Clinical trial Recruiting at 10 sites Phase1; Phase2 Interventional Ages 18 and up

MR-146 in Neurotrophic Keratopathy: a first-in-human dose escalation and blinded comparison

Official title: A Phase 1/2, Single-Dose, Multicenter, Dose Escalation, Clinical Trial to Evaluate the Safety and Efficacy of MR-146: An Open-Label Part 1 in Participants With Stage 1 or 2 Neurotrophic Keratopathy and a Double-Masked Part 2 in Participants With Stage 2 Neurotrophic Keratopathy

Run by Viatris Inc. · NCT07923045 · Data updated 2026-11-12

This study tests MR-146 to see if it’s safe and works for adults with stage 1 or 2 neurotrophic keratopathy.

More Neurotrophic Keratopathy trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment18 (estimated)
SponsorViatris Inc.
Industry-sponsored
Locations11 sites (Sun City, Arizona and 10 other locations)
StatusRecruiting
StartedNovember 2026
Main results expectedNovember 30, 2027
Study endsNovember 2028
Registry record updatedNovember 6, 2026
Trial IDNCT07923045 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18 and older with stage 1 or stage 2 NK in the study eye (stage 2 NK allowed for Part 2).

Probably not a fit

Patients with advanced or bilateral stage 2 NK, active infections, uncontrolled systemic disease, or other disqualifying ocular conditions may not benefit.

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 two-part, multicenter trial of MR-146 in adults with neurotrophic keratopathy. Part 1 is open-label and dose-escalation to evaluate safety, tolerability, and biologically active dose. Part 2 is a double-masked comparison in stage 2 NK to further assess efficacy and safety. The study follows participants for about 12–14 months with regular visits to monitor ocular health and treatment effects.

Why it matters

Potential benefit: If successful, MR-146 could improve corneal health and reduce symptoms in NK.

How similar studies have gone: Prior NK research has explored targeted therapies; this specific MR-146 approach is in early-phase testing and its efficacy remains to be proven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Be ≥18 years or greater of age at Visit 1.
2. Have a diagnosis of Stage 1 or Stage 2 in the study eye for Part 1 or Stage 2 NK in the study eye for Part 2.
3. Willing and able to participate in and attend to all study visits over the course of 12-14 months

Exclusion Criteria:

1. Have Stage 2 NK affecting both eyes, or Stage 3 NK in either eye.
2. Any active ocular infections or active ocular inflammation not related to NK in the affected eye.
3. Have a systemic condition or disease not stabilized or judged by the Investigator to be incompatible with participation in the study
4. Have monocular vision in the study eye or have BSCVA less than 20/100 in the fellow eye.
5. Any neurodegenerative disease (example: Parkinson's, Alzheimer's, Multiple Sclerosis, etc)
6. Uncontrolled glaucoma in either eye.
7. Any plan to use therapeutic contact lenses.
8. Anyone pregnant, nursing, or planning to become pregnant within 3 months of participating in the study.
9. History of incisional conjunctival surgery in the study eye.
10. History of any ocular surgery in the affected eye within the last 3 months
11. Botox use in the face or orbital area and/or lacrimal gland within the last 6 months.

Where it's running

  • Horizon Eye/DocTrials
    Sun City, Arizona, United States
    Recruiting
  • Nvision
    Tucson, Arizona, United States
    Recruiting
  • Loma Linda University Eye Institute
    Loma Linda, California, United States
    Recruiting
  • NVision
    San Diego, California, United States
    Recruiting
  • Vision Institute
    Colorado Springs, Colorado, United States
    Recruiting
  • Butchertown Clinical Trials
    Louisville, Kentucky, United States
    Recruiting
Show 5 more locations
  • 3RP (Red River Research Partners)
    Fargo, North Dakota, United States
    Recruiting
  • EyeHealth Northwest
    Portland, Oregon, United States
    Recruiting
  • Stuart A. Terry Eye Associates
    San Antonio, Texas, United States
    Recruiting
  • Virginia Eye Consultants
    Norfolk, Virginia, United States
    Recruiting
  • Global Research Management
    Glendale, California, United States
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.