Intranasal cenegermin for NAION in adults
Official title: Randomized, Multicenter, Vehicle-Controlled, Double-Masked Phase 3 Study to Evaluate the Efficacy and Safety of Intranasal Cenegermin (Recombinant Human Nerve Growth Factor [rhNGF]) in Adult Participants With Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)
Run by Dompé Farmaceutici S.p.A · NCT07453888 · Data updated 2026-11-12
This study tests whether intranasal cenegermin can help adults with non-arteritic anterior ischemic optic neuropathy compared with a placebo-like vehicle.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 50 Years to 80 Years |
| Sex | All |
| Enrollment | 272 (estimated) |
| Sponsor | Dompé Farmaceutici S.p.A Industry-sponsored |
| Locations | 38 sites (Los Angeles, California and 37 other locations) |
| Status | Recruiting |
| Started | July 1, 2026 |
| Main results expected | September 2027 |
| Study ends | September 2027 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT07453888 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with unilateral NAION diagnosed within 14 days, ETDRS letter score between 15 and 65 in the affected eye, and sufficient ocular media clarity.
✕Probably not a fit
Patients with bilateral NAION, signs of temporal arteritis, high intraocular pressure or glaucoma in the study eye, or certain AMD conditions may not benefit and are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 3, randomized, multicenter, double-masked trial comparing intranasal cenegermin to vehicle in adults with unilateral NAION. About 272 participants will be assigned 1:1 to receive either cenegermin or vehicle, to assess safety and efficacy. Eligible participants have recent NAION onset within 14 days, a measurable visual acuity range, and adequate ocular clarity for examinations. Key exclusions include bilateral involvement, signs of temporal arteritis, high IOP or glaucoma in the study eye, and certain AMD conditions. The study is led by Dompé Farmaceutici with multiple ophthalmology centers in California.
Why it matters
Potential benefit: If successful, cenegermin could improve vision or halt further loss in NAION and advance treatment options for this acute optic neuropathy.
How similar studies have gone: Previous approaches in optic neuropathies have shown mixed results; this trial tests a novel intranasal therapy specifically for NAION in a robust Phase 3 design.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. A clinical diagnosis of unilateral NAION in the study eye with symptom onset within 14 days prior to the planned date for first dose administration. 2. A BCVA score in the study eye of ≥ 15 letters and ≤ 65 letters measured using the ETDRS chart. 3. Sufficiently clear ocular media and adequate pupil dilation to enable assessment of the optic nerve and retina in both eyes. Key Exclusion Criteria: 1. Bilateral NAION or sequential NAION with fellow eye involvement within 6 weeks of study eye involvement. 2. Clinical evidence of temporal arteritis (giant cell arteritis) signs or symptoms. 3. Abnormal laboratory findings suggestive of temporal arteritis (giant cell arteritis), in the absence of a known acute cause 4. Pain with eye movement 5. Intraocular pressure (IOP) greater than 25 mmHg in the study eye or history of glaucoma in the study eye. 6. Intermediate age-related macular degeneration (AMD) with subfoveal drusen, exudative AMD, or geographic atrophy in the study eye. Note: Additional inclusion/exclusion criteria apply, as defined in the protocol.
Where it's running
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Neuro Eye Orbit Institute
Los Angeles, California, United States Recruiting -
California Orbital Consultants
Newport Beach, California, United States Recruiting -
Stanford Byers Eye Institute
Palo Alto, California, United States Recruiting -
UC Davis Health, Ophthalmology
Sacramento, California, United States Recruiting -
University of Colorado Anschutz Medical Campus
Aurora, Colorado, United States Recruiting -
Sarasota Retina Institute - Research
Sarasota, Florida, United States Recruiting
Show 32 more locations
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University of South Florida/Ophthalmology
Tampa, Florida, United States Recruiting -
Emory University - Emory Eye Center - Atlanta
Atlanta, Georgia, United States Recruiting -
Northwestern University - Ophthalmology
Chicago, Illinois, United States Recruiting -
University of Illinois at Chicago Eye and Ear Infirmary - Ophthalmology
Chicago, Illinois, United States Recruiting -
The Johns Hopkins Hospital (JHH)
Baltimore, Maryland, United States Recruiting -
Tufts Medical Center - Neurology
Boston, Massachusetts, United States Recruiting -
University of Michigan Health - Kellogg Eye Center
Ann Arbor, Michigan, United States Recruiting -
Trinity Health Grand Rapids
Grand Rapids, Michigan, United States Recruiting -
University of Minnesota, Dept of Ophthalmology
Minneapolis, Minnesota, United States Recruiting -
Mayo Clinic - Department of Ophthalmology
Rochester, Minnesota, United States Recruiting -
Washington University School of Medicine in St Louis - Ophthalmology
St Louis, Missouri, United States Recruiting -
UNMC Truhlsen Eye Institute
Omaha, Nebraska, United States Recruiting -
Duke Eye Center - Ophthalmology
Durham, North Carolina, United States Recruiting -
University of Pennsylvania - Ophthalmology
Philadelphia, Pennsylvania, United States Recruiting -
Retina Consultants of South Carolina, Charleston Neuroscience Institute- West Ashley (RCA)
Charleston, South Carolina, United States Recruiting -
Neuro Eye Clinical Trials
Houston, Texas, United States Recruiting -
Retina Consultants of Texas - The Woodlands
The Woodlands, Texas, United States Recruiting -
Vision SA - Ophthalmology
Kent Town, South Australia, Australia Recruiting -
Cerulea
East Melbourne, Victoria, Australia Recruiting -
Pusan National University Hospital - Ophthalmology
Busan, Busan Gwang'yeogsi, South Korea Recruiting -
Asan Medical Center - Ophthalmology
Seoul, Seoul Teugbyeolsi, South Korea Recruiting -
Samsung Medical Center - Ophthalmology
Seoul, Seoul Teugbyeolsi, South Korea Recruiting -
Western Eye Hospital
London, Greater London, United Kingdom Recruiting -
Manchester University NHS Foundation Trust - Manchester Royal Eye Hospital
Manchester, Greater Manchester, United Kingdom Recruiting -
Oxford University Hospital NHS Trust - John Radcliffe Hospital
Abingdon, Oxfordshire, United Kingdom Recruiting -
Sheffield Teaching Hospitals NHS Foundation Trust - Royal Hallamshire Hospital
York, Sheffield, United Kingdom Recruiting -
Bristol NHS Foundation Trust - Bristol Eye Hospital
Bristol, United Kingdom Recruiting -
Liverpool University Hospitals NHS Foundation Trust - Royal Liverpool University Hospital - St Paul's Eye Unit
Liverpool, United Kingdom Recruiting -
David Geffen School of Medicine at UCLA - Ophthalmology
Los Angeles, California, United States Not yet recruiting -
Bascom Palmer Eye Institute, University of Miami School of Medicine
Miami, Florida, United States Not yet recruiting -
Univ. Of Kentucky Clinic Dept of Ophthalmology & Vision Science
Lexington, Kentucky, United States Not yet recruiting -
Wills Eye Hospital
Philadelphia, Pennsylvania, United States Not yet recruiting
Study contacts
- Study coordinator: Dompé farmaceutici S.p.A. Via Santa Lucia, 6, 20122 Milan (MI)
- Phone: +39 02 583 831
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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.