Safety and Efficacy of Topical Infliximab in Autoimmune Dry Eye Disease

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorInstituto de Oftalmología Fundación Conde de Valenciana

About this trial

Sjögren's syndrome is a condition in which the immune system attacks the body's moisture-producing glands. This often causes severe dry eye, leading to discomfort, irritation, blurred vision, and damage to the eye surface. Inflammation plays an important role in this process, and a protein called TNF-alpha is one of the key drivers.

This study will test a new eye drop containing infliximab, a medication that blocks TNF-alpha. The goal is to see whether this treatment can safely improve symptoms and signs of severe dry eye in patients with Sjögren's syndrome.

Eligibility criteria

Qualifiers

Adult patients (≥ 18 years).

Confirmed diagnosis of primary or secondary Sjögren's syndrome according to the 2016 ACR/EULAR classification criteria.

On stable systemic immunomodulatory therapy (non-biologic) for at least 12 weeks, with no planned changes during the study (see section 14.1 if there are concerns about confounding variables).

Negative chest X-ray or Interferon-Gamma Release Assays (IGRA).

Disqualifiers

Current use of topical corticosteroids or topical immunomodulators (cyclosporine, lifitegrast, tacrolimus, autologous serum) within 30 days prior to enrollment.

Current or recent use (< 3 months) of punctal plugs.

Active ocular infection (bacterial, viral, fungal) or recent history of herpetic keratitis.

Ocular or eyelid surgery within the past 6 months.

Trial design

Treatments tested in this trial

  • Infliximab 0.1%
  • Loteprednol

Treatment groups

38 Participants
are divided into 2 treatment groups