Lipids of the Human Tear Film and Their Effect on Tear Stability

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2010 by University of Louisville.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
University of Louisville
ClinicalTrials.gov Identifier:
NCT00803452
First received: December 1, 2008
Last updated: November 23, 2010
Last verified: June 2010

December 1, 2008
November 23, 2010
July 2008
December 2010   (final data collection date for primary outcome measure)
Inflammation of eyelid (Clinical; Phase transition temp (Laboratory) [ Time Frame: 2 months ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00803452 on ClinicalTrials.gov Archive Site
Character of meibomian gland secretion [ Time Frame: 2 months ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Lipids of the Human Tear Film and Their Effect on Tear Stability
Lipids of the Human Tear Film and Their Effect on Tear Stability

This prospective, randomized, comparative clinical trial evaluates the effect of either oral doxycycline, oral essential fatty acid, or topical azithromycin to modify the secretions of the meibomian gland in subjects with meibomian gland dysfunction and/or dry eye disease.

Subjects with meibomian gland dysfunction undergo expression of the meibomian gland secretion prior to beginning treatment with either oral doxycycline, oral essential fatty acids, or topical azithromycin solution. Doxycycline is dosed at 100 mg bid; essential fatty acid is dosed at 1000 mg per day; topical azithromycin is delivered once per day as a 1% solution. Treatment with doxycycline is for two months; treatment with essential fatty acids is for two months; treatment with topical azithromycin is for one month. Following treatment, meibomian glands are again expressed and the lipids measured by spectroscopy (FTIR, MALDI-TOF, NMR)for characterization of structure and function. Analysis for presence of doxcycline or azithromycin is also performed. Changes in lipid parameters are correlated with clinical signs and symptoms of disease.

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Blepharitis
  • Drug: doxycycline
    Oral doxycycline 100mg bid
    Other Name: Minocycline
  • Drug: essential fatty acid
    Oral essential fatty acid 1000mg per day
    Other Name: Fish Oil; Flax Seed Oil
  • Drug: azithromycin
    topical 1% azithromycin daily to eye
    Other Name: Azasite
  • Active Comparator: Doxycycline
    Oral doxycycline
    Intervention: Drug: doxycycline
  • Active Comparator: essential fatty acid
    Oral essential fatty acid
    Intervention: Drug: essential fatty acid
  • Active Comparator: azithromycin
    Topical azithromycin daily to the conjunctival culdesac
    Intervention: Drug: azithromycin
Borchman D, Foulks GN, Yappert MC, Bell J, Wells E, Neravetla S, Greenstone V. Human meibum lipid conformation and thermodynamic changes with meibomian-gland dysfunction. Invest Ophthalmol Vis Sci. 2011 Jun 1;52(6):3805-17. Print 2011 May.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
400
December 2010
December 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Meibomian gland dysfunction

Exclusion Criteria:

  • Lid margin scarring; herpetic blepharitis
Both
18 Years to 80 Years
Yes
Contact: Gary N Foulks, MD 502-852-6150 gnfoul01@louisville.edu
Contact: Douglas Borchman, PhD 502-852-7435 borchman@louisville.edu
United States
 
NCT00803452
lipidtearfilm, NEI RO-1- EY017094-02
No
Gary N. Foulks, MD, University of Louisville
University of Louisville
Not Provided
Principal Investigator: Gary N Foulks, MD University of Louisville
University of Louisville
June 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP