K-321 Eye Drops for Fuchs' Dystrophy

Not currently recruiting at 63 trial locations
DC
Overseen ByDirector, Clinical Operations
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Kowa Research Institute, Inc.
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests eye drops called K-321 (also known as Ripasudil) to determine their safety and effectiveness for people with Fuchs' Dystrophy, a condition affecting the clear layer of cells on the front of the eye. Participants will receive either K-321 or a placebo (a solution with no active medicine) to compare results. The goal is to assess whether K-321 can aid recovery after a procedure called descemetorhexis, which aims to improve vision. Suitable candidates for this trial have been diagnosed with Fuchs' Dystrophy and have not undergone cataract surgery within the last 90 days. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to a potentially groundbreaking treatment.

Do I have to stop taking my current medications for the trial?

The protocol does not specify whether you need to stop taking your current medications.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that Ripasudil positively affects eye conditions like corneal swelling, improving key measures such as visual clarity. However, specific safety information for K-321 or its other names is not available.

The study's late phase indicates that earlier trials found the treatment safe enough to proceed. While this does not guarantee complete safety, it has been deemed tolerable in previous tests.12345

Why do researchers think this study treatment might be promising for Fuchs' Dystrophy?

Unlike the standard treatments for Fuchs' dystrophy, which often involve corneal transplants or the use of hypertonic saline drops to manage symptoms, K-321 eye drops offer a novel approach. K-321 contains Ripasudil, which is known to target and inhibit Rho-associated kinase (ROCK). This mechanism helps to enhance corneal endothelial cell function and potentially delay or reverse disease progression. Researchers are excited about K-321 because it represents a non-surgical option that could improve vision and quality of life for patients by directly addressing the underlying cellular issues in the cornea.

What evidence suggests that K-321 eye drops might be an effective treatment for Fuchs' dystrophy?

Research has shown that Ripasudil, an ingredient in K-321 eye drops, may help treat Fuchs' endothelial corneal dystrophy (FECD). Studies suggest that Ripasudil, a type of ROCK inhibitor, can protect the cornea by slowing the loss of crucial cells that keep it clear. One study found that Ripasudil helped maintain corneal health after eye surgery, benefiting FECD patients. Early findings indicate that these eye drops might aid in corneal healing and improve vision for those with FECD. In this trial, participants will receive either K-321 or a placebo to evaluate Ripasudil's effectiveness as a treatment option for this condition.12678

Who Is on the Research Team?

SP

Shona Pendse, MD, MMSc

Principal Investigator

Kowa Pharma Development Co.

Are You a Good Fit for This Trial?

This trial is for adults over 18 with Fuchs Endothelial Corneal Dystrophy (FECD) who have not had cataract surgery in the last 90 days. Women must not be pregnant, breastfeeding, or of childbearing potential unless using effective birth control or are surgically sterile/post-menopausal.

Inclusion Criteria

I have been diagnosed with Fuchs' Endothelial Corneal Dystrophy.
Meets all other inclusion criteria outlined in clinical study protocol

Exclusion Criteria

I had cataract surgery on one eye within the last 90 days.
Meet any other exclusion criteria outlined in clinical study protocol
I am pregnant or breastfeeding.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive K-321 or placebo eye drops four times daily for 12 weeks

12 weeks

Dose Taper

Participants undergo a gradual dose taper of the eye drops

2 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

38 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Placebo
  • Ripasudil
Trial Overview The study tests K-321 eye drops' safety and effectiveness on patients with FECD after a procedure called descemetorhexis. Participants will either receive Ripasudil (K-321) or a placebo to compare outcomes.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: K-321Experimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Ripasudil is already approved in Japan for the following indications:

🇯🇵
Approved in Japan as Glanatec for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Kowa Research Institute, Inc.

Lead Sponsor

Trials
46
Recruited
16,400+

Published Research Related to This Trial

Ripasudil eye drops significantly enhanced the healing of corneal endothelial cells, as shown by increased cell proliferation and regeneration in both cultured human cells and a rabbit model of corneal injury.
In the rabbit model, 91.5% of corneal endothelial cells treated with ripasudil were actively proliferating, leading to improved transparency in the corneas, indicating its potential as a treatment for corneal endothelial damage following eye surgeries.
Effect of the Rho-Associated Kinase Inhibitor Eye Drop (Ripasudil) on Corneal Endothelial Wound Healing.Okumura, N., Okazaki, Y., Inoue, R., et al.[2016]
The new-generation ophthalmic solution (CXHAL) containing cross-linked hyaluronic acid and other components was found to be safe and effective for treating moderate to severe dry eye disease, with no reported adverse events in a study of 41 subjects over 2 months.
CXHAL demonstrated statistically significant improvements in tear break-up time and symptom assessment compared to the standard treatment (TRS), indicating its superior efficacy in enhancing ocular surface health.
Clinical Efficacy, Tolerability and Safety of a New Multiple-Action Eyedrop in Subjects with Moderate to Severe Dry Eye.Roszkowska, AM., Inferrera, L., Spinella, R., et al.[2023]
In a study of 75 children aged 4-11, the combination of cyclopentolate and phenylephrine (CP) produced similar cycloplegic effects to the combination of tropicamide, cyclopentolate, and phenylephrine (TCP), indicating that omitting tropicamide does not significantly affect the ability to relax the eye for examination.
While TCP resulted in slightly larger pupil sizes and reduced light responsiveness in children with dark irides, the differences were minor and all pupils achieved adequate dilation for eye examinations, suggesting that CP alone is a viable alternative.
Tropicamide has limited clinical effect on cycloplegia and mydriasis when combined with cyclopentolate and phenylephrine.Sherman, AE., Shaw, MM., Ralay-Ranaivo, H., et al.[2020]

Citations

Study Details | NCT03813056 | Ripasudil for Enhanced ...The goal of this study is to test the potential benefits of Ripasudil therapy administered after Descemet Membrane Endothelial Keratoplasty (DMEK) surgery. We ...
A Close Look at the Clinical Efficacy of Rho-Associated ...ROCK-inhibitor eye drops may eventually be deemed a cutting-edge therapy for Fuchs endothelial corneal dystrophy patients with acute corneal endothelial defect.
A ROCK Inhibitor May Help Protect the Cornea Post-Phaco ...The primary outcome was the percentage of central endothelial cell density (C-ECD) loss 3 months after cataract surgery. The authors also ...
Twelve-year outcome of Rho-associated protein kinase ...The purpose of this case report is to present the long-term outcome of the treatment by ROCK inhibitor eye drops and trans-corneal freezing of damaged CECs.
A Study to Investigate the Safety and Efficacy of Ripasudil ...A Study to Investigate the Safety and Effectiveness of Ripasudil (K-321) Eye Drops After Descemetorhexis in Subjects with Fuchs Endothelial Corneal Dystrophy.
Glanatec(R) for Descemet Stripping in Fuch's Endothelial ...The secondary aim of this study is to examine whether Glanatec® administered three or six times daily affects best corrected visual acuity at 12 months ( ...
Evaluating the efficacy of Rho kinase inhibitor eye drops in the ...The study provides robust evidence supporting the use of ripasudil in managing corneal edema. Significant improvements in key ocular metrics such as BCVA and ...
K-321 Eye Drops for Fuchs' Dystrophy · Info for ParticipantsThe provided research articles do not contain any safety data related to K-321 eye drops or its other names such as Ripasudil, Glanatec, K-115, or Ripasudil ...
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