DFL24498 for treating atopic keratoconjunctivitis (AKC)
Official title: A Phase 3, Multicenter, Randomized, Double-Masked, Vehicle-Controlled Study to Demonstrate Efficacy and Safety of DFL24498 Eye Drop Solution in Participants With Atopic Keratoconjunctivitis (AKC)
Run by Dompé Farmaceutici S.p.A · NCT07395232 · Data updated 2026-11-12
This will test whether DFL24498 eye drops reduce inflammation and symptoms in adults aged 18–65 with chronic atopic keratoconjunctivitis compared with a vehicle eye drop.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 10 Years to 65 Years |
| Sex | All |
| Enrollment | 153 (estimated) |
| Sponsor | Dompé Farmaceutici S.p.A Industry-sponsored |
| Locations | 19 sites (Jacksonville, Florida and 18 other locations) |
| Status | Recruiting |
| Started | December 1, 2025 |
| Main results expected | March 2027 |
| Study ends | May 2027 |
| Registry record updated | September 21, 2026 |
| Trial ID | NCT07395232 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–65 with bilateral atopic keratoconjunctivitis, a history of atopic disease, ocular itching (VAS ≥50), corneal staining ≥ grade 1, bulbar conjunctival hyperemia ≥40, and a composite symptom score ≥5 are the intended participants.
✕Probably not a fit
Patients with mild or unilateral disease, those outside the 18–65 age range, pregnant women, or people who do not meet the specified sign and symptom thresholds are unlikely to receive benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, multicenter, randomized, double-masked, parallel-group, vehicle-controlled trial plans to enroll about 138 adults with bilateral AKC. After a screening period, participants are randomized to receive DFL24498 or vehicle ophthalmic solution and are treated through Week 12 with follow-up through Week 16. Key entry requirements include significant ocular itching, minimum corneal fluorescein staining and bulbar conjunctival hyperemia, and a minimum composite symptoms score. Efficacy and safety will be measured by symptom scales (including itch VAS and a composite symptom score), corneal staining, conjunctival hyperemia, and recording of adverse events.
Why it matters
Potential benefit: If successful, DFL24498 could provide a new topical option to reduce corneal and conjunctival inflammation and relieve itching for people with AKC.
How similar studies have gone: Topical corticosteroids and other anti-inflammatory eye drops are effective for AKC, but newer targeted ophthalmic agents like DFL24498 are relatively novel and have limited published late‑stage data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: 1. Male or Female aged ≥ 10 and ≤ 65 years. 2. Diagnosis of AKC in both eyes, including the presence or medical history of the following: 1. other atopic condition (ie., atopic dermatitis, periocular eczema, asthma, allergic rhinitis), AND 2. chronic allergic blepharoconjunctivitis and/or keratoconjunctivitis. 3. Ocular itching of at least 50 as assessed by VAS scale. 4. 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. 5. 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). 6. 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 Criteria: Participants will be excluded if any of the following criteria apply: 1. 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. 2. Evidence of an active ocular infection in either eye. 3. Intraocular inflammation defined as anterior chamber flare \> 0 by Standardization of Uveitis Nomenclature (SUN) grading, in either eye. 4. Known or suspected ocular malignancy (ocular surface, intraocular, ocular adnexa). 5. 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. 6. Participants that are anatomically monocular. 7. 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. Note: Additional protocol defined Inclusion/Exclusion criteria apply
Where it's running
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Bowden Eye Associates - Southside Location
Jacksonville, Florida, United States Recruiting -
University of Miami, Miller School of Medicine, Bascom Palmer Eye Institute
Miami, Florida, United States Recruiting -
Clayton Eye Clinical Research
Morrow, Georgia, United States Recruiting -
Ophthalmology Associates
St Louis, Missouri, United States Recruiting -
NYU Langone Health - Eye Center
New York, New York, United States Recruiting -
Duke Eye Center - Ophthalmology
Durham, North Carolina, United States Recruiting
Show 13 more locations
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Total Eye Care, PA
Memphis, Tennessee, United States Recruiting -
Baylor University Jamail Specialty Care Center- Alkek Eye Center- Ophthalmology
Houston, Texas, United States Recruiting -
IRCCS AOU di Bologna - Policlinico Sant'Orsola UO Oftalmologia
Bologna, Italy Recruiting -
Ospedale SS Annunziata, ASL 2 Lanciano Vasto Chieti
Chieti, Italy Recruiting -
Azienda Ospedaliero Universitaria Careggi
Florence, Italy Recruiting -
Fondazione Policlinico Universitario Campus Bio-Medico
Roma, Italy Recruiting -
AOU Policlinico Umberto I
Roma, Italy Recruiting -
Azienda Ospedaliera Universitaria Integrata Verona
Verona, Italy Recruiting -
METAVISION ARRUZAFA S.L. (Hospital Arruzafa)
Córdoba, Spain Recruiting -
Miranza Galicia
Santiago de Compostela, Spain Recruiting -
Fundación de Oftalmología Médica de la Comunitat Valenciana (FOM)
Valencia, Spain Recruiting -
OBA - Universidad de Valladolid
Valladolid, Spain Recruiting -
Hospital Universitario Miguel Servet
Zaragoza, Spain Recruiting
Study contacts
- Study coordinator: Dompé farmaceutici S.p.A. Via Santa Lucia, 6, 20122 Milan (MI)
- Phone: +39 02 583 831
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Efficacy and safety of cenegermin eye drops for persistent corneal epithelial defects
This study tests whether cenegermin eye drops can heal persistent corneal epithelial defects better than a vehicle in adults with PCED.
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Topical eye drop for dry eye disease in adults
This phase 2 trial tests whether DFL24498 eye drops improve symptoms of dry eye disease compared with a non-medicated vehicle in adults 18 and older.
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Intranasal cenegermin for NAION in adults
This study tests whether intranasal cenegermin can help adults with non-arteritic anterior ischemic optic neuropathy compared with a placebo-like vehicle.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.