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The Impact of Hypo-osmolar Drops on Contact Lens Comfort (SAFFRON)

Primary Purpose

Contact Lens Related Dry Eye

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Hypo-osmolar drop 1
Hypo-osmolar drop 2
Iso-osmolar drop
Sponsored by
Centre for Contact Lens Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Contact Lens Related Dry Eye

Eligibility Criteria

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

Inclusion Criteria:

  • Is at least 17 years of age;
  • Has full legal capacity to volunteer;
  • Has read and signed an information consent letter;
  • Is willing and able to follow instructions and maintain the appointment schedule;
  • Is willing and able to stay within the School of Optometry and Vision Science building for the duration of each Study Day;
  • Currently wears daily, soft, frequent replacement lenses licensed in Canada (daily, bi-weekly or monthly disposable lenses, no extended wear, no monovision) for at least 3 days/week and 6 hours/day during the 2 months prior to enrolment;
  • Is symptomatic according to the following classification:

    • Reports a difference between average and comfortable wear time with habitual lenses of at least 3 hours;
    • Fall into the symptomatic group as per Young's criteria (Appendix 4).
  • Is able to remove and insert the lenses by themselves;
  • Owns a wearable pair of spectacles;
  • Is willing to wear the study lenses for 10 hours;
  • Has visual acuity (VA) correctable to logMAR 0.20 or better in each eye;
  • Shows an acceptable lens fit with their habitual lenses;

Exclusion Criteria:

  • Is participating in any concurrent clinical or research study;
  • Has any known active* ocular disease and/ or infection;
  • Has any ocular abnormality that would contraindicate contact lens wear;
  • Has any known infection or inflammation that requires treatment or has a systemic condition that in the opinion of the investigator may affect the study measures;
  • Is using any systemic or topical medications that in the option of the investigator may affect the study measures;
  • Has any known sensitivity to the diagnostic pharmaceuticals and products to be used in this study;
  • Is pregnant or lactating (by verbal communication) due to potential ocular physiology changes that may affect the study outcome;
  • Is aphakic;
  • Has undergone refractive error surgery;
  • Is a member of the CCLR directly involved in the data collection. *For the purpose of this study, active ocular disease is defined as an infection or inflammation that requires therapeutic treatment. Mild (i.e. not considered clinically relevant) lid abnormalities (blepharitis, meibomian gland dysfunction, papillae), corneal and conjunctival staining and dry eye are not considered an active ocular disease. Neovascularization and corneal scars are the result of previous hypoxia, infection or inflammation and are therefore not active.

Sites / Locations

  • Centre for Contact Lens Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Hypo-osmolar drop 1

Hypo-osmolar drop 2

Iso-osmolar drop

Arm Description

Subject will receive regular instillations of hypo-osmolar sterile saline drops with the lowest osmolarity of the two hypo-osmolar drops.

Subject will receive regular instillations of hypo-osmolar sterile saline drops with the highest osmolarity of the two hypo-osmolar drops.

Subject will receive regular instillations of sterile iso-osmolar saline drops.

Outcomes

Primary Outcome Measures

Participant's Subjective Rating of Comfort (Questionnaire)
Participants rated their eye comfort by subjective questionnaire (un-annotated scale, 0-100, 0=Very poor comfort, 100=Excellent comfort). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of Dryness (Questionnaire)
Participants rated the dryness of their eyes by subjective questionnaire (un-annotated scale, 0-100, 0=Very dry, 100=No dryness at all). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of Foreign Body Sensation (Questionnaire)
Participants rated the foreign body sensation of their eyes by subjective questionnaire (un-annotated scale, 0-100, 0=Intense feeling of foreign body sensation, 100=No foreign body sensation at all). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of Stability of Vision (Questionnaire)
Participants rated the stability of their vision by subjective questionnaire (un-annotated scale, 0-100, 0=Not stable at all/ very fluctuating, 100=Very stable). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of Comfort (Questionnaire) - Likert scale
Participants responded to the statement "My eyes feels comfortable" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of Dryness (Questionnaire) - Likert scale
Participants responded to the statement "My eyes feel dry" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of Burning (Questionnaire) - Likert scale
Participants responded to the statement "My eyes burn" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of Awareness (Questionnaire) - Likert scale
Participants responded to the statement "I am aware of the lenses in my eyes" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Participant's Subjective Rating of vision stability (Questionnaire) - Likert scale
Participants responded to the statement "My vision is stable" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Drop preference (compared with last drop used)
Participant's subjective response for drop preference (compared with last drop used) at the end of days 2 and 3. (5 possible ratings: Strongly prefer Day 1, Prefer Day 1, No preference, Prefer Day 2, Strongly prefer day 2 OR Strongly Prefer Day 2, Prefer Day 2, No preference, Prefer Day 3, Strongly prefer day 3)

