, patients with Fuchs endothelial dystrophy (FED) undergoing Descemet stripping.

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03249337
Lead sponsor
Marian Macsai, MD
Responsible party
Marian Macsai, MD (Chief Ophthalmology, Endeavor Health) — Sponsor-investigator
First posted
Aug 15, 2017
Start date
Dec 6, 2017
Primary completion
Dec 2021 (estimated)
Completion
Dec 2021 (estimated)
Last update
Aug 11, 2021

Study contacts

Duanny Alva, MPH
Contact
dalva@northshore.org
847-570-1783
Marian Macsai, MD
Contact
mmacsai@northshore.org
847-657-1936

Oversight

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

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Studies of the drug tested here: K-115

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