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Clinical Outcomes Following Treatment With Systane® Balance in Dry Eye Subjects

Primary Purpose

Dry Eye

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Propylene Glycol, 0.6% eye drops
Preservative-free 0.9% Saline solution
Sponsored by
Alcon Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye focused on measuring Dry eye, Lipid deficiency, Tear film break-up time

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Must have all of the following in at least 1 eye at Screening:

    1. Meibomian Gland Dysfunction (MGD) grading for Expressibility ≤ 2 and Meibum Quality ≤ 2,
    2. The average of 3 measures of TFBUT ≤ 5 seconds, and
    3. Unanesthetized Schirmer I test of ≥ 3 mm.
  • Must have an Ocular Surface Disease Index (OSDI) Score ≥ 18 at Visit 1 prior to randomization (ie, after 2 weeks of run-in with Preservative-Free 0.9% Saline administered 4 times a day).
  • Must have best-corrected visual acuity of 55 letters or better in each eye as assessed using an early treatment diabetic retinopathy study (ETDRS) chart (letter read method).
  • Physician diagnosis of dry eye at least 6 months prior to Screening visit.
  • Willing and able to attend all study visits.
  • Must sign a written informed consent form.
  • Other protocol-defined inclusion criteria may apply.

Exclusion Criteria:

  • Subjects on topical ocular treatments containing benzalkonium chloride (BAK), or other products with known toxicity to the corneal surface, within 30 days of Screening.
  • Subjects who have started, stopped, or changed a lid hygiene regimen within 30 days of Screening.
  • Use of any artificial tears/lubricants/gels/rewetting drops within 4 hours of Screening.
  • Women of childbearing potential are excluded from participating in this study if they met any of the following conditions:

    • Currently pregnant, or
    • Test positive for pregnancy at Screening visit, or
    • Currently breast feeding, or
    • Are not in agreement to use adequate birth control methods to prevent pregnancy throughout the study.
  • Hypersensitivity to the use of any of the study products or allergy to any ingredient in the study products.
  • Has an active ocular allergy.
  • Any ocular abnormalities that could adversely affect the safety or efficacy outcome, including eyelid anomalies, corneal disorders, history of herpes simplex, etc.
  • Subjects taking any systemic medication known to cause dry eye unless they have been on stable therapy/dosage for at least 30 days prior to Screening and will remain on a stable dosage for the duration of the study.
  • History of any ocular or intraocular surgery (including periocular Botox injections), eyelid surgery, keratorefractive procedure, corneal transplant and its variants, or serious ocular trauma within 1 year of Screening.
  • Active ocular infection (bacterial, viral or fungal), active inflammation not associated with dry eye such as uveitis, iritis, active blepharitis, active allergic conjunctivitis, etc.
  • Subjects with punctal plug insertion or diathermy procedure initiated within 30 days of Screening.
  • Any significant illnesses that could be expected to interfere with the study parameters.
  • Subjects with active oculodermal rosacea with meibomian gland dysfunction.
  • Participation in an investigational drug or device trial within 30 days of Screening.
  • Contact lens use within 30 days prior to Screening, or unwilling to avoid contact lens use during the course of the study.
  • Unwilling to avoid the use of additional artificial tears/lubricants/gels/rewetting drops (other than the assigned study medication) throughout the course of the study.
  • Other protocol-defined exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Systane Balance

    Saline

    Arm Description

    Propylene Glycol, 0.6% eye drops, 1 drop in each eye, 4 times per day, during Phase I (Day 0-35), followed by 1 drop in each eye as needed during Phase II (Day 35-90).

    Preservative-Free 0.9% Saline solution, 1 drop in each eye, 4 times per day, during Phase I (Day 0-35), followed by 1 drop in each eye as needed during Phase II (Day 35-90).

    Outcomes

    Primary Outcome Measures

    Change From Baseline in TFBUT at Day 35
    TFBUT (the time required for dry spots to appear on the corneal surface after blinking) was assessed by the investigator using ophthalmic dye and a biomicroscope and measured in seconds. Subjects were dosed in the office 1 hour ±10 minutes prior to TFBUT assessment. A shorter TFBUT indicates a higher likelihood of dry eye symptoms. A positive change indicates an improvement in TFBUT. One eye (study eye) contributed to the analysis.

