Fluorometholone Study

NCT ID: NCT07308938

Last Updated: 2025-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-31

Study Completion Date

2030-12-31

Brief Summary

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The investigators seek to determine whether adjunctive topical fluorometholone (FML) improves best-corrected visual acuity (BCVA) at 3 months in patients with bacterial corneal ulcers compared with standard topical antibiotic therapy alone.

Detailed Description

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In this prospective, randomized, parallel-group clinical cohort study, the investigators seek to determine whether adjunctive topical fluorometholone (FML) improves best-corrected visual acuity (BCVA) at 3 months in patients with bacterial corneal ulcers compared with standard topical antibiotic therapy alone. The primary objective is to compare the mean 3-month BCVA (logMAR) between the intervention arm (standard topical antibiotic therapy + FML 0.1%) and a control arm (standard topical antibiotic therapy alone).

Conditions

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Keratitis Bacterial Corneal Ulcer (Diagnosis)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A prospective, randomized, parallel-group clinical cohort study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention Arm

Participant will be assigned Topical Antibiotics (fortified Tobramycin., fortified Cefazolin, Moxifloxacin)

Group Type EXPERIMENTAL

Adjunctive Topical Fluorometholone (FML) 0.1%

Intervention Type DRUG

Adjunctive Topical Fluorometholone (FML) 0.1% will be used with the standard topical antibiotic therapy (Tobramycin \[Tobrex\] and/or Cefazolin \[Ancef\]).

Control Arm

Participant will be assigned Topical Antibiotics (fortified Tobramycin, fortified Cefazolin, Moxifloxacin).

Group Type ACTIVE_COMPARATOR

None-placebo

Intervention Type OTHER

Patients will be treated with antibiotics

Interventions

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Adjunctive Topical Fluorometholone (FML) 0.1%

Adjunctive Topical Fluorometholone (FML) 0.1% will be used with the standard topical antibiotic therapy (Tobramycin \[Tobrex\] and/or Cefazolin \[Ancef\]).

Intervention Type DRUG

None-placebo

Patients will be treated with antibiotics

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Adults aged ≥ 18 years.
2. Clinical diagnosis of a bacterial corneal ulcer based on slit-lamp examination.
3. Ulcer severity classified as:

* Mild: Diameter ≤ 3 mm AND stromal depth ≤ 1/3 thickness.
* Moderate: Diameter \>3-6 mm and/or stromal depth \> 1/3-2/3.
* Severe: Diameter \>6 mm and/or stromal depth \>2/3.
4. Completed microbiologic work-up including ≥ 1 of:

* Corneal culture, or
* PCR testing.
5. Received ≥ 48-96 hours of empiric topical antibiotic therapy prior to randomization (fluoroquinolone monotherapy or fortified cefazolin/tobramycin based on standard of care).
6. Able and willing to provide informed consent and comply with study visits.

Exclusion Criteria

1. Clinical or laboratory evidence of:

* Herpes simplex keratitis.
* Acanthamoeba keratitis.
* Fungal keratitis (positive smear, culture or PCR).
2. Corneal perforation or imminent perforation at presentation.
3. Current use of:

* Topical corticosteroids in the study eye, or
* Systemic corticosteroids during this ulcer episode.
4. History of steroid-responsive glaucoma or uncontrolled intraocular pressure (IOP).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Pittsburgh Medical Center

OTHER

Sponsor Role collaborator

Vishal Jhanji

OTHER

Sponsor Role lead

Responsible Party

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Vishal Jhanji

Professor of Ophthalmology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Vishal Jhanji, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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UPMC Vision Institute

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Central Contacts

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Rose Carla Aubourg, BA

Role: CONTACT

Phone: 412-642-7888

Email: [email protected]

Sarah Waters

Role: CONTACT

Phone: 412-642-7888

Email: [email protected]

Facility Contacts

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Rose Carla Aubourg, BA

Role: primary

Sarah Waters

Role: backup

Other Identifiers

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STUDY25110161

Identifier Type: -

Identifier Source: org_study_id