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SYSTANE® Family - Meibomian Deficiency (M-12-077)

Primary Purpose

Dry Eye Syndrome

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
SYSTANE® Lid Wipes
SYSTANE® BALANCE
SYSTANE® Vitamins
Microfiber towels (as warm compresses, with or without saline eye drops)
Sponsored by
Alcon Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Eye Syndrome focused on measuring dry eye, lipid deficiency, meibomian gland

Eligibility Criteria

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

Inclusion Criteria:

  • Must have a clinical diagnosis of lipid deficient Evaporative Dry Eye;
  • Meibomian Gland Functionality - Not more than 6 glands yielding liquid secretion;
  • Must be willing to discontinue the use of all other Meibomian Gland; Dysfunction management prior to receiving the study test article at Visit 1, up until the end of the study period;
  • Must have best corrected visual acuity of 20/40 Snellen or better in each eye;
  • Must be able to follow instructions and be willing and able to attend required study visits;
  • Must read, sign, and date an Ethics Committee reviewed and approved informed consent form;
  • Other protocol-defined inclusion criteria may apply.

Exclusion Criteria:

  • History or evidence of ocular or intraocular surgery or serious ocular trauma in either eye within the past 6 months;
  • Current punctal occlusion of any type (e.g., collagen plugs, silicone plugs);
  • History of intolerance or hypersensitivity to any component of the study medications;
  • History or evidence of epithelial herpes simplex keratitis (dendritic keratitis); vaccinia; active or recent varicella viral disease of the cornea and/or conjunctiva; chronic bacterial disease of the cornea and/or conjunctiva and/or eyelids; mycobacterial infection of the eye; and/or fungal disease of the eye;
  • Pregnant or lactating at the time of enrollment;
  • Not willing to take adequate precautions not to become pregnant during the study;
  • Use of any concomitant topical ocular medications during the study period;
  • Use of systemic medications that may contribute to dry eye unless on a stable dosing regimen for a minimum of 30 days prior to Visit 1;
  • Ocular conditions that may preclude the safe administration of either drop under investigation;
  • Unwilling to discontinue contact lens wear during the study period and for at least 1 week prior to Visit 1;
  • Participation in an investigational drug or device study within 30 days of entering this 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® Family

    Standard of Care

    Arm Description

    SYSTANE® Lid Wipes administered to treated eye(s) once a day; SYSTANE® BALANCE lubricant eye drops administered to treated eye(s), 1 drop 4 times a day; SYSTANE® Vitamins, 2 softgels ingested daily. Duration of treatment was 3 months.

    Microfiber towels (as warm compresses, with or without saline eye drops) warmed to the maximum comfortable temperature and placed over closed eyes for 8 minutes, 1 time a day. Duration of treatment was 3 months.

    Outcomes

    Primary Outcome Measures

    Number of Meibomian Glands Yielding Liquid Secretion (MGLYS)
    Meibomian gland functionality was evaluated by the investigator using the Meibomian Gland Evaluator (MGE), a handheld instrument that provides a standardized method for applying consistent, gentle pressure to the outer skin of the lower eyelid. The total number of meibomian gland orificies evidencing liquid secretion during expression with the MGE, in both eyes, was recorded. A lower number of functioning meibomian glands may contribute to dry eye syndrome.

    Secondary Outcome Measures

    Standard Patient Evaluation of Eye Dryness (SPEED) Questionnaire Responses
    The Standard Patient Evaluation of Eye Dryness (SPEED) Questionnaire is a 16-question validated questionnaire (resultant overall score 0-28, with 0 being best and 28 being worst) that measures the frequency and severity of dry eye symptoms. The SPEED questionnaire was completed by the patient with no assistance from the office staff, physician, or anyone else. Both eyes contributed to the mean.
    Dry Eye Ocular Surface Disease Index (OSDI) Questionnaire Responses
    The Dry Eye OSDI Questionnaire is a 12-question validated questionnaire [resultant overall 0-100 score, with 0 being none of the time (best) and 100 being all of the time (worst)] that measures ocular symptoms, visual function, and environmental factors that may affect a patient's vision. The OSDI questionnaire was completed by the patient with no assistance from the office staff, physician, or anyone else. Both eyes contributed to the mean.

    Full Information

    First Posted
    November 21, 2012
    Last Updated
    May 31, 2018
    Sponsor
    Alcon Research
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01733745
    Brief Title
    SYSTANE® Family - Meibomian Deficiency
    Acronym
    M-12-077
    Official Title
    SYSTANE® Family Efficacy in Meibomian Gland Functionality for Lipid Deficient Evaporative Dry Eye Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2013 (undefined)
    Primary Completion Date
    June 2013 (Actual)
    Study Completion Date
    June 2013 (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 was to assess the efficacy of the SYSTANE® family of products (SYSTANE® Lid Wipes, SYSTANE® BALANCE Lubricant Eye Drops, and SYSTANE® Vitamins) on meibomian gland functionality in subjects with lipid deficiency related to evaporative dry eye as compared to the standard of care warm compresses.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Dry Eye Syndrome
    Keywords
    dry eye, lipid deficiency, meibomian gland

