Status:

NOT_YET_RECRUITING

Subconjunctival Humira for Boston Keratoprosthesis

Lead Sponsor:

Massachusetts Eye and Ear Infirmary

Conditions:

Penetrating Keratoplasty

Multiple Graft Failure

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

This trial is studying the safety and tolerability of receiving an injection of adalimumab (Humira) during the Boston Keratoprosthesis (KPro) surgery.

Detailed Description

This is a Phase I, Open-label, IND trial for participants undergoing a Boston Keratoprosthesis (KPro) procedure, to receive an injection of adalimumab (Humira), to study the safety and tolerability as...

Eligibility Criteria

Inclusion

  • Age 18 years or older
  • Individuals eligible for keratoprosthesis surgery, as determined by standard-of-care eligibility criteria
  • Patients with poor prognosis for corneal transplantation, severe corneal opacity and/or vascularization
  • Patients with vision worse than 20/200 in the eligible eye, and contralateral eye with vision less than 20/40
  • Patients with intact nasal light projection
  • Willing and able to comply with study plan for the full duration of the study
  • Willing and able to sign a written informed consent

Exclusion

  • Active tuberculosis or untreated latent tuberculosis (e.g., positive interferon-# release assay \[IGRA\] test, such as Quantiferon-gold)
  • Untreated active hepatitis B or C infection.
  • Ocular or periocular malignancy and/or infection
  • Inability to wear contact lens
  • Pregnancy (positive pregnancy test) or lactating
  • Participation in another interventional study at the time of screening
  • Any of the following baseline lab values
  • White blood count \<3500 cells per microliter
  • Platelets \<100,000 per microliter
  • Hematocrit \<30%
  • AST or ALT \>1.5X upper limit normal value
  • Multiple sclerosis or other demyelinating disease
  • Severe uncontrolled infection
  • Moderate to severe heart failure (NYHA class III/IV)
  • Active malignancy
  • History of adalimumab intolerance
  • Pregnancy or lactation
  • Medical problems or drug or alcohol dependence problems sufficient to prevent adherence to treatment and study procedures.
  • As judged by the investigator any patients that are questionable for their suitability in the study

Key Trial Info

Start Date :

August 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2028

Estimated Enrollment :

8 Patients enrolled

Trial Details

Trial ID

NCT06926478

Start Date

August 1 2025

End Date

August 1 2028

Last Update

April 13 2025

Active Locations (1)

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1

Massachusetts Eye and Ear

Boston, Massachusetts, United States, 02114