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Clinical Evaluation of Safety and Efficacy of Radio Frequency (Forma Eye) Treatment for Dry Eye Disease Due to Meibomian Gland Dysfunction

Primary Purpose

Improvement of Dry Eye Disease

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Forma Eye Applicator
Sponsored by
InMode MD Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Improvement of Dry Eye Disease

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult females and males between the ages of 18 -75, seeking treatments for Dry Eye Disease Due to Meibomian Gland Dysfunction
  2. Tear breakup time (TBUT) ≤10 s;
  3. Evidence of meibomian gland (MG) obstruction, based on total MGS of ≤12 in lower eyelids for each eye as assessed by a clinician not involved in the study procedure
  4. Subjective symptom score (using the Standard Patient Evaluation of Eye Dryness [SPEED] questionnaire) ≥10;
  5. At least one meibomian gland opening with a visible plugging over the eyelid margin
  6. No ocular pathology requiring treatment other than eye lubricant and conventional eyelid hygiene within the last month and during the study
  7. The subjects should understand the information provided about the investigative nature of the treatment, possible benefits, and side effects, and sign the Informed Consent Form
  8. The subjects should be willing to comply with the study procedure and schedule, including follow up visits.
  9. Agreement/ability to abstain from dry eye/MGD medications or any device treatments for the time between the treatment visit and the final study visit. Ocular lubricants are allowed if no changes are made during the study.

Exclusion Criteria:

  1. Evidence of co-existing ocular conditions potentially posing an increased risk of procedure-related injury, (e.g., active ocular infection or inflammation in either eye)
  2. History of ocular trauma or surgery including intraocular, oculoplastic, corneal or refractive surgery within 1 year
  3. Ocular surface abnormality potentially compromising corneal integrity in either eye; eyelid abnormalities affecting lid function in either eye
  4. Systemic disease conditions that cause dry eye (e.g., Stevens-Johnson syndrome, vitamin A deficiency, rheumatoid arthritis, Wegener's granulomatosis, sarcoidosis, leukemia, Riley-Day syndrome, systemic lupus erythematosus, Sjogren's syndrome)
  5. Unwillingness to abstain from systemic medications known to cause dryness for the study duration.
  6. Individuals who have either changed the dosing of systemic or non-dry eye/MGD ophthalmic medication within the past 30 days prior to screening
  7. Internal defibrillator, a pacemaker or any other implanted electrical device anywhere in the body
  8. Permanent metal implant in the treatment area
  9. Any surgery in the treatment area in the last 3 months
  10. Current or history of skin cancer, or current condition of any other type of cancer, or pre-malignant moles
  11. Pregnancy and nursing or females of childbearing potential and not utilizing adequate birth control measures
  12. Impaired immune system due to immunosuppressive diseases such as AIDS and HIV, or use of immunosuppressive medications
  13. Patients with a history of diseases stimulated by heat, such as recurrent Herpes Simplex in the treatment area, may be treated only following a prophylactic regimen.
  14. Poorly controlled endocrine disorders, such as diabetes, thyroid dysfunction, polycystic ovary, and hormonal virilization
  15. Any active condition in the treatment area, such as but not limited to open sores, psoriasis, eczema, vitiligo, herpes, and rash.
  16. History of skin disorders, keloids, abnormal wound healing, as well as very dry and fragile skin
  17. Severe concurrent conditions, such as cardiac disorders, sensory disturbances.
  18. Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
  19. Participation in another study within 30 days prior to screening.

    -

Sites / Locations

  • Centennial Eye Associates
  • Excellent Vision
  • Sean Paul

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Forma Eye treatment

Arm Description

Outcomes

Primary Outcome Measures

Mean change in Standardized patient Evaluation of Eye Dryness (SPEED)
Mean change from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) in Standardized Patient Evaluation of Eye Dryness (SPEED)
Change in Meibomian Gland Score (MGS), as assessed by a masked rater
Changes from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) in in Meibomian Gland Score (MGS), as assessed by a masked rater, and Tear Break-Up Time (TBUT).
Change in Tear Break-Up Time
Changes from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) assessed by Tear Break-up time (TBUT)

Secondary Outcome Measures

Subject's assessment of improvement
Subject assessment of improvement based on 0 - 4-point Likert scale at four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) follow up visits. Improvement assessment will be performed independently by the subject himself on the following 0-4 points Likert scale questionnaire (Global Aesthetic Improvement Scale): 4 = Significantly marked improvement; 3 = Marked improvement; 2 = Moderate improvement; 1 = Slight improvement; 0 = No difference
Subject assessment of satisfaction
Subject assessment of satisfaction will be filled-out by subjects only using 5-points Likert scale at four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) follow up visits: +2 = Very satisfied; +1 = Satisfied; 0 = Indifferent; -1 = Disappointed; -2 = Very disappointed
Safety assessment
The number, severity and type of any adverse event recorded throughout the study and post treatment (immediate and delayed response)
Safety assessment
Discomfort assessment during the treatment using NSR scale. At each treatment the subject will be asked to fill assessments for the pain/discomfort during the procedure. The subject will be asked to rate the severity from 0 to 10, with 0 equaling no symptoms and 10 equaling the worst possible symptoms. A number is obtained by measuring up to the point the subject has indicated
Mean change in Ocular Surface Disease Index (OSDI)
Mean change from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) in Ocular Surface Disease Index (OSDI)
Improvement in NEI grading measurements
Improvement measurements using ocular surface fluorescent staining. NEI grading scheme grading for ocular surface staining score will be used in this study.

Full Information

First Posted
October 4, 2019
Last Updated
July 26, 2022
Sponsor
InMode MD Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04120584
Brief Title
Clinical Evaluation of Safety and Efficacy of Radio Frequency (Forma Eye) Treatment for Dry Eye Disease Due to Meibomian Gland Dysfunction
Official Title
Clinical Evaluation of Safety and Efficacy of Radio Frequency (Forma Eye) Treatment for Dry Eye Disease Due to Meibomian Gland Dysfunction
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
October 22, 2019 (Actual)
Primary Completion Date
July 25, 2022 (Actual)
Study Completion Date
July 25, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
InMode MD Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of the study is to evaluate the safety and efficacy of radiofrequency treatment for dry eye disease due to meibomian gland dysfunction

