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RecruitingNCT07305987PRO-232Updated Dec 26, 2025

PRO-232 in Patients Subjected to Cataract Surgery

A Phase 3 interventional study of Moxifloxacin / Dexamethasone Ophthalmic Solution and Placebo in Cataract Extraction, sponsored by Laboratorios Sophia S.A de C.V.. Recruiting at 2 sites in Mexico. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-26.

Sponsored by Laboratorios Sophia S.A de C.V. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 3
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main objective of this study is to evaluate the efficacy and safety of the PRO-232 formulation manufactured by Laboratorios Sophia S.A. de C.V. on the ocular surface of postoperative cataract patients versus a concomitant administration of ophthalmic moxifloxacin and dexamethasone.

Read the detailed description

This is a multicenter, randomized, double-blind, parallel-group, controlled clinical study designed to evaluate the efficacy and safety of PRO-232 ophthalmic solution in postoperative cataract patients. Participants will receive study treatment for 14 days.

The primary efficacy endpoint is to evaluate PRO-232 ophthalmic solution applied to the ocular surface of postoperative cataract patients, compared with concomitant administration of ophthalmic moxifloxacin and dexamethasone, by the proportion of patients with a grade 0 cellularity after 14 days of treatment.

Secondary outcomes include assessment of anterior chamber cellularity, ocular inflammation, eye pain using the Wong-Baker Faces® Visual Analog Scale, incidence of treatment-releated unexpected adverse events, best-corrected visual acuity (BCVA), and changes in intraocular pressure (IOP).

02

Conditions studied

  • Cataract Extraction

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03

In context

Cataract

1,629 studies on the registry are indexed under Cataract; 235 are open to participants now.

This study's planned enrollment of 134 is above the median of 79 across 1,092 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

Laboratorios Sophia S.A de C.V. is the lead sponsor of 45 studies on the registry; 5 are open to participants now.

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

  • To have the ability to voluntarily grant their signed (FCI).
  • Being able and willing to comply with scheduled visits in the treatment plan and other study procedures.
  • Being 18 years of age or older.
  • Male or female.
  • Women within childbearing age who do not have a history of bilateral tubaric obstruction, hysterectomy, or bilateral oophorectomy should ensure continued use (initiated ≥ 30 days prior to signing the ICF) of a hormonal method or intrauterine device (IUD) during the study period.
  • Having a postoperative diagnosis (unilateral, single eye) of cataract extraction by phacoemulsification with uncomplicated intraocular lens (IOL) placement** on the day prior to inclusion.
  • Having an intraocular pressure ≥ 8 and ≤ 21 mmHg.

    • A complicated cataract surgery will be defined by study, as any procedure where the planned surgical technique has been modified or the use of vitrectomy has been required, an IOL has not been placed, a different IOL from the originally planned model has been placed or an IOL has been placed outside the capsular bag, remains of the lens have been left inside the eye, there was rupture of the posterior capsule with or without the presence of vitreous, or detachment of Descemet's membrane occured, there was disinsertion of the capsular pouch, or there was trauma to the iris or ciliary body during the surgical procedure. In the event of any other situation that could be considered a complication and that is not reflected in this list, the inclusion of said patient will be at the discretion of the researcher.

Exclusion criteria

Exclusion Criteria:

