Ametropia
Conditions
Keywords
comfort, wetability, protein deposit, lipid deposit
Brief summary
The purpose of this study is to determine if reduced lens deposits and increased comfort can be achieved by using Multipurpose disinfecting solutions (MPDS) in a no-rub format but in conjunction with an intensive cleaner, rather than using MPDS in a rub format.
Detailed description
The purpose of this study is to determine if reduced lens deposits and increased comfort can be achieved by using Multipurpose disinfecting solutions (MPDS) in a no-rub format but in conjunction with an intensive cleaner, rather than using MPDS in a rub format by observing changes within the cornea and collecting subjective ratings.
Interventions
Marketed Multipurpose Disinfecting Care System + Marketed contact lens protein remover
Marketed Multipurpose Disinfecting Care System
Marketed Multipurpose Disinfecting Care Systems
Sponsors
Study design
Eligibility
Inclusion criteria
* Is at least 17 years of age and has full legal capacity to volunteer. * Has read, understood and signed an information consent letter. * Is willing and able to follow instructions and maintain the appointment schedule. * Is correctable to a visual acuity of 6/9 or better (in each eye) with their habitual vision correction. * Has clear corneas and no active ocular disease. * Has had an ocular examination in the last two years. * Is a current soft lens wearer, replacing their lenses every two weeks to one month. * Has a distance contact lens prescription between +6.00D to -10.00 DS and can be successfully fit with the study lens. * Has astigmatism less than or equal to -1.00 DC.
Exclusion criteria
* Has any signs or symptoms of dry eye. * Has any clinically significant blepharitis. * Has undergone corneal refractive surgery. * Is aphakic. * Has any active ocular disease. * Has any systemic disease affecting ocular health. * Is using any systemic or topical medications that may affect ocular health. * Has known sensitivity to the diagnostic pharmaceuticals to be used in the study. * Is pregnant or lactating. * Is participating in any other type of clinical or research study. * Currently wears daily disposable lenses. * Currently wears lenses on an extended wear basis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comfort | 4 weeks | Subjective comfort ratings on analog scale (0= very poor comfort; 100= excellent comfort), self report by subject based on single criterion 'comfort'. |
| Lens Wettability | 4 weeks | Subjective grading of contact lens surface wettability by investigator (0=excellent; 4=severely reduced). |
| Lens Deposits | 4 weeks | Subjective grading of contact lens surface deposits by investigator (0=no deposits; 4=severe deposits). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dryness | 4 weeks | Subjective dryness ratings on analog scale (0= very dry; 100= not dry at all), self report by subject based on single criterion 'dryness'. |
| Subjective Vision | 4 weeks | Subjective vision ratings on analog scale (0= poor vision; 100= excellent vision), self report by subject based on single criterion 'vision'. |
| Corneal Staining | 4 weeks | Grading based on Type (0=None; 100=patch)and extent of staining (0=None; 100= Entire corneal region). Final value is Type multiplied by Extent. Corneal staining is a test that uses an orange dye (fluorescein) and a blue light to detect damage to the cornea (front surface of eye) from minor abrasions. A strip of blotting paper containing the dye was touched to the eyelid margin. Upon blinking, the dye spreads and coats the front surface of the eye along with the tear film covering the surface of the cornea. The investigator then rated the size, location and shape of the staining. |
Countries
Canada
Participant flow
Recruitment details
Recruitment started January 2008 at CCLR (Study completed July 2008)
Pre-assignment details
Phase 1 - 38 participants enrolled, Phase 2 - 38 participants enrolled. For both Phase 1 and 2 a washout period of at least one day, during which time participants wore spectacles and no contact lenses.
Participants by arm
| Arm | Count |
|---|---|
| Ph1: RepleniSH(No-rub) & Supraclens Phase 1 - Alcon RepleniSH™ (Contact lens cleaning and disinfecting solution) with 'no lens rub' and Supraclens® (Daily protein remover) group. | 17 |
| Ph1: RepleniSH(Rub) Phase 1 - Alcon RepleniSH™ (Contact lens cleaning and disinfecting solution) 'with lens rub' group. | 21 |
| Ph2: RepleniSH(No-rub) & Supraclens Phase 2 - Alcon RepleniSH™ (Contact lens cleaning and disinfecting solution) with 'no lens rub' and Supraclens® (Daily protein remover) group. | 19 |
| Ph2: ReNu Multiplus(Rub) Phase 2 - B&L ReNu MultiPlus™ (Contact lens cleaning and disinfecting solution) 'with lens rub' group. | 19 |
| Total | 76 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| First Intervention for Phase1&Phase2 | Withdrawal by Subject | 0 | 3 | 3 | 0 |
| Second Intervention for Phase1&Phase2 | Withdrawal by Subject | 0 | 1 | 0 | 1 |
Baseline characteristics
| Characteristic | Ph1: RepleniSH(Rub) | Ph2: RepleniSH(No-rub) & Supraclens | Ph1: RepleniSH(No-rub) & Supraclens | Ph2: ReNu Multiplus(Rub) | Total |
|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 21 Participants | 19 Participants | 17 Participants | 19 Participants | 76 Participants |
| Age, Continuous | 21 years STANDARD_DEVIATION 3 | 30 years STANDARD_DEVIATION 9 | 28 years STANDARD_DEVIATION 11 | 24 years STANDARD_DEVIATION 7 | 26 years STANDARD_DEVIATION 9 |
| Region of Enrollment Canada | 21 participants | 19 participants | 17 participants | 19 participants | 76 participants |
| Sex: Female, Male Female | 17 Participants | 17 Participants | 13 Participants | 14 Participants | 61 Participants |
| Sex: Female, Male Male | 4 Participants | 2 Participants | 4 Participants | 5 Participants | 15 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 0 | 0 / 0 | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 | 0 / 0 | 0 / 0 |
Outcome results
Comfort
Subjective comfort ratings on analog scale (0= very poor comfort; 100= excellent comfort), self report by subject based on single criterion 'comfort'.
