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RecruitingNCT07453888Updated Oct 27, 2026

Efficacy and Safety of Intranasal Cenegermin in Adult Participants With Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)

A Phase 3 interventional study of Cenegermin and Vehicle in Non-Arteritic Anterior Ischemic Optic Neuropathy, sponsored by Dompé Farmaceutici S.p.A. Recruiting at 38 sites in 4 countries. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Dompé Farmaceutici S.p.A · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Updated Oct 27, 2026First site in South KoreaSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
272
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
01

Study summary

This is a phase 3, randomized, multicenter, vehicle-controlled, double-masked study to evaluate the efficacy and safety of intranasal cenegermin compared with vehicle control in adult participants with NAION. Approximately 272 participants who meet all eligibility criteria will be randomly assigned in a 1:1 ratio to receive either cenegermin treatment (Group 1) or the vehicle control (Group 2).

02

Conditions studied

  • Non-Arteritic Anterior Ischemic Optic Neuropathy

Keywords

  • Acute optic neuropathy
  • Non-Arteritic Anterior Ischemic Optic Neuropathy
  • NAION
  • cenegermin
  • Optic neuropathy
  • Intranasal
03

In context

Optic Neuropathy, Ischemic

55 studies on the registry are indexed under Optic Neuropathy, Ischemic; 11 are open to participants now.

This study's planned enrollment of 272 is above the median of 40 across 35 interventional studies indexed under Optic Neuropathy, Ischemic.

Browse Optic Neuropathy, Ischemic studies →

Lead sponsor

Dompé Farmaceutici S.p.A is the lead sponsor of 52 studies on the registry; 4 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 18 (100%) have results posted.

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

04

Who can participate

Ages eligible
50 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. A clinical diagnosis of unilateral NAION in the study eye with symptom onset within 14 days prior to the planned date for first dose administration.
  2. A BCVA score in the study eye of ≥ 15 letters and ≤ 65 letters measured using the ETDRS chart.
  3. Sufficiently clear ocular media and adequate pupil dilation to enable assessment of the optic nerve and retina in both eyes.

Key Exclusion Criteria:

  1. Bilateral NAION or sequential NAION with fellow eye involvement within 6 weeks of study eye involvement.
  2. Clinical evidence of temporal arteritis (giant cell arteritis) signs or symptoms.
  3. Abnormal laboratory findings suggestive of temporal arteritis (giant cell arteritis), in the absence of a known acute cause
  4. Pain with eye movement
  5. Intraocular pressure (IOP) greater than 25 mmHg in the study eye or history of glaucoma in the study eye.
  6. Intermediate age-related macular degeneration (AMD) with subfoveal drusen, exudative AMD, or geographic atrophy in the study eye.

Note: Additional inclusion/exclusion criteria apply, as defined in the protocol.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
272 participants (estimated)

Study arms

  • Experimental
    Cenegermin

    Participants will be administered with cenegermin spray in each nostril.

    Drug: Cenegermin

  • Placebo comparator
    Vehicle

    Participants will be administered with vehicle spray in each nostril.

    Other: Vehicle

Interventions

  • Cenegermin is administered intranasally.

  • OtherVehicle

    Vehicle spray is administered intranasally.

06

What researchers measure

Primary outcomes

  1. Achievement of ≥ 15 letter increase in Best Corrected Visual Acuity (BCVA), assessed in each individual participant, measured using the Early Treatment Diabetic Retinopathy Study (ETDRS) chart

    Improvement in visual acuity defined as a \>=15 letter increase in BCVA using ETDRS chart.

    Time frame: Baseline to Week 24

Secondary outcomes

  1. Change from baseline in visual field mean sensitivity in decibels

    Change from baseline in visual field mean sensitivity in decibels will be analyzed

    Time frame: Baseline through Week 24

  2. Change from baseline in BCVA as measured by the ETDRS chart

    Time frame: Baseline through Week 24

  3. Change from baseline in visual field mean sensitivity, in a prespecified region consisting of at least 5 separate loci on visual field testing

    Change from baseline in mean sensitivity at week 24 in loci prespecified at baseline will be analyzed.

    Time frame: Baseline through Week 24

  4. Change from baseline in ganglion cell layer-inner plexiform layer (GCL-IPL) thickness (micrometer [μm]) on optical coherence tomography (OCT).

    Change from baseline in GCL-IPL thickness on optical coherence tomography will be analyzed.

    Time frame: Baseline through Week 24

  5. Incidence of ocular and non-ocular adverse events

    Number of participants with ocular and non-ocular adverse events will be assessed.