    Secondary Outcome Measures

    Change From Baseline in TOSS Score at Day 35
    The TOSS score (a cumulative cornea and conjunctival staining score) was assessed by the investigator using ophthalmic dye and a biomicroscope. Three areas of the ocular surface were graded for dryness on a 0-5 scale (0=Absent, 5=Severe), with a resultant overall score of 0-15. A negative change indicates an improvement in dry eye-related staining. One eye (study eye) contributed to the analysis.
    Change From Baseline in OSDI Score at Day 35
    The OSDI is a 12-item quality of life questionnaire designed to assess ocular surface symptoms, their severity, and their impact on the subject's ability to function. Each item was scored by the subject on a 0-4 Likert-type scale (0=None, 4=All of the Time), with a resultant overall score of 0-100 (0=no disability, 100=complete disability). A negative change number represents a perceived improvement in ocular health.
    Change From Baseline in IDEEL Treatment Effectiveness Score at Day 35
    The IDEEL is a 10-item questionnaire designed to assess the subject's general satisfaction with treatment use. The subject responded to treatment effectiveness questions (Questions 2-5) using a 0-4 Likert-type scale, where 0=None of the time and 4=All of the time. The IDEEL treatment effectiveness score was calculated as the sum of the responses from Questions 2-5 divided by the number of questions (2-5) answered, multiplied by 25, for a resultant overall score of 0-100. A positive change number represents perceived improvement.
    Change From Baseline in IDEEL Treatment Inconvenience Score at Day 35
    The IDEEL is a 10-item questionnaire designed to assess the subject's general satisfaction with treatment use. The subject responded to treatment inconvenience questions (Questions 6, 8-10) using a 0-4 Likert-type scale, where 0=All of the time and 4=None of the time. The IDEEL treatment inconvenience score was calculated as the sum of the responses from Questions 6, 8-10 divided by the number of questions (6, 8-10) answered, multiplied by 25, for a resultant overall score of 0-100. A positive change number represents perceived improvement.

    Full Information

    First Posted
    October 18, 2013
    Last Updated
    February 23, 2016
    Sponsor
    Alcon Research
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01967147
    Brief Title
    Clinical Outcomes Following Treatment With Systane® Balance in Dry Eye Subjects
    Official Title
    Evaluation of Clinical Outcomes Following Treatment With Systane® Balance in Dry Eye Subjects With Lipid Deficiency
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2014 (undefined)
    Primary Completion Date
    January 2015 (Actual)
    Study Completion Date
    January 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Alcon Research

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to demonstrate the superior efficacy of Systane® Balance over Preservative-Free 0.9% Saline following 35 days of QID (4 times a day) dosing in treating dry eye subjects with lipid deficiency.
    Detailed Description
    This study consisted of 4 visits conducted during 3 sequential phases: the Run-in Phase (which included a screening visit and run-in period), Treatment Phase I and Treatment Phase II. In Phase I, subjects were randomized to either Systane® Balance or Saline and dosed 4 times a day for 35 days. In Phase II (Day 35-90) subjects continued to dose with their assigned product on an as-needed basis.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Dry Eye
    Keywords
    Dry eye, Lipid deficiency, Tear film break-up time

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    InvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    279 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Systane Balance
    Arm Type
    Experimental
    Arm Description
    Propylene Glycol, 0.6% eye drops, 1 drop in each eye, 4 times per day, during Phase I (Day 0-35), followed by 1 drop in each eye as needed during Phase II (Day 35-90).
    Arm Title
    Saline
    Arm Type
    Active Comparator
    Arm Description
    Preservative-Free 0.9% Saline solution, 1 drop in each eye, 4 times per day, during Phase I (Day 0-35), followed by 1 drop in each eye as needed during Phase II (Day 35-90).
    Intervention Type
    Drug
    Intervention Name(s)
    Propylene Glycol, 0.6% eye drops
    Other Intervention Name(s)
    Systane® Balance
    Intervention Description
    Commercially available eye drops used during Treatment Phase
    Intervention Type
    Drug
    Intervention Name(s)
    Preservative-free 0.9% Saline solution
    Intervention Description
    Commercially available solution used as Run-in (1 drop in each eye 4 times a day for 15 days) and during Treatment Phase
    Primary Outcome Measure Information:
    Title
    Change From Baseline in TFBUT at Day 35
    Description
    TFBUT (the time required for dry spots to appear on the corneal surface after blinking) was assessed by the investigator using ophthalmic dye and a biomicroscope and measured in seconds. Subjects were dosed in the office 1 hour ±10 minutes prior to TFBUT assessment. A shorter TFBUT indicates a higher likelihood of dry eye symptoms. A positive change indicates an improvement in TFBUT. One eye (study eye) contributed to the analysis.
    Time Frame
    Baseline (Day 0), Day 35
    Secondary Outcome Measure Information:
    Title
    Change From Baseline in TOSS Score at Day 35
    Description
    The TOSS score (a cumulative cornea and conjunctival staining score) was assessed by the investigator using ophthalmic dye and a biomicroscope. Three areas of the ocular surface were graded for dryness on a 0-5 scale (0=Absent, 5=Severe), with a resultant overall score of 0-15. A negative change indicates an improvement in dry eye-related staining. One eye (study eye) contributed to the analysis.
    Time Frame
    Baseline (Day 0), Day 35
    Title
    Change From Baseline in OSDI Score at Day 35
    Description
    The OSDI is a 12-item quality of life questionnaire designed to assess ocular surface symptoms, their severity, and their impact on the subject's ability to function. Each item was scored by the subject on a 0-4 Likert-type scale (0=None, 4=All of the Time), with a resultant overall score of 0-100 (0=no disability, 100=complete disability). A negative change number represents a perceived improvement in ocular health.
    Time Frame
    Baseline (Day 0), Day 35
    Title
    Change From Baseline in IDEEL Treatment Effectiveness Score at Day 35
    Description
    The IDEEL is a 10-item questionnaire designed to assess the subject's general satisfaction with treatment use. The subject responded to treatment effectiveness questions (Questions 2-5) using a 0-4 Likert-type scale, where 0=None of the time and 4=All of the time. The IDEEL treatment effectiveness score was calculated as the sum of the responses from Questions 2-5 divided by the number of questions (2-5) answered, multiplied by 25, for a resultant overall score of 0-100. A positive change number represents perceived improvement.
    Time Frame
    Baseline (Day 0), Day 35
    Title
    Change From Baseline in IDEEL Treatment Inconvenience Score at Day 35
    Description
    The IDEEL is a 10-item questionnaire designed to assess the subject's general satisfaction with treatment use. The subject responded to treatment inconvenience questions (Questions 6, 8-10) using a 0-4 Likert-type scale, where 0=All of the time and 4=None of the time. The IDEEL treatment inconvenience score was calculated as the sum of the responses from Questions 6, 8-10 divided by the number of questions (6, 8-10) answered, multiplied by 25, for a resultant overall score of 0-100. A positive change number represents perceived improvement.
    Time Frame
    Baseline (Day 0), Day 35

