ClinicalTrials.gg
Not yet recruitingNCT07838506NEPTUNEUpdated Sep 29, 2026

Phase 3, Multi-Center, Randomized, Double-Masked, Placebo-Controlled Study Assessing the Safety and Efficacy of Urcosimod Ophthalmic Solution in Participants With Neuropathic Corneal Pain (NCP).

A Phase 3 interventional study of Urcosimod ophthalmic solution is a preservative-free topical ophthalmic product; supplied in unit dose ampoules; administered QID for 12-weeks. and Vehicle Ophthalmic Solution in Neuropathic Corneal Pain, sponsored by Okyo Pharma Ltd. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Okyo Pharma Ltd · Phase 3, Interventional, and Treatment

Updated Sep 29, 2026Primary outcomes revisedInterventions changed+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
111
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is testing a new investigational study drug called Urcosimod Ophthalmic Solution for the treatment of Neuropathic Corneal Pain (NCP).

Read the detailed description

This research study is to evaluate the safety of Urcosimod Ophthalmic Solution and its effect on the quality of life and vision in participants with Neuropathic Corneal Pain (NCP). The purpose of this research study will see if urcosimod can safely and effectively relieve the signs and symptoms of NCP, and whether it causes any side effects.

02

Conditions studied

  • Neuropathic Corneal Pain

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Keywords

  • NEPTUNE, NCP, Ocular pain, Urcosimod
03

In context

Eye Pain

31 studies on the registry are indexed under Eye Pain; 7 are open to participants now.

This study's planned enrollment of 111 is above the median of 55 across 28 interventional studies indexed under Eye Pain.

Browse Eye Pain studies →

Lead sponsor

Okyo Pharma Ltd is the lead sponsor of 3 studies on the registry; 1 is 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

  1. Aged 18 years of age or older.
  2. Able and willing to provide written prior to any study-related procedures.
  3. Presence of symptoms of neuropathic corneal pain for at least 3 months defined as the presence of ocular pain associated or not with ocular symptoms of burning, stinging, light sensitivity or discomfort.
  4. In at least one eye:

    1. Ocular pain score of 5 or more on 0-10 Visual Analogue Scale (VAS) AND in the same eye
    2. In Vivo Confocal Microscopy (IVCM) changes of the subbasal corneal nerve plexus assessed by an Investigator who has received study-specific training.
  5. Female participants must be one of the following: a) (defined as no menses for 1 year), b) surgically sterilized, c) practicing abstinence as a lifestyle choice (not as a form of ), or d) consistently and correctly using protocol-specified birth control for the duration of the study (e.g., a hormonal contraceptive, intrauterine device, diaphragm with spermicide, or condom with spermicide; see Appendix 3).
  6. Female participants who are neither postmenopausal nor surgically sterile require a negative urine pregnancy test at the Screening and Day 1/Baseline visits.
  7. Best corrected distance visual acuity (BCDVA), in the study eye of at least Snellen >20/200.
  8. Participants that require topical ophthalmic medications during the study may be included if the medications are not topical ophthalmic blood-derived products, amniotic-membrane derived medications, cenegermin (Oxervate®), topical ophthalmic anti-allergic, anti-inflammatory, and immunomodulators such as lifitegrast, and the dose has been stable for at least 3 months prior to Screening and is expected to remain stable throughout the study period.
  9. Ability and willingness to comply with study procedures.

Exclusion criteria

Exclusion Criteria:

Participants who meet any of the following criteria at Visit 1/Screening or Visit 2/Baseline will be excluded from the study.

  1. Evidence of any active ocular infection (bacterial, viral, fungal or protozoal) in either eye.
  2. Evidence of any intraocular inflammation defined as anterior chamber flare > 0 and/or cells >0 by Standardization of Uveitis Nomenclature (SUN) grading, in either eye.
  3. Presence of any other ocular surface condition that may cause ocular pain including confluent punctuate staining, any corneal epithelial defect or ulcer, angle-closure glaucoma or uveitis, in either eye.
  4. Presence of eyelid abnormalities such as trichiasis and lagophthalmos that can be the primary cause of corneal epithelial damage and ocular pain.
  5. Evidence of any elevated corneal scars/corneal edema.
  6. Any other concomitant medical condition that, in the judgment of the Principal Investigator (PI), might interfere with the conduct of the study, confound the interpretation of the study results, or endanger the participant's well-being.
  7. Use of topical ophthalmic calcineurin inhibitors such as Cyclosporin A, tacrolimus, pimecrolimus, or cenegermin (Oxervate®) in either eye in the 4 weeks prior to Visit 1/Screening visit.
  8. History of severe systemic allergic condition or severe ocular allergy.
  9. Inability to suspend use of intranasal tear secretagogues such as varenicline or device for dry eye at Visit 1/Screening and throughout the study period.
  10. Inability to suspend prohibited ocular topical medications at Visit 1/Screening.
  11. Inability to suspend use of blood-derived ocular treatments (e.g., autologous serum tears, -rich plasma, etc.) or amniotic membrane-derived products at Visit 1/Screening visit.
  12. Inability to continue stable (for at least 3 months) oral medications for NCP without changes during the entire study period.
  13. No change or less than 50% improvement in ocular pain assessed by VAS score after topical anesthetic challenge.
  14. History of any ocular surgery within 3 months prior to Visit 1/Screening.
  15. Any anticipated ocular surgery during the entire study period.
  16. Inability to suspend use of refractive/therapeutic contact lenses (including scleral lenses), botulinum toxin or electro/magnetic stimulation devices on the eye, face or scalp, during the entire study period.
  17. Prior use of periocular or ocular botulinum toxin (Botox) within 3 months of Visit 1/Screening.
  18. Evidence of current drug or alcohol abuse or addiction.
  19. Participated in or used the agent in another clinical study, within 30 days prior to Visit 1/Screening.
  20. Known to any of the components of the study drug, preservative-free artificial tears or procedural medications (e.g., fluorescein, anesthetic drops, etc.).
  21. Previous participation in a clinical study or extended access program with urcosimod eye drops.
Terms in these criteria, in plain language(7)

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.

