Dry Eye Syndromes
Conditions
Brief summary
This study will evaluate the safety and efficacy o fRefresh Optive® Gel Drops in patients with dry eye disease.
Interventions
Refresh Optive® Gel Drops; 1-2 drops in each eye as needed at least 2 times daily for 30 days.
REFRESH LIQUIGEL®; 1-2 drops in each eye as needed at least 2 times daily for 30 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Current use of an artificial tear product * Visual acuity of at least 20/32 (while wearing glasses, if necessary).
Exclusion criteria
* Use of contact lenses in the last 3 months, or anticipated use of contact lenses during the study * Cataract surgery, laser-assisted in situ keratomileusis \[LASIK\], or photorefractive keratectomy, within the last 6 months * Current eye infection or inflammation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in the Ocular Surface Disease Index© (OSDI©) Score | Baseline, Day 30 | The OSDI is a 12-question survey for patients to document their dry eye disease symptoms. The OSDI consists of a 5-point scale (0=none of the time and 4=all of the time), with higher scores representing greater disability. The scores are totaled over the 12 questions and converted to a score of 0-100 (0=no disability and 100=complete disability). A negative number change from baseline represents an improvement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in the OSDI© Score | Baseline, Day 7 | The OSDI is a 12-question survey for patients to document their dry eye disease symptoms. The OSDI consists of a 5-point scale (0=none of the time and 4=all of the time), with higher scores representing greater disability. The scores are totaled over the 12 questions and converted to a score of 0-100 (0=no disability and 100=complete disability). A negative number change from baseline represents an improvement. |
| Change From Baseline in Tear Break-up Time (TBUT) | Baseline, Day 30 | TBUT is 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 short TBUT is a sign of poor tear film. A positive number change from baseline indicates an increase in TBUT (improvement). The eye with shorter average TBUT at baseline is reported for each patient. |
| Change From Baseline in the Combined Corneal and Conjunctival Staining Scores | Baseline, Day 30 | The cornea is the transparent front part of the eye which covers the iris and pupil. The conjunctiva is the clear membrane covering the white surface of the eye. The cornea is divided into 5 zones and the nasal and temporal conjunctiva is divided into 6 zones. The combined staining score is based on the sum of the five zones on the cornea and the six zones on the conjunctiva. Each zone is graded on a 0-5 scale (0=None; 1=trace; 2=mild; 3=moderate; 4=severe; 5=very severe), for a total score ranging from 0-55. The higher the score, the worse the dry eye condition. A negative number change from baseline represents a decrease in the severity of staining (improvement). The eye with higher score at baseline is reported for each subject. |
| Change From Baseline in the Schirmer Test | Baseline, Day 30 | The Schirmer's Test measures the rate of the secretion of tears produced by the eye over 5 minutes. The results indicate the presence of dry eye. The eye with the lower value at Baseline was used for Analysis. Normal = greater than or equal to 15 millimeters (mm) of tears, Dry Eye = less than 15 mm of tears.. The smaller the number, the more severe the dry eye. A positive number change from Baseline indicates improvement. The eye with the lower value at baseline is used for each subject. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Refresh Optive® Gel Drops Refresh Optive® Gel Drops; 1-2 drops in each eye as needed at least 2 times daily for 30 days. | 94 |
| REFRESH LIQUIGEL® REFRESH LIQUIGEL®; 1-2 drops in each eye as needed at least 2 times daily for 30 days. | 94 |
| Total | 188 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 1 | 1 |
| Overall Study | Lack of Efficacy | 0 | 1 |
| Overall Study | Lost to Follow-up | 0 | 1 |
Baseline characteristics
| Characteristic | Refresh Optive® Gel Drops | REFRESH LIQUIGEL® | Total |
|---|---|---|---|
| Age, Customized 18 to less than 30 years | 11 Participants | 13 Participants | 24 Participants |
| Age, Customized 30 to 40 years | 11 Participants | 14 Participants | 25 Participants |
| Age, Customized More than 40 years | 72 Participants | 67 Participants | 139 Participants |
| Sex: Female, Male Female | 78 Participants | 75 Participants | 153 Participants |
| Sex: Female, Male Male | 16 Participants | 19 Participants | 35 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 7 / 94 | 5 / 94 |
| serious Total, serious adverse events | 0 / 94 | 1 / 94 |
Outcome results
Change From Baseline in the Ocular Surface Disease Index© (OSDI©) Score
The OSDI is a 12-question survey for patients to document their dry eye disease symptoms. The OSDI consists of a 5-point scale (0=none of the time and 4=all of the time), with higher scores representing greater disability. The scores are totaled over the 12 questions and converted to a score of 0-100 (0=no disability and 100=complete disability). A negative number change from baseline represents an improvement.
Time frame: Baseline, Day 30
Population: Intent-to-Treat: All randomized patients
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Refresh Optive® Gel Drops | Change From Baseline in the Ocular Surface Disease Index© (OSDI©) Score | Baseline | 42.44 Scores on a Scale | Standard Deviation 11.708 |
| Refresh Optive® Gel Drops | Change From Baseline in the Ocular Surface Disease Index© (OSDI©) Score | Change from Baseline at Day 30 | -10.29 Scores on a Scale | Standard Deviation 15.864 |
| REFRESH LIQUIGEL® | Change From Baseline in the Ocular Surface Disease Index© (OSDI©) Score | Change from Baseline at Day 30 | -7.48 Scores on a Scale | Standard Deviation 16.592 |
| REFRESH LIQUIGEL® | Change From Baseline in the Ocular Surface Disease Index© (OSDI©) Score | Baseline | 40.43 Scores on a Scale | Standard Deviation 11.232 |
Change From Baseline in Tear Break-up Time (TBUT)
TBUT is 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 short TBUT is a sign of poor tear film. A positive number change from baseline indicates an increase in TBUT (improvement). The eye with shorter average TBUT at baseline is reported for each patient.
