Overview
Sponsor-declared trial summary
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
- To describe conjunctival hyperemia at Day 8.
- To describe ocular pain/discomfort at Day 8.
- To describe the use of rescue therapy during treatment.
- To describe the incidence of endophthalmitis.
Conditions and MedDRA coding
Cataract
Study design 4 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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
- Signed written informed consent must be obtained before any assessment is performed.
- Male or female, age ≥40 years.
- Scheduled senile or presenile cataract surgery (not yet performed).
- Willing to interrupt the use of contact lenses for the entire duration of the study.
- Able and willing to follow study procedures.
- For females of childbearing potential, the use of highly effective contraception and agreement to use such a method during study participation.
- Cataract surgery completed without complications.
Exclusion criteria 12
- 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.).
- Patients undergoing bilateral cataract surgery.
- Patients under treatment with prostaglandin analogues or intravitreal injections of anti-VEGF (vascular endothelial growth factor) drugs.
- 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.).
- Any condition that could interfere with the correct instillation of eye drops.
- Ocular surgery in the study eye (including laser surgery) in the 3 months before screening.
- Monocular patients.
- Visual Acuity < 20/80 of the contralateral eye measured as ETDRS or Snellen 20 feet, equal to 0.25 in decimal.
- 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
- Hypersensitivity to the products or their excipients.
- Participation in previous clinical studies if less than 5 half-lives of the IMPs used have not elapsed
- Pregnancy or breastfeeding.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 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
- Proportion of patients with conjunctival hyperemia at Day 8.
- Proportion of patients with ocular pain/discomfort at Day 8.
- Proportion of patient using rescue therapy during treatment.
- 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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Greece | Authorised, recruitment pending | 42 | 2 |
| Sweden | Authorised, recruitment pending | 22 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2026-03-31 | Sweden | Acceptable 2026-07-07
|
2026-07-07 |