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- Klinische proef NCT07579156
TearCare in Young Adults
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
This study is a non-randomized, open-label, interventional trial of TearCare® eyelid warming and manual meibomian gland expression in young adults with clinically significant MGD. Intervention is with TearCare® performed at Visit 1. A single follow-up examination occurs at Day 28.
The primary objective is to evaluate the safety and efficacy of TearCare® in teenage and young-adult patients with MGD. A secondary objective includes a predictive analysis to determine which baseline clinical parameters best predict success with a TearCare treatment.
Co-primary efficacy endpoints include change from baseline in non-invasive keratograph break-up time (NIKBUT) at Day 28 and change from baseline in ocular surface disease index (OSDI) at Day 28. Secondary endpoints include the proportion of subjects with pre-defined baseline clinical characteristics who experience a clinically meaningful improvement in NIKBUT or OSDI. Exploratory endpoints include change from baseline in Dry Eye-Related Quality of Life Score (DEQS) at Day 28. The primary safety endpoint is the incidence of adverse effects that are probably or definitely related to the intervention.
The study population will include 45 young adults with clinically significant MGD (30 participants who are ≥18 to <22 years of age and 15 participants who are ≥22 to <30 years of age). The study duration is 4 weeks. TearCare® eyelid warming and manual gland expression will be performed once at Visit 1.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Sindhu Gurrala, BDS, MPH
- Telefoonnummer: 205-975-3881
- E-mail: SOeyes@uab.edu
Studie Contact Back-up
- Naam: UAB Optometry Clinical Research (205) 934-6734
- E-mail: SOeyes@uab.edu
Studie Locaties
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Alabama
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Birmingham, Alabama, Verenigde Staten, 35294
- University of Alabama at Birmingham, School of Optometry, Clinical Eye Research Facility
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Contact:
- Sindhu Gurrala, BDS, MPH
- Telefoonnummer: 205-975-3881
- E-mail: sgurral2@uab.edu
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Hoofdonderzoeker:
- Jillian F Ziemanski, OD, PhD, FAAO
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Age ≥18 years but <30 years of age
- Non-invasive Keratograph break-up time (NIKBUT) <10 seconds in at least one eye
- Meibomian gland secretion score (MGSS) ≤23 for 15 glands in at least one eyelid
- OSDI ≥23
Exclusion Criteria:
- Contact lens wear within two weeks of study enrollment or planned during study period
- Habitual visual acuity worse than 0.30 logMAR (Snellen equivalent of 20/40) in either eye
- Previous or current diagnosis of any autoimmune condition
Use of any of the following medications within 60 days of enrollment:
- Topical ophthalmic cyclosporine (including but not limited to Restasis®, Cequa®, Vevye®, generic, or compounded versions)
- Xiidra®
- Miebo®
- Tyrvaya®
- Tryptyr®
- Use of topical ocular steroids within 30 days of enrollment
- Use of any other topical ophthalmic drop, excluding artificial tears, within 7 days
- Use of oral tetracyclines or oral azithromycin within 30 days
- Present or past use of oral isotretinoin
Any of the following procedural treatments for MGD in the past:
- LipiFlow®
- TearCare®
- iLux®
- Intense pulsed light (IPL)
- Previous intraocular surgery within 6 months of enrollment
- Previous refractive surgery within 2 years of enrollment
- Current or planned pregnancy during the study period
- Current or planned lactation during the study period
- Females of childbearing potential who are not using effective contraception
- Dose modification of oral antihistamines or antidepressants within 30 days of enrollment
- Current enrollment or enrollment within 60 days in any other study of an investigational drug or device
- Clinical opinion of the study doctor based on clinical examination and/or participant compliance with protocol requirements
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Treatment
TearCare® eyelid warming and manual gland expression performed once at Visit 1 and followed for 4 weeks.
All participants will undergo standardized ocular assessments including OSDI questionnaires, non-invasive keratograph break-up time, Visual acuity high contrast, Biomicroscopy, posterior lid margin hyperemia, Fluorescein tear breakup time, corneal fluorescein staining, conjunctival staining with lissamine green, lid wiper epitheliopathy with lissamine green, Surveys - DEQS, SANDE, Screen time-use, Lipview 11 lipid imaging, Keratograph R-scan, Keratogrpahy meibography, meiobomian gland expression by meibomian gland evaluator.
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The TearCare system is designed to deliver controlled, precise heat to the tarsal plates and underlying MGs of the eyelids for 15 minutes.
The TearCare system is comprised of a reusable SmartHub and single-use SmartLids.
The single-use SmartLid pair comprises four flexible, sensor-controlled strips that adhere to each of the four eyelids.
They contain flexible circuits, sensors, and a microprocessor which provide accurate and precise thermal energy to the eyelids to melt oil in the meibomian glands.
Medical grade adhesive on the skin-facing surface of the SmartLids allow them to be affixed to the external surface of the eyelids during the procedure and easily removed at the end of the procedure.
The SmartLids are connected to the SmartHub.
When attached to the SmartHub, the SmartLids deliver thermal energy (i.e., heat) to the eyelids.
Embedded software and a closed loop sensor system ensures that the temperature delivered at the eyelids is maintained within a precise range.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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OSDI AT 4 WEEKS
Tijdsspanne: Baseline to 4 weeks
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The OSDI is a 12-item questionnaire that queries a patient's symptom frequency, situational context, and environmental triggers.
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Baseline to 4 weeks
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Non-Invasive Keratograph Break-Up Time(NIKBUT) at 4 weeks
Tijdsspanne: Baseline to Week 4
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The secondary efficacy endpoint is the proportion of subjects with pre-defined baseline clinical characteristics who experience a clinically meaningful improvement in NIKBUT or OSDI.
A clinically meaningful improvement in NIKBUT is defined as at least a 2-second increase versus baseline or at least a 50% increase15 if baseline NIKBUT <4 s.
A clinically meaningful improvement in OSDI is defined as a decrease of 4.5 units for mild to moderate disease16 (OSDI ≥ 13 by <33 at baseline) or 7.3 units for severe disease16 (OSDI ≥ 33 at baseline)
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Baseline to Week 4
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Medewerkers en onderzoekers
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Jillian F Ziemanski, OD, PhD, FAAO, The University of Alabama at Birmingham, School of Optometry
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 300016555
- Sight Sciences, Inc. (Andere identificatie: Sight Sciences, Inc.)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
product vervaardigd in en geëxporteerd uit de V.S.
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