ClinicalTrials.gg
CompletedNCT04169061Updated Aug 18, 2021Results posted

Impact of Acthar on Everyday Life of Participants With Severe Keratitis

A Phase 4 interventional study of Acthar in Keratitis, sponsored by Mallinckrodt. Completed at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-18.

Sponsored by Mallinckrodt · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

We will need about 36 participants for this study.

Volunteers might be able to participate if:

  • they have bad noninfectious keratitis
  • early treatments failed or were not well tolerated

Participants will be in the study for about 22 weeks:

  • 4 weeks for tests to see if the study might be good for them
  • 12 weeks of treatment with Acthar gel
  • 4 weeks to wean off Acthar gel and follow-up with the doctor
02

Conditions studied

  • Keratitis

Browse trials for

Keywords

  • Severe or recalcitrant keratitis
03

In context

Keratitis

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

This study's enrollment of 36 is close to the median of 40 across 70 interventional studies indexed under Keratitis.

Browse Keratitis studies →

Lead sponsor

Mallinckrodt is the lead sponsor of 87 studies on the registry; none are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 15 (100%) 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

  • Has severe or recalcitrant keratitis
  • Did not respond to, or tolerate, treatment with topical cyclosporine, Lifitegrast, or any to treat keratitis
  • If able to reproduce, agrees to use 2 forms of effective with a partner of the opposite sex for the duration of the study (through Visit 6)
  • Has normal eyelids, and protocol-defined physical and medical eye attributes
  • Agrees to avoid wearing contact lenses during the trial

Exclusion criteria

Exclusion Criteria:

  • Is pregnant or breast-feeding
  • Is defined as vulnerable, or is employed by, or related to anyone involved in the study
  • Has a medical condition or history that might, per protocol or in the opinion of the investigator, compromise the participant's safety or study analysis
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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

05

Study design

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

Study arms

  • Experimental
    All participants

    Participants receive: * a shot of Acthar (80 units) under the skin twice a week for 12 weeks * a shot of Acthar (40 units) twice a week for 2 weeks * a shot of Acthar (40 units) once a week for 2 more weeks At each visit they will have medical tests and answer questions about their symptoms.

    Drug: Acthar

Interventions

  • DrugActhar

    Acthar gel for subcutaneous injection

    Also known as: Acthar Gel

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Improved on the Impact of Dry Eye on Everyday Life (IDEEL) Scale [Using the Symptom Bother Module at Week 12]

    A 12-point score reduction on the 100-point symptom bother module indicates a clinically important reduction of bothersome dry eye symptoms.

    Time frame: Week 12

07

Results

Posted Aug 18, 2021

Participant flow

Thirty-six participants were enrolled at 8 locations in the United States

Participant flow — Overall Study
MilestoneAll Participants
Started36
Safety population36
Modified intent to treat (mitt) population34
Completed31
Not completed5
Withdrew: Adverse event2
Withdrew: Death1
Withdrew: Withdrawal by subject1
Withdrew: Protocol violation1

Outcome measures

PrimaryNumber of Participants Who Improved on the Impact of Dry Eye on Everyday Life (IDEEL) Scale [Using the Symptom Bother Module at Week 12]

A 12-point score reduction on the 100-point symptom bother module indicates a clinically important reduction of bothersome dry eye symptoms.

Time frame:
Week 12
Reported as:
Count of participants · Participants
Number of Participants Who Improved on the Impact of Dry Eye on Everyday Life (IDEEL) Scale [Using the Symptom Bother Module at Week 12]
ParticipantsAll Participants
Number of Participants Who Improved on the Impact of Dry Eye on Everyday Life (IDEEL) Scale [Using the Symptom Bother Module at Week 12]17

Adverse events

Collected over While participating in the trial (up to 22 weeks). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Participants1/36 (2.8%)1/36 (2.8%)2/36 (5.6%)
Most frequent serious events
Most frequent serious events
EventAll Participants
Intentional overdoseInjury, poisoning and procedural complications1/36
Most frequent other events
Most frequent other events
EventAll Participants
HypertensionVascular disorders2/36

Baseline characteristics

Safety Analysis Population

Age, Continuous
Age, Continuous(years)All Participants
Mean63.6 ± 10.17
Sex: Female, Male
Sex: Female, Male(Participants)All Participants
Female26
Male10
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)All Participants
Hispanic or Latino2
Not Hispanic or Latino34
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)All Participants
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American7
White29
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)All Participants
United States36
08

Study locations

9 sites
  • Cornea and Cataract Consultants of Arizona
    Phoenix, Arizona 85032, United States
  • Global Research Management, Inc.
    Glendale, California 91204, United States
  • Eye Research Foundation
    Newport Beach, California 92663, United States
  • Eye Care Institute
    Louisville, Kentucky 40206, United States
  • Andover Eye Associates
    Raynham, Massachusetts 02767, United States
  • Vita Eye Clinic
    Shelby, North Carolina 28150, United States
  • Scott & Christie and Associates, PC
    Cranberry Township, Pennsylvania 06066, United States
  • Total Eye Care, P.A.
    Memphis, Tennessee 38119, United States
  • Advancing Vision Research, LLC
    Nashville, Tennessee 37205, United States
09

References and documents

Publications

  • Wirta D, McLaurin E, Ousler G, Liu J, Kacmaz RO, Grieco J. Repository Corticotropin Injection (Acthar(R) Gel) for Refractory Severe Noninfectious Keratitis: Efficacy and Safety from a Phase 4, Multicenter, Open-Label Study. Ophthalmol Ther. 2021 Dec;10(4):1077-1092. doi: 10.1007/s40123-021-00400-y. Epub 2021 Oct 20. PubMed 34669183 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Discussion of statistical endpoints and analysis are included in manuscripts. Summary aggregate (basic) results (including adverse events information) and the study protocol are made available on clinicaltrials.gov (NCT04169061) when required by regulation. Individual de-identified patient data will not be disclosed. Requests for additional information should be directed to the company at medinfo@mnk.com.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04169061
Lead sponsor
Mallinckrodt
Responsible party
Sponsor
First posted
Nov 19, 2019
Start date
Nov 13, 2019
Primary completion
Nov 9, 2020
Completion
Dec 7, 2020
Results posted
Aug 18, 2021
Last update
Aug 18, 2021

Study contacts

Global Clinical Leader
study director · Mallinckrodt

Oversight

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

Not currently enrolling

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

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Studies of the drug tested here: Adrenocorticotropic Hormone

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