NCT04838223

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

53
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial recruitment is currently suspended
Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
2mo left

Started Jul 2021

Longer than P75 for all trials

Geographic Reach
1 country

16 active sites

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress97%
Jul 2021Jul 2026

First Submitted

Initial submission to the registry

August 19, 2020

Completed
8 months until next milestone

First Posted

Study publicly available on registry

April 9, 2021

Completed
3 months until next milestone

Study Start

First participant enrolled

July 2, 2021

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Expected
Last Updated

January 27, 2026

Status Verified

January 1, 2026

Enrollment Period

4.5 years

First QC Date

August 19, 2020

Last Update Submit

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

Other: Hyperosmolar ResponseOther: Proparacaine Challenge TestOther: Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) Optional; only for Contact Lens WearersOther: Ocular Pain Assessment Survey (OPAS)Other: Visual Analogue Questionnaire

Neuropathic Corneal Pain with Dry Eye Disease

Participants diagnosed with dry eye disease and neuropathic corneal pain

Other: Hyperosmolar ResponseOther: Proparacaine Challenge TestOther: Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) Optional; only for Contact Lens WearersOther: Ocular Pain Assessment Survey (OPAS)Other: Visual Analogue Questionnaire

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

Other: Hyperosmolar ResponseOther: Proparacaine Challenge TestOther: Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) Optional; only for Contact Lens WearersOther: Ocular Pain Assessment Survey (OPAS)Other: Visual Analogue Questionnaire

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.

NCP or Dry Eye in patients with ocular surface discomfortNeuropathic Corneal Pain with Dry Eye DiseaseNeuropathic Corneal Pain with Ocular Surface Discomfort

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.

NCP or Dry Eye in patients with ocular surface discomfortNeuropathic Corneal Pain with Dry Eye DiseaseNeuropathic Corneal Pain with Ocular Surface Discomfort

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.

NCP or Dry Eye in patients with ocular surface discomfortNeuropathic Corneal Pain with Dry Eye DiseaseNeuropathic Corneal Pain with Ocular Surface Discomfort

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).

NCP or Dry Eye in patients with ocular surface discomfortNeuropathic Corneal Pain with Dry Eye DiseaseNeuropathic Corneal Pain with Ocular Surface Discomfort

The CLDEQ-8 is a validated eight-item scaled questionnaire developed to reflect the overall opinion of soft contact lenses.

NCP or Dry Eye in patients with ocular surface discomfortNeuropathic Corneal Pain with Dry Eye DiseaseNeuropathic Corneal Pain with Ocular Surface Discomfort

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

Study Sites (16)

Canyon City Eye Care

Azusa, California, 91702, United States

Location

Western University of Health Sciences

Pomona, California, 91766, United States

Location

University of California at San Francisco - Francis I Proctor Foundation

San Francisco, California, 94143, United States

Location

Bruce W. Carter VA Medical Center

Miami, Florida, 33125, United States

Location

University of Illinois at Chicago

Chicago, Illinois, 60612, United States

Location

Illinois College of Optometry

Chicago, Illinois, 60616, United States

Location

Kannarr Eye Care

Pittsburg, Kansas, 66762, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

Korb & Associates

Boston, Massachusetts, 02215, United States

Location

Midwest Vision Research Foundation at Prepose Vision Institute

St Louis, Missouri, 63128, United States

Location

Ophthalmology Associates

St Louis, Missouri, 63131, United States

Location

Vita Eye Clinic

Shelby, North Carolina, 28150, United States

Location

SkyVision Centers

Westlake, Ohio, 44145, United States

Location

Hospital of the University of Pennsylvania (Scheie Eye Institute Perelman)

Philadelphia, Pennsylvania, 19104, United States

Location

Baylor College of Medicine

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

Dry Eye SyndromesNeuralgia

Interventions

Single Person

Condition Hierarchy (Ancestors)

Lacrimal Apparatus DiseasesEye DiseasesPeripheral Nervous System DiseasesNeuromuscular DiseasesNervous System DiseasesPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Marital StatusFamily CharacteristicsDemographyPopulation CharacteristicsSocioeconomic Factors

Study Officials

  • Pedram Hamrah, MD

    Tufts Medical Center

    PRINCIPAL INVESTIGATOR

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

Locations