Tropicamide

Clinical trials involving Tropicamide are studying its use in eye care settings, mainly for pupil dilation before surgery or for diagnostic testing. The trials look at safety, effectiveness, and how well it works in different patient groups, including adults, children, and people with eye diseases.

Table of Contents

Clinical trials overview

The trial data show Tropicamide being used in eye research for pupil dilation, which means making the pupil larger for an eye exam or surgery.[2][4] In these studies, Tropicamide appears in trials for pre-operative use, diagnostic use, and as part of study procedures in eye disease research.[2][1][3][6]

The studies are interventional, which means the researchers give a treatment or procedure and then measure the effect.[1][2][3][4][5][6] The listed trials are in Phase 1, Phase 2, Phase 3, and Phase 1/2.[1][2][3][4][5][6]

What each study is testing

One Phase 1 study tested a fixed-dose combination of 0.34% Tropicamide and 2.5% phenylephrine hydrochloride for pupil dilation, and compared it with Mydriasert.[2] The main goal was to see the change in pupil diameter at 60 minutes after the first dose.[2]

A Phase 2 study in adults with atopic keratoconjunctivitis included Tropicamide as part of the eye-drop procedures while testing Isocyclosporin A against vehicle.[1] Its main endpoint was the mean change in ocular itching score from baseline to Week 4.[1]

Another Phase 2 study in dry eye disease also included Tropicamide in the study procedures while testing different concentrations of rhNGF eye drops against vehicle.[3] The main endpoint was the mean change in dry eye symptoms from baseline to Week 8 using the SANDE Global Score.[3]

A Phase 3 study in children with cataract examined Mydrane for eye injection during surgery, with the goal of giving enough pupil dilation so surgery could be done without mechanical dilation.[4] This study focused on both safety and effectiveness in children.[4]

In a Phase 1/2 study in retinitis pigmentosa, Tropicamide was among the eye medicines used in the study setting while researchers assessed the safety of a unilateral subretinal administration of HORA PDE6B.[5] The safety checks included eye examinations, inflammation, chorioretinal tolerance, questionnaires, vital signs, and laboratory measurements.[5]

A Phase 3 study in persistent corneal epithelial defect included Tropicamide among the study eye drops while evaluating cenegermin versus vehicle.[6] The main endpoint was complete epithelial healing at Week 4, with the result needing to stay present at Week 8.[6]

Who takes part in these trials

The patient groups are different across the studies, showing that Tropicamide appears in several eye research settings.[1][2][3][4][5][6]

  • Adults with atopic keratoconjunctivitis took part in the Phase 2 study of Isocyclosporin A eye drops.[1]

  • People needing pre-operative mydriasis or diagnostic dilation took part in the Phase 1 Tropicamide and phenylephrine study.[2]

  • Patients with dry eye disease were included in the Phase 2 rhNGF study.[3]

  • Children having cataract surgery were studied in the Mykid study of Mydrane.[4]

  • Patients with retinitis pigmentosa carrying PDE6B gene mutations were enrolled in the Phase 1/2 HORA PDE6B study.[5]

  • Patients with persistent corneal epithelial defect were included in the Phase 3 cenegermin study.[6]

Trial phases and study size

The studies cover several stages of research, from early testing to later confirmation work.[1][2][3][4][5][6]

Trial ID Phase Status Enrollment
2024-517456-35-00 Phase 1 Completed 20
2023-508907-19-00 Phase 2 Completed 69
2023-507561-26-00 Phase 2 Completed 317
2023-504173-21-00 Phase 3 Completed 40
2024-511687-90-00 Phase 1/2 Completed 23
2025-523443-35-00 Phase 3 Authorised 215

Main endpoints and results measured

The trials measure different outcomes depending on the study goal.[1][2][3][4][5][6]

  • Ocular itching score was measured in the atopic keratoconjunctivitis study using a visual analogue scale, which is a simple line-based symptom score.[1]

  • Pupil diameter at 60 minutes was the main result in the Tropicamide and phenylephrine study.[2]

  • Dry eye symptom score was measured with SANDE Global Score at Week 8 in the dry eye study.[3]

  • Sufficient pupillary dilatation for surgery was the key result in the pediatric cataract study.[4]

  • Safety parameters in the retinitis pigmentosa study included eye exam findings, inflammation, chorioretinal tolerance, questionnaires, vital signs, and laboratory tests.[5]

  • Complete epithelial healing at Week 4, maintained at Week 8, was the main endpoint in the PCED study.[6]

Important terms used in the trials

Vehicle means the comparison product without the active study drug, used to see whether the tested treatment works better.[1][3][6] Baseline means the starting point before treatment begins.[1][2][3]

Chorioretinal tolerance means how well the retina and the layer under it can tolerate the treatment.[5] Mechanical dilation means using a tool to enlarge the pupil if eye drops do not dilate it enough.[4]

Trial IDPhaseCondition studiedStatusEnrollment
2024-517456-35-00Phase 1Pre-operative mydriasis / diagnostic useCompleted20
2023-508907-19-00Phase 2Atopic keratoconjunctivitis (AKC)Completed69
2023-507561-26-00Phase 2Dry EyeCompleted317
2023-504173-21-00Phase 3Pediatric cataractCompleted40
2024-511687-90-00Phase 1/2Retinitis pigmentosaCompleted23
2025-523443-35-00Phase 3Persistent Corneal Epithelial Defect (PCED)Authorised215

Ongoing Clinical Trials on Tropicamide

  • Cenegermin Eye Drops for Persistent Corneal Epithelial Defect in Patients with Persistent Corneal Epithelial Defect

    Recruiting

    3 1 1
    Czechia France Germany Hungary Italy The Netherlands +2
  • Study of eye drops containing tropicamide and phenylephrine hydrochloride for pupil dilation in healthy volunteers

    Not recruiting

    1 1 1 1
    Greece
  • Study on the Safety and Effectiveness of Isocyclosporin A Eye Drops for Adults with Atopic Keratoconjunctivitis

    Not recruiting

    2 1 1
    Investigated diseases:
    Italy
  • Study on the Safety and Effectiveness of Cenegermin Eye Drops for Patients with Dry Eye Disease

    Not recruiting

    2 1 1
    Investigated diseases:
    Italy
  • Study of HORA-PDE6B’s Safety in Retinitis Pigmentosa Patients with PDE6B Gene Mutations

    Not recruiting

    2 1 1 1
    Investigated diseases:
    France
  • Study on the Effect and Safety of Phenylephrine Hydrochloride, Tropicamide, and Lidocaine Hydrochloride in Children with Cataracts Undergoing Surgery

    Not recruiting

    3 1 1 1
    Investigated diseases:
    Belgium

Glossary

  • Clinical trial: A research study in people that tests a treatment, procedure, or device to see how well it works and how safe it is.
  • Interventional study: A trial where researchers give a treatment or procedure and then measure the results.
  • Phase 1: An early study phase that usually looks at safety and how the treatment behaves in the body.
  • Phase 2: A study phase that looks more closely at whether the treatment works and continues safety checks.
  • Phase 3: A later study phase with more participants, often used to compare treatments and confirm results.
  • Phase 1/2: A study that combines early safety testing with an early look at effectiveness.
  • Pupil dilation: Making the pupil larger so the eye can be examined or surgery can be done more easily.
  • Mydriasis: The medical word for pupil dilation.
  • Primary outcome: The main result a trial is designed to measure.
  • Visual analogue scale (VAS): A simple scoring line used to rate symptoms such as itching or pain.
  • SANDE Global Score: A score used in dry eye studies to measure symptoms reported by the patient.
  • Epithelial healing: Recovery of the eye surface layer after injury or a defect.

References

  1. https://clinicaltrials.gov/study/2023-508907-19-00
  2. https://clinicaltrials.gov/study/2024-517456-35-00
  3. https://clinicaltrials.gov/study/2023-507561-26-00
  4. https://clinicaltrials.gov/study/2023-504173-21-00
  5. https://clinicaltrials.gov/study/2024-511687-90-00
  6. https://clinicaltrials.gov/study/2025-523443-35-00