Kelulut Honey for Allergic Conjunctivitis and Dry Eye Symptoms
A Randomized Controlled Trial on the Effects of Oral Kelulut Honey Supplementation on Conjunctival Goblet Cell Density, Tear Film Stability, Dry Eye Disease Symptoms and Vision-Related Function in Patients With Allergic Conjunctivitis
1 other identifier
interventional
72
1 country
1
Brief Summary
The goal of this clinical trial is to learn if oral Kelulut honey works to improve eye symptoms in adults with allergic conjunctivitis. It will also look at how safe Kelulut honey is when taken as a daily supplement. The main questions it aims to answer are:
- 1.Does oral Kelulut honey reduce itchy, red, watery eyes and dry eye symptoms in people with allergic conjunctivitis?
- 2.Does oral Kelulut honey improve tear film stability and the health of conjunctival goblet cells (special cells on the eye surface that help keep the eye moist)?
- 3.What side effects or medical problems do participants have when taking Kelulut honey?
- 4.Take either oral Kelulut honey or a honey-flavoured placebo syrup every day for 1 month
- 5.Continue their usual treatment for allergic conjunctivitis and dry eye disease as prescribed by their eye doctor
- 6.Attend clinic visits for eye check-ups, including tests of tear film stability, dry eye symptoms, and eye surface health
- 7.Answer questionnaires about their eye symptoms and how these affect their daily activities and vision-related quality of life
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2025
1 active site
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 17, 2025
CompletedFirst Submitted
Initial submission to the registry
November 28, 2025
CompletedFirst Posted
Study publicly available on registry
December 9, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 16, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
ExpectedDecember 9, 2025
November 1, 2025
4 months
November 28, 2025
November 28, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Change in conjunctival goblet cell density (GCD)
Goblet cell density measured via impression cytology and quantified using standard morphological grading. Change from baseline to 1 month will be compared between groups.
Baseline and 1 month
Secondary Outcomes (3)
Change in tear film break-up time (TBUT)
Baseline and 1 month
Change in ocular surface staining score (OGS)
Baseline and 1 month
Change in Ocular Surface Disease Index (OSDI) score
Baseline and 1 month
Study Arms (3)
Kelulut Honey 60 g (KH-60)
EXPERIMENTALKelulut honey is provided in pre-packaged 30 g sachets to standardize dosing and maintain blinding across study arms.
Kelulut Honey 120 g (KH-120)
EXPERIMENTALKelulut honey is provided in pre-packaged 30 g sachets to standardize dosing and maintain blinding across study arms.
Placebo
PLACEBO COMPARATORThe placebo consists of a honey-flavoured zero-calorie syrup, pre-packaged in sachets identical to the Kelulut honey sachets to maintain blinding.
Interventions
Participants in this arm will consume two 30 g sachets of Kelulut honey once daily (total 60 g/day) for one month. The honey will be taken directly from the sachet without dilution, on an empty stomach, 30 minutes before breakfast. Participants will continue their usual treatment for allergic conjunctivitis and dry eye disease.
Participants in this arm will consume four 30 g sachets of Kelulut honey daily (total 120 g/day) for one month. The daily dose will be divided into two administrations: two sachets before breakfast or lunch, and two sachets before dinner. The honey will be taken directly from the sachets without dilution, at least 30 minutes before meals. Participants will continue their usual treatment for allergic conjunctivitis and dry eye disease.
Participants in this placebo group will receive honey-flavoured zero-calorie syrup, pre-packaged in sachets identical to those used for the Kelulut honey. Each participant will consume two sachets per day, to be taken daily, once before breakfast, for one month duration. The syrup is to be taken directly from the sachets, without dilution, before meals.
Eligibility Criteria
You may qualify if:
- i. Age between 18-40 years old ii. Confirmed diagnosis of allergic conjunctivits iii. Ocular surface disease index (OSDI) score \> 12 iv. Compliance to conventional allergic conjunctivitis treatment
You may not qualify if:
- i. Any corneal or ocular surface pathology ii. Known diabetes mellitus or impaired glucose test iii. Ocular surface disease due to trachoma or other inflammatory conditions iv. Consume anti-inflammatory medications such as steroids, NSAIDS, oral doxycycline v. Concurrent use of other supplements or alternative therapies such as royal jelly, Manuka honey eye drop or omega-3 fatty acid vi. Using preservative-containing topical eye drops for ocular problems other than AC, such as anti-glaucoma medication vii. History of ocular trauma/surgery or refractive surgery within last 3 years viii. Wearing contact lens in the last 3 months ix. Underlying inflammatory/ systemic disease and connective tissue diseases x. Recent conjunctivitis in the last 3 months xi. Patients on immunosuppressant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Pakar Universiti Sains Malaysia
Kota Bharu, Kelantan, 16150, Malaysia
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shahidatul Adha Dr, MD, MMed
Universiti Sains Malaysia
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr.
Study Record Dates
First Submitted
November 28, 2025
First Posted
December 9, 2025
Study Start
September 17, 2025
Primary Completion
January 16, 2026
Study Completion (Estimated)
September 1, 2026
Last Updated
December 9, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share
Individual participant data will not be shared because the study is single-center, involves a small sample size, and institutional data governance policies do not permit open sharing of identifiable clinical data.