Clinical effect of anti-oxidant pads in patients with dry eye

ISRCTN ISRCTN10704205
DOI https://doi.org/10.1186/ISRCTN10704205
Secondary identifying numbers OP00169
Submission date
10/12/2015
Registration date
14/12/2015
Last edited
17/08/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Dry eye disease (or dry eye syndrome) is a common eye condition in which the eyes do not make enough tears or the tears evaporate too quickly. This causes the eyes to dry out, resulting in them becoming irritated, red and swollen. Sufferers may find that their eyelids have become stuck together overnight when they wake up. They may also experience blurred vision that improves after blinking. The aim of this study is to test anti-oxidant pads containing the plant extracts of Chamaecyparis obtusa and Camellia japonica to see whether they can help control the condition and alleviate symptoms.

Who can participate?
Adult patients with dry eye.

What does the study involve?
Patients are randomly allocated to either the treatment or the placebo (control) group. All participants are given glasses that are designed to wrap around the eye and hold eye pads in place. Participants in the treatment group are given eye pads that contain extracts of Chamaecyparis obtusa and Camellia japonica. Participants in the placebo group are also given eye pads but these do not contain the plant extracts. All participants wear the glasses while asleep for 4 weeks.

What are the possible benefits and risks of participating?
The participants' symptoms could improve. There is a risk of unknown side effects wearing anti-oxidant containing pads.

Where is the study run from?
Department of Ophthalmology, Chonnam National University Medical School and Hospital (South Korea)

When is the study starting and how long is it expected to run for?
November 2015 to December 2016.

Who is funding the study?
Forest Science and Technology Projects provided by the Korea Forest Service

Who is the main contact?
Prof. Kyung Chul Yoon
kcyoon@jnu.ac.kr

Contact information

Prof Kyung Chul Yoon
Scientific

Department of Ophthalmology
Chonnam National University Medical School and Hospital
42 Jebong-ro, Dong-gu
Gwangju
KS0008
Korea, South

ORCiD logoORCID ID 0000-0002-2788-1851
Phone +82 (0)62 220 6741
Email kcyoon@jnu.ac.kr

Study information

Study designProspective double-blind randomized placebo-controlled clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleClinical effect of anti-oxidant pads containing extracts of Chamaecyparis obtusa and Camellia japonica in patients with dry eye disease.
Study hypothesisLocal delivery of anti-oxidant agents using pads might be effective in controlling oxidative damages in dry eye disease.
Ethics approval(s)Institutional Review Board of the Chonnam National University Hospital, 26/11/2015, ref: CNUH-2015-232
ConditionDry eye
InterventionPatients were randomly assigned to either the treatment or the placebo group.
All participants are given glasses composed of an external supporting cover that can be easily attached and detached from the face. The external supporting part of the glasses has been designed to wrap around the eye.
Participants in the treatment group are given eye pads to be inserted into the glasses that contain extracts of Chamaecyparis obtusa and Camellia japonica.
Participants in the placebo group are also given eye pads but these do not contain the plant extracts.
All participants wear the glasses while asleep for 4 weeks.
Intervention typeDevice
Pharmaceutical study type(s)
Phase
Drug / device / biological / vaccine name(s)
Primary outcome measureChange in subjective symptoms of dry eye disease. The subjective symptoms were graded using ocular surface disease index (OSDI) score (0 to 100), with higher scores representing greater disability. The patients answered the 12 items on the OSDI questionnaire that were graded on a scale of 0 to 4 (0: none of the time, 1: some of the time, 2: half of the time, 3: most of the time, 4: all of the time).

The OSDI was calculated by ([sum of scores for all questions answered]×100)/([total number of questions answered]×5).

The OSDI score was evaluated at baseline, 4 weeks, and 8 weeks after treatment.
Secondary outcome measures1. Tear film break up time - the time before the defect of fluorescein dye appeared in the stained tear film was measured and recorded (measured TBUT 3 times and averaged)
2. Schirmer’s test (with anesthesia)

Both evaluated at baseline, 4 weeks, and 8 weeks after treatment.
Overall study start date14/11/2015
Overall study end date14/12/2016

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants50
Total final enrolment50
Participant inclusion criteria1. One or more dry eye-related ocular symptoms (> 3 months) such as dryness, irritation and burning sensations
2. Ocular Surface Disease Index score from 13 to 32 (mild to moderate)
3. Tear film break-up time (BUT) of <10 s or a Schirmer’s test (with application of a local anaesthetic) value <10 mm for 5 minutes
Participant exclusion criteria1. Pregnant women
2. Active eye and periocular skin inflammation
3. Vitamin A deficiency
4. Previous ocular surgery within 3 months
5. History of diabetic retinopathy, age-related macular degeneration, glaucoma
6. History of wearing contact lenses
7. History of active treatment for dry eyes such as punctal occlusion or the usage of anti-inflammatory eye drops (topical steroid or topical cyclosporin) within 1 month
8. Systemic condition or medication that could cause dry eye
Recruitment start date14/12/2015
Recruitment end date14/01/2016

Locations

Countries of recruitment

  • Korea, South

Study participating centre

Chonnam National University Medical School and Hospital
Department of Ophthalmology
42 Jebong-ro Dong-gu
Gwangju
KS0008
Korea, South

Sponsor information

Korea Forest Service
Government

189 Cheongsa-ro
Seo-gu
대전광역시 서구 청사로 189 1동
Daejeon
35208
Korea, South

Phone +82-1588-3249
Email m-foa@forest.go.kr
Website http://www.forest.go.kr/newkfsweb/kfs/idx/Index.do?mn=KFS_01
ROR logo "ROR" https://ror.org/05bjbww34

Funders

Funder type

Government

Korea Forest Service
Government organisation / National government
Alternative name(s)
KFS
Location
Korea, South

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planAfter completing this study, we would like to publish on SCI journal as soon as possible. Our study will demonstrate clinical effect of Chamaecyparis obtusa and Camellia japonicaor on dry eye disease.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/01/2017 17/08/2020 Yes No

Editorial Notes

17/08/2020: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.