Efficacy and Safety Study of Nutritional Supplements for Treatments of Dry Eye
A Randomized, Parallel-Group, Placebo-Control, Double-Blind Trial Comparing the Efficacy and Safety of Nutritional Supplementation Containing Omega 3 Fatty Acids and Gamma Linoleic Acid, for Treatment of Keratoconjunctivitis Sicca in Post-Menopausal Females
1 other identifier
interventional
62
1 country
2
Brief Summary
The purpose of this study is to determine the effectiveness of a nutritional supplement in post-menopausal women age 40 or older with moderate to severe dry eyes. This study is being conducted to determine if signs and symptoms of dry eye will improve with the use of this nutritional supplement.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2008
CompletedFirst Submitted
Initial submission to the registry
April 17, 2009
CompletedFirst Posted
Study publicly available on registry
April 20, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedFebruary 20, 2012
February 1, 2012
3.2 years
April 17, 2009
February 16, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Schirmer tear test
Screening, Week 4, Week 12, Week 24
Ocular Surface Disease Index
Screening, Week 4, Week 12, Week 24
Tear Breakup Time
Screening, Week 4, Week 12, Week 24
Corneal Staining with Fluorescein
Screening, Week 4, Week 12, Week 24
Impression Cytology
Screening, Week 12, Week 24
Conjunctival staining with lissamine
Screening, Week 4, Week 12, Week 24
Secondary Outcomes (5)
Corneal Topography
Screening, Week 4, Week 12, Week 24
Meibomian Gland Dysfunction
Screening, Week 4, Week 12, Week 24
Facial Expression Subjective Scale
Screening, Week 4, Week 12, Week 24
Frequency of Artificial Tear Usage
Screening, Week 4, Week 12, Week 24
HLA-DR Staining of Impression Cytology
Screening, Week 12, Week 24
Study Arms (2)
1
PLACEBO COMPARATOR2
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Signature on the written informed consent form
- Patient motivation and willingness to cooperate with the investigator by following the required medication regimen
- Patient willingness and ability to return for all visits during the study
- Rapid tear film break up time of eight seconds or less in at least one eye AND/OR
- Signs of meibomian gland dysfunction (MGD) including at least grade one lid notching, or the presence of orifice pustules
- At least grade one fluorescein superficial punctate keratitis (SPK) in at least one corneal quadrant or at least grade one conjunctival lissamine green staining in at least one eye.
- Ocular Surface Disease Index score of sixteen or greater.
- Willing to discontinue use of any current dry eye treatment (except artificial tears) for four weeks prior to randomization, and during the course of the six month study
- Post-menopausal women aged 40 years old or above. Post menopause is defined as absence of menstrual period for at least one year, or surgical hysterectomy with bilateral oophorectomy no less than six months prior
- If using transdermal, vaginal or systemic estrogen, progesterone, or estrogen derivatives, must be on a stable dose for at least 90 days, and be planning on staying on same stable dose for duration of the study
You may not qualify if:
- Concurrent involvement in any other clinical trial involving an investigational drug or device
- Compromised cognitive ability which may be expected to interfere with study compliance
- Uncontrolled or poorly controlled systemic disease (e.g., hypertension, diabetes) or the presence of any significant illness (e.g., serious gastrointestinal, renal, hepatic, endocrine, pulmonary, cardiac, neurological disease, cancer, AIDS, or cerebral dysfunction) that could, in the judgment of the investigator, jeopardize subject safety or interfere with the interpretation of the results of the study
- Known hypersensitivity to any components of the study or procedural medication
- Anticipated contact lens wear during the study
- History of corneal transplant
- Active ocular infection, uveitis or non-KCS inflammation
- History of recurrent herpes keratitis or active disease within the last six months
- History of cataract surgery within 3 months prior to enrollment
- History of ocular surface surgery (i.e. refractive, lasik, pterygium) within 6 months prior to enrollment
- corneal disorder or abnormality that affects corneal sensitivity or normal spreading of the tear film \[except superficial punctate keratitis (SPK)\]
- Use of systemic cyclosporine within prior 3 months
- Initiation, discontinuation or change in dosage of antihistamines, cholinergic agents, beta-blocking agents, tricyclic or SSRI antidepressants, phenothiazines, or topical or systemic acne rosacea medications in two months prior to enrollment, or anticipated change in dosage during course of study
- Topical ophthalmic medications within prior 4 weeks, or anticipated use of same during the study (except artificial tears)
- Use of Coumadin or Plavix within prior 2 weeks, or anticipated use of same during study. Stable dosing of aspirin 325mg or 85 mg per day is permitted.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Virginia Eye Consultantslead
- ScienceBased Healthcollaborator
- Baylor College of Medicinecollaborator
Study Sites (2)
Baylor College of Medicine
Houston, Texas, 77030, United States
Virginia Eye Consultants
Norfolk, Virginia, 23502, United States
Related Publications (1)
Sheppard JD Jr, Singh R, McClellan AJ, Weikert MP, Scoper SV, Joly TJ, Whitley WO, Kakkar E, Pflugfelder SC. Long-term Supplementation With n-6 and n-3 PUFAs Improves Moderate-to-Severe Keratoconjunctivitis Sicca: A Randomized Double-Blind Clinical Trial. Cornea. 2013 Oct;32(10):1297-304. doi: 10.1097/ICO.0b013e318299549c.
PMID: 23884332DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
John D Sheppard, M.D.
Virginia Eye Consultants
- PRINCIPAL INVESTIGATOR
Stephen C Pflugfelder, M.D.
Baylor College of Medicine
- STUDY CHAIR
Joe Wakil, M.D.
ScienceBased Health
- STUDY CHAIR
Penelope Edwards, MPH, CNS
ScienceBased Health
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 17, 2009
First Posted
April 20, 2009
Study Start
September 1, 2008
Primary Completion
December 1, 2011
Last Updated
February 20, 2012
Record last verified: 2012-02