Photobiomodulation in Combination With Topical Cyclosporine A or Tacrolimus
Efficacy of Low-Level Light Therapy in Combination With Topical Non-Steroidal Immunosuppressants for the Treatment of Dry Eye Disease
Efficacy of Low-Level Light Therapy in Combination With Topical Non-Steroidal Immunosuppressants for the Treatment of Dry Eye Disease
Sponsor study identifier
interventional
160
1 country
2
Study Start
May 1, 2024
Actual (reported)Primary Completion
June 1, 2025
Actual (reported)Study Completion
June 1, 2025
Actual (reported)The objective of the study is to evaluate the effectiveness of Low-level light therapy (LLLT) in combination with either topical Cyclosporine A (CsA) or topical Tacrolimus, using each non-steroidal immunosuppressant as an active control.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
June 1, 2025
Actual (reported)Click on a node to explore related trials.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
May 1, 2024
Actual (reported)June 1, 2025
Actual (reported)June 1, 2025
Actual (reported)November 15, 2025
Actual (reported)November 20, 2025
Actual (reported)Ocular surface disease index (OSDI)
A standardized questionnaire designed to assess the symptoms of dry eye disease and their impact on vision-related functioning. It consists of 12 items that evaluate the frequency of symptoms, environmental triggers, and functional limitations over the previous week. The OSDI provides a score from 0 to 100, with higher scores indicating more severe symptoms.
From baseline visit to the end of follow-up (12 months)
Non-invasive tear film break-up time (NIBUT)
From baseline visit to the end of follow-up (12 months)
Tear meniscus height (TMH)
From baseline visit to the end of follow-up (12 months)
CsA 0.1% twice per day
Tacrolimus 0.1% twice per day
Three 15-minute sessions of LLLT were performed at weekly intervals. The treatment was delivered with a wavelength of 625 nm and a radiance of 35 mW/cm², resulting in a total energy dose of approximately 32 J/cm² applied to the facial and eyelid regions with eyes closed. CsA 0.1% twice per day.
Three 15-minute sessions were performed at weekly intervals. The treatment was delivered with a wavelength of 625 nm and a radiance of 35 mW/cm², resulting in a total energy dose of approximately 32 J/cm² applied to the facial and eyelid regions with eyes closed.
Biomeeting Day Surgery center
Reggio Calabria, Calabria, 89123, Italy
Centro Oculistico Borroni
Gallarate, Varese, 21013, Italy
Jones L, Craig JP, Markoulli M, Karpecki P, Akpek EK, Basu S, Bitton E, Chen W, Dhaliwal DK, Dogru M, Gomes JAP, Koehler M, Mehta JS, Perez VL, Stapleton F, Sullivan DA, Tauber J, Tong L, Trave-Huarte S, Wolffsohn JS; TFOS Collaborator Group. TFOS DEWS III: Management and Therapy. Am J Ophthalmol. 2025 Nov;279:289-386. doi: 10.1016/j.ajo.2025.05.039. Epub 2025 Jun 2.
Antwi A, Schill AW, Redfern R, Ritchey ER. Effect of low-level light therapy in individuals with dry eye disease. Ophthalmic Physiol Opt. 2024 Nov;44(7):1464-1471. doi: 10.1111/opo.13371. Epub 2024 Aug 2.
Davide Borroni, MD, PhD
Department of Ophthalmology, Riga Stradins University, Riga, Latvia
Antonio Spinelli, MD
Biomeeting Day Surgery center
160 participants (actual enrollment reported by the registry).
First Submitted
November 15, 2025
First Posted
November 20, 2025
Study Start
Three 15-minute sessions of LLLT were performed at weekly intervals. The treatment was delivered with a wavelength of 625 nm and a radiance of 35 mW/cm², resulting in a total energy dose of approximately 32 J/cm² applied to the facial and eyelid regions with eyes closed. Tacrolimus 0.1% twice per day.
CsA 0.1% twice per day
Contact the study team to confirm eligibility.
Moawad P, Shamma R, Hassanein D, Ragab G, El Zawahry O. Evaluation of the effect of topical tacrolimus 0.03% versus cyclosporine 0.05% in the treatment of dry eye secondary to Sjogren syndrome. Eur J Ophthalmol. 2022 Jan;32(1):673-679. doi: 10.1177/1120672121992680. Epub 2021 Feb 2.
May 1, 2024
Primary Completion
June 1, 2025
Actual (reported)Study Completion
June 1, 2025
Actual (reported)Last Updated
November 20, 2025
Record last verified: 2025-10
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Source: ClinicalTrials.gov.
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