Abstract
To evaluate the efficacy of Mipragoside, a ganglioside derivative, in vernal keratoconjunctivitis we performed a controlled randomised clinical trial involving 24 patients (mean age 10±3.4 years, range 5-20 years). Patients received either Mipragoside 0.5% aqueous ophthalmic gel or placebo four times a day for 2 weeks after a week of treatment with placebo. Ocular signs and symptoms were evaluated and considered for statistical analysis. Results show that Mipragoside significantly reduces all symptoms, being most effective on itching (p = 0.01; p = 0.0001) and hyperaemia (p = 0.01; p = 0.0006) after 1 and 2 weeks respectively when compared with placebo. Physician judgement of drug efficacy at the end of treatment was significantly in favour of Mipragoside (p=0.0001) compared with placebo. We conclude that Mipragoside topical treatment improves symptoms of patients with vernal keratoconjunctivitis and we postulate a possible antiinflammatory activity of this compound.
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References
Rodden FA, Wiegandt H, Bauer BL . Gangliosides: the relevance of current research to neurosurgery. J Neurosurg 1991;74:606–19.
Amico Roxas M, Caruso A, Cutuli VMC, Scapagnini U, Morandi A . Anti-inflammatory action of AGF44, a gangliosides ester derivative. Drugs Exp Clin Res 1992;18:251–9.
Jensen C, Svendsen UG, Thastrup O, Stahl Skov P, Leon A, Norn S . Complexity of the influence of gangliosides on histamine release from human basophils and rat mast cells. Agents Action 1987;21:79–82.
Bucolo C, Campana G, Spadaro A, Mangiafico S . Effects of Mipragoside on ocular allergic inflammation in the rabbit. J Ocul Pharmacol 1993;9:321–32.
Bonini St, Centofanti M, Schiavone M, Magrini L, Pocobelli D, Pierdomenico R, Bonini Se . Inhibition of conjunctival allergen challenge by topical Mipragoside. Invest Ophthalmol Vis Sci 1992;33:997.
Tomassini M, Magrini L, Bonini S, Lambiase A, Bonini S . Increased serum levels of eosinophil cationic protein and eosinophil-derived neurotoxin (Protein X) in vernal keratoconjunctivitis. Ophthalmology 1994;101:1808–11.
Marcus DM . A review of the immunogenic and immunomodulatory properties of glycosphingolipids. Mol Immunol 1984;21:1083–91.
Krishnaraj R, Lin J, Kemp RG . Lectin and ionophore stimulated Ca++ influx in murine lymphocytes: inhibition by disialoganglioside. Cell Immunol 1983;78:152–60.
Parker J, Caldini G, Krishnamurti C, Arens PB, Ankel H . Binding of interleukin 2 to gangliosides. FEBS Lett 1984;170:391–5.
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Centofanti, M., Schiavone, M., Lambiase, A. et al. Efficacy of mipragoside ophthalmic gel in vernal keratoconjunctivitis. Eye 10, 422–424 (1996). https://doi.org/10.1038/eye.1996.93
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DOI: https://doi.org/10.1038/eye.1996.93