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Effectiveness of 3% Diquafosol versus 0.3% Hyaluronic Acid Eye Drops in Improving Clinical Control of Hemifacial Spasm Treated with Botulinum Toxin A: a Randomized Crossover Trial

Effectiveness of 3% Diquafosol versus 0.3% Hyaluronic Acid Eye Drops in Improving Clinical Control of Hemifacial Spasm Treated with Botulinum Toxin A: a Randomized Crossover Trial

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
TCTR
Registry ID
TCTR20251021007
Enrollment
56
Registered
2025-10-21
Start date
2025-10-27
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hemifacial Spasm Patients Hemifacial spasm, dry eye disease, Botulinum toxin, Diquafosol eye drop, Hyaluronic acid eye drop

Interventions

Patients receive 3% Diquafosol eye drop six times daily for 12 weeks, followed by a 4-week washout period, then 0.3% Hyaluronic Acid eye drop six times daily (in order to blind the participant and min
Active Comparator Drug,Active Comparator Drug
Group A (start with 3% Diquafosol eye drop),Group B (start with 0.3% Hyaluronic Acid eye drop)

Sponsors

Akarawit Eiamsamarng
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: Patients diagnosed with Hemifacial Spasm with dry eye disease, who are currently receiving treatment at the Botoxin Clinic, Ophthalmology Outpatient Department, Siriraj Hospital, and have undergone at least three consecutive sessions of Onabotulinum toxin A injection, administered every 16 weeks using a fixed and individualized dosage regimen, will be enrolled. In addition, eligible participants must not have used any topical ophthalmic eye drops for at least 4 weeks (1 month) prior to enrollment. All participants must have provided written informed consent voluntarily prior to participation in the study.

Exclusion criteria

Exclusion criteria: 1. Presence of active ocular surface disease or other anterior segment conditions, 2. History of ocular trauma or surgery involving the eyelids or eyes within the past 6 months prior to enrollment, 3. Current use of contact lenses, 4. Known history of allergy to any of the investigational eye drops, 5. Refusal to participate in the study.

Design outcomes

Primary

MeasureTime frame
Hemifacial Spasm Severity 28 weeks Samsung Medical Center (SMC) Grading Scale

Secondary

MeasureTime frame
Clinical signs and symptoms of dry eye disease 28 weeks Ocular surface staining, Ocular Surface Disease Index (OSDI) questionnaire,Tear film stability 28 weeks Tear Meniscus Height, Tear Break-Up Time ,Quality of life 28 weeks Dry Eye-Related Quality-of-Life Score, Patient satisfaction,Safety and tolerability 28 weeks Recording of adverse events and side effects

Countries

Thailand

Contacts

Public ContactAkarawit Eiamsamarng

Faculty of Medicine Siriraj Hospital, Mahidol University

akarawit.eam@mahidol.ac.th024198037

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026