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Evaluation of Tear Osmolarity Over Time With Sustained Use of Thera Tears Lubricating Drops (AKORN)

Primary Purpose

Dry Eye Syndrome

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
TheraTears Lubricating Eye Drops
Sponsored by
Koffler Vision Group
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye Syndrome focused on measuring Tear Osmolarity, Keratitis Sicca, Ocular Surface Disease, TheraTears

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Is at least 21 years of age and has full legal capacity to volunteer;
  2. Has read and signed the information consent letter;
  3. Is willing and able to follow instructions and maintain the appointment schedule;
  4. Is diagnosed with dry eye syndrome (in at least one eye), indicated by current ocular examination, prior history (self-reported history of dry eye is acceptable) and current use of treatments for dry eye;
  5. Has a minimum osmolarity reading of 316 mosm/kg at the baseline visit in at least one eye or a osmolarity reading of at least 308 (in worse eye) and at least an 8 point difference between the two eyes.

Exclusion Criteria:

  1. Has taken part in another research study within the last 30 days;
  2. Planned contact lens wear during the course of the study;
  3. Staff at the investigational site or family member of site staff or family member of currently enrolled participant;
  4. Any subject that violates the washout period by using eye drops during the 72hrs washout period;
  5. Has any known ocular disease* including active ocular infection, inflammation or allergy, especially Salzmann's nodular degeneration, symptomatic conjunctivochalasis, and fixation disparity syndrome;
  6. Restasis use can be included if they have been on it for at least 3 months and are stable.Used Restasis (or similar topical medication) within the last 6 months;
  7. Has a systemic condition that in the opinion of the investigator may affect the dry eye status of the subject, especially those newly diagnosed, newly prescribed and/or unstable;
  8. Is pregnant, lactating or planning a pregnancy at the time of enrolment (verbal confirmation necessary);
  9. Use of systemic anti-histamines, as long as they have been on them continuously for at least 1 month. Use of medications such as: Systemic Antihistamine (e.g., Allegra®, Benadryl®, Claritin®, Dimetapp®, Unisom®, Zyrtec®, etc.), Isotretinoin (e.g., Accutane®, Roaccutane®, Amnesteem®, Claravis®, Isotroin®, Sotret®) or similar medications;
  10. Has known sensitivity to the diagnostic pharmaceuticals to be used in the study;
  11. Has undergone ocular surgery(LASIK, Cataract, etc)within the last year;

    • For purposes of this study, ocular conditions that are typically associated with dry eye status, such as meibomian gland dysfunction, mild (i.e. not considered clinically relevant) blepharitis, corneal and conjunctival staining are not considered an exclusion.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    TheraTears Lubrication Drop

    Arm Description

    TheraTears Lubricating Eye Drops to be instilled 1 drop in both eyes 4 times per day over a period of 8 weeks.

    Outcomes

    Primary Outcome Measures

    Change in Tear Osmolarity
    Osmolarity measures will be evaluated using the eye with the highest osmolarity reading at the washout/baseline visit. These baseline values will be compared to subsequent follow-up visits, to determine change from baseline at each visit as well as cumulative change in osmolarity over time.

    Secondary Outcome Measures

    Change in Visual Acuity
    Visual acuity measures will be evaluated using the eye with the highest osmolarity reading at the washout/baseline visit. These baseline values will be compared to subsequent follow-up visits, to determine change from baseline at each visit as well as cumulative change in visual acuity over time.
    Change in Tear Film Breakup Time
    After instillation of fluorescein, the investigator will ask the participant blink three times and keep their eyes open for as long as they can while the investigator records the time at which the dark spots on the tear film begin to appear.
    Change in Corneal Staining
    A fluorescein strip will be wetted with a few drops of saline, and applied to the inferior palpebral conjunctiva of both eyes. The eye will be illuminated by cobalt blue light, and viewed through a Wratten no. 12 barrier filter. Fluorescein staining will be assessed using the CCLRU8 scale (0 to 4).
    Change in Conjunctiva Staining
    A lissamine green strip will be wetted and applied to the inferior palpebral conjunctiva of both eyes to assess conjunctival staining. Lissamine conjunctival staining will be assessed using the Oxford scale. If lissamine strip is not available, fluorescein maybe used instead to assess all conjunctival staining.

    Full Information

    First Posted
    April 27, 2016
    Last Updated
    August 15, 2017
    Sponsor
    Koffler Vision Group
    Collaborators
    Akorn, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02758327
    Brief Title
    Evaluation of Tear Osmolarity Over Time With Sustained Use of Thera Tears Lubricating Drops
    Acronym
    AKORN
    Official Title
    Evaluation of Tear Osmolarity Over Time With Sustained Use of Thera Tears Lubricating
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2015 (undefined)
    Primary Completion Date
    March 2016 (Actual)
    Study Completion Date
    March 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Koffler Vision Group
    Collaborators
    Akorn, Inc.