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).

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
111 participants (estimated)

Study arms

  • Experimental
    Urcosimod Ophthalmic Solution

    • Urcosimod 0.05% - one drop in affected eye(s), four times a day

    Drug: Urcosimod ophthalmic solution is a preservative-free topical ophthalmic product; supplied in unit dose ampoules; administered QID for 12-weeks.

  • Placebo comparator
    Vehicle ophthalmic solution

    Vehicle - one drop in affected eye(s), four times a day.

    Other: Vehicle Ophthalmic Solution

Interventions

  • DrugUrcosimod ophthalmic solution is a preservative-free topical ophthalmic product; supplied in unit dose ampoules; administered QID for 12-weeks.

    Topical ophthalmic solution, applied as 1 drop QID in affected eye(s)\* for the 12-week Treatment Period

  • OtherVehicle Ophthalmic Solution

    Vehicle solution of the study drug (without active ingredient); preservative-free topical ophthalmic solution supplied in unit-dose ampoules; administered QID for 12-weeks.

06

What researchers measure

Primary outcomes

  1. The change from baseline at Week 12 in ocular pain assessed by Visual Analogue Scale (0-10) score. (Score of 10 is "worst possible pain".)

    Evaluate the efficacy and safety of urcosimod 0.05% as compared to placebo instilled 4 times/day in participants who have a documented ocular history of symptoms of neuropathic corneal pain.

    Time frame: From baseline (time of randomization) compared to Week 12.

Secondary outcomes

  1. Change from baseline at Week 12 in Quality-of-Life score.

    Evaluate improvement in quality-of-life as measured by the Ocular Pain Assessment Survey.

    Time frame: Baseline visit compared to Week 12.

  2. Change from baseline at Weeks 4, 8, and 16 in ocular pain assessed by Visual Analogue Scale (0-10) score. (Score of 10 is "worst possible pain".)

    Evaluate improvement in ocular pain assessed by Visual Analogue Scale score.

    Time frame: Baseline visit compared to Weeks 4, 8 and 16.

  3. Change from baseline at Week 2 in ocular pain assessed by Visual Analogue Scale (0-10) score in the participant diary. (Score of 10 is "worst possible pain".)

    Evaluate improvement in ocular pain assessed by Visual Analogue Scale (0-10) score.

    Time frame: Baseline visit compared to Week 2 of treatment period.

07

Study locations

1 site
  • Toyos Eye Clinic
    Nashville, Tennessee 37215, United States
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
1 site added, 1 site removed
Show site
  • Toyos Eye Clinic · Nashville, United States
Show 1 removed
  • Toyos Clinic · Nashville, United States
Sep 29, 2026
Interventions
Added Vehicle Ophthalmic Solution
Sep 29, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedThe change from baseline at Week 12 in ocular pain assessed by VASVisual Analogue Scale (0-10) score. (Score of 10 is "worst possible pain".)Time frame: From baseline (time of randomization) compared to Week 12.
Sep 29, 2026
Secondary outcomes
3 edited
What changed in the outcomes
  • EditedChange from baseline at Week 12 in Quality-of-Life scores (7 QoL questions from OPAS survey)score.Time frame: Baseline visit compared to Week 12.
  • EditedChange from baseline at Weeks 4, 8, and 16 in ocular pain assessed by VASVisual Analogue Scale (0-10) score. (Score of 10 is "worst possible pain".)Time frame: Baseline visit compared to Weeks 4, 8 and 16.
  • EditedChange from baseline at Week 2 in ocular pain assessed by VASVisual Analogue Scale (0-10) score in the participant diary. (Score of 10 is "worst possible pain".)Time frame: Baseline visit compared to Week 2 of treatment period.
Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    1 site added, 1 site removed
    Show site
    • Toyos Eye Clinic · Nashville, United States
    Show 1 removed
    • Toyos Clinic · Nashville, United States
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedThe change from baseline at Week 12 in ocular pain assessed by VASVisual Analogue Scale (0-10) score. (Score of 10 is "worst possible pain".)Time frame: From baseline (time of randomization) compared to Week 12.
    Secondary outcomes 3 edited
    What changed in the outcomes
    • EditedChange from baseline at Week 12 in Quality-of-Life scores (7 QoL questions from OPAS survey)score.Time frame: Baseline visit compared to Week 12.
    • EditedChange from baseline at Weeks 4, 8, and 16 in ocular pain assessed by VASVisual Analogue Scale (0-10) score. (Score of 10 is "worst possible pain".)Time frame: Baseline visit compared to Weeks 4, 8 and 16.
    • EditedChange from baseline at Week 2 in ocular pain assessed by VASVisual Analogue Scale (0-10) score in the participant diary. (Score of 10 is "worst possible pain".)Time frame: Baseline visit compared to Week 2 of treatment period.
    Interventions Added Vehicle Ophthalmic Solution

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
NCT07838506
Lead sponsor
Okyo Pharma Ltd
Responsible party
Sponsor
First posted
Sep 24, 2026
Start date
Sep 2026 (estimated)
Primary completion
May 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Sep 29, 2026

Study contacts

Flavio Mantelli, MD, PhD
study director · Okyo Pharma Ltd

Oversight

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

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This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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