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    26 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    SYSTANE® Family
    Arm Type
    Experimental
    Arm Description
    SYSTANE® Lid Wipes administered to treated eye(s) once a day; SYSTANE® BALANCE lubricant eye drops administered to treated eye(s), 1 drop 4 times a day; SYSTANE® Vitamins, 2 softgels ingested daily. Duration of treatment was 3 months.
    Arm Title
    Standard of Care
    Arm Type
    Active Comparator
    Arm Description
    Microfiber towels (as warm compresses, with or without saline eye drops) warmed to the maximum comfortable temperature and placed over closed eyes for 8 minutes, 1 time a day. Duration of treatment was 3 months.
    Intervention Type
    Other
    Intervention Name(s)
    SYSTANE® Lid Wipes
    Intervention Description
    Pre-moistened eyelid cleansing wipes for topical ocular external scrubbing of eyelids and eyelashes
    Intervention Type
    Other
    Intervention Name(s)
    SYSTANE® BALANCE
    Intervention Description
    Lubricant Eye Drops
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    SYSTANE® Vitamins
    Other Intervention Name(s)
    SYSTANE® Vitamin Omega-3 Supplement
    Intervention Type
    Other
    Intervention Name(s)
    Microfiber towels (as warm compresses, with or without saline eye drops)
    Primary Outcome Measure Information:
    Title
    Number of Meibomian Glands Yielding Liquid Secretion (MGLYS)
    Description
    Meibomian gland functionality was evaluated by the investigator using the Meibomian Gland Evaluator (MGE), a handheld instrument that provides a standardized method for applying consistent, gentle pressure to the outer skin of the lower eyelid. The total number of meibomian gland orificies evidencing liquid secretion during expression with the MGE, in both eyes, was recorded. A lower number of functioning meibomian glands may contribute to dry eye syndrome.
    Time Frame
    Baseline, Month 1, Month 2, Month 3
    Secondary Outcome Measure Information:
    Title
    Standard Patient Evaluation of Eye Dryness (SPEED) Questionnaire Responses
    Description
    The Standard Patient Evaluation of Eye Dryness (SPEED) Questionnaire is a 16-question validated questionnaire (resultant overall score 0-28, with 0 being best and 28 being worst) that measures the frequency and severity of dry eye symptoms. The SPEED questionnaire was completed by the patient with no assistance from the office staff, physician, or anyone else. Both eyes contributed to the mean.
    Time Frame
    Baseline, Month 1, Month 2, Month 3
    Title
    Dry Eye Ocular Surface Disease Index (OSDI) Questionnaire Responses
    Description
    The Dry Eye OSDI Questionnaire is a 12-question validated questionnaire [resultant overall 0-100 score, with 0 being none of the time (best) and 100 being all of the time (worst)] that measures ocular symptoms, visual function, and environmental factors that may affect a patient's vision. The OSDI questionnaire was completed by the patient with no assistance from the office staff, physician, or anyone else. Both eyes contributed to the mean.
    Time Frame
    Baseline, Month 1, Month 2, Month 3

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Must have a clinical diagnosis of lipid deficient Evaporative Dry Eye; Meibomian Gland Functionality - Not more than 6 glands yielding liquid secretion; Must be willing to discontinue the use of all other Meibomian Gland; Dysfunction management prior to receiving the study test article at Visit 1, up until the end of the study period; Must have best corrected visual acuity of 20/40 Snellen or better in each eye; Must be able to follow instructions and be willing and able to attend required study visits; Must read, sign, and date an Ethics Committee reviewed and approved informed consent form; Other protocol-defined inclusion criteria may apply. Exclusion Criteria: History or evidence of ocular or intraocular surgery or serious ocular trauma in either eye within the past 6 months; Current punctal occlusion of any type (e.g., collagen plugs, silicone plugs); History of intolerance or hypersensitivity to any component of the study medications; History or evidence of epithelial herpes simplex keratitis (dendritic keratitis); vaccinia; active or recent varicella viral disease of the cornea and/or conjunctiva; chronic bacterial disease of the cornea and/or conjunctiva and/or eyelids; mycobacterial infection of the eye; and/or fungal disease of the eye; Pregnant or lactating at the time of enrollment; Not willing to take adequate precautions not to become pregnant during the study; Use of any concomitant topical ocular medications during the study period; Use of systemic medications that may contribute to dry eye unless on a stable dosing regimen for a minimum of 30 days prior to Visit 1; Ocular conditions that may preclude the safe administration of either drop under investigation; Unwilling to discontinue contact lens wear during the study period and for at least 1 week prior to Visit 1; Participation in an investigational drug or device study within 30 days of entering this study; Other protocol-defined exclusion criteria may apply.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Danyel C. Carr, MS, CCRA
    Organizational Affiliation
    Alcon Research
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Donald R Korb, O.D.
    Organizational Affiliation
    Korb and Associates
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    SYSTANE® Family - Meibomian Deficiency

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