PMID- 24327173 OWN - NLM STAT- MEDLINE DCOM- 20150610 LR - 20211021 IS - 1179-190X (Electronic) IS - 1173-8804 (Print) IS - 1173-8804 (Linking) VI - 28 IP - 3 DP - 2014 Jun TI - Safety and pharmacokinetics of escalating doses of human recombinant nerve growth factor eye drops in a double-masked, randomized clinical trial. PG - 275-83 LID - 10.1007/s40259-013-0079-5 [doi] AB - BACKGROUND AND OBJECTIVES: Nerve growth factor (NGF) is a neurotrophin with therapeutic possibilities that extend from the nervous system to the eye. We tested the safety, maximal tolerated dose, pharmacokinetics, and antigenicity of a novel human recombinant NGF (rhNGF) eye-drop formulation in a phase I study. METHODS: This prospective, randomized, double-masked, vehicle-controlled trial, sponsored by Dompe SpA (registered as NCT01744704 at ClinicalTrials.gov), enrolled 74 healthy volunteers (24 females, 50 males, age 40.2 +/- 11.8 years). Subjects were randomized in three cohorts to receive (1) a single eye-drop containing 0.0175, 0.175, or 0.7 mug rhNGF; (2) a single ascending dose of rhNGF eye drops three times a day for 1 day (total daily dose 2.1, 6.3, or 18.9 mug), or vehicle; or (3) a multiple ascending dose of rhNGF eye drops three times a day for 5 days (total dose 10.5, 31.5, or 94.5 mug), or vehicle. Outcome measures included blood chemistry, urinalyses, vital signs, electrocardiograms (ECGs), serum NGF antibodies, ocular and systemic adverse events (AEs), visual acuity, tear function, intraocular pressure, fundus oculi, and ocular symptoms. RESULTS: Administration of rhNGF eye drops did not result in a significant increase of circulating NGF levels and no antidrug antibodies were detected in serum. No serious AEs were recorded, and a few mild, transient ocular AEs related to rhNGF administration were reported only at the highest concentration. CONCLUSIONS: rhNGF eye drops were well tolerated, with no detectable clinical evidence of systemic AEs. These results pave the way for the development of clinical trials on rhNGF in ophthalmology. FAU - Ferrari, Mauro P AU - Ferrari MP AD - Clinical Development, Dompe s.p.a., Milan, Italy. FAU - Mantelli, Flavio AU - Mantelli F FAU - Sacchetti, Marta AU - Sacchetti M FAU - Antonangeli, Maria Irene AU - Antonangeli MI FAU - Cattani, Franca AU - Cattani F FAU - D'Anniballe, Gaetano AU - D'Anniballe G FAU - Sinigaglia, Francesco AU - Sinigaglia F FAU - Ruffini, Pier Adelchi AU - Ruffini PA FAU - Lambiase, Alessandro AU - Lambiase A LA - eng SI - ClinicalTrials.gov/NCT01744704 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - New Zealand TA - BioDrugs JT - BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy JID - 9705305 RN - 0 (Nerve Growth Factors) RN - 0 (Ophthalmic Solutions) RN - 0 (Recombinant Proteins) SB - IM MH - Adult MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Administration Schedule MH - Eye Diseases/drug therapy MH - Female MH - Humans MH - Male MH - Nerve Growth Factors/administration & dosage/*adverse effects/*pharmacokinetics MH - Ophthalmic Solutions/administration & dosage/*adverse effects/*pharmacokinetics MH - Prospective Studies MH - Recombinant Proteins/administration & dosage/*adverse effects/*pharmacokinetics PMC - PMC4030100 EDAT- 2013/12/12 06:00 MHDA- 2015/06/11 06:00 PMCR- 2013/12/11 CRDT- 2013/12/12 06:00 PHST- 2013/12/12 06:00 [entrez] PHST- 2013/12/12 06:00 [pubmed] PHST- 2015/06/11 06:00 [medline] PHST- 2013/12/11 00:00 [pmc-release] AID - 79 [pii] AID - 10.1007/s40259-013-0079-5 [doi] PST - ppublish SO - BioDrugs. 2014 Jun;28(3):275-83. doi: 10.1007/s40259-013-0079-5.