Secondary Outcome Measures

Tear film osmolarity
Tear film osmolarity in mOsmol/L, measured prior to the first drop of the day and at the end of the day.
Tear meniscus height
Tear meniscus height in mm, measured prior to the first drop of the day and at the end of the day.
Non-invasive tear film break-up time (NITBUT)
Measurement of time taken in seconds for a dry spot to appear on the corneal surface after blinking.
Conjunctival hyperemia
Conjunctival hyperemia evaluated on a scale from 0 (negligible) to 100 (severe).
Limbal hyperemia
Limbal hyperemia evaluated on a scale from 0 (normal) to 4 (severe).
Average corneal staining
Average corneal staining evaluated on a scale from 0 (normal) to 4 (severe).
Lens movement
Amount of lens movement on blink (mm).
Lens lag
Amount of lens lag on blink (mm).
Lens Tightness
Amount of lens tightness (%).

Full Information

First Posted
February 8, 2017
Last Updated
May 1, 2017
Sponsor
Centre for Contact Lens Research
Collaborators
Coopervision, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03050125
Brief Title
The Impact of Hypo-osmolar Drops on Contact Lens Comfort
Acronym
SAFFRON
Official Title
The Impact of Hypo-osmolar Drops on Contact Lens Comfort
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
February 7, 2017 (Actual)
Primary Completion Date
March 28, 2017 (Actual)
Study Completion Date
March 28, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Centre for Contact Lens Research
Collaborators
Coopervision, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This pilot study will investigate the impact of sterile saline drops that are formulated at hypo-osmolar levels on CL comfort in comparison to an iso-osmolar drop, in a group of symptomatic CL wearers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Contact Lens Related Dry Eye

