International study on RD03/2016 eye drops compared to Leviosa® eye drops for the prevention and treatment of inflammation and the prevention of infections associated with cataract surgery in adults – FAST 7

2026-525594-39-00 Protocol Levoketo_01-2026 Therapeutic confirmatory (Phase III) Authorised, recruitment pending

Status Authorised, recruitment pending · 2 EU/EEA countries · 3 sites · Protocol Levoketo_01-2026

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruitment pending
Participants planned 64
Countries 2
Sites 3

Cataract

To demonstrate the non-inferior efficacy of RD03/2016 vs. Leviosa® for 7 days in the prevention and treatment of postoperative ocular inflammation.

Key facts

Sponsor
Ntc S.r.l.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11]
Decision date (initial)
2026-07-08
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To demonstrate the non-inferior efficacy of RD03/2016 vs. Leviosa® for 7 days in the prevention and treatment of postoperative ocular inflammation.

Secondary objectives 4

  1. To describe conjunctival hyperemia at Day 8.
  2. To describe ocular pain/discomfort at Day 8.
  3. To describe the use of rescue therapy during treatment.
  4. To describe the incidence of endophthalmitis.

Conditions and MedDRA coding

Cataract

Study design 4 periods

#TitleAllocationBlindingRoles blindedArms
1 Screening
Patients scheduled for cataract surgery who have provided written informed consent will undergo screening procedures to verify eligibility
Not Applicable None
2 Surgery and Randomization
Immediately following phacoemulsification performed by an experienced surgeon, patients who complete surgery without complications will be assigned to one of the following two treatment groups in a 1:1 ratio according to a randomization list stratified by center
Randomised Controlled Double [{"id":192595,"code":2,"name":"Investigator"},{"id":192594,"code":1,"name":"Subject"}]
3 Treatment
Treatment will begin either immediately after randomization, at the end of the uncomplicated surgery, according to local routine clinical practice (in those patients who are not bandaged after surgery), or immediately after removal of dressing of operated eye. Doses administered on the same day of surgery (Visit 2 – Day 0) will be considered additional to the full protocol dosage regimen (4 instillations per day for 7 days).
Randomised Controlled Double [{"id":192597,"code":1,"name":"Subject"},{"id":192598,"code":2,"name":"Investigator"}] Test arm: RD03/2016 eye drops for 7 days after the day of cataract surgery (Visit 2 – Day 0), 1 drop - 4 times a day.
Control arm: Leviosa® eye drops for 7 days after the day of cataract surgery (Visit 2 – Day 0), 1 drop - 4 times a day.
4 End of Study
Final visit at Day 8 to evaluate efficacy, safety and tolerability.
Not Applicable None

Regulatory references

Scientific advice from competent authorities
Swedish Medical Products Agency
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Signed written informed consent must be obtained before any assessment is performed.
  2. Male or female, age ≥40 years.
  3. Scheduled senile or presenile cataract surgery (not yet performed).
  4. Willing to interrupt the use of contact lenses for the entire duration of the study.
  5. Able and willing to follow study procedures.
  6. For females of childbearing potential, the use of highly effective contraception and agreement to use such a method during study participation.
  7. Cataract surgery completed without complications.

Exclusion criteria 12

  1. Ocular conditions that at the discretion of the Investigator may interfere with the efficacy and/or safety evaluations (e.g. ocular herpes, blepharitis, conjunctivitis, uveitis, keratitis, diabetic retinopathy, retinal vein occlusions, retinal vasculitis, retinal angiomatous proliferation, pseudo-exfoliation syndrome, intraoperative floppy iris syndrome, etc.).
  2. Patients undergoing bilateral cataract surgery.
  3. Patients under treatment with prostaglandin analogues or intravitreal injections of anti-VEGF (vascular endothelial growth factor) drugs.
  4. Systemic diseases that may interfere with the results of the study (e.g. rheumatoid arthritis, Sjögren's syndrome, Behçet's disease, systemic lupus erythematosus, scleroderma with major ocular involvement, etc.).
  5. Any condition that could interfere with the correct instillation of eye drops.
  6. Ocular surgery in the study eye (including laser surgery) in the 3 months before screening.
  7. Monocular patients.
  8. Visual Acuity < 20/80 of the contralateral eye measured as ETDRS or Snellen 20 feet, equal to 0.25 in decimal.
  9. Contraindication to ocular treatment with ketorolac, dexamethasone or levofloxacin as follows: - Herpes simplex keratitis, vaccinia, varicella and other viral diseases of the cornea and conjunctiva - Fungal and mycobacterial diseases of ocular structures or untreated parasitic eye infections - Uncontrolled intraocular hypertension - Uncontrolled glaucoma - Untreated purulent infections of the eye - Acute, untreated bacterial infections
  10. Hypersensitivity to the products or their excipients.
  11. Participation in previous clinical studies if less than 5 half-lives of the IMPs used have not elapsed
  12. Pregnancy or breastfeeding.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The proportion of patients with «absence of signs of anterior chamber inflammation (cells and flare)» after 7 days of treatment (Day 8).