  • Allergy to any of the components of the products or to any of the compounds used during testing.
  • Surgery on both eyes during the same surgical period.
  • Not having had surgery within a period of 24 hours before inclusion.
  • Performing iridectomy, or injury to the pupillary sphincter during phacoemulsification surgery.
  • History of use of eye drops between the end of surgery and the baseline visit.
  • History of diagnosis of glaucoma or ocular hypertension.
  • History of chronic or recurrent inflammatory eye disease (uveitis, iritis, iridocyclitis, etc.), eye inflammation or pain in the eye of study prior to surgery.
  • Presence of corneal abrasion or ulceration.
  • Use of topical or subconjunctival or nonsteroidal anti-inflammatory drugs (NSAIDs), 24 hours prior to surgery and until the start of instillation of investigational medications.
  • Use of steroids or systemic anti-inflammatory drugs within 14 days prior to surgery or if you plan to use them during the study period, or the presence of a diagnosis requiring the use of these medications during the study period.
  • Use of blood thinners, systemic steroids, or immunomodulators within the past two weeks.
  • Periocular injection of any steroid 4 weeks prior to initiation of investigational drug instillation or depot steroid use 2 months prior to initiation of investigational drug instillation.
  • Presence or suspicion of viral, bacterial or fungal keratitis and/or conjunctivitis.
  • Presence or suspicion of endophthalmitis.
  • Presence or suspicion of anterior segment toxic syndrome.
  • Severe corneal edema that does not allow the evaluation of the anterior chamber.
  • Any disease or condition that requires the use of steroids by any route other than topical ophthalmic application.
  • Patients with a single functional eye.
  • Any condition or disease that, in the opinion of the main investigator, does not make the patient suitable for the study.
  • Having participated in any investigational clinical study 30 days prior to inclusion in this study.
  • Having previously participated in this same study.
  • Having an active inflammatory or infectious disease at the time of study entry.
  • Having unresolved eye injuries or trauma at the time of study entry.
  • Use of antibacterial, antiviral, or antifungal agents by any route of administration within 30 days prior to study enrollment (including intracameral transsurgical antibiotics or administered to irrigation solution), or during the study.
  • Use of pilocarpine and prostaglandin analogues.
  • Secondary implantation or replacement of the intraocular lens (IOL) in the study eye.
  • For women: being pregnant, breastfeeding, or planning to become pregnant within the study period.
  • Be or have an immediate family member (e.g., spouse, parent/legal guardian, sibling, or child) who is employed by the research site or sponsor, and who is directly involved in this study.
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.

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.

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
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
134 participants (estimated)

Study arms

  • Experimental
    PRO-232

    Two eyedroppers: one for PRO-232 and another for Placebo. Both will be administrated as follows: 1 drop four times a day (QID) with a minimum of four hours between applications, in the study eye for 14 days; with the exception of day 1 (the same day of the baseline visit), where a reduction in the interval between applications to a minimum of 3 hours per day will be allowed. A period of minimum 5 minutes between eyedropper administration will be required.

    Drug: Moxifloxacin / Dexamethasone Ophthalmic Solution · Drug: Placebo

  • Active comparator
    Moxifloxacin / Dexamethasone

    Two eyedroppers: one for moxifloxacin and another for dexamethasone. Both will be administrated as follows: 1 drop four times a day (QID) with a minimum of four hours between applications, in the study eye for 14 days; with the exception of day 1 (the same day of the baseline visit), where a reduction in the interval between applications to a minimum of 3 hours per day will be allowed. A period of minimum 5 minutes between eyedropper administration will be required.

    Drug: Moxifloxacin Hydrochloride, Ophthalmic · Drug: Dexamethasone phosphate

Interventions

  • DrugMoxifloxacin / Dexamethasone Ophthalmic Solution

    Drug pages: Moxifloxacin · Dexamethasone

    Moxifloxacin 0.5% / Dexamethasone phosphate 0.1% Ophthalmic solution

    Also known as: PRO-232

  • DrugPlacebo

    Same excipients as PRO-232, without active principles (moxifloxacin and dexamethasone)

  • DrugMoxifloxacin Hydrochloride, Ophthalmic

    Drug page: Moxifloxacin

    Moxifloxacin 0.5% Ophthalmic solution

  • Dexamethasone phosphate 0.1% Ophthalmic solution

06

What researchers measure

Primary outcomes

  1. Proportion of patients with grade 0 cellularity among interventions

    Using a slit lamp, a detailed assessment of cellularity in the anterior chamber of the eye will be performed. Using a 0.5 X 8.0mm beam of light directed obliquely the degree of cellularity will be measured. The grade of cellularity in the anterior chamber will be reported acording to the following scale: Grade Number of cells Grade 0 (≤ 5 cells), grade 1+ (5-10 cells \[mild\]), grade 2+ (11-20 \[moderate\]), grade 3+ (21-50 \[marked\]), grade 4+ (over 50 \[severe\]). The evaluated population for this outcome measure will be the PP population (subjects who finished the study without presenting any mayor deviations to protocol).

