ClinicalTrials.gg
Active, not recruitingNCT06947850Updated Apr 27, 2025

DOMPE -MT Neurotrophic Keratitis

A Phase 4 interventional study of Cenegermin Ophthalmic Solution [Oxervate] in Dry Eye and Neurotrophic Keratitis, sponsored by Toyos Clinic. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-27.

Sponsored by Toyos Clinic · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as active, not recruiting.
  • Registered 2 years 2 months after the study started (first participant enrolled Jan 2023, registered Apr 2025).
Phase
Phase 4
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

TITLE: Toyos Clinic / A Phase 4 Study to Assess Longer Duration of Treatment with Cenegermin in Moderate to Severe Dry Eye-Associated Neurotrophic Keratitis

02

Conditions studied

  • Dry Eye
  • Neurotrophic Keratitis

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Keywords

  • dry eye
  • Neurotrophic Keratitis
03

In context

Dry Eye Syndromes

1,366 studies on the registry are indexed under Dry Eye Syndromes; 207 are open to participants now.

This study's planned enrollment of 10 is below the median of 60 across 1,129 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

Toyos Clinic is the lead sponsor of 12 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:1. Provision of signed and dated form and HIPPA authorization.

  1. Stated willingness to comply with all study procedures and availability for the duration of the study 3. Male or female, aged 18 to 85. 4. Subjects with moderate to severe ocular pain defined as SANDE questionnaire score of >25 mm at time of screening not due to causes other than dry eye associated with NK in the opinion of the investigator.
  1. Have used and/or desired to use an artificial tear substitute for dry eye symptoms in the past 3 months.
  1. Have normal lid anatomy. 7. For females of :use of highly effective for at least 1 month prior to screening and agreement to use such a method during study participation.
  1. For males of reproductive potential:use of condoms or other methods to ensure effective contraception with partner 9. Are (no menstrual cycle for at least one year prior to Visit 1) or have undergone bilateral tubal ligation, hysterectomy, hysterectomy with uni- or bilateral oophorectomy, or bilateral oophorectomy.
  1. Patients with stage 1 NK characterized by epithelial irregularity most commonly in the form of punctate keratopathy without epithelial defect or Stage 2 (persistent epithelial defect, PED).
  1. PED or corneal ulceration of at least 2 weeks duration to one or more conventional non-surgical treatments for neurotrophic keratitis (e.g., preservative-free artificial tears, gels or ointments; discontinuation of preserved topical drops and medications that can decrease corneal sensitivity; therapeutic contact lenses).
  1. Evidence of decreased corneal sensitivity (≤ 4 cm using the Cochet-Bonnet aesthesiometer) within the area of the PED or corneal ulcer and outside of the area of the defect in at least one corneal quadrant.
  1. BCDVA of 20/200 or better by Snellen or >/=0.1 decimal units.

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Exclusion Criteria:

  1. Have a known or to the product or their components.
  2. Severe systemic allergy.
  3. Topical glaucoma medications or oral medications that are not being taken at a stable dose for the past 90 days.
  4. Topical dry eye medications within the last month except unpreserved artificial tears which will be allowed throughout the study as needed.
  5. Active viral, fungal or bacterial infection or active intraocular inflammation.
  6. Subjects must be unwilling to abstain from eyelash growth medications for the duration of the trial.
  7. Subjects must not have had penetrating intraocular surgery, refractive surgery or corneal transplantation, eyelid surgery within 12 weeks prior to Visit 1.
  8. Febrile illness within one week of screening visit.
  9. Treatment with another investigational drug or other investigational intervention withinone month of screening visit.
  10. Have serious or severe disease or uncontrolled medical condition that in the judgment of the investigator could confound study assessments or limit compliance.
  11. Subjects that are currently pregnant or intend to become pregnant during the course of the study, are breastfeeding, or who are unwilling to use highly effective birth control measures such as hormonal contraceptives, and/or mechanical barrier methods during the course of the trial.
  12. Use of contact lenses during trial.
  13. Amniotic membranes within two weeks prior to screening.
  14. Punctal plugs will be allowed as long as they have remained stable for at least 90 days.
  15. No neurostimulation including varencicline, acupuncture or TrueTear or like devices within one month of screening.

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Terms in these criteria, in plain language(8)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Active comparator
    8 week cenegermin treatment

    All participants receive cenegermin topical ophthalmic drops 20mcg/ml six times daily for a treatment period of either 8 or 16 weeks followed by a follow up period total52 weeks total for each study arm.

    Drug: Cenegermin Ophthalmic Solution [Oxervate]

  • Active comparator
    16 week cenegermin

    All participants receive cenegermin topical ophthalmic drops 20mcg/ml six times daily for a treatment period of either 8 or 16 weeks followed by a follow up period total52 weeks total for each study arm.

    Drug: Cenegermin Ophthalmic Solution [Oxervate]

Interventions

06

What researchers measure

Primary outcomes

  1. TITLE: Toyos Clinic / A Phase 4 Study to Assess Longer Duration of Treatment with Cenegermin in Moderate to Severe Dry Eye-Associated Neurotrophic Keratitis

    Time frame: 8 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

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 Apr 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06947850
Lead sponsor
Toyos Clinic
Responsible party
Sponsor
First posted
Apr 27, 2025
Start date
Jan 21, 2023
Primary completion
Sep 25, 2025 (estimated)
Completion
Sep 25, 2025 (estimated)
Last update
Apr 27, 2025

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 active, not recruiting, as verified in Apr 2025. 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: Cenegermin

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