Study Stopped
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Neurosensory Abnormalities in SymptomAtic Ocular Surface Patients (NASA)
NASA
1 other identifier
observational
1,000
1 country
16
Brief Summary
This study is designed to measure how common nerve abnormalities are within a group of patients who feel discomfort within their eyes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2021
Longer than P75 for all trials
16 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
First Submitted
Initial submission to the registry
August 19, 2020
CompletedFirst Posted
Study publicly available on registry
April 9, 2021
CompletedStudy Start
First participant enrolled
July 2, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2026
ExpectedJanuary 27, 2026
January 1, 2026
4.5 years
August 19, 2020
January 23, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
To establish the prevalence of neuropathic corneal pain in patients with ocular surface discomfort.
As measured by the percent of subjects who report increased ocular surface discomfort upon challenge with hyperosmolar saline.
Day 1
To assess the overlap of neuropathic corneal pain with dry eye disease in patients in diseases that are currently thought to be mutually exclusive.
As measured by the percent of subjects who report ocular surface discomfort, and either do or do not exhibit signs of dry eye disease as defined by Tear Break Up Time, Schirmer's test, and staining, and have an increase in Visual Analog Scale score of more than 2 steps upon instillation of hypertonic saline.
Day 1
To establish the prevalence of subtypes of patients with neuropathic corneal pain or with a neuropathic component of dry eye in patients with ocular surface discomfort.
As measured by the percent of subjects who report ocular surface discomfort, and have a decrease, partial decrease, or no change in Visual Analog Score score upon instillation of proparacaine.
Day 1
Secondary Outcomes (4)
To assess the overlap of neuropathic corneal pain and contact lens discomfort.
1 study visit
To establish the prevalence of anxiety/depression in patients with neuropathic corneal pain patients.
Day 1
To assess for differences in in vivo confocal microscopy measures between dry eye disease patients and neuropathic corneal pain patients.
Day 1
To assess for subtypes of neuropathic corneal pain differences in in vivo confocal microscopy measures between dry eye disease patients and neuropathic corneal pain patients.
Day 1
Study Arms (3)
Neuropathic Corneal Pain with Ocular Surface Discomfort
Participants diagnosed with neuropathic corneal pain with ocular surface discomfort
Neuropathic Corneal Pain with Dry Eye Disease
Participants diagnosed with dry eye disease and neuropathic corneal pain
NCP or Dry Eye in patients with ocular surface discomfort
Participants diagnosed with neuropathic corneal pain or with a neuropathic component of dry eye in patients with ocular surface discomfort
Interventions
Twenty seven-item quantitative questionnaire designed to provide an assessment of the symptoms and quality of life effect of ocular pain \[18\]. The 27 items of the OPAS questionnaire are graded on a scale of 0 to 10, or 10 to 100, where 0 indicates none and 10 or 100 indicate maximum.
Symptoms of ocular comfort and dryness will be graded for each eye on a scale of 0-10, where 0=extremely uncomfortable, extremely dry and 10=excellent comfort, no dryness. An average rating will be provided for the morning, afternoon and evening.
A single drop of hypertonic sodium chloride solution at room temperature will be instilled in each eye and change in pain/other symptoms after up to 90 seconds of application (to account for any initial irritation symptoms) will be observed.
A single drop of Proparacaine hydrochloride ophthalmic solution, (Alcaine®, 0.5%) will be used on each eye respectively and any change in pain/other symptoms will be noted after 90 seconds (to account for initial discomfort from the preservative in Proparacaine solution).
The CLDEQ-8 is a validated eight-item scaled questionnaire developed to reflect the overall opinion of soft contact lenses.
Eligibility Criteria
1,000 subjects will be enrolled for this study based on the above criteria:
You may qualify if:
- Presents with ocular surface discomfort or for dry eye care
- Best corrected visual acuity of 20/40 or better in each eye
- Subject reported duration of symptoms of at least 3 months
- subjects will be required to be habitual contact lens wearers as defined by use of contact lenses at least 5 hours per day at least 5 days per week for the last year.
You may not qualify if:
- Use of contact lenses on the day of the visit
- Pregnant or nursing
- Irregular corneas (e.g., ectatic disease, transplantation, or corneal dystrophies)
- Ocular surgery in the past 3 months
- Ocular infection in the past 3 months
- Active ocular allergies
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tufts Medical Centerlead
- CooperVision International Limited (CVIL)collaborator
- Bausch & Lomb Incorporatedcollaborator
Study Sites (16)
Canyon City Eye Care
Azusa, California, 91702, United States
Western University of Health Sciences
Pomona, California, 91766, United States
University of California at San Francisco - Francis I Proctor Foundation
San Francisco, California, 94143, United States
Bruce W. Carter VA Medical Center
Miami, Florida, 33125, United States
University of Illinois at Chicago
Chicago, Illinois, 60612, United States
Illinois College of Optometry
Chicago, Illinois, 60616, United States
Kannarr Eye Care
Pittsburg, Kansas, 66762, United States
University of Maryland
Baltimore, Maryland, 21201, United States
Tufts Medical Center
Boston, Massachusetts, 02111, United States
Korb & Associates
Boston, Massachusetts, 02215, United States
Midwest Vision Research Foundation at Prepose Vision Institute
St Louis, Missouri, 63128, United States
Ophthalmology Associates
St Louis, Missouri, 63131, United States
Vita Eye Clinic
Shelby, North Carolina, 28150, United States
SkyVision Centers
Westlake, Ohio, 44145, United States
Hospital of the University of Pennsylvania (Scheie Eye Institute Perelman)
Philadelphia, Pennsylvania, 19104, United States
Baylor College of Medicine
Houston, Texas, 77030, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pedram Hamrah, MD
Tufts Medical Center
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 19, 2020
First Posted
April 9, 2021
Study Start
July 2, 2021
Primary Completion
December 31, 2025
Study Completion (Estimated)
July 1, 2026
Last Updated
January 27, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share