TheraRadar
Data updated: May 26, 2026

OXERVATE (cenegermin-bkbj)

Trial Activity: Declining
First-in-Class Orphan Drug Breakthrough Therapy Priority Review Fast Track
Ophthalmology Approved 2018-08-22

OXERVATE is indicated for the treatment of Neurotrophic Keratitis.

Source: FDA Label • DOMPE FARMACEUTICI • Recombinant Human Nerve Growth Factor

How OXERVATE Works

Cenegermin-bkbj acts as a recombinant form of human nerve growth factor, an endogenous protein involved in the differentiation and maintenance of neurons. The drug targets specific high-affinity (TrkA) and low-affinity (p75NTR) nerve growth factor receptors located in the anterior segment of the eye. By interacting with these receptors, the medication supports corneal innervation and maintains the integrity of the ocular surface.

Development Insights

Dompé Farmaceutici S.p.A conducting 2 trials (67%)
4 indications explored (Focused)
neurotrophic keratitis (1 trials)
dry eye (1 trials)
corneal disease (1 trials)
1
Indication
--
Phase 3 Trials
1
Priority Reviews
7
Years on Market

Details

Status
Prescription
First Approved
2018-08-22
Patent Cliff
2025

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Routes
OPHTHALMIC
Dosage Forms
SOLUTION

Companies

Active Ingredient: CENEGERMIN-BKBJ

OXERVATE Approval History

2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2018 to 2023
Oct 2023 SUPPL
Label · Labeling
Oct 2019 SUPPL
Label · Labeling
Aug 2018 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What OXERVATE Treats

1 indications

OXERVATE is approved for 1 conditions since its original approval in 2018. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Neurotrophic Keratitis
Source: FDA Label
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Clinical Trial Registry

3 trials
Trial Sponsor ID Phase Status Title
NCT04485546 DEFENDO results posted NGF0120 Ph 4 completed Study to Evaluate OXERVATE® in Patients With Stage 1 Neurotrophic Keratitis
NCT05133180 results posted NGF0121 2021-003346-21 Ph 3 completed Safety and Efficacy Study on Cenegermin (Oxervate®) vs Vehicle in Severe Sjogren's Dry Eye Disease (PROTEGO-1 Study)
NCT05700864 STUDY00002840 Ph 1 withdrawn NGF Treatment for Patients With Neuropathic Corneal Pain
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

OXERVATE FDA Label Details

Indications & Usage

FDA Label (PDF)

OXERVATE is indicated for the treatment of Neurotrophic Keratitis.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment