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. 2022 Dec 23;37(11):2320–2326. doi: 10.1038/s41433-022-02342-6

Table 1.

Inclusion/exclusion criteria of the two clinical trials.

NOVATIVE VEKTIS
Inclusion Inclusion

• ≥4 years of age

• Active VKC (acute or chronic) needing treatment

• ≥2 following signs, in at least one eye:

  ○ Presence of giant papillae with a diameter ≥1 mm on the upper tarsal conjunctiva and superficial keratitis

• ≥2 of the following ocular symptoms with a score >2 in at least one eye: burning/stinging, tearing, itching, pain, sticky eyelids, foreign body sensation, mucus discharge, and photophobia

• Hyperaemia score ≥2

• Informed consent

• 4 to <18 years of age

• Active severe VKC* with severe keratitis

• ≥1 recurrence of VKC during the previous year

• Mean score of ≥60 mm on a 0–100-mm VAS for the 4 main VKC symptoms (photophobia, tearing, itching, and mucous discharge)

• Informed consent

Exclusion Exclusion

• Concomitant corneal ulcer of infectious origin

• Active herpes

• Disease that could possibly interfere with the interpretation of the trial results: active uveitis (defined by Tyndall score >0), previous history of ocular hypertension or glaucoma, or condition incompatible with the frequent assessments needed by the trial

• History of malignancy or a recurrence in the last 5 years

• Abnormality of nasolacrimal drainage apparatus

• Concomitant disease not stabilised within 1 month before screening visit or incompatible with the trial

• Severe systemic allergy requiring systemic treatment at trial entry

• Female of childbearing potential

• History of drug or alcohol addiction

• Use of prohibited concomitant medications

• Ocular anomalies other than VKC affecting the ocular surface

• Abnormalities of lid anatomic features, nasolacrimal drainage, or blinking function

• Active ocular infection or history of ocular herpes, varicella zoster or vaccinia virus infection; or any ocular disease that would require topical ocular treatment during the study

• Presence or history of severe systemic allergy

• Topical or systemic corticosteroids within 1 week; topical CsA, tacrolimus, or sirolimus or any systemic immunosuppressive drug within 90 days before enrolment

• Scraping of the vernal plaque within 1 month; or any other ocular surgery within 6 months prior to baseline visit

CFS corneal fluorescein staining, CsA cyclosporine, VAS visual analogue scale, VKC vernal keratoconjunctivitis.

*Grade 3 or 4 on the Bonini scale.

CFS score of Grade 4 or 5 on the modified Oxford scale.