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RecruitingNCT06450470Updated Apr 11, 2025

Use of a Freeze-dried Amniotic Membrane Post Crosslinking in Subjects With Progressive Keratoconus

A Phase 3 interventional study of Therapeutic lens alone and Therapeutic lens + amniotic membrane (Visio-AMTRIX) in Progressive Keratoconus, sponsored by TBF Genie Tissulaire. Recruiting at 9 sites in France. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-04-11.

Sponsored by TBF Genie Tissulaire · Phase 3, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was expected by Nov 2025, 1 year ago, but the record still lists the study as recruiting.
  • Started Nov 2024; still recruiting 1 year 11 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Crosslinking is a therapeutic technique used to increase the rigidity of the cornea in order to slow or stop progression of keratoconus. The main complication of the treatment of keratoconus by crosslinking is postoperative pain due to the removal of the corneal epithelium. Currently, the management of pain is done through the administration of artificial tears and paracetamol. The amniotic membrane is a biological tissue used in ophthalmology to treat injuries of the surface of the eye. It has healing and analgesic properties.

The objective of this multicenter randomized study is to evaluate the benefit of placing an amniotic membrane on the eye post-crosslinking to reduce pain and promote corneal healing.

02

Conditions studied

  • Progressive Keratoconus

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03

In context

Keratoconus

313 studies on the registry are indexed under Keratoconus; 56 are open to participants now.

This study's planned enrollment of 116 is above the median of 40 across 205 interventional studies indexed under Keratoconus.

Browse Keratoconus studies →

Lead sponsor

TBF Genie Tissulaire is the lead sponsor of 20 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  • Man or woman between 18 and 65 years old.
  • Indication for accelerated conventional crosslinking.
  • Patient with progressive keratoconus (increase in Kmax of ≥ 0.5 diopters in 3 to 6 months or ≥ 1 diopter in 3 to 12 months with loss of 10 microns on minimum pachymetry in 3 to 12 month).
  • Patient suffering from keratoconus with a compatible topographic form (Kmax ≥ 47.0 diopters (D) and difference inferior-superior of 1.5 D).
  • Patient with a minimum corneal thickness greater than 400 microns.
  • Informed and consenting patient.
  • Patient physically and mentally capable of completing the post-operative pain assessment self-questionnaire.
  • Patient having signed the of the French Ophthalmology Society for crosslinking.
  • Patient affiliated to a social security system or beneficiary of such a system.

Exclusion criteria

Exclusion Criteria:

  • Woman without effective means of , pregnant or breastfeeding.
  • Patient who has already benefited from a crosslinking procedure on one of the eyes.
  • Patient with a history of refractive surgery on one of the eyes.
  • Patient with an intracorneal ring segment on one of the eyes.
  • Patient suffering from a serious systemic pathology ( and/or immunodepressive)
  • Patient with a psychiatric pathology.
  • Patient on long-term analgesics and/or .
  • Indication of crosslinking outside the classic protocol.
  • Patient with central corneal opacity.
  • Patient suffering from a severe dry eye syndrome or a neurotrophic keratitis.
  • Patient with a history of ocular herpes.
  • Patient with a history of ocular varicella-zoster virus infection.
  • Patient with glaucoma.
  • Patient treated with topical cyclosporine in the last 6 months.
  • Patient deprived of liberty by a judicial or administrative decision.
  • Patient subject to a legal protection measure or unable to express their consent.
Terms in these criteria, in plain language(4)

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
116 participants (estimated)

Study arms

  • Active comparator
    Therapeutic lens alone

    Device: Therapeutic lens alone

  • Experimental
    Therapeutic lens + amniotic membrane (Visio-AMTRIX)

    Combination Product: Therapeutic lens + amniotic membrane (Visio-AMTRIX)

Interventions

  • DeviceTherapeutic lens alone

    Therapeutic lens will be apposed on the patient's eye after crosslinking. Therapeutic lens will be maintained without interruption until the first postoperative visit (Day 2) when it will be removed by the investigator.

  • Combination productTherapeutic lens + amniotic membrane (Visio-AMTRIX)

    Amniotic membrane (Visio-AMTRIX) will be apposed under therapeutic lens on the patient's eye after crosslinking. Amniotic membrane and therapeutic lens will be maintained without interruption until the first postoperative visit (Day 2) when it will be removed by the investigator.