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The objective of the study is to demonstrate a change in osmolarity over time when moderate to severe dry eye subjects are treated with TheraTears lubricating drops.
    Detailed Description
    Symptomatic dry eye subjects exhibited a significantly higher tear osmolarity than observed in normal subjects, this is thought to relate to the inherent tear film instability of dry eye disease. Lubricating eye drops are frequently prescribed to relieve the symptoms of dry eye.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Dry Eye Syndrome
    Keywords
    Tear Osmolarity, Keratitis Sicca, Ocular Surface Disease, TheraTears

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    14 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    TheraTears Lubrication Drop
    Arm Type
    Experimental
    Arm Description
    TheraTears Lubricating Eye Drops to be instilled 1 drop in both eyes 4 times per day over a period of 8 weeks.
    Intervention Type
    Drug
    Intervention Name(s)
    TheraTears Lubricating Eye Drops
    Other Intervention Name(s)
    87049747
    Intervention Description
    Sodium Carboxy-methylcellulose 0.25% eye Lubricant
    Primary Outcome Measure Information:
    Title
    Change in Tear Osmolarity
    Description
    Osmolarity measures will be evaluated using the eye with the highest osmolarity reading at the washout/baseline visit. These baseline values will be compared to subsequent follow-up visits, to determine change from baseline at each visit as well as cumulative change in osmolarity over time.
    Time Frame
    8 weeks
    Secondary Outcome Measure Information:
    Title
    Change in Visual Acuity
    Description
    Visual acuity measures will be evaluated using the eye with the highest osmolarity reading at the washout/baseline visit. These baseline values will be compared to subsequent follow-up visits, to determine change from baseline at each visit as well as cumulative change in visual acuity over time.
    Time Frame
    8 weeks
    Title
    Change in Tear Film Breakup Time
    Description
    After instillation of fluorescein, the investigator will ask the participant blink three times and keep their eyes open for as long as they can while the investigator records the time at which the dark spots on the tear film begin to appear.
    Time Frame
    8 Weeks
    Title
    Change in Corneal Staining
    Description
    A fluorescein strip will be wetted with a few drops of saline, and applied to the inferior palpebral conjunctiva of both eyes. The eye will be illuminated by cobalt blue light, and viewed through a Wratten no. 12 barrier filter. Fluorescein staining will be assessed using the CCLRU8 scale (0 to 4).
    Time Frame
    8 weeks
    Title
    Change in Conjunctiva Staining
    Description
    A lissamine green strip will be wetted and applied to the inferior palpebral conjunctiva of both eyes to assess conjunctival staining. Lissamine conjunctival staining will be assessed using the Oxford scale. If lissamine strip is not available, fluorescein maybe used instead to assess all conjunctival staining.
    Time Frame
    8 Weeks

    10. Eligibility

    Sex
    All
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Is at least 21 years of age and has full legal capacity to volunteer; Has read and signed the information consent letter; Is willing and able to follow instructions and maintain the appointment schedule; Is diagnosed with dry eye syndrome (in at least one eye), indicated by current ocular examination, prior history (self-reported history of dry eye is acceptable) and current use of treatments for dry eye; Has a minimum osmolarity reading of 316 mosm/kg at the baseline visit in at least one eye or a osmolarity reading of at least 308 (in worse eye) and at least an 8 point difference between the two eyes. Exclusion Criteria: Has taken part in another research study within the last 30 days; Planned contact lens wear during the course of the study; Staff at the investigational site or family member of site staff or family member of currently enrolled participant; Any subject that violates the washout period by using eye drops during the 72hrs washout period; Has any known ocular disease* including active ocular infection, inflammation or allergy, especially Salzmann's nodular degeneration, symptomatic conjunctivochalasis, and fixation disparity syndrome; Restasis use can be included if they have been on it for at least 3 months and are stable.Used Restasis (or similar topical medication) within the last 6 months; Has a systemic condition that in the opinion of the investigator may affect the dry eye status of the subject, especially those newly diagnosed, newly prescribed and/or unstable; Is pregnant, lactating or planning a pregnancy at the time of enrolment (verbal confirmation necessary); Use of systemic anti-histamines, as long as they have been on them continuously for at least 1 month. Use of medications such as: Systemic Antihistamine (e.g., Allegra®, Benadryl®, Claritin®, Dimetapp®, Unisom®, Zyrtec®, etc.), Isotretinoin (e.g., Accutane®, Roaccutane®, Amnesteem®, Claravis®, Isotroin®, Sotret®) or similar medications; Has known sensitivity to the diagnostic pharmaceuticals to be used in the study; Has undergone ocular surgery(LASIK, Cataract, etc)within the last year; For purposes of this study, ocular conditions that are typically associated with dry eye status, such as meibomian gland dysfunction, mild (i.e. not considered clinically relevant) blepharitis, corneal and conjunctival staining are not considered an exclusion.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Diane Houtman, MD
    Organizational Affiliation
    Akorn Pharmaceuticals
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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