RecruitingPhase 3NCT07395232

An Efficacy and Safety Study of DFL24498 in the Treatment of AKC

A Phase 3, Multicenter, Randomized, Double-Masked, Vehicle-Controlled Study to Demonstrate Efficacy and Safety of DFL24498 Eye Drop Solution in Adult Participants With Atopic Keratoconjunctivitis (AKC)


Sponsor

Dompé Farmaceutici S.p.A

Enrollment

138 participants

Start Date

Dec 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a phase 3, multicenter, randomized, double-masked, parallel-group, vehicle-controlled study to evaluate the safety and efficacy of DFL24498 compared with vehicle ophthalmic solution, in participants with AKC. Approximately 138 participants who meet all eligibility criteria will be enrolled in the study.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria9

  • Participants are eligible to be included in the study only if all of the following criteria apply:
  • Men or women aged ≥ 18 and ≤ 65 years of age.
  • Diagnosis of AKC in both eyes, including the presence or medical history of the following:
  • other atopic condition (ie,. atopic dermatitis, periocular eczema, asthma, allergic rhinitis), AND
  • chronic allergic blepharoconjunctivitis and/or keratoconjunctivitis.
  • Ocular itching of at least 50 as assessed by VAS scale.
  • Corneal fluorescein staining assessed by modified Oxford scale of at least grade 1 AND a bulbar conjunctival hyperemia assessed by VBR 10 scale of at least 40 (range 0 to 100) in the same eye.
  • A composite symptoms score (CSyS) ≥ 5 (sum of the severity scores graded 0 to 3 for each of the following: itching, tearing, ocular discomfort, photophobia, and mucous discharge score) (CSyS range of 0 to 15).
  • If a woman of childbearing potential (WOCBP), must have a negative pregnancy test at both screening and baseline visit, and use an acceptable contraception method.

Exclusion Criteria8

  • Participants will be excluded if any of the following criteria apply:
  • Inability to speak and understand the local language sufficiently to understand the nature of the study, to provide written informed consent, and to allow the completion of all study assessments.
  • Evidence of an active ocular infection in either eye.
  • Intraocular inflammation defined as anterior chamber flare > 0 by Standardization of Uveitis Nomenclature (SUN) grading, in either eye.
  • Known or suspected ocular malignancy (ocular surface, intraocular, ocular adnexa).
  • Presence of cancer or any other systemic or unstable disease that may affect the ability to participate in the clinical study in the opinion of the investigator including basal cell carcinoma.
  • Participants that are anatomically monocular.
  • Systemic disease not stabilized within 1 month before the screening visit (eg, diabetes with glycemia out of range, thyroid malfunction) or judged by the investigator to be incompatible with the study (eg, current systemic infections) or with a condition incompatible with the frequent assessment required by the study.

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Interventions

DRUGDFL24498

DFL24498 will be instilled in each eye for 12 Weeks.

DRUGVehicle

Vehicle eye drops without active drug will be instilled in each eye for 12 Weeks.

DRUGdexamethasone sodium phosphate (DSP) ophthalmic solution

Rescue medication may be administered as required at the Investigator discretion.


Locations(19)

Bowden Eye Associates - Southside Location

Jacksonville, Florida, United States

University of Miami, Miller School of Medicine, Bascom Palmer Eye Institute

Miami, Florida, United States

Clayton Eye Clinical Research

Morrow, Georgia, United States

Ophthalmology Associates

St Louis, Missouri, United States

NYU Langone Health - Eye Center

New York, New York, United States

Duke Eye Center - Ophthalmology

Durham, North Carolina, United States

Total Eye Care, PA

Memphis, Tennessee, United States

Baylor University Jamail Specialty Care Center- Alkek Eye Center- Ophthalmology

Houston, Texas, United States

IRCCS AOU di Bologna - Policlinico Sant'Orsola UO Oftalmologia

Bologna, Italy

Ospedale SS Annunziata, ASL 2 Lanciano Vasto Chieti

Chieti, Italy

Azienda Ospedaliero Universitaria Careggi

Florence, Italy

Fondazione Policlinico Universitario Campus Bio-Medico

Roma, Italy

AOU Policlinico Umberto I

Roma, Italy

Azienda Ospedaliera Universitaria Integrata Verona

Verona, Italy

METAVISION ARRUZAFA S.L. (Hospital Arruzafa)

Córdoba, Spain

Miranza Galicia

Santiago de Compostela, Spain

Fundación de Oftalmología Médica de la Comunitat Valenciana (FOM)

Valencia, Spain

OBA - Universidad de Valladolid

Valladolid, Spain

Hospital Universitario Miguel Servet

Zaragoza, Spain

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NCT07395232