Assessment of Tear Film Thickness by Optical Coherence Tomography in Healthy Subjects and Subjects With Dry Eye Disease
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Purpose
Dry eye syndrome (DES) is a highly prevalent ocular condition with severe consequences for the patients reaching from ocular discomfort in its simplest form up to visual impairment and corneal ulceration in severe cases. Data from epidemiological studies indicate that DES is a common disease, especially in the elderly population, affecting up to 20% of adults aged 45 years or older. Topical lubricants are a mainstay of therapy, but data on its effect on tear film thickness and the corneal residence time are lacking.
Recently, a new objective method for assessment of tear film thickness by optical coherence tomography has been developed. The present study aims to investigate the corneal residence time of an established topical lubricant compared to placebo in patients with DES and healthy controls.
| Condition | Intervention | Phase |
|---|---|---|
|
Dry Eye Syndrome |
Device: GENTEAL HA® Eye Drops (NOVARTIS, Switzerland) Other: Physiological Sodium Chloride solution (0,9%) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Basic Science |
| Official Title: | Assessment of Tear Film Thickness by Optical Coherence Tomography in Healthy Subjects and Subjects With Dry Eye Disease |
- Tear film thickness [ Time Frame: change from baseline to 1 hour after administration ] [ Designated as safety issue: No ]
- Schirmer I Test [ Time Frame: 1 day ] [ Designated as safety issue: No ]once on the study day
- Tear Break Up Time [ Time Frame: 1 day ] [ Designated as safety issue: No ]once on the study day
- Ocular Surface Disease Index [ Time Frame: 1 day ] [ Designated as safety issue: No ]once on the study day
| Estimated Enrollment: | 60 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | February 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 30 healthy subjects
Subjects will receive 1 drop of Genteal HA eye drops in one randomly chosen eye, the other eye will receive placebo
|
Device: GENTEAL HA® Eye Drops (NOVARTIS, Switzerland)
Other: Physiological Sodium Chloride solution (0,9%)
Placebo
|
|
Experimental: 30 patients with dry eye syndrome
Patients will receive 1 drop of Genteal HA eye drops in one randomly chosen eye, the other eye will receive placebo
|
Device: GENTEAL HA® Eye Drops (NOVARTIS, Switzerland)
Other: Physiological Sodium Chloride solution (0,9%)
Placebo
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Inclusion criteria for healthy subjects:
- Men and women aged over 18 years
- Normal findings in the medical history unless the investigator considers an abnormality to be clinically irrelevant
- Normal ophthalmic findings, ametropia < 6 Dpt
- Schirmer I test > 10 mm and BUT > 10 sec
Inclusion criteria for patients with dry eye syndrome:
- Men and women aged over 18 years
- Normal findings in the medical history unless the investigator considers an abnormality to be clinically irrelevant except DES
- Normal ophthalmic findings, ametropia < 6 Dpt
- History of dry eye syndrome for at least 3 months
- Tear Break Up Time (BUT) < 10 seconds or Schirmer I test < 7 mm
- At least 2 symptoms of dry eye syndrome (foreign body sensation, burning, photophobia, blurred vision, pain, itching)
- Normal ophthalmic findings except dry eye syndrome
Exclusion Criteria:
- Regular use of medication (except contraceptives), abuse of alcoholic beverages, participation in a clinical trial in the 3 weeks preceding the study
- Treatment in the previous 3 weeks with any drug
- Symptoms of a clinically relevant illness in the 3 weeks before the first study day
- Ametropia >= 6 Dpt
- Pregnancy
- Difference of more than 3 mm in Schirmer I test or difference of > 3 sec in BUT between the two eyes
- Known medical history of allergy, hypersensitivity or poor tolerance to any components of the medication or medical product used in the study
Contacts and Locations| Contact: Gerhard Garhoefer, MD | +43140400 ext 2981 | gerhard.garhoefer@meduniwien.ac.at |
| Austria | |
| Department of Clinical Pharmacology, Medical University of Vienna | Not yet recruiting |
| Vienna, Austria, 1090 | |
| Contact: Gerhard Garhoefer, MD +43140400 ext 2981 gerhard.garhoefer@meduniwien.ac.at | |
| Principal Investigator: Gerhard Garhoefer, MD | |
More Information
No publications provided
| Responsible Party: | Gerhard Garhofer, Assoc. Prof. PD Dr., Medical University of Vienna |
| ClinicalTrials.gov Identifier: | NCT01753596 History of Changes |
| Other Study ID Numbers: | OPHT-200612 |
| Study First Received: | December 7, 2012 |
| Last Updated: | December 17, 2012 |
| Health Authority: | Austria: Austrian Medicines and Medical Devices Agency |
Keywords provided by Medical University of Vienna:
|
topical lubricants tear film thickness break up time ocular surface disease index Schirmer I test |
Additional relevant MeSH terms:
|
Dry Eye Syndromes Keratoconjunctivitis Sicca Eye Diseases Lacrimal Apparatus Diseases Keratoconjunctivitis Conjunctivitis Conjunctival Diseases Keratitis Corneal Diseases Tetrahydrozoline |
Nasal Decongestants Vasoconstrictor Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions Respiratory System Agents Sympathomimetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 23, 2013