    Time frame: Day 1, 3, 8 and 15.

  2. Proportion of patients presenting unexpected adverse events (AE) related between interventions

    The manifested adverse events during the conduction of this trial will be obtained during trial visits and reported in the electronic CRF, where the clinical team of the center included the information from source documents. These will be previously checked by the monitor team, pharmacovigilance specialist, and the medical specialist part of the sponsor's crew to verify concordance with what was stipulated in the protocol. The classification as unexpected and/or related will be based in previously reported AE for the ingredients of the investigational products and comparators. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.

    Time frame: Day 1, 3, 8, 15 and 20.

Secondary outcomes

  1. Degree of cellularity in the anterior chamber between interventions

    Using a slit lamp, a detailed assessment of cellularity in the anterior chamber of the eye will be performed. Using a 0.5 X 8.0mm beam of light directed obliquely the degree of cellularity will be measured. The grade of cellularity in the anterior chamber will be reported acording to the following scale: Grade Number of cells Grade 0 (≤ 5 cells), grade 1+ (5-10 cells \[mild\]), grade 2+ (11-20 \[moderate\]), grade 3+ (21-50 \[marked\]), grade 4+ (over 50 \[severe\]). A higher score is a worse outcome. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.

    Time frame: Day 1, 3, 8 and 15.

  2. Pain level score between interventions.

    The patient's level of eye pain will be assessed using a visual analog scale (Wong-Baker FACES® Visual Analog Scale). The scoring system will be as follows: Severity: (0) Doesn't hurt, (2) Hurts a little, (4) Hurts a little more, (6) Hurts a lot, (8) Hurts too much, (10) Unbearable pain. A higher score is a worse outcome. This outcome measure considered the Intention-To-Treat (ITT) population, all participants who were randomized and exposed to treatment, regardless of whether they finished the study.

    Time frame: Day 1, 3, 8 and 15.

  3. Changes in best corrected visual acuity (BCVA) measurement between interventions

    The patient will be evaluated using his/her best refractive correction. BCVA is a test of visual function. It will be evaluated with the Snellen chart. The Snellen chart is the standard tool used to evaluate visual acuity. It was located in a place with adequate lighting, natural or artificial and at a distance of 3 meters from the subject to be evaluated. The contralateral eye to which it will be evaluated is covered, then the examiner detects until the line can clearly see the letters given he or she a score, the normal score for a VA is 20/20.This score can be expressed in fraction (i.e. 20/20) decimal (i.e. 1.0), or LogMAR (i.e. 0) formats. In this study, BCVA wiil be expressed in fraction and LogMAR formats. In fraction format and in LogMAR, a higher denominator number or number (respectively) is a worse outcome.

    Time frame: Day 1, 3, 8 and 15.

  4. Proportion of patients who present an increase in intraocular pressure (IOP) ≥10 mmHg compared to baseline.

    The IOP will be measured through Goldmann tonometer in milligrams of mercury (mmHg). After instillation of topical anesthetic (tetracaine 0.5%) and fluorescein stain, IOP will be evaluated. Normal values are considered between 10 and 21 mmHg.

    Time frame: Day 1, 3, 8 and 15.

07

Study locations

2 of 2 sites recruiting
  • Retina Center
    Tijuana, Estado de Baja California 22010, Mexico
    Recruiting
  • RGH Integra
    Puebla City, Puebla 72180, Mexico
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Dec 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07305987
Responsible party
Sponsor
First posted
Dec 26, 2025
Start date
Oct 27, 2025
Primary completion
Jun 30, 2026 (estimated)
Completion
Jul 30, 2026 (estimated)
Last update
Dec 26, 2025

Study contacts

Oscar Olvera-Montaño, MD
Contact
oscar.olvera@sophia.com.mx
3330004200
Alejandra Sánchez-Ríos, MD
Contact
alejandra.sanchez@sophia.com.mx
3330004200 ext. 1190

Oversight

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

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Studies of the drugs tested here: Moxifloxacin · Dexamethasone

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