Evaluation of MAF-1217 in Patients With DED
Evaluation of the Performance of the Tear Substitute MAF-1217 in Patients With Evaporative DED
This is a pre-market, multicentre, double-blind, randomized, crossover, non-inferiority study comparing the efficacy of MAF-1217 and Cationorm® in adult patients with evaporative DED.
The study population will be divided in 4 different subgroups, according to the different types of evaporative DED:
- Group A: high evaporative levels
- Group B: females in menopause, whether using hormonal integration or not
- Group C: presence of active obstructive Meibomian gland disease
- Group D: glaucomatous patients
研究概览
详细说明
Patients will be enrolled after having signed the informed consent form prior any other study procedure and after inclusion/exclusion criteria check.
Each patient will be planned to perform 6 study visits and at each visit all necessary study procedures will be performed according to the clinical investigation plan requirements (see flow-chart).
The study visits will be performed at: screening, baseline, week 2, week 6, week 8, week 12.
Patients will be enrolled at screening visit and at baseline, after the wash-out period of 1 week, then will be randomized to receive MAF-1217 or Cationorm® for the following 6 weeks.
After this time lapse, patients will be switched to the opposite therapy for 6 additional weeks.
The entire study population will be asked for a TID posology, and will be divided in 4 different subgroups, according to the different types of evaporative DED.
Certain test will be performed only in some patients:
Osmolimetry and tear sampling in 20 patients(10/site) chosen random from groups B, C and D; Ferning test only in group D; tear film collection and cytokine expression only in 20 patients form site nr. 2.
Patients will be allowed to carry on any systemic or local medications, apart lubricating eyedrops, which have to be stopped the day before baseline visit.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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-
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Milan、意大利、20121
- Ospedale San Paolo, ASST Santi Paolo e Carlo
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Milan、意大利、20157
- ASST Fatebenefratelli Sacco P.O.L. Sacco
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-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- At least 18 years old (adult patients), male and female
- Schirmer I test > 10 mm at 5'
- (Group A): high evaporative levels
- (Group B): females in menopause, both using hormonal integration or not
(Group C): presence of active obstructive Meibomian gland disease, defined as at least one of the following:
- Meibomian orifice plugging
- eyelid margin foaminess
- changes in orifice position with respect to the mucocutaneous junction
- abnormal Meibomian gland secretions (opaque and viscous-like form that is difficult to express)
- (Group D): glaucomatous patients receiving one or more BAK preserved treatments for at least 2 years, showing an abnormal Ferning test (Types 3 or 4 according to Rolando)
- all: wishing to participate in the study and able to sign the ICF
Inclusion criteria to be checked at baseline:
- BUT < 7"
- Mild to severe DED according to OSDI chart
Exclusion Criteria:
- Neuropathic causes of dry eye (diabetes, long-standing contact lens wearing, previous ocular herpes infections)
- Coexisting corneal diseases
- Autoimmune diseases
- Past or active cicatricial conjunctivitis
- Past ocular surface burns
- Keratinization of the eyelid margin
- Sjogren syndrome
- History of corneal trauma
- Pregnant and lactating women
- Younger than 18 years old patients
- Use of contact lenses
- inability to self administer study medications
- (GROUPS B, D) Presence of active obstructive Meibomian gland disease
- (GROUP C) Presence of cicatricial Meibomian gland disease
- known allergic sensitivity to any of the devices ingredients or any other known allergy
- participation in a clinical trial during the 3 months prior to the beginning of the study
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:交叉作业
- 屏蔽:三倍
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:MAF1217/Cationorm
|
The study population will have to self-administer the study treatment in a TID posology.
The study population will have to self-administer the study treatment in a TID posology.
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实验性的:Cationorm/MAF1217
|
The study population will have to self-administer the study treatment in a TID posology.
The study population will have to self-administer the study treatment in a TID posology.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Break-up time (BUT) differences
大体时间:measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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Changes in break-up time (BUT) versus baseline
|
measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
ocular surface staining (corneal and conjunctival)
大体时间:measured at week 2, 6, 8 and 12 weeks treatment versus baseline
|
Cross-over analysis for the differences versus baseline between the two groups on changes in ocular surface staining (corneal and conjunctival)
|
measured at week 2, 6, 8 and 12 weeks treatment versus baseline
|
Schirmer I test (ST) (without anesthesia)
大体时间:measured at week 2, 6, 8 and 12 weeks treatment versus baseline
|
Cross-over analysis for the differences versus baseline between the two groups on changes in Schirmer I test (ST) (without anesthesia)
|
measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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number of blinking per minute
大体时间:measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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Cross-over analysis for the differences versus baseline between the two groups on changes in number of blinking per minute
|
measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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Ferning test (Group D)
大体时间:measured at week 2, 6, 8 and 12 weeks treatment versus baseline
|
Cross-over analysis for the differences versus baseline between the two groups on changes in Ferning test (Group D)
|
measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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osmolarity
大体时间:measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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Cross-over analysis for the differences versus baseline between the two groups on changes in osmolarity
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measured at week 2, 6, 8 and 12 weeks treatment versus baseline
|
patient satisfaction (10 points VAS scale)
大体时间:measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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Cross-over analysis for the differences versus baseline between the two groups on changes in patient satisfaction (10 points VAS scale). (VAS: scale where patient has to specify level of satisfaction by indicating a position along a continuous line between two end-points (0 - 10). 0 indicates no satisfaction while 10 represents the highest level). |
measured at week 2, 6, 8 and 12 weeks treatment versus baseline
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OSDI
大体时间:measured at week 2, 6, 8 and 12 weeks treatment
|
Changes in questionnaire scores (OSDI - Ocular Surface Disease Index).
The overall Ocular Surface Disease score defined the ocular surface as normal (0-12 points) or as having mild (13-22 points), moderate (23-32 points), or severe (33-100 points) disease.
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measured at week 2, 6, 8 and 12 weeks treatment
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合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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