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NCT Number: NCT07024693

DT-168 in Keratoplasty Patients With Fuchs Endothelial Corneal Dystrophy

The purpose of this study is to evaluate the pharmacodynamics, safety, and tolerability of DT-168 Ophthalmic Solution in pre-keratoplasty patients with Fuchs endothelial corneal dystrophy.

Recruiting

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Key information

Age range

30 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

DTX-168-201 Study Site, Indianapolis, Indiana, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant is scheduled to undergo a keratoplasty for management of FECD independent of this study.
  • ≥30 years of age (inclusive).
  • Documented diagnosis of FECD in the study eligible eye.
  • Confirmation of positive TCF4 allele 18.1 CTG expansion in at least one allele.
  • Capable of giving signed informed consent.

Exclusion criteria

  • Any ocular or medical condition in the study eligible eye which is clinically significant or would confound study results or data interpretation.
  • Any clinically significant medical, nonmedical, and psychiatric disorders that could put the participant at higher risk for participation in the study, impair the participant's ability to participate in the study, or interfere with interpretation of the participant's study results, in the opinion of the investigator.
  • Concurrent or anticipated need for treatment for FECD, eg, Muro 128 (2% or 5%) during the course of the study in the study eye. Provided the subject undergoes a washout of Muro drops for at least 24 hours prior to the Baseline Visit, they will not be excluded.
  • Concurrent or anticipated use of topical corticosteroids in the study eye.
  • Concurrent use with Rhopressa®, Rocklatan®, or any other ocular Rho Kinase inhibitor.
  • Known contraindication, allergy, or hypersensitivity to any of the treatments, anesthetics, or diagnostic agents or components thereof which may be used during the study.
  • Use of contact lenses in the study eye within 7 days prior to the Baseline Visit or planned use during the study.
  • Recent (within 30 days of the Screening Visit) or ongoing participation in any other investigational interventional clinical study.
  • Female participant is pregnant, planning a pregnancy, or breast-feeding.
  • Participant is unwilling to comply with the contraceptive requirements, as per protocol.

Treatment and study plan

DT-168

Drug

Active

Primary outcomes

  1. FECD Biomarkers: Splicing Panel

    Time frame: Perioperative

    Assessment of DT-168 on splicing patterns in genes that are known to be disrupted in FECD.

Secondary outcomes

  1. Safety and Tolerability

    Time frame: Through study completion, an average of 4 weeks.

    Frequency of treatment-emergent adverse events

Study contacts

Contact information is provided by the study sponsor or research team.

Mark Daniels

CONTACT

[email protected]

858-293-4948

Sponsors and collaborators

Lead sponsor

Design Therapeutics, Inc.

Industry

Registry information

Official study title

A Phase 2, Multicenter, Open-Label Study to Assess the Pharmacodynamics, Safety, and Tolerability of DT-168 Ophthalmic Solution in Patients With Fuchs Endothelial Corneal Dystrophy Undergoing Keratoplasty

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jun 17, 2025
Registry last updated
Dec 29, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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