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Hypo-osmolar drop 1
Arm Type
Experimental
Arm Description
Subject will receive regular instillations of hypo-osmolar sterile saline drops with the lowest osmolarity of the two hypo-osmolar drops.
Arm Title
Hypo-osmolar drop 2
Arm Type
Experimental
Arm Description
Subject will receive regular instillations of hypo-osmolar sterile saline drops with the highest osmolarity of the two hypo-osmolar drops.
Arm Title
Iso-osmolar drop
Arm Type
Experimental
Arm Description
Subject will receive regular instillations of sterile iso-osmolar saline drops.
Intervention Type
Device
Intervention Name(s)
Hypo-osmolar drop 1
Intervention Description
180 mOsmol sterile saline drops used as a contact lens rewetting drop.
Intervention Type
Device
Intervention Name(s)
Hypo-osmolar drop 2
Intervention Description
240 mOsmol sterile saline drops used as a contact lens rewetting drop.
Intervention Type
Device
Intervention Name(s)
Iso-osmolar drop
Intervention Description
300 mOsmol sterile saline drops used as a contact lens rewetting drop.
Primary Outcome Measure Information:
Title
Participant's Subjective Rating of Comfort (Questionnaire)
Description
Participants rated their eye comfort by subjective questionnaire (un-annotated scale, 0-100, 0=Very poor comfort, 100=Excellent comfort). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5hrs, 3hrs, 4.5hrs, 6hrs, 7.5hrs, 9hrs, End of 1 day
Title
Participant's Subjective Rating of Dryness (Questionnaire)
Description
Participants rated the dryness of their eyes by subjective questionnaire (un-annotated scale, 0-100, 0=Very dry, 100=No dryness at all). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5hrs, 3hrs, 4.5hrs, 6hrs, 7.5hrs, 9hrs, End of 1 day
Title
Participant's Subjective Rating of Foreign Body Sensation (Questionnaire)
Description
Participants rated the foreign body sensation of their eyes by subjective questionnaire (un-annotated scale, 0-100, 0=Intense feeling of foreign body sensation, 100=No foreign body sensation at all). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5hrs, 3hrs, 4.5hrs, 6hrs, 7.5hrs, 9hrs, End of 1 day
Title
Participant's Subjective Rating of Stability of Vision (Questionnaire)
Description
Participants rated the stability of their vision by subjective questionnaire (un-annotated scale, 0-100, 0=Not stable at all/ very fluctuating, 100=Very stable). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5hrs, 3hrs, 4.5hrs, 6hrs, 7.5hrs, 9hrs, End of 1 day
Title
Participant's Subjective Rating of Comfort (Questionnaire) - Likert scale
Description
Participants responded to the statement "My eyes feels comfortable" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of 1 day.
Title
Participant's Subjective Rating of Dryness (Questionnaire) - Likert scale
Description
Participants responded to the statement "My eyes feel dry" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of 1 day.
Title
Participant's Subjective Rating of Burning (Questionnaire) - Likert scale
Description
Participants responded to the statement "My eyes burn" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of 1 day.
Title
Participant's Subjective Rating of Awareness (Questionnaire) - Likert scale
Description
Participants responded to the statement "I am aware of the lenses in my eyes" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of 1 day.
Title
Participant's Subjective Rating of vision stability (Questionnaire) - Likert scale
Description
Participants responded to the statement "My vision is stable" (5 possible ratings, Strongly agree, agree, undecided, disagree, strongly disagree). Change over time measured at baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of day.
Time Frame
Baseline, 1.5 hrs, 3 hrs, 4.5 hrs, 6 hrs, 7.5 hrs, 9 hrs and End of 1 day.
Title
Drop preference (compared with last drop used)
Description
Participant's subjective response for drop preference (compared with last drop used) at the end of days 2 and 3. (5 possible ratings: Strongly prefer Day 1, Prefer Day 1, No preference, Prefer Day 2, Strongly prefer day 2 OR Strongly Prefer Day 2, Prefer Day 2, No preference, Prefer Day 3, Strongly prefer day 3)
Time Frame
End of day 2, End of day 3
Secondary Outcome Measure Information:
Title
Tear film osmolarity
Description
Tear film osmolarity in mOsmol/L, measured prior to the first drop of the day and at the end of the day.
Time Frame
Baseline, End of 1 day
Title
Tear meniscus height
Description
Tear meniscus height in mm, measured prior to the first drop of the day and at the end of the day.
Time Frame
Baseline, End of 1 day
Title
Non-invasive tear film break-up time (NITBUT)
Description
Measurement of time taken in seconds for a dry spot to appear on the corneal surface after blinking.
Time Frame
Baseline, End of 1 day
Title
Conjunctival hyperemia
Description
Conjunctival hyperemia evaluated on a scale from 0 (negligible) to 100 (severe).
Time Frame
Baseline, 4.5 hrs, End of 1 Day
Title
Limbal hyperemia
Description
Limbal hyperemia evaluated on a scale from 0 (normal) to 4 (severe).
Time Frame
Baseline, 4.5 hrs, End of 1 Day
Title
Average corneal staining
Description
Average corneal staining evaluated on a scale from 0 (normal) to 4 (severe).
Time Frame
Baseline, 4.5 hrs, End of 1 Day
Title
Lens movement
Description
Amount of lens movement on blink (mm).
Time Frame
Baseline, 4.5 hrs, End of 1 Day
Title
Lens lag
Description
Amount of lens lag on blink (mm).
Time Frame
Baseline, 4.5 hrs, End of 1 Day
Title
Lens Tightness
Description
Amount of lens tightness (%).
Time Frame
Baseline, 4.5 hrs, End of 1 Day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Is at least 17 years of age; Has full legal capacity to volunteer; Has read and signed an information consent letter; Is willing and able to follow instructions and maintain the appointment schedule; Is willing and able to stay within the School of Optometry and Vision Science building for the duration of each Study Day; Currently wears daily, soft, frequent replacement lenses licensed in Canada (daily, bi-weekly or monthly disposable lenses, no extended wear, no monovision) for at least 3 days/week and 6 hours/day during the 2 months prior to enrolment; Is symptomatic according to the following classification: Reports a difference between average and comfortable wear time with habitual lenses of at least 3 hours; Fall into the symptomatic group as per Young's criteria (Appendix 4). Is able to remove and insert the lenses by themselves; Owns a wearable pair of spectacles; Is willing to wear the study lenses for 10 hours; Has visual acuity (VA) correctable to logMAR 0.20 or better in each eye; Shows an acceptable lens fit with their habitual lenses; Exclusion Criteria: Is participating in any concurrent clinical or research study; Has any known active* ocular disease and/ or infection; Has any ocular abnormality that would contraindicate contact lens wear; Has any known infection or inflammation that requires treatment or has a systemic condition that in the opinion of the investigator may affect the study measures; Is using any systemic or topical medications that in the option of the investigator may affect the study measures; Has any known sensitivity to the diagnostic pharmaceuticals and products to be used in this study; Is pregnant or lactating (by verbal communication) due to potential ocular physiology changes that may affect the study outcome; Is aphakic; Has undergone refractive error surgery; Is a member of the CCLR directly involved in the data collection. *For the purpose of this study, active ocular disease is defined as an infection or inflammation that requires therapeutic treatment. Mild (i.e. not considered clinically relevant) lid abnormalities (blepharitis, meibomian gland dysfunction, papillae), corneal and conjunctival staining and dry eye are not considered an active ocular disease. Neovascularization and corneal scars are the result of previous hypoxia, infection or inflammation and are therefore not active.
Facility Information:
Facility Name
Centre for Contact Lens Research
City
Waterloo
State/Province
Ontario
ZIP/Postal Code
N2L 3G1
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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The Impact of Hypo-osmolar Drops on Contact Lens Comfort

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