    Time frame: Through Week 24

07

Study locations

34 of 38 sites recruiting
  • Neuro Eye Orbit Institute
    Los Angeles, California 90048, United States
    Recruiting
  • David Geffen School of Medicine at UCLA - Ophthalmology
    Los Angeles, California 90095, United States
    Not yet recruiting
  • California Orbital Consultants
    Newport Beach, California 92660, United States
    Recruiting
  • Stanford Byers Eye Institute
    Palo Alto, California 94303, United States
    Recruiting
  • UC Davis Health, Ophthalmology
    Sacramento, California 95817, United States
    Recruiting
  • University of Colorado Anschutz Medical Campus
    Aurora, Colorado 80045, United States
    Recruiting
  • Bascom Palmer Eye Institute, University of Miami School of Medicine
    Miami, Florida 33136, United States
    Not yet recruiting
  • Sarasota Retina Institute - Research
    Sarasota, Florida 34239, United States
    Recruiting
  • University of South Florida/Ophthalmology
    Tampa, Florida 33612, United States
    Recruiting
    • · Contactasriram2@usf.edu · 813-974-2020
    • Aishwarya Sriram · Principal investigator
  • Emory University - Emory Eye Center - Atlanta
    Atlanta, Georgia 30322, United States
    Recruiting
  • Northwestern University - Ophthalmology
    Chicago, Illinois 60611, United States
    Recruiting
  • University of Illinois at Chicago Eye and Ear Infirmary - Ophthalmology
    Chicago, Illinois 60612, United States
    Recruiting
    • · ContactPmacint1@uic.edu · 312-413-7491
    • Peter MacIntosh · Principal investigator
  • Univ. Of Kentucky Clinic Dept of Ophthalmology & Vision Science
    Lexington, Kentucky 40508, United States
    Not yet recruiting
  • The Johns Hopkins Hospital (JHH)
    Baltimore, Maryland 21287, United States
    Recruiting
    • · Contactahende24@jhmi.edu · 667-306-7723
    • Amanda Henderson · Principal investigator
  • Tufts Medical Center - Neurology
    Boston, Massachusetts 02116, United States
    Recruiting
  • University of Michigan Health - Kellogg Eye Center
    Ann Arbor, Michigan 48105, United States
    Recruiting
  • Trinity Health Grand Rapids
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • University of Minnesota, Dept of Ophthalmology
    Minneapolis, Minnesota 55455, United States
    Recruiting
    • · Contactmikelee@umn.edu · 612-273-6212
    • Michael Lee · Principal investigator
  • Mayo Clinic - Department of Ophthalmology
    Rochester, Minnesota 55905, United States
    Recruiting
  • Washington University School of Medicine in St Louis - Ophthalmology
    St Louis, Missouri 63108, United States
    Recruiting
  • UNMC Truhlsen Eye Institute
    Omaha, Nebraska 68105, United States
    Recruiting
    • · Contactslynch@unmc.edu · 402-559-1852
    • Shannon Lynch · Principal investigator
  • Duke Eye Center - Ophthalmology
    Durham, North Carolina 27705, United States
    Recruiting
  • University of Pennsylvania - Ophthalmology
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Wills Eye Hospital
    Philadelphia, Pennsylvania 19107, United States
    Not yet recruiting
  • Retina Consultants of South Carolina, Charleston Neuroscience Institute- West Ashley (RCA)
    Charleston, South Carolina 29414, United States
    Recruiting
  • Neuro Eye Clinical Trials
    Houston, Texas 77074, United States
    Recruiting
  • Retina Consultants of Texas - The Woodlands
    The Woodlands, Texas 77384, United States
    Recruiting
  • Vision SA - Ophthalmology
    Kent Town, South Australia 5067, Australia
    Recruiting
  • Cerulea
    East Melbourne, Victoria 3002, Australia
    Recruiting
  • Pusan National University Hospital - Ophthalmology
    Busan, Busan Gwang'yeogsi 49241, South Korea
    Recruiting
  • Asan Medical Center - Ophthalmology
    Seoul, Seoul Teugbyeolsi 05505, South Korea
    Recruiting
  • Samsung Medical Center - Ophthalmology
    Seoul, Seoul Teugbyeolsi 06351, South Korea
    Recruiting
  • Western Eye Hospital
    London, Greater London NW1 5QH, United Kingdom
    Recruiting
  • Manchester University NHS Foundation Trust - Manchester Royal Eye Hospital
    Manchester, Greater Manchester M13 9WL, United Kingdom
    Recruiting
  • Oxford University Hospital NHS Trust - John Radcliffe Hospital
    Abingdon, Oxfordshire OX3 9DU, United Kingdom
    Recruiting
  • Sheffield Teaching Hospitals NHS Foundation Trust - Royal Hallamshire Hospital
    York, Sheffield S10 2JF, United Kingdom
    Recruiting
  • Bristol NHS Foundation Trust - Bristol Eye Hospital
    Bristol, BS1 2LX, United Kingdom
    Recruiting
  • Liverpool University Hospitals NHS Foundation Trust - Royal Liverpool University Hospital - St Paul's Eye Unit
    Liverpool, L7 8TX, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
13 sites added — first site in South Korea. 4 sites changed recruiting status (4 now recruiting)
Show 4 sites
  • Northwestern University - Ophthalmology · Chicago, United StatesNot yet recruiting→Recruiting
  • University of Illinois at Chicago Eye and Ear Infirmary - Ophthalmology · Chicago, United StatesNot yet recruiting→Recruiting
  • The Johns Hopkins Hospital (JHH) · Baltimore, United StatesNot yet recruiting→Recruiting
  • University of Minnesota, Dept of Ophthalmology · Minneapolis, United StatesNot yet recruiting→Recruiting
Show 13 added (5 United States, 4 United Kingdom, 3 South Korea, 1 Australia)
  • Stanford Byers Eye Institute · Palo Alto, United States
  • UC Davis Health, Ophthalmology · Sacramento, United States
  • University of South Florida/Ophthalmology · Tampa, United States
  • UNMC Truhlsen Eye Institute · Omaha, United States
  • Retina Consultants of Texas - The Woodlands · The Woodlands, United States
  • Cerulea · East Melbourne, Australia
  • Pusan National University Hospital - Ophthalmology · Busan, South Korea
  • Asan Medical Center - Ophthalmology · Seoul, South Korea
  • Samsung Medical Center - Ophthalmology · Seoul, South Korea
  • Manchester University NHS Foundation Trust - Manchester Royal Eye Hospital · Manchester, United Kingdom
  • Oxford University Hospital NHS Trust - John Radcliffe Hospital · Abingdon, United Kingdom
  • Sheffield Teaching Hospitals NHS Foundation Trust - Royal Hallamshire Hospital · York, United Kingdom
  • Bristol NHS Foundation Trust - Bristol Eye Hospital · Bristol, United Kingdom
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    13 sites added — first site in South Korea. 4 sites changed recruiting status (4 now recruiting)
    Show 4 sites
    • Northwestern University - Ophthalmology · Chicago, United StatesNot yet recruiting→Recruiting
    • University of Illinois at Chicago Eye and Ear Infirmary - Ophthalmology · Chicago, United StatesNot yet recruiting→Recruiting
    • The Johns Hopkins Hospital (JHH) · Baltimore, United StatesNot yet recruiting→Recruiting
    • University of Minnesota, Dept of Ophthalmology · Minneapolis, United StatesNot yet recruiting→Recruiting
    Show 13 added (5 United States, 4 United Kingdom, 3 South Korea, 1 Australia)
    • Stanford Byers Eye Institute · Palo Alto, United States
    • UC Davis Health, Ophthalmology · Sacramento, United States
    • University of South Florida/Ophthalmology · Tampa, United States
    • UNMC Truhlsen Eye Institute · Omaha, United States
    • Retina Consultants of Texas - The Woodlands · The Woodlands, United States
    • Cerulea · East Melbourne, Australia
    • Pusan National University Hospital - Ophthalmology · Busan, South Korea
    • Asan Medical Center - Ophthalmology · Seoul, South Korea
    • Samsung Medical Center - Ophthalmology · Seoul, South Korea
    • Manchester University NHS Foundation Trust - Manchester Royal Eye Hospital · Manchester, United Kingdom
    • Oxford University Hospital NHS Trust - John Radcliffe Hospital · Abingdon, United Kingdom
    • Sheffield Teaching Hospitals NHS Foundation Trust - Royal Hallamshire Hospital · York, United Kingdom
    • Bristol NHS Foundation Trust - Bristol Eye Hospital · Bristol, United Kingdom
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07453888
Responsible party
Sponsor
First posted
Mar 6, 2026
Start date
Jul 1, 2026
Primary completion
Sep 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Oct 27, 2026

Study contacts

Dompé farmaceutici S.p.A. Via Santa Lucia, 6, 20122 Milan (MI)
Contact
+39 02 583 831

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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