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.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 18 (estimated) |
| Sponsor | Viatris Inc. Industry-sponsored |
| Locations | 11 sites (Sun City, Arizona and 10 other locations) |
| Status | Recruiting |
| Started | November 2026 |
| Main results expected | November 30, 2027 |
| Study ends | November 2028 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07923045 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
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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
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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
- Study coordinator: Jason Dierkhising
- Email: patientrecruitment@oraclinical.com
- Phone: 1707-484-1365
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Using platelet-rich plasma to treat neurotrophic keratopathy
This study is testing whether using a special treatment made from your own blood can help people with neurotrophic keratopathy heal their corneas better than just using artificial tears alone.
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Acoltremon 0.003% eye drops to improve tears and corneal health in Stage 1 neurotrophic keratopathy
This study will test whether Acoltremon 0.003% eye drops, used twice daily, can increase tear production and improve corneal signs in people with Stage 1 neurotrophic keratopathy who have low tear production.
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.