06

What researchers measure

Primary outcomes

  1. Difference between the level of ocular pain experienced by patients treated with therapeutic lens + amniotic membrane (experimental) and by patients treated with therapeutic lens alone (active comparator)

    Pain evaluated from 0: no pain to 10: worst imaginable pain on visual analog scale (VAS)

    Time frame: Day 0 bedtime, Day 1 wake-up, Day 1 bedtime, Day 2 wake-up, Day 2 consultation

  2. Difference in analgesic consumption between patients treated with a therapeutic lens + amniotic membrane (experimental) and patients treated with a therapeutic lens alone (active comparator)

    Amount in grams of analgesic consumed per day

    Time frame: Day 0, Day 1, Day 2

Secondary outcomes

  1. Difference in visual acuity between eyes treated with therapeutic lens + amniotic membrane (experimental) and eyes treated with therapeutic lens alone (active comparator)

    Determination of logMAR values of best corrected visual acuity

    Time frame: Week 6

  2. Difference in corneal cicatrisation between eyes treated with therapeutic lens + amniotic membrane (experimental) and eyes treated with therapeutic lens alone (active comparator)

    Healing evaluated under slit lamp by fluorescein examination

    Time frame: Day 2, (Day 7), Week 6

  3. Difference in corneal thickness between eyes treated with therapeutic lens + amniotic membrane (experimental) and eyes treated with therapeutic lens alone (active comparator)

    Corneal thickness evaluated by anterior segment optical coherence tomography.

    Time frame: Week 6

  4. Difference in topographic parameters (Kmax, inferior-superior) between eyes treated with therapeutic lens + amniotic membrane (experimental) and eyes treated with therapeutic lens alone (active comparator)

    Topographic parameters (Kmax, inferior-superior) evaluated by corneal topography

    Time frame: Week 6

  5. Difference in dryness between eyes treated with therapeutic lens + amniotic membrane (experimental) and eyes treated with therapeutic lens alone (active comparator)

    Dry eye and effect on vision evaluated between 0 (no disability) and 100 (greater disability) using Ocular Surface Disease Index (OSDI)

    Time frame: Week 6

07

Study locations

8 of 9 sites recruiting
  • CHU de Brest
    Brest, 29609, France
    Recruiting
    • Béatrice COCHENER-LAMARD, Professor · Principal investigator
  • Hospices Civils de Lyon
    Lyon, 69003, France
    Recruiting
    • Carole BURILLON, Professor · Principal investigator
  • Assistance Publique - Hôpitaux de Marseille
    Marseille, 13005, France
    Recruiting
    • Thierry DAVID, Professor · Principal investigator
  • CHU de Montpellier
    Montpellier, 34295, France
    Recruiting
    • Vincent DAIEN, Professor · Principal investigator
  • CHU de Nantes
    Nantes, 44000, France
    Not yet recruiting
    • Isabelle ORIGNAC, MD · Principal investigator
  • Hôpital National de la Vision des Quinze-Vingts
    Paris, 75012, France
    Recruiting
    • Juliette KNOERI, MD · Principal investigator
    • Vincent BORDERIE, Professor · Sub investigator
  • CHU de Saint-Etienne
    Saint-Priest-en-Jarez, 42270, France
    Recruiting
    • Marie-Caroline TRONE, MD · Principal investigator
  • Hôpitaux Universitaires de Strasbourg
    Strasbourg, 67000, France
    Recruiting
    • Tristan BOURCIER, Professor · Principal investigator
  • CHU de Toulouse
    Toulouse, 31300, France
    Recruiting
    • Pierre FOURNIÉ, Professor · Principal investigator
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

Started Nov 2024 (actual). Primary completion is estimated for Nov 2025, 12 months after the start.

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

Registered
Jun 4, 2024
First posted
Jun 10, 2024
StartActual
Nov 25, 2024
Primary completionEst.
Nov 2025
CompletionEst.
Nov 2025
Last update
Apr 11, 2025
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 Apr 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06450470
Lead sponsor
TBF Genie Tissulaire
Responsible party
Sponsor
First posted
Jun 10, 2024
Start date
Nov 25, 2024
Primary completion
Nov 2025 (estimated)
Completion
Nov 2025 (estimated)
Last update
Apr 11, 2025

Study contacts

Laurence BARNOUIN, MD
Contact
laurence.barnouin@tbf-lab.com
0472686909 ext. +33
Justine BOSC, MSc
Contact
justine.bosc@tbf-lab.com
4 72 68 69 11 ext. +33

Oversight

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

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