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Improvement of Dry Eye Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
35 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Forma Eye treatment
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
Forma Eye Applicator
Intervention Description
Eligible subjects will receive up to 3 treatments (2-3 weeks interval) with the Forma Eye Applicator according to the study protocol. The subject will return for 3 follow up visits: four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) after the last treatment.
Primary Outcome Measure Information:
Title
Mean change in Standardized patient Evaluation of Eye Dryness (SPEED)
Description
Mean change from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) in Standardized Patient Evaluation of Eye Dryness (SPEED)
Time Frame
1month, 3 months, 6 months
Title
Change in Meibomian Gland Score (MGS), as assessed by a masked rater
Description
Changes from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) in in Meibomian Gland Score (MGS), as assessed by a masked rater, and Tear Break-Up Time (TBUT).
Time Frame
1 month, 3 months, 6 months
Title
Change in Tear Break-Up Time
Description
Changes from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) assessed by Tear Break-up time (TBUT)
Time Frame
1 month, 3 months, 6 months
Secondary Outcome Measure Information:
Title
Subject's assessment of improvement
Description
Subject assessment of improvement based on 0 - 4-point Likert scale at four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) follow up visits. Improvement assessment will be performed independently by the subject himself on the following 0-4 points Likert scale questionnaire (Global Aesthetic Improvement Scale): 4 = Significantly marked improvement; 3 = Marked improvement; 2 = Moderate improvement; 1 = Slight improvement; 0 = No difference
Time Frame
1 month, 3 months, 6 months
Title
Subject assessment of satisfaction
Description
Subject assessment of satisfaction will be filled-out by subjects only using 5-points Likert scale at four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) follow up visits: +2 = Very satisfied; +1 = Satisfied; 0 = Indifferent; -1 = Disappointed; -2 = Very disappointed
Time Frame
1 month, 3 months, 6 months
Title
Safety assessment
Description
The number, severity and type of any adverse event recorded throughout the study and post treatment (immediate and delayed response)
Time Frame
1 month, 3 months, 6 months
Title
Safety assessment
Description
Discomfort assessment during the treatment using NSR scale. At each treatment the subject will be asked to fill assessments for the pain/discomfort during the procedure. The subject will be asked to rate the severity from 0 to 10, with 0 equaling no symptoms and 10 equaling the worst possible symptoms. A number is obtained by measuring up to the point the subject has indicated
Time Frame
2 weeks, 4 weeks and 6 weeks
Title
Mean change in Ocular Surface Disease Index (OSDI)
Description
Mean change from baseline to prior to second, third treatments as well as four weeks (4wk FU), 12 weeks (12wk FU), twenty-four weeks (24wk FU) in Ocular Surface Disease Index (OSDI)
Time Frame
1 Month, 3 months, 6 months
Title
Improvement in NEI grading measurements
Description
Improvement measurements using ocular surface fluorescent staining. NEI grading scheme grading for ocular surface staining score will be used in this study.
Time Frame
1 month, 3 months, 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult females and males between the ages of 18 -75, seeking treatments for Dry Eye Disease Due to Meibomian Gland Dysfunction Tear breakup time (TBUT) ≤10 s; Evidence of meibomian gland (MG) obstruction, based on total MGS of ≤12 in lower eyelids for each eye as assessed by a clinician not involved in the study procedure Subjective symptom score (using the Standard Patient Evaluation of Eye Dryness [SPEED] questionnaire) ≥10; At least one meibomian gland opening with a visible plugging over the eyelid margin No ocular pathology requiring treatment other than eye lubricant and conventional eyelid hygiene within the last month and during the study The subjects should understand the information provided about the investigative nature of the treatment, possible benefits, and side effects, and sign the Informed Consent Form The subjects should be willing to comply with the study procedure and schedule, including follow up visits. Agreement/ability to abstain from dry eye/MGD medications or any device treatments for the time between the treatment visit and the final study visit. Ocular lubricants are allowed if no changes are made during the study. Exclusion Criteria: Evidence of co-existing ocular conditions potentially posing an increased risk of procedure-related injury, (e.g., active ocular infection or inflammation in either eye) History of ocular trauma or surgery including intraocular, oculoplastic, corneal or refractive surgery within 1 year Ocular surface abnormality potentially compromising corneal integrity in either eye; eyelid abnormalities affecting lid function in either eye Systemic disease conditions that cause dry eye (e.g., Stevens-Johnson syndrome, vitamin A deficiency, rheumatoid arthritis, Wegener's granulomatosis, sarcoidosis, leukemia, Riley-Day syndrome, systemic lupus erythematosus, Sjogren's syndrome) Unwillingness to abstain from systemic medications known to cause dryness for the study duration. Individuals who have either changed the dosing of systemic or non-dry eye/MGD ophthalmic medication within the past 30 days prior to screening Internal defibrillator, a pacemaker or any other implanted electrical device anywhere in the body Permanent metal implant in the treatment area Any surgery in the treatment area in the last 3 months Current or history of skin cancer, or current condition of any other type of cancer, or pre-malignant moles Pregnancy and nursing or females of childbearing potential and not utilizing adequate birth control measures Impaired immune system due to immunosuppressive diseases such as AIDS and HIV, or use of immunosuppressive medications Patients with a history of diseases stimulated by heat, such as recurrent Herpes Simplex in the treatment area, may be treated only following a prophylactic regimen. Poorly controlled endocrine disorders, such as diabetes, thyroid dysfunction, polycystic ovary, and hormonal virilization Any active condition in the treatment area, such as but not limited to open sores, psoriasis, eczema, vitiligo, herpes, and rash. History of skin disorders, keloids, abnormal wound healing, as well as very dry and fragile skin Severe concurrent conditions, such as cardiac disorders, sensory disturbances. Use of Isotretinoin (Accutane®) within 6 months prior to treatment. Participation in another study within 30 days prior to screening. -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sean Paul, MD
Organizational Affiliation
4316 James Casey St Building F Suite 201, Austin, TX 78745, United States
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sandy Zhang-Nunes, MD
Organizational Affiliation
Oculofacial Plastic Surgery Director USC Roski Eye Institue USC Keck School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centennial Eye Associates
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80016
Country
United States
Facility Name
Excellent Vision
City
Portsmouth
State/Province
New Hampshire
ZIP/Postal Code
03801
Country
United States
Facility Name
Sean Paul
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Clinical Evaluation of Safety and Efficacy of Radio Frequency (Forma Eye) Treatment for Dry Eye Disease Due to Meibomian Gland Dysfunction

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