Secondary endpoints 4

  1. Proportion of patients with conjunctival hyperemia at Day 8.
  2. Proportion of patients with ocular pain/discomfort at Day 8.
  3. Proportion of patient using rescue therapy during treatment.
  4. Proportion of patients with onset endophthalmitis at Day 8.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

levofloxacin 5mg/ml and ketorolac trametamol 5mg/ml

PRD8962399 · Product

Active substance
Ketorolac Trometamol
Substance synonyms
KETOROLAC TROMETHAMINE, KETOROLAC TROMETAMINE, 2-AMINO-2-(HYDROXYMETHYL)PROPANE-1,3-DIOL, 5-BENZOYL-2,3-DIHYDRO-1H-PYRROLIZINE-1-CARBOXYLIC ACID
Pharmaceutical form
EYE DROPS, SOLUTION
Route of administration
OPHTHALMIC USE
Max daily dose
4 Gtt drop(s)
Max total dose
28 Gtt drop(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NTC S.R.L.
Paediatric formulation
No
Orphan designation
No

Comparator 1

Leviosa® 1 mg/ml + 5 mg/ml, collirio, soluzione

PRD8107049 · Product

Active substance
Dexamethasone
Substance synonyms
DEXAMETASONE, DEXAMETHASONUM
Pharmaceutical form
EYE DROPS, SOLUTION
Route of administration
OPHTHALMIC USE
Max daily dose
4 Gtt drop(s)
Max total dose
28 Gtt drop(s)
Max treatment duration
7 Week(s)
Authorisation status
Authorised
ATC code
S01CA01 — DEXAMETHASONE AND ANTIINFECTIVES
Marketing authorisation
047871013
MA holder
NTC SRL
MA country
Italy
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Ntc S.r.l.

Sponsor organisation
Ntc S.r.l.
Address
Via Luigi Razza 3
City
Milan
Postcode
20124
Country
Italy

Scientific contact point

Organisation
Ntc S.r.l.
Contact name
Alessandro Colombo

Public contact point

Organisation
Ntc S.r.l.
Contact name
Alessandro Colombo

Third parties 3

OrganisationCity, countryDuties
Opis S.r.l.
ORG-100011127
Desio, Italy On site monitoring, Code 10, Code 11, Code 12, Other, Code 5, Data management, E-data capture, Code 8, Code 9
Depo-pack S.r.l.
ORG-100013780
Lazzate, Italy Other
Pharmassist Ltd.
ORG-100004016
Nea Ionia, Greece On site monitoring, Other

Locations

2 EU/EEA countries · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Greece Authorised, recruitment pending 42 2
Sweden Authorised, recruitment pending 22 1
Rest of world 0

Investigational sites

Greece

2 sites · Authorised, recruitment pending
University General Hospital Of Thessaloniki Ahepa
A' Ophthalmology Department, 1st St Kiriakidis Str, 546 36, Thessaloniki
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara
2nd Ophthalmology Department, Rimini 1, 124 61, Chaidari

Sweden

1 site · Authorised, recruitment pending
Linkopings Universitet
Department of Ophthalmology, Sandbacksgatan 7, Linkopings Domkyrkofors., Linkoping

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 33 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_LevoKeto_01-2026_Protocol_GR_Redacted 2.0
Protocol (for publication) D1_LevoKeto_01-2026_Protocol_Redacted 2.0
Protocol (for publication) D1_Levoketo_01-2026_Protocol_Signature page_Redacted 2.0
Protocol (for publication) D2_L3_Levoketo_01-2026_Patient Diary_ES_Redacted 1.0
Protocol (for publication) D2_L3_Levoketo_01-2026_Patient Diary_GR_Redacted 1.0
Protocol (for publication) D2_L3_Levoketo_01-2026_Patient Diary_IT_Redacted 1.0
Protocol (for publication) D2_L3_Levoketo_01-2026_Patient Diary_PL_Redacted 1.0
Protocol (for publication) D2_L3_Levoketo_01-2026_Patient Diary_SE_Redacted 1.0
Recruitment arrangements (for publication) K_Levoketo_01-2026_Recruitment arrangments_EN_Redacted 1.0
Recruitment arrangements (for publication) K_Levoketo_01-2026_Recruitment arrangments_EN_Redacted 1.0
Recruitment arrangements (for publication) K_Levoketo_01-2026_Recruitment arrangments_SE_Redacted 1.0
Subject information and informed consent form (for publication) D2_L3_Levoketo_01-2026_Patient Diary_GR_Redacted 1.0
Subject information and informed consent form (for publication) D2_L3_Levoketo_01-2026_Patient Diary_SE_Redacted 1.0
Subject information and informed consent form (for publication) L1_Levoketo_01-2026_GP letter_GR_Redacted 1.0
Subject information and informed consent form (for publication) L1_Levoketo_01-2026_GP letter_SE_Redacted 1.0
Subject information and informed consent form (for publication) L1_Levoketo_01-2026_Main ICF_GR_Redacted 1.0
Subject information and informed consent form (for publication) L1_Levoketo_01-2026_Main ICF_SE_Redacted 1.1
Subject information and informed consent form (for publication) L2_Levoketo_01-2026_Patient card_GR_Redacted 1.0
Subject information and informed consent form (for publication) L2_Levoketo_01-2026_Patient card_SE_Redacted 1.0
Summary of Product Characteristics (SmPC) (for publication) G2_Levoketo_01-2026_RCP_Leviosa_Desametasone e Levofloxacina NA
Summary of Product Characteristics (SmPC) (for publication) G2_Levoketo_01-2026_SmPC_Levendex_Desametasone e Levofloxacina NA
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis lay language_EN 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis lay language_ES 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis lay language_GR 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis lay language_IT 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis lay language_PL 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis lay language_SE 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis_EN 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis_ES 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis_GR 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis_IT 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis_PL 2.0
Synopsis of the protocol (for publication) D1_Levoketo_01-2026_Synopsis_SE 2.0

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-03-31 Sweden Acceptable
2026-07-07
2026-07-07