Clinical trial • Phase IV • Ophthalmology|Immunology

Tildrakizumab for Lyell syndrome (toxic epidermal necrolysis) - ocular sequelae

Phase IV trial of Tildrakizumab for Lyell syndrome (toxic epidermal necrolysis) - ocular sequelae. open-label, none/not specified-controlled.

Overview

Trial Therapeutic Area
Ophthalmology|Immunology
Trial Disease
Lyell syndrome (toxic epidermal necrolysis) - ocular sequelae
Trial Stage
Phase IV
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
22-09-2025
First CTIS Authorization Date
23-01-2026

Trial design

open-label, none/not specified-controlled Phase IV trial across 1 site in France.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
10
Trial Duration For Participant
180

Eligibility

Recruits 10 Vulnerable population flag is selected. All participants must be adults (≥18 years) and "Able to provide informed consent" per inclusion criteria. No details on assent or proxy consent are provided in the record..

Pregnancy Exclusion
Pregnant or breastfeeding woman
Vulnerable Population
Vulnerable population flag is selected. All participants must be adults (≥18 years) and "Able to provide informed consent" per inclusion criteria. No details on assent or proxy consent are provided in the record.

Inclusion criteria

  • {"criterion_text":"- Adults (≥18 years old)\n- Non-pregnant and not breastfeeding (if female)\n- Presenting with ocular sequelae of Lyell Syndrome\n- Able to provide informed consent\n- Covered by a social security scheme.\n- Patients with a history of SJS/TEN with persistent ocular symptoms or signs compatible with chronic ocular surface inflammation.\n- Visual acuity allowing assessment procedures.\n- Clinical stability allowing safe ocular examination"}

Exclusion criteria

  • {"criterion_text":"- Pregnant or breastfeeding woman\n- <18 years old\n- Receipt of a live attenuated vaccine within 4 weeks prior to inclusion and/or need for a live attenuated vaccine during the study or within 17 weeks after the last dose of Tildrakizumab\n- Known hypersensitivity to tildrakizumab\n- Patients with a chronic, recurrent, or recent serious infection, or with any suspected clinically relevant active infection\n- Active infectious keratitis (bacterial, viral, fungal)\n- Corneal ulcer threatening perforation\n- Severe non-SJS/TEN–related ocular diseases (e.g., advanced glaucoma, retinal disease)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary efficacy endpoint of this study is the change in tear film break-up time (TBUT), measured in seconds, between baseline (Day 0) and post-treatment follow-up visits","definition_or_measurement_approach":"Change in TBUT measured in seconds between baseline (Day 0) and post-treatment follow-up visits."}
  • {"endpoint_text":"- Secondary efficacy endpoints will consist of patient-reported outcome measures designed to capture the subjective impact of treatment on ocular symptoms and vision-related quality of life.","definition_or_measurement_approach":"Patient-reported outcome measures capturing subjective impact on ocular symptoms and vision-related quality of life (e.g., DLQI as referenced in objectives)."}

Secondary endpoints

  • {"endpoint_text":"- Clinical Safety Monitoring","definition_or_measurement_approach":"General clinical safety monitoring as per protocol (no further detail provided in the record)."}
  • {"endpoint_text":"- Patient-Reported Tolerability via DL-QI","definition_or_measurement_approach":"Patient-reported tolerability measured via Dermatology Life Quality Index (DLQI) or equivalent patient-reported instrument as referenced."}

Recruitment

Planned Sample Size
10
Recruitment Window Months
18
Consent Approach
Participants must be able to provide informed consent (inclusion criterion: "Able to provide informed consent"); study enrols adults (≥18). Subject information and informed consent form documented (see document titled "Notice d_information et recueil du consentement"). No assent or proxy consent procedures are described in the record.

Geography

Total Number Of Sites
1
Total Number Of Participants
10

France

Earliest CTIS Part Ii Submission Date
16-01-2026
Latest Decision Or Authorization Date
23-01-2026
Processing Time Days
7
Number Of Sites
1
Number Of Participants
10

Sites

Site Name
Docteur Benoit Ben Said SELARL
Department Name
Dermatology
Principal Investigator Name
BENOIT BENSAID
Principal Investigator Email
bensaidprof@gmail.com
Contact Person Name
BENOIT BENSAID
Contact Person Email
bensaidprof@gmail.com
Number Of Participants
10

Sponsor

Primary sponsor

Full Name
TOXILYON
Organisation Type
Health care
Country Of Registered Address
France

Investigational products

Investigational Product Name
Ilumetri 200 mg solution for injection in pre-filled syringe
Active Substance
Tildrakizumab
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous injection
Authorisation Status
Authorised (marketing authorisation EU/1/18/1323/003)
Starting Dose
100 mg
Dose Levels
100 mg
Frequency
Day 0, Month 1, Month 3
Maximum Dose
300 mg total (3 x 100 mg); 100 mg per administration

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