Fungal Ulcer Treatment Augmented With Natamycin and Cyclosporine A
NCT06658002 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2025-10-06
Summary
The goal of this clinical trial is to learn if adjunctive topical Cyclosporine A eye drops combined with standard of care topical Natamycin treatment improves vision outcomes in patients with fungal keratitis.
Conditions
- Fungal Keratitis
- Corneal Ulcer
Interventions
- DRUG
-
Cyclosporine A
Participants with smear or culture proven fungal keratitis are treated for a minimum of 48 hours with topical natamycin and then randomized in a 1:1:1 ratio to receive either topical Cyclosporine A (CsA) 0.1%, 2% or placebo for 4 weeks. Natamycin is continued until the ulcer has healed.
- OTHER
-
Placebo Comparator: Placebo
Participants with smear or culture proven fungal keratitis are treated for a minimum of 48 hours with topical natamycin and then randomized in a 1:1:1 ratio to receive either topical Cyclosporine A (CsA) 0.1%, 2% or placebo for 4 weeks. Natamycin is continued until the ulcer has healed.
Sponsors & Collaborators
-
Aravind Eye Hospitals, India
collaborator OTHER -
Aravind Eye Care System
collaborator OTHER -
University of California, San Francisco
lead OTHER
Principal Investigators
-
Gerami D Seitzman, MD · UCSF Proctor Foundation
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-01
- Primary Completion
- 2027-09-01
- Completion
- 2027-09-01
- FDA Drug
- Yes
Countries
- United States
- India
Study Locations
More Related Trials
-
Cyclosporin A Eye Drop Treatment in Vernal Keratoconjunctivitis
NCT00426023 ·Status: COMPLETED ·Phase: PHASE3
-
Study of Two Formulations of Cyclosporine Ophthalmic Emulsion in Healthy Volunteers and in Patients With Dry Eye
NCT01319773 ·Status: COMPLETED ·Phase: PHASE1
-
Efficacy and Safety Study of Cyclosporine 0.010% to Treat Atopic Keratoconjunctivitis
NCT00884585 ·Status: COMPLETED ·Phase: PHASE3
-
Investigation of Maintaining Visual Performance Achieved With Cyclosporine Therapy
NCT02121847 ·Status: COMPLETED ·Phase: PHASE4
-
Clinical Outcomes of Cyclosporine Eye Drops in Management of Herpetic Keratitis
NCT05720715 ·Status: COMPLETED ·Phase: PHASE4
-
Identification and Validation of Functional Biomarkers for Keratoconus
NCT01746823 ·Status: UNKNOWN
-
Study Evaluating the Efficacy of Administration of Cyclosporine (Low Dose and High Dose) and Prednisolone Acetate Compared to Its Components and Vehicle in Patients With Allergic Conjunctivitis
NCT01120132 ·Status: COMPLETED ·Phase: PHASE2
-
Cyclosporin Implant to Treat Uveitis
NCT00001737 ·Status: COMPLETED ·Phase: PHASE1
-
Once-daily Fluorometholone vs Twice-daily Cyclosporine in Dry Eye Disease
NCT06876116 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Cyclosporine Ophthalmic Emulsion in the Treatment of Dry Eye Syndrome in Contact Lens Wearers
NCT00335114 ·Status: COMPLETED ·Phase: NA
-
Safety and Efficacy Study of Gatifloxacin Compared With Ciprofloxacin in Patients With Acute Bacterial Corneal Ulcers
NCT00651586 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy of Topical Cyclosporine Versus Tears for Improving Visual Outcomes Following Multifocal IOL Implantation
NCT00349583 ·Status: COMPLETED ·Phase: PHASE4
-
Mycotic Antimicrobial Localized Injection for Treatment of Corneal Ulcers
NCT02731638 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy Study of Cyclosporine Ophthalmic Emulsion in Patients With Dry Eye Disease
NCT00717418 ·Status: COMPLETED
-
Cyclosporine 0.05% Eye Drops for Vernal Keratoconjunctivitis Trial
NCT05353101 ·Status: COMPLETED ·Phase: PHASE1
-
Evaluation of the Efficacy of 2% Cyclosporine in Preventing Graft Rejection
NCT02206789 ·Status: UNKNOWN ·Phase: NA
-
Physician's Evaluation of Cyclosporine Ophthalmic Emulsion 0.05%
NCT00827255 ·Status: COMPLETED
-
Safety, Efficacy, Tolerability and Pharmacokinetics of AGN-223575 Ophthalmic Suspension in Patients With Dry Eye Disease
NCT02435914 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Cyclosporine Ophthalmic Soution Group and Cyclosporine Ophthalmic Suspension Group
NCT01768312 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Efficacy, Safety and Anti-Inflammatory Effect Between Topical 0.05%Cyclosporine A Emulsion and REFRESH® in Patients With Moderate to Severe Dry Eyes
NCT00704275 ·Status: UNKNOWN ·Phase: PHASE4
-
Tear Film Stability and Improvement of Asthenopia: Efficacy Observation of 0.05% Cyclosporine in Dry Eye Patients With Short BUT
NCT06981104 ·Status: COMPLETED ·Phase: NA
-
A Study of the Efficacy and Safety of Cyclosporin Ophthalmic Gel in Subjects With Moderate to Severe Dry Eye Disease
NCT06766357 ·Status: RECRUITING ·Phase: PHASE3
-
Topical Cyclosporine for Vernal Keratoconjunctivitis (VKC) in Rwanda
NCT01211327 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Topical Cyclosporine 0.05% in the Prevention of Ocular Surface Inflammation Secondary to Pterygia
NCT00383396 ·Status: COMPLETED ·Phase: PHASE4
-
Microvascular and Inflammatory Responses of 0.05 Cyclosporine Eye Drop (II) in Treatment of Dry Eye
NCT05131152 ·Status: UNKNOWN ·Phase: NA