MedPath

Wharton's Jelly Eye Drops in the Treatment of Chronic Keratitis

Phase 1
Completed
Conditions
Corneal Ulcer
Keratitis, Ulcerative
Interventions
Biological: SygeLIX-Coll-T
Registration Number
NCT05200000
Lead Sponsor
TBF Genie Tissulaire
Brief Summary

The purpose of this open, non-comparative, multicenter trial is to assess the impact of eye drops made of Wharton's jelly extract in the treatment of chronic keratitis that failed available therapies.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Men or women between 18 and 70 years old.
  • Persistent corneal ulceration.
  • Resistance to medical treatment for more than one month or recurrence after medical treatment.
  • Patient who underwent a wash-out period of 15 days with no use of eye drops with preservative.
  • Patient with dry eye treatments that can be kept: tear substitutes, cyclosporine.
  • Informed and consenting patient.
  • Patient affiliated to a social security system or beneficiary of such a system.
Exclusion Criteria
  • Patient with active infectious or traumatic keratitis such as burns.
  • Patient with herpetic keratitis.
  • Patient currently wearing contact lens, including scleral lenses concomitant with the treatment.
  • Patient currently treated with NSAIDs in eye drops or any eye drops containing preservatives.
  • Patient treated with antibiotic, anti-viral or anti-parasitic eye drops; with autologous or allogeneic serum; with platelet derivatives; with eye drops claiming healing properties; with eye drops containing growth factors, hyaluronic acid or trehalose.
  • Patient with hypersensitivity to fluorescein.
  • Patient with identified causes for keratitis for which discontinuation of medical treatment is beneficial.
  • Monophthalmic patients.
  • Persons deprived of liberty by a judicial or administrative decision.
  • Adults who are subject to a legal protection measure or who are unable to express their consent.
  • Pregnant woman.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SygeLIX-Coll-TSygeLIX-Coll-TExtract of umbilical cord lining constituted of Wharton's jelly put in suspension in microvials. Instillation by the patient in the sick eye of 1 drop 5 times a days (morning, noon, afternoon, evening and bedtime) for 40 days.
Primary Outcome Measures
NameTimeMethod
Absence of aggravated inflammatory signs, worsening of visual acuity or other side effectThrough study completion - average of 40 days

Inflammatory signs evaluated using a composite score on 66 points. Duration and intensity are evaluated for secretion, dry eyes, tearing, foreign body sensation, fluctuating vision, photophobia, burning sensation and lids edema. Duration is evaluated from a scale from 0: never to 4: all the time. Intensity is evaluated from a scale from 0: slight to 2: severe. Localization and intensity are evaluated for conjunctival edema, conjunctival redness and neovascularization. Localization is evaluated on a scale from 0: no reaction to 4: reaction present in the whole eye

Secondary Outcome Measures
NameTimeMethod
Improvement of visual acuity7 days, 15 days, 40 days

Visual acuity evaluated on Monoyer chart

Re-epithelialization of the cornea7 days, 15 days, 40 days

Epithelialization assessed by the Oxford score after fluorescein instillation in the eye (0: no corneal staining to 5: severe corneal staining)

Improvement of dry eyes signs and symptoms7 days, 15 days, 40 days

Severity of dry eye evaluated using Ocular Surface Disease Index (OSDI) questionnaire

Trial Locations

Locations (6)

Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts

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Paris, France

H么pital Michallon, CHU de Grenoble

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La Tronche, France

H么pital Gui de Chauliac, CHU de Montpellier

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Montpellier, France

H么pital Charles-Nicolle, CHU de Rouen

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Rouen, France

H么pital Fondation Adolphe de Rothschild

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Paris, France

H么pital Nord, CHU de Saint-Etienne

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Saint-Priest-en-Jarez, France

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