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
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
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.
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
NCT ID
NCT02758327
First Posted
April 27, 2016
Last Updated
August 15, 2017
Sponsor
Koffler Vision Group
Collaborators
Akorn, Inc.
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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Evaluation of Tear Osmolarity Over Time With Sustained Use of Thera Tears Lubricating Drops
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