ClinicalTrials.gg
Not yet recruitingNCT07671222INFLIXIDRYUpdated Jun 26, 2026

Safety and Efficacy of Topical Infliximab in Autoimmune Dry Eye Disease

A Phase 2 interventional study of Infliximab 0.1% and Loteprednol in Sjogren Syndrome, Sjogren Syndrome With Keratoconjunctivitis and Dry Eye Disease (DED), sponsored by Instituto de Oftalmología Fundación Conde de Valenciana. Not yet recruiting at 1 site in Mexico. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-26.

Sponsored by Instituto de Oftalmología Fundación Conde de Valenciana · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Sjögren's syndrome is a condition in which the immune system attacks the body's moisture-producing glands. This often causes severe dry eye, leading to discomfort, irritation, blurred vision, and damage to the eye surface. Inflammation plays an important role in this process, and a protein called TNF-alpha is one of the key drivers.

This study will test a new eye drop containing infliximab, a medication that blocks TNF-alpha. The goal is to see whether this treatment can safely improve symptoms and signs of severe dry eye in patients with Sjögren's syndrome.

Read the detailed description

Sjögren's syndrome is a condition in which the immune system attacks the body's moisture-producing glands. This often causes severe dry eye, leading to discomfort, irritation, blurred vision, and damage to the eye surface. Inflammation plays an important role in this process, and a protein called TNF-alpha is one of the key drivers.

This study will test a new eye drop containing infliximab, a medication that blocks TNF-alpha. The goal is to see whether this treatment can safely improve symptoms and signs of severe dry eye in patients with Sjögren's syndrome.

02

Conditions studied

  • Sjogren Syndrome
  • Sjogren Syndrome With Keratoconjunctivitis
  • Dry Eye Disease (DED)

Keywords

  • Dry eye disease
  • Sjogren syndrome
  • Sjogren disease
  • Autoimmune dry eye
03

In context

Sjogren's Syndrome

330 studies on the registry are indexed under Sjogren's Syndrome; 99 are open to participants now.

This study's planned enrollment of 38 is below the median of 50 across 218 interventional studies indexed under Sjogren's Syndrome.

Browse Sjogren's Syndrome studies →

Lead sponsor

Instituto de Oftalmología Fundación Conde de Valenciana is the lead sponsor of 45 studies on the registry; 10 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

  • Adult patients (≥ 18 years).
  • Confirmed diagnosis of primary or secondary Sjögren's syndrome according to the 2016 ACR/EULAR classification criteria.
  • On stable systemic immunomodulatory therapy (non-biologic) for at least 12 weeks, with no planned changes during the study (see section 14.1 if there are concerns about confounding variables).
  • Negative chest X-ray or Interferon-Gamma Release Assays (IGRA).
  • Diagnosis of severe dry eye, defined by meeting all of the following criteria in at least one eye at study entry:
  • OSS (SICCA 0-12) ≥ 6 in at least one eye.
  • OSDI ≥ 33 (severe symptoms).
  • Symptoms: OSDI score ≥ 33.
  • Signs: Ocular Staining Score (OSS, SICCA) ≥ 6.
  • Ability to understand and sign and to comply with study procedures and treatment administration.

Exclusion criteria

Exclusion Criteria:

  • Current use of topical or topical immunomodulators (cyclosporine, lifitegrast, tacrolimus, autologous serum) within 30 days prior to enrollment.
  • Current or recent use (\< 3 months) of punctal plugs.
  • Active ocular infection (bacterial, viral, fungal) or recent history of herpetic keratitis.
  • Ocular or eyelid surgery within the past 6 months.
  • Use of contact lenses during the study period.
  • Known allergy or to infliximab, murine proteins, or any component of the formulation (including CMC).
  • Coexisting ocular conditions that may interfere with dry eye evaluation (e.g., active ocular cicatricial pemphigoid, active ocular , uncontrolled glaucoma, significant corneal dystrophy).
  • Systemic conditions considered to infliximab exposure, including: active systemic infection, untreated active or latent tuberculosis, history of demyelinating disease, moderate to severe congestive heart failure ( Class III/IV), or history of within the past 5 years.
  • Use of systemic biologic agents within the past 6 months (12 months for systemic anti-TNF-α therapy).
  • Pregnancy, breastfeeding, or intention to become pregnant during the study.
  • Participation in another clinical trial with an drug within the past 30 days.
  • Ability to understand and sign and to comply with study procedures and treatment administration.
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.

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.

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.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
38 participants (estimated)

Study arms

  • Experimental
    Infliximab group

    Arm A: Infliximab Group (Intervention) Participants assigned to this group will receive: Topical infliximab 1 mg/mL (0.1%) in CMC 1%, one drop in each eye four times daily (QID) Topical corticosteroid (loteprednol 0.5%), one drop in each eye QID (standard therapy) This group evaluates whether adding infliximab to standard therapy improves symptoms and ocular surface inflammation.

    Drug: Infliximab 0.1%

  • Active comparator
    Vehicle group

    Participants assigned to this group will receive: Vehicle (CMC 1%) eye drops without infliximab, one drop in each eye four times daily (QID) Topical corticosteroid (loteprednol 0.5%), one drop in each eye QID (standard therapy) Preservative-free artificial tears as needed (rescue treatment) This group serves as the control, allowing comparison against standard treatment plus vehicle.

    Drug: Loteprednol

Interventions

  • It uses topical infliximab at 1 mg/mL (0.1%) formulated in preservative-free 1% carboxymethylcellulose (CMC), administered as 1 drop in each eye four times daily for 6 weeks. The comparator is an identical vehicle (CMC 1% without infliximab), which helps isolate the effect of infliximab itself.

    Also known as: Infliximab

  • The comparator is an identical vehicle (CMC 1% without infliximab), which helps isolate the effect of infliximab itself.

06

What researchers measure

Primary outcomes

  1. Change in Ocular Surface Disease Index (OSDI)

    Measures patient-reported symptoms. Outcome is assesed from baseline to 6 weeks.

    Time frame: 6 weeks.

07

Study locations

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

Registry details

Key details

Study ID
NCT07671222
Lead sponsor
Instituto de Oftalmología Fundación Conde de Valenciana
Responsible party
Nicolas Kahuam Lopez (Consultant Cornea and Refractive Surgery Department, Instituto de Oftalmología Fundación Conde de Valenciana) — Principal investigator
First posted
Jun 26, 2026
Start date
Dec 2026 (estimated)
Primary completion
Mar 2028 (estimated)
Completion
Mar 2028 (estimated)
Last update
Jun 26, 2026

Study contacts

Gustavo Ortiz-Morales, MD
Contact
dr.gortizmor@gmail.com
5554421700
Enrique Graue-Hernandez, MD, MSc
principal investigator · Instituto de Oftalmologia Fundacion Conde de Valenciana

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. 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: Infliximab

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