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WithdrawnNCT03398018Updated Dec 14, 2018

Repository Corticotropin Injection in Keratoconjunctivitis Sicca

A Phase 4 interventional study of repository corticotropin injection in Keratoconjunctivitis Sicca, sponsored by University of Alabama at Birmingham. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-12-14.

Sponsored by University of Alabama at Birmingham · Phase 4, Interventional, and Treatment

Why this study was withdrawn
Change of direction
Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this pilot study is to assess repository corticotropin injection (RCI) in the form of H.P. Acthar Gel in patients with severe keratoconjunctivitis sicca (KCS, or dry eye disease). This pilot study is a non-randomized, open-label, interventional study to assess the efficacy and timeline of RCI for the treatment of severe KCS recalcitrant to conventional therapy. The purpose is to acquire preliminary data to support and guide the design of a future, double-masked, randomized, controlled clinical trial.

Read the detailed description

This study is a non-randomized, open-label, interventional pilot study with sixteen weeks (112 days) of active treatment, a possible twelve-week treatment extension, and twenty-four weeks of washout follow-up. Intervention is with HP Acthar Gel dosed at 80 U BIW SC indicated for use in anterior segment disease and keratitis. Data will be collected from five subjects. All subjects will be treated with 80 U BIW SC and clinically examined at two, four, six, nine, twelve, and sixteen weeks with a potential extension of up to twenty-eight weeks. Extension will be contingent upon specific outcome criteria defined in this protocol. Four clinical visits will occur at two, four, eight, and twelve weeks after initiating the drug taper to assess for regression of the signs and symptoms of KCS.

02

Conditions studied

  • Keratoconjunctivitis Sicca

Keywords

  • dry eye
  • corticotropin
03

In context

Keratoconjunctivitis Sicca

85 studies on the registry are indexed under Keratoconjunctivitis Sicca; 1 is open to participants now.

Browse Keratoconjunctivitis Sicca studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,421 studies on the registry; 277 are open to participants now.

Of its 164 completed or terminated interventional studies of FDA-regulated products, 130 (79%) have results posted.

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

  • Age ≥ 18 years
  • Severe keratoconjunctivitis sicca (KCS) as defined by meeting at least three of the following in the same or both eye(s): (1) OSDI ≥ 33, (2) sum corneal staining with fluorescein of ≥ 5 in at least one eye, (3) MMP-9 concentration ≥ 40 ng/ml in at least one eye as measured by InflammaDry®, and (4) bulbar hyperemia of ≥ 2.0 in at least one eye as measured by the Oculus Keratograph® 5M
  • Recalcitrant or intolerant to treatment with cyclosporine 0.05% ophthalmic emulsion (Restasis®) or lifitegrast 5% ophthalmic solution (Xiidra®)

Exclusion criteria

Exclusion Criteria:

  • Past or present history of: scleroderma, osteoporosis, systemic bacterial or fungal infection (including but not limited to tuberculosis), psychosis, ocular herpes simplex, peptic ulcer, congestive heart failure, diabetes mellitus, myasthenia gravis, hypothyroidism, liver cirrhosis, primary adrenocortical insufficiency or adrenocortical hyperfunction, central serous chorioretinopathy.
  • Any use within 60 days of study enrollment
  • Topical cyclosporine 0.05% ophthalmic emulsion (Restasis) or lifitegrast 5% ophthalmic solution (Xiidra) use within 60 days of study enrollment
  • Recent surgery within 90 days
  • Current uncontrolled, sustained hypertension
  • Post-prandial blood glucose value of ≥ 140 mg/dl as measured at the baseline visit
  • Sensitivity to proteins of porcine origin
  • Anticipated administration of live or during the course of the study
  • Known sensitivity to steroid or complications from prior steroid use that subject is unwilling to tolerate
  • Pregnancy (as assessed by urine hCG) or nursing
  • Participation in a clinical trial involving a drug or device within the past 30 days
  • Investigator discretion based upon medical history and/or opinion of ability to maintain protocol compliance
Terms in these criteria, in plain language(2)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Treatment

    Treated with repository corticotropin injection

    Drug: repository corticotropin injection

Interventions

06

What researchers measure

Primary outcomes

  1. Conjunctival hyperemia

    Change from baseline in bulbar conjunctival hyperemia as measured by the Oculus Keratograph 5M

    Time frame: 16 weeks

  2. Corneal staining

    Change from baseline in corneal staining with fluorescein

    Time frame: 16 weeks

Secondary outcomes

  1. Patient symptoms

    Change from baseline in patient symptoms as measured by Ocular Surface Disease Index (OSDI)

    Time frame: 16 weeks

  2. Tear cytokine concentration

    Change from baseline in tear cytokine concentration as measured by Raybiotech Human Dry Eye Disease Array Q1

    Time frame: 16 weeks

Other outcomes

  1. Needle Fear

    Change from baseline in Needle Fear Survey

    Time frame: 16 weeks

07

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2018 to primary completion in Nov 2018, 0 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 2, 2018
First posted
Jan 12, 2018
StartActual
Nov 1, 2018
Primary completionActual
Nov 1, 2018
CompletionActual
Nov 1, 2018
Last update
Dec 14, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 14, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03398018
Responsible party
Jason Nichols (Principal Investigator, University of Alabama at Birmingham) — Principal investigator
First posted
Jan 12, 2018
Start date
Nov 1, 2018
Primary completion
Nov 1, 2018
Completion
Nov 1, 2018
Last update
Dec 14, 2018

Study contacts

Jason J Nichols, OD, MPH, PhD
principal investigator · University of Alabama at Birmingham

Oversight

Data monitoring committee
No
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: Adrenocorticotropic Hormone

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