Status:

WITHDRAWN

Topical Insulin Drops for the Treatment of Neurotrophic Keratopathy.

Lead Sponsor:

University of Alberta

Conditions:

Neurotrophic Keratitis

Eligibility:

All Genders

18+ years

Phase:

PHASE2

PHASE3

Brief Summary

Many diseases can affect corneal nerves. Corneas that lack normal sensation are considered neurotrophic. Neurotrophic corneas are predisposed to persistent epithelial defects, recurrent erosions, and ...

Detailed Description

Purpose: To trial topical insulin drops to promote healing in neurotrophic keratitis that has been refractory to conventional management versus tarsorrhaphy. Hypothesis: Topical insulin might promote...

Eligibility Criteria

Inclusion

  • Diagnosis of neurotrophic keratitis with persistent epithelial defect that has been refractory to conventional treatments for at least 2 weeks
  • 18 years or older
  • Able to provide informed consent
  • Failed other conventional treatments for neurotrophic keratitis
  • Understanding and accepting of use of topical insulin alone

Exclusion

  • Less than 18 years old
  • Pregnant or breastfeeding women
  • Unable to provide informed consent
  • Unable to comply with tests/follow-up
  • Lid function abnormalities (e.g., lagophthalmos, entropion, ectropion, or abnormal orbicularis function from cranial nerve 7 palsy or Bell's palsy)
  • Patients who require ongoing topical treatment (e.g. topical ganciclovir)

Key Trial Info

Start Date :

June 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 18 2023

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT05321251

Start Date

June 1 2022

End Date

October 18 2023

Last Update

February 5 2024

Active Locations (6)

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Page 1 of 2 (6 locations)

1

University of Alberta

Edmonton, Alberta, Canada, T6G 2C8

2

University of British Columbia

Vancouver, British Columbia, Canada

3

Dalhousie University

Halifax, Nova Scotia, Canada

4

Precision Cornea Clinic

Ottawa, Ontario, Canada