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Must have all of the following in at least 1 eye at Screening: Meibomian Gland Dysfunction (MGD) grading for Expressibility ≤ 2 and Meibum Quality ≤ 2, The average of 3 measures of TFBUT ≤ 5 seconds, and Unanesthetized Schirmer I test of ≥ 3 mm. Must have an Ocular Surface Disease Index (OSDI) Score ≥ 18 at Visit 1 prior to randomization (ie, after 2 weeks of run-in with Preservative-Free 0.9% Saline administered 4 times a day). Must have best-corrected visual acuity of 55 letters or better in each eye as assessed using an early treatment diabetic retinopathy study (ETDRS) chart (letter read method). Physician diagnosis of dry eye at least 6 months prior to Screening visit. Willing and able to attend all study visits. Must sign a written informed consent form. Other protocol-defined inclusion criteria may apply. Exclusion Criteria: Subjects on topical ocular treatments containing benzalkonium chloride (BAK), or other products with known toxicity to the corneal surface, within 30 days of Screening. Subjects who have started, stopped, or changed a lid hygiene regimen within 30 days of Screening. Use of any artificial tears/lubricants/gels/rewetting drops within 4 hours of Screening. Women of childbearing potential are excluded from participating in this study if they met any of the following conditions: Currently pregnant, or Test positive for pregnancy at Screening visit, or Currently breast feeding, or Are not in agreement to use adequate birth control methods to prevent pregnancy throughout the study. Hypersensitivity to the use of any of the study products or allergy to any ingredient in the study products. Has an active ocular allergy. Any ocular abnormalities that could adversely affect the safety or efficacy outcome, including eyelid anomalies, corneal disorders, history of herpes simplex, etc. Subjects taking any systemic medication known to cause dry eye unless they have been on stable therapy/dosage for at least 30 days prior to Screening and will remain on a stable dosage for the duration of the study. History of any ocular or intraocular surgery (including periocular Botox injections), eyelid surgery, keratorefractive procedure, corneal transplant and its variants, or serious ocular trauma within 1 year of Screening. Active ocular infection (bacterial, viral or fungal), active inflammation not associated with dry eye such as uveitis, iritis, active blepharitis, active allergic conjunctivitis, etc. Subjects with punctal plug insertion or diathermy procedure initiated within 30 days of Screening. Any significant illnesses that could be expected to interfere with the study parameters. Subjects with active oculodermal rosacea with meibomian gland dysfunction. Participation in an investigational drug or device trial within 30 days of Screening. Contact lens use within 30 days prior to Screening, or unwilling to avoid contact lens use during the course of the study. Unwilling to avoid the use of additional artificial tears/lubricants/gels/rewetting drops (other than the assigned study medication) throughout the course of the study. Other protocol-defined exclusion criteria may apply.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Senior Clinical Manager, GCRA
    Organizational Affiliation
    Alcon Research
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Clinical Outcomes Following Treatment With Systane® Balance in Dry Eye Subjects

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