Dry Eye Syndromes
Conditions
Brief summary
To compare the efficacy and safety of two non-preserved artificial tears, (carboxymethylcellulose 0.5%, + glycerin 0.9% vs. sodium hyaluronate 0.18%) eye drops for the treatment of the signs and symptoms of dry eye disease.
Interventions
To open, twist and pull tab to remove. Instill study medication as needed, but at least one drop 3 times a day as instructed in the protocol and then discard the container.
To open, twist and pull tab to remove. Instill study medication as needed, but at least one drop 3 times a day as instructed in the protocol and then discard the container.
Sponsors
Study design
Eligibility
Inclusion criteria
* Current use of an artificial tear product at least 2 times per day (e.g. for relief of dry eye symptoms of dryness). * Be likely to complete the entire course of study and to comply with appropriate instructions
Exclusion criteria
* Have undergone refractive surgery (e.g., cataract surgery, PRK, LASIK, or any surgery involving a limbal or corneal incision) within the last 12 months. * Have uncontrolled systemic disease * Are currently using, or have used within 14 days of study enrollment, any ocular medications other than artificial tears * Have anticipated contact lens wear during the study * Have an active ocular infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Ocular Surface Disease Index (OSDI) at Week 2 | Baseline, Week 2 | Change from baseline in OSDI at Week 2. The OSDI consists of 12 questions measuring the presence of ocular symptoms. Each of the 12 questions is assessed using a 5-point scale (0=none of the time; 4=all of the time). The score is converted to a 0-100 score where 0 is best and 100 is worst. Higher OSDI scores are associated with greater severity. A negative number change from baseline indicates improvement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Tear Breakup Time (TBUT) at Week 2 | Baseline, Week 2 | Change from baseline in TBUT at Week 2. TBUT is defined as the time required for dry spots to appear on the surface of the eye after blinking. The longer it takes, the more stable the tear film. A positive number change from baseline indicates improvement. |
| Change From Baseline in Corneal Staining at Week 2 | Baseline, Week 2 | Change from baseline in corneal staining at Week 2. Staining of the cornea following ocular administration of fluorescein dye was graded using a 6-point scale (0=no staining, 5=diffuse staining). The higher the grade score, the worse the dry eye severity. A negative number change from baseline indicates improvement. |
| Change From Baseline in Conjunctival Staining (Temporal) at Week 2 | Baseline, Week 2 | Change from baseline in conjunctival (temporal) staining at Week 2. Staining of the conjunctiva following ocular administration of lissamine green dye was graded using a 6-point scale (0=no staining, 5=diffuse staining). The higher the grade score, the worse the dry eye severity. A negative number change from baseline indicates improvement. |
| Change From Baseline in Conjunctival Staining (Nasal) at Week 2 | Baseline, Week 2 | Change from baseline in conjunctival staining (nasal) at Week 2. Staining of the conjunctiva following ocular administration of lissamine green dye was graded using a 6-point scale (0=no staining, 5=diffuse staining). The higher the grade score, the worse the dry eye severity. A negative number change from baseline indicates improvement. |
Countries
Germany
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Carboxymethylcellulose 0.5%, Glycerin 0.9% carboxymethylcellulose 0.5%, glycerin 0.9% | 33 |
| Sodium Hyaluronate 0.18% sodium hyaluronate 0.18% | 37 |
| Total | 70 |
Baseline characteristics
| Characteristic | Carboxymethylcellulose 0.5%, Glycerin 0.9% | Sodium Hyaluronate 0.18% | Total |
|---|---|---|---|
| Age Continuous | 54.386 years | 48.787 years | 51.5865 years |
| Sex: Female, Male Female | 23 Participants | 28 Participants | 51 Participants |
| Sex: Female, Male Male | 10 Participants | 9 Participants | 19 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 33 | 0 / 37 |
| serious Total, serious adverse events | 0 / 33 | 0 / 37 |
Outcome results
Change From Baseline in Ocular Surface Disease Index (OSDI) at Week 2
Change from baseline in OSDI at Week 2. The OSDI consists of 12 questions measuring the presence of ocular symptoms. Each of the 12 questions is assessed using a 5-point scale (0=none of the time; 4=all of the time). The score is converted to a 0-100 score where 0 is best and 100 is worst. Higher OSDI scores are associated with greater severity. A negative number change from baseline indicates improvement.
Time frame: Baseline, Week 2
Population: Intent-to-Treat (ITT). The ITT population consisted of all patients who started the study (randomized).
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Ocular Surface Disease Index (OSDI) at Week 2 | Baseline | 56.06 Scores on a Scale | Standard Deviation 13.43 |
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Ocular Surface Disease Index (OSDI) at Week 2 | Week 2 | -27.048 Scores on a Scale | Standard Deviation 17.87 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Ocular Surface Disease Index (OSDI) at Week 2 | Baseline | 54.292 Scores on a Scale | Standard Deviation 13.1 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Ocular Surface Disease Index (OSDI) at Week 2 | Week 2 | -28.303 Scores on a Scale | Standard Deviation 21.821 |
Change From Baseline in Conjunctival Staining (Nasal) at Week 2
Change from baseline in conjunctival staining (nasal) at Week 2. Staining of the conjunctiva following ocular administration of lissamine green dye was graded using a 6-point scale (0=no staining, 5=diffuse staining). The higher the grade score, the worse the dry eye severity. A negative number change from baseline indicates improvement.
Time frame: Baseline, Week 2
Population: Intent-to-Treat (ITT). The ITT population consisted of all patients who started the study (randomized).
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Conjunctival Staining (Nasal) at Week 2 | Baseline | 1.758 Scores on a Scale | Standard Deviation 0.902 |
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Conjunctival Staining (Nasal) at Week 2 | Week 2 | -1.061 Scores on a Scale | Standard Deviation 0.899 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Conjunctival Staining (Nasal) at Week 2 | Baseline | 2.000 Scores on a Scale | Standard Deviation 0.913 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Conjunctival Staining (Nasal) at Week 2 | Week 2 | -1.459 Scores on a Scale | Standard Deviation 1.043 |
Change From Baseline in Conjunctival Staining (Temporal) at Week 2
Change from baseline in conjunctival (temporal) staining at Week 2. Staining of the conjunctiva following ocular administration of lissamine green dye was graded using a 6-point scale (0=no staining, 5=diffuse staining). The higher the grade score, the worse the dry eye severity. A negative number change from baseline indicates improvement.
Time frame: Baseline, Week 2
Population: Intent-to-Treat (ITT). The ITT population consisted of all patients who started the study (randomized).
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Conjunctival Staining (Temporal) at Week 2 | Baseline | 1.818 Scores on a Scale | Standard Deviation 0.95 |
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Conjunctival Staining (Temporal) at Week 2 | Week 2 | -1.152 Scores on a Scale | Standard Deviation 0.972 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Conjunctival Staining (Temporal) at Week 2 | Baseline | 1.919 Scores on a Scale | Standard Deviation 1.01 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Conjunctival Staining (Temporal) at Week 2 | Week 2 | -1.216 Scores on a Scale | Standard Deviation 1.084 |
Change From Baseline in Corneal Staining at Week 2
Change from baseline in corneal staining at Week 2. Staining of the cornea following ocular administration of fluorescein dye was graded using a 6-point scale (0=no staining, 5=diffuse staining). The higher the grade score, the worse the dry eye severity. A negative number change from baseline indicates improvement.
Time frame: Baseline, Week 2
Population: Intent-to-Treat (ITT). The ITT population consisted of all patients who started the study (randomized).
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Corneal Staining at Week 2 | Baseline | 1.818 Scores on a Scale | Standard Deviation 0.779 |
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Corneal Staining at Week 2 | Week 2 | -1.288 Scores on a Scale | Standard Deviation 0.718 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Corneal Staining at Week 2 | Baseline | 1.608 Scores on a Scale | Standard Deviation 0.936 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Corneal Staining at Week 2 | Week 2 | -1.23 Scores on a Scale | Standard Deviation 1.09 |
Change From Baseline in Tear Breakup Time (TBUT) at Week 2
Change from baseline in TBUT at Week 2. TBUT is defined as the time required for dry spots to appear on the surface of the eye after blinking. The longer it takes, the more stable the tear film. A positive number change from baseline indicates improvement.
Time frame: Baseline, Week 2
Population: Intent-to-Treat (ITT). The ITT population consisted of all patients who started the study (randomized).
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Tear Breakup Time (TBUT) at Week 2 | Baseline | 6.501 Seconds | Standard Deviation 1.73 |
| Carboxymethylcellulose 0.5%, Glycerin 0.9% | Change From Baseline in Tear Breakup Time (TBUT) at Week 2 | Week 2 | 2.919 Seconds | Standard Deviation 2.388 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Tear Breakup Time (TBUT) at Week 2 | Baseline | 5.914 Seconds | Standard Deviation 1.646 |
| Sodium Hyaluronate 0.18% | Change From Baseline in Tear Breakup Time (TBUT) at Week 2 | Week 2 | 2.538 Seconds | Standard Deviation 2.923 |