Proactive management to understand contact lens wearers success

ISRCTN ISRCTN11525595
DOI https://doi.org/10.1186/ISRCTN11525595
IRAS number 266960
Secondary identifying numbers CV19-55 ID19-23, IRAS 266960
Submission date
10/12/2020
Registration date
28/01/2021
Last edited
20/07/2021
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 of protocol

Background and study aims
Contact lenses are small prescription lenses, worn in "contact" with the eye. They are designed to correct eyesight and maintain eye health.
Up to 50% of contact lens wearers report discomfort hence it is important to try to find better ways to manage their contact lenses to improve their comfort. The aim will be to test if by increasing management over routine practice results in the wearer having a greater comfort.

Who can participate?
Soft contact lens wearers complaining of discomfort aged 18 to 40.

What does the study involve?
The study involves 5 visits. At the first visit, the participants are screened, enrolled and fitted with the contact lenses and dispensed with their management protocol. At the other 4 visits (1, 3, 6 and 12 months), the participants are monitored to quantify any improvement from baseline. Also, the participant will complete electronic questionnaires monthly to track their progress.

What are the possible benefits and risks of participating?
The benefits to the participant are the opportunity to try a different contact lens and or those in the test group to have increased management to solve their contact lens comfort problems than they would have in routine practice. There are no increased risks, the contact lenses and management system are all using CE marked products.

Where is the study run from?
Ocular Technology Group - International (UK)

When is the study starting and how long is it expected to run for?
July 2019 to May 2021

Who is funding the study?
CooperVision Inc. (USA)

Who is the main contact?
Deborah Moore
dmoore@otg.co.uk

Contact information

Miss Deborah Moore
Public

66 Buckingham Gate
London
SW1E 6AU
United Kingdom

Phone +44 )0)207 2224224
Email dmoore@otg.co.uk

Study information

Study designEarly feasibility prospective single masked open label randomized parallel-group
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleUnderstanding the impact of proactive management to improve symptomatic contact lens wearers success
Study objectivesSymptomatic contact lens wearers are refitted with a standard daily disposable contact lens, those who are proactively managed will experience lesser symptoms and longer comfortable wearing time than those who are managed by following a standard management routine.
Ethics approval(s)Approved 06/08/2019, Yorkshire & The Humber - Bradford Leeds Research Ethics Committee (NHSBT Newcastle Blood Donor Centre, Holland Drive, Newcastle upon Tyne, NE2 4NQ, UK; +44 (0)207 1048 088; nrescommittee.yorkandhumber-bradfordleeds@nhs.net), ref: 19/YH/0245
Health condition(s) or problem(s) studiedManagement of soft contact lens wearing symptoms
InterventionThe participants were refitted with a daily disposable contact lens, half in the control group were managed as per conventional routine practice and the other half in the test group received enhanced management. The randomisation process was a 1:1 randomisation using a computerised program.

The study involves 5 visits. At the first visit, the participants are screened, enrolled and fitted with the contact lenses and dispensed with their management protocol. At the other 4 visits (1, 3, 6 and 12 months), the participants are monitored to quantify any improvement from baseline. Also, the participant will complete electronic questionnaires monthly to track their progress.
Intervention typeBehavioural
Primary outcome measure1. Contact lens overall comfort measured using the CLDEQ8 questionnaire overall score at 1, 3, 6 and 12 months
2. Contact lens wearing time (hours) measured using self report at 1, 3, 6 and 12 months
Secondary outcome measuresContact lens comfort at different times of the day measured using 100 point Visual Analogue scale at 1, 3, 6 and 12 months
Overall study start date01/07/2019
Completion date01/05/2021

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants90
Total final enrolment81
Key inclusion criteria1. Age 18 to 40 years
2. Current daily wear soft contact lens wearer who have worn contact lenses for at least six months in total
3. CLDEQ-8 ≥14 and/or comfortable wearing time ≤ 9hrs; with selfreported end of day dryness or discomfort
4. Spectacle refraction:
Sphere: -6.00D to + 4.00D
Astigmatism: 0.00D to -0.75
5. Best corrected visual acuity of at least 20/30 in each eye
6. No significant ocular signs that would prohibit contact lens wear including:
6.1. Blepharitis score <3 (0 to 4-point scale)
6.2. Meibomian gland score <3 (0 to 4-point scale)
6.3. Corneal staining score <7 (0 to 10-point scale)
6.4. Conjunctival staining score <3 on (0 to 4-point scale)
6.5. TPH without contact lenses ≥0.125 mm
6.6. OSDI score without contact lenses <13
7. Have read and understood the Participant Information Sheet in English
8. Have read, signed and dated the Informed Consent
9. Have normal eyes with the exception of the need for visual correction
10. Be willing and able to adhere to the instructions set in the clinical protocol and maintain the appointment schedule
Key exclusion criteria1. Ocular anterior segment infection, inflammation, abnormality, or active disease that would contraindicate contact lens wear
2. Monocular participants (only one eye with functional vision) or participants fit with only one lens
3. Any moderate or severe ocular condition observed during the slit-lamp examination at the enrolment visit
4. History of herpetic keratitis, ocular surgery or irregular cornea
5. Known pregnancy or lactation during the study period as determined by self-report
6. Enrolment of the investigator or his/her staff, family members of the investigator, family members of the investigator’s staff, or individuals living in the households of these individuals