Time frame: 4 weeks
Population: analysis was per protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ph1: RepleniSH(No-rub) & Supraclens | Comfort | 86 Units on a scale | Standard Deviation 13 |
| Ph1: RepleniSH(Rub) | Comfort | 86 Units on a scale | Standard Deviation 15 |
| Ph2: RepleniSH(No-rub) & Supraclens | Comfort | 87 Units on a scale | Standard Deviation 14 |
| Ph2: ReNu Multiplus(Rub) | Comfort | 86 Units on a scale | Standard Deviation 14 |
Lens Deposits
Subjective grading of contact lens surface deposits by investigator (0=no deposits; 4=severe deposits).
Time frame: 4 weeks
Population: analysis was per protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ph1: RepleniSH(No-rub) & Supraclens | Lens Deposits | 0.51 Units on a scale | Standard Deviation 0.34 |
| Ph1: RepleniSH(Rub) | Lens Deposits | 0.54 Units on a scale | Standard Deviation 0.47 |
| Ph2: RepleniSH(No-rub) & Supraclens | Lens Deposits | 0.62 Units on a scale | Standard Deviation 0.43 |
| Ph2: ReNu Multiplus(Rub) | Lens Deposits | 0.93 Units on a scale | Standard Deviation 0.66 |
Lens Wettability
Subjective grading of contact lens surface wettability by investigator (0=excellent; 4=severely reduced).
Time frame: 4 weeks
Population: analysis was per protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ph1: RepleniSH(No-rub) & Supraclens | Lens Wettability | 0.71 Units on a scale | Standard Deviation 0.49 |
| Ph1: RepleniSH(Rub) | Lens Wettability | 0.72 Units on a scale | Standard Deviation 0.38 |
| Ph2: RepleniSH(No-rub) & Supraclens | Lens Wettability | 0.92 Units on a scale | Standard Deviation 0.68 |
| Ph2: ReNu Multiplus(Rub) | Lens Wettability | 1.21 Units on a scale | Standard Deviation 0.69 |
Corneal Staining
Grading based on Type (0=None; 100=patch)and extent of staining (0=None; 100= Entire corneal region). Final value is Type multiplied by Extent. Corneal staining is a test that uses an orange dye (fluorescein) and a blue light to detect damage to the cornea (front surface of eye) from minor abrasions. A strip of blotting paper containing the dye was touched to the eyelid margin. Upon blinking, the dye spreads and coats the front surface of the eye along with the tear film covering the surface of the cornea. The investigator then rated the size, location and shape of the staining.
Time frame: 4 weeks
Population: analysis was per protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ph1: RepleniSH(No-rub) & Supraclens | Corneal Staining | 47 Units on a scale | Standard Deviation 111 |
| Ph1: RepleniSH(Rub) | Corneal Staining | 55 Units on a scale | Standard Deviation 113 |
| Ph2: RepleniSH(No-rub) & Supraclens | Corneal Staining | 52 Units on a scale | Standard Deviation 108 |
| Ph2: ReNu Multiplus(Rub) | Corneal Staining | 322 Units on a scale | Standard Deviation 479 |
Dryness
Subjective dryness ratings on analog scale (0= very dry; 100= not dry at all), self report by subject based on single criterion 'dryness'.
Time frame: 4 weeks
Population: analysis was per protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ph1: RepleniSH(No-rub) & Supraclens | Dryness | 85 Units on a Scale | Standard Deviation 14 |
| Ph1: RepleniSH(Rub) | Dryness | 86 Units on a Scale | Standard Deviation 16 |
| Ph2: RepleniSH(No-rub) & Supraclens | Dryness | 85 Units on a Scale | Standard Deviation 15 |
| Ph2: ReNu Multiplus(Rub) | Dryness | 85 Units on a Scale | Standard Deviation 15 |
Subjective Vision
Subjective vision ratings on analog scale (0= poor vision; 100= excellent vision), self report by subject based on single criterion 'vision'.
Time frame: 4 weeks
Population: analysis was per protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ph1: RepleniSH(No-rub) & Supraclens | Subjective Vision | 89 Units on a scale | Standard Deviation 12 |
| Ph1: RepleniSH(Rub) | Subjective Vision | 89 Units on a scale | Standard Deviation 13 |
| Ph2: RepleniSH(No-rub) & Supraclens | Subjective Vision | 90 Units on a scale | Standard Deviation 11 |
| Ph2: ReNu Multiplus(Rub) | Subjective Vision | 90 Units on a scale | Standard Deviation 11 |