Time frame: Baseline, Day 30
Population: Intent-to-Treat: All randomized patients
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Refresh Optive® Gel Drops | Change From Baseline in Tear Break-up Time (TBUT) | Baseline | 5.38 Seconds | Standard Deviation 1.674 |
| Refresh Optive® Gel Drops | Change From Baseline in Tear Break-up Time (TBUT) | Change from Baseline at Day 30 (N-94, 93) | 0.84 Seconds | Standard Deviation 1.968 |
| REFRESH LIQUIGEL® | Change From Baseline in Tear Break-up Time (TBUT) | Baseline | 5.40 Seconds | Standard Deviation 2.138 |
| REFRESH LIQUIGEL® | Change From Baseline in Tear Break-up Time (TBUT) | Change from Baseline at Day 30 (N-94, 93) | 0.70 Seconds | Standard Deviation 4.139 |
Change From Baseline in the Combined Corneal and Conjunctival Staining Scores
The cornea is the transparent front part of the eye which covers the iris and pupil. The conjunctiva is the clear membrane covering the white surface of the eye. The cornea is divided into 5 zones and the nasal and temporal conjunctiva is divided into 6 zones. The combined staining score is based on the sum of the five zones on the cornea and the six zones on the conjunctiva. Each zone is graded on a 0-5 scale (0=None; 1=trace; 2=mild; 3=moderate; 4=severe; 5=very severe), for a total score ranging from 0-55. The higher the score, the worse the dry eye condition. A negative number change from baseline represents a decrease in the severity of staining (improvement). The eye with higher score at baseline is reported for each subject.
Time frame: Baseline, Day 30
Population: Intent-to-Treat: All randomized patients
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Refresh Optive® Gel Drops | Change From Baseline in the Combined Corneal and Conjunctival Staining Scores | Baseline | 10.9 Scores on a Scale | Standard Deviation 7.24 |
| Refresh Optive® Gel Drops | Change From Baseline in the Combined Corneal and Conjunctival Staining Scores | Change from Baseline at Day 30 (N=93, 91) | -1.7 Scores on a Scale | Standard Deviation 4.66 |
| REFRESH LIQUIGEL® | Change From Baseline in the Combined Corneal and Conjunctival Staining Scores | Baseline | 11.8 Scores on a Scale | Standard Deviation 7.16 |
| REFRESH LIQUIGEL® | Change From Baseline in the Combined Corneal and Conjunctival Staining Scores | Change from Baseline at Day 30 (N=93, 91) | -2.0 Scores on a Scale | Standard Deviation 6.12 |
Change From Baseline in the OSDI© Score
The OSDI is a 12-question survey for patients to document their dry eye disease symptoms. The OSDI consists of a 5-point scale (0=none of the time and 4=all of the time), with higher scores representing greater disability. The scores are totaled over the 12 questions and converted to a score of 0-100 (0=no disability and 100=complete disability). A negative number change from baseline represents an improvement.
Time frame: Baseline, Day 7
Population: Intent-to-Treat: All randomized patients
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Refresh Optive® Gel Drops | Change From Baseline in the OSDI© Score | Baseline | 42.44 Scores on a Scale | Standard Deviation 11.708 |
| Refresh Optive® Gel Drops | Change From Baseline in the OSDI© Score | Change from Baseline at Day 7 | -5.74 Scores on a Scale | Standard Deviation 14.338 |
| REFRESH LIQUIGEL® | Change From Baseline in the OSDI© Score | Baseline | 40.43 Scores on a Scale | Standard Deviation 11.232 |
| REFRESH LIQUIGEL® | Change From Baseline in the OSDI© Score | Change from Baseline at Day 7 | -2.34 Scores on a Scale | Standard Deviation 12.294 |
Change From Baseline in the Schirmer Test
The Schirmer's Test measures the rate of the secretion of tears produced by the eye over 5 minutes. The results indicate the presence of dry eye. The eye with the lower value at Baseline was used for Analysis. Normal = greater than or equal to 15 millimeters (mm) of tears, Dry Eye = less than 15 mm of tears.. The smaller the number, the more severe the dry eye. A positive number change from Baseline indicates improvement. The eye with the lower value at baseline is used for each subject.
Time frame: Baseline, Day 30
Population: Intent-to-Treat: All randomized patients
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Refresh Optive® Gel Drops | Change From Baseline in the Schirmer Test | Baseline | 9.98 mm/5 min | Standard Deviation 7.178 |
| Refresh Optive® Gel Drops | Change From Baseline in the Schirmer Test | Change from Baseline at Day 30 (N=88, 86) | 0.89 mm/5 min | Standard Deviation 5.601 |
| REFRESH LIQUIGEL® | Change From Baseline in the Schirmer Test | Baseline | 11.32 mm/5 min | Standard Deviation 8.496 |
| REFRESH LIQUIGEL® | Change From Baseline in the Schirmer Test | Change from Baseline at Day 30 (N=88, 86) | 0.69 mm/5 min | Standard Deviation 6.479 |