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Study to Evaluate the Safety and Efficacy of CSB-001 Ophthalmic Solution 0.1% in Subjects With Corneal Scars

Phase 1
Recruiting
Conditions
Corneal Scar
Interventions
Registration Number
NCT06257355
Lead Sponsor
Claris Biotherapeutics, Inc.
Brief Summary

This study will enroll subjects with recently formed corneal scars that resulted from a corneal insult presenting and diagnosed within the past approximately 30 days and not less than approximately 7 days. All subjects will be assigned to CSB-001 investigational treatment on Day 1. All subjects will dose with CSB-001 four times daily or three times daily starting on Day 1 and continue until Day 14. Subjects with a resolved scar at Day 7 will discontinue dosing and return to the clinic on Day 14. Subjects will return on Days 21, 28, 56, and Month 3 for safety and efficacy assessments.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Centrally or paracentrally located scar approximately ≤5 mm and ≥2 mm in the greatest diameter and with a portion of the scar within approximately 3.5 mm of the optical center of the cornea assessed at Screening and confirmed at Baseline, and subject reports ability to detect any effect of scar on any element of vision.
  • Eye with a recent corneal insult approximately ≤30 days and ≥7 days from the Screening Visit.
  • Corneal insult includes but is not limited to mechanical / chemical / thermal injury, bacterial keratitis, PRK, and contact lens related ulcer.
  • Eye with observed rate of epithelialization that in the investigator's opinion does not demonstrate clinical characteristics of a slow healing (persistent defect) cornea.
  • Subjects must have the ability and willingness to comply with study procedures.
Exclusion Criteria
  • Corneal scar that encompasses more than approximately 50% of the depth of the remaining stroma as guided by ASOCT image at the Screening Visit.
  • Maximum scar diameter greater than approximately 5 mm without prior approval by the Sponsor based on Screening Visit images.
  • No portion of the scar is within the approximate 3.5 mm of the optical center of the cornea based on Screening Visit images.
  • Any active ocular infection in the opinion of the investigator (bacterial, viral, fungal, or protozoal) at the Screening or Day 1 Visits. Subjects with an active bacterial infection at the Screening or Day 1 Visit in the opinion of the investigator may be rescheduled to reassess the status of the infection and continue in the study if infection is deemed not active.
  • Ocular surgery planned during the study treatment period.
  • Presence or history of any ocular or systemic disorder, condition or procedure that might hinder the efficacy of the study treatment or its evaluation, could possibly interfere with the interpretation of study results, or could be judged by the investigator to be incompatible with the study visit schedule or conduct.

Note: Other inclusion/exclusion criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CSB-001 QIDCSB-001 Ophthalmic Solution 0.1%One drop CSB-001 four times daily for 14 days in the study eye
CSB-001 TIDCSB-001 Ophthalmic Solution 0.1%One drop CSB-001 three times daily for 14 days in the study eye
Primary Outcome Measures
NameTimeMethod
Safety as Assessed by Slit-lamp BiomicroscopyScreening through Day 56

Change from baseline in staining using NEI scale (0 = absent to 3 = severe for 5 areas of the cornea) with Grade 0 (no staining) to maximum of Grade 15

Safety as Assessed by Adverse Event ReportingDay 1 through Day 56

Incidence of ocular and systemic adverse events

Safety as Assessed by Best-Corrected Distance Visual AcuityScreening through Day 56

Change from baseline using the Early Treatment Diabetic Retinopathy Study (EDTRS) visual acuity chart

Secondary Outcome Measures
NameTimeMethod
Efficacy as Assessed by Contrast SensitivityScreening through Day 56

Contrast sensitivity measured using Pelli-Robson chart

Efficacy as Assessed by Area of Corneal ScarScreening through Day 56

Area of corneal scar as measured by slit lamp and anterior segment optical coherence tomography (AS-OCT) imaging

Efficacy as Assessed by Maximum Depth of Cornea ScarScreening through Day 56

Depth measured with AS-OCT imaging

Efficacy as Assessed by Volume of ScarScreening through Day 56

Volume measured with AS-OCT imaging

Efficacy as Assessed by Density of ScarScreening through Day 56

Density based on AS-OCT and Pentacam imaging

Efficacy as Assessed by Distance Visual AcuityScreening through Day 56

Visual acuity measured using the EDTRS visual acuity chart

Trial Locations

Locations (7)

Loma Linda University Eye Institute

🇺🇸

Loma Linda, California, United States

Francis Price Jr, MD

🇺🇸

Indianapolis, Indiana, United States

Minnesota Eye Consultants

🇺🇸

Minnetonka, Minnesota, United States

Midwest Cornea Associates, LLC

🇺🇸

Carmel, Indiana, United States

Legacy Devers Eye Institute

🇺🇸

Portland, Oregon, United States

Stuart A. Terry, MD PA

🇺🇸

San Antonio, Texas, United States

Virginia Eye Consultants

🇺🇸

Norfolk, Virginia, United States

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