ClinicalTrials.gg
TerminatedNCT03971357Updated Feb 6, 2023Results posted

Trial of Netarsudil for Acceleration of Corneal Endothelial Restoration

A Phase 2/3 interventional study of Netarsudil and Placebo in Fuchs' Endothelial Dystrophy, sponsored by Price Vision Group. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-06.

Sponsored by Price Vision Group · Phase 2/3, Interventional, and Treatment

Why this study was terminated
variance of outcome measures was substantially greater than anticipated in the statistical plan
Phase
Phase 2/3
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Subjects with Fuchs dystrophy will be randomized to use either netarsudil or placebo eye drops to determine if the use of netarsudil accelerates migration of host peripheral corneal endothelial cells to restore the central endothelial cell layer.

Read the detailed description

Subjects with Fuchs endothelial dystrophy will have the central corneal endothelium and guttae-covered Descemet membrane surgically removed. Subjects will be randomized to use netarsudil or placebo eye drops once daily. Visual acuity, corneal clearing and central endothelial cell density will be monitored for the 3-month study duration.

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 enrollment of 19 is below the median of 50 across 62 interventional studies indexed under Fuchs' Endothelial Dystrophy.

Browse Fuchs' Endothelial Dystrophy studies →

Lead sponsor

Price Vision Group is the lead sponsor of 11 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) 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

  • Male or female patient at least 18 years of age and of any race or ethnicity who is undergoing Descemet stripping only for Fuchs dystrophy
  • Is able and willing to administer eye drops
  • Is able to comprehend and has signed the form.

Exclusion criteria

Exclusion Criteria:

  • Active intraocular inflammation
  • Corneal ulceration, keratitis, or conjunctivitis
  • Known sensitivity to any of the ingredients in the study medications
  • Abnormal eyelid function
  • History of herpetic keratitis
  • History of non-compliance with using prescribed medication
  • Current or planned pregnancy within the study duration
  • Concurrent involvement or participation in another randomized clinical trial within 30 days prior to enrollment in this study
  • Any ocular or systemic condition (i.e., UNCONTROLLED systemic disease) or situation which in the investigator's opinion may put the patient at significant risk, confound the study results, or interfere significantly with the patient's participation in the study.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Netarsudil

    Netarsudil ophthalmic solution 0.02%, dosed topically daily for the 3-month study duration or until 2 weeks after corneal clearing is complete, whichever occurs sooner

    Drug: Netarsudil

  • Placebo comparator
    Placebo

    Placebo eye drop, dosed topically daily for the 3-month study duration or until 2 weeks after corneal clearing is complete, whichever occurs sooner.

    Drug: Placebo

Interventions

  • netarsudil opthalmic solution 0.02%

    Also known as: Rhopressa

  • DrugPlacebo

    Placebo eye drops

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What researchers measure

Primary outcomes

  1. Corneal Clearing After Endothelial Removal for Treatment of Fuchs Dystrophy

    The outcome measure was the percentage area of the cornea that remained edematous after removal of the endothelium. At the time of surgery, the surgeon recorded the lengths of the major and minor axes of the approximately circular area of endothelium removal; these values were used to calculate the area of stripping. At each postoperative exam, the examiner recorded the lengths of the major and minor axes of the edematous area; these values were used to calculate the area of edema. The percentage that remained edematous at 5 weeks was calculated by dividing the area of edema at 5 weeks by the area stripped.

    Time frame: 5 weeks

07

Results

Posted Feb 6, 2023

Participant flow

Participant flow — Overall Study
MilestoneNetarsudilPlacebo
Started109
Completed108
Not completed01
Withdrew: Lack of efficacy01

Outcome measures

PrimaryCorneal Clearing After Endothelial Removal for Treatment of Fuchs Dystrophy

The outcome measure was the percentage area of the cornea that remained edematous after removal of the endothelium. At the time of surgery, the surgeon recorded the lengths of the major and minor axes of the approximately circular area of endothelium removal; these values were used to calculate the area of stripping. At each postoperative exam, the examiner recorded the lengths of the major and minor axes of the edematous area; these values were used to calculate the area of edema. The percentage that remained edematous at 5 weeks was calculated by dividing the area of edema at 5 weeks by the area stripped.

Time frame:
5 weeks
Reported as:
Mean · percentage of area stripped
Corneal Clearing After Endothelial Removal for Treatment of Fuchs Dystrophy
percentage of area strippedNetarsudilPlacebo
Corneal Clearing After Endothelial Removal for Treatment of Fuchs Dystrophy42 ± 4543 ± 49

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Netarsudil0/10 (0%)0/10 (0%)3/10 (30%)
Placebo0/9 (0%)0/9 (0%)3/9 (33.3%)
Most frequent other events
Most frequent other events
EventNetarsudilPlacebo
eye discomfortEye disorders2/103/9
cystoid macular edemaEye disorders1/100/9
microcystic corneal epithelial bullaeEye disorders1/100/9

Baseline characteristics

Age, Continuous
Age, Continuous(years)NetarsudilPlaceboTotal
Mean65 ± 1058 ± 1762 ± 14
Sex: Female, Male
Sex: Female, Male(Participants)NetarsudilPlaceboTotal
Female10818
Male011
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)NetarsudilPlaceboTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(participants)NetarsudilPlaceboTotal
United States10919
08

Study locations

1 site
  • Price Vision Group
    Indianapolis, Indiana 46260, United States
09

References and documents

Publications

  • Arbelaez JG, Price MO, Price FW Jr. Long-term follow-up and complications of stripping descemet membrane without placement of graft in eyes with Fuchs endothelial dystrophy. Cornea. 2014 Dec;33(12):1295-9. doi: 10.1097/ICO.0000000000000270. PubMed 25299425 ↗
  • Moloney G, Petsoglou C, Ball M, Kerdraon Y, Hollhumer R, Spiteri N, Beheregaray S, Hampson J, D'Souza M, Devasahayam RN. Descemetorhexis Without Grafting for Fuchs Endothelial Dystrophy-Supplementation With Topical Ripasudil. Cornea. 2017 Jun;36(6):642-648. doi: 10.1097/ICO.0000000000001209. PubMed 28476048 ↗
  • Borkar DS, Veldman P, Colby KA. Treatment of Fuchs Endothelial Dystrophy by Descemet Stripping Without Endothelial Keratoplasty. Cornea. 2016 Oct;35(10):1267-73. doi: 10.1097/ICO.0000000000000915. PubMed 27310885 ↗
  • Soh YQ, Mehta JS. Regenerative Therapy for Fuchs Endothelial Corneal Dystrophy. Cornea. 2018 Apr;37(4):523-527. doi: 10.1097/ICO.0000000000001518. PubMed 29384808 ↗
  • Wacker K, Baratz KH, Bourne WM, Patel SV. Patient-Reported Visual Disability in Fuchs' Endothelial Corneal Dystrophy Measured by the Visual Function and Corneal Health Status Instrument. Ophthalmology. 2018 Dec;125(12):1854-1861. doi: 10.1016/j.ophtha.2018.06.018. Epub 2018 Aug 10. PubMed 30104038 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03971357
Lead sponsor
Price Vision Group
Responsible party
Sponsor
First posted
Jun 3, 2019
Start date
Jul 22, 2019
Primary completion
Aug 26, 2021
Completion
Aug 26, 2021
Results posted
Feb 6, 2023
Last update
Feb 6, 2023

Study contacts

Francis W Price, Jr, MD
principal investigator · Price Vision Group

Oversight

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

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This study is terminated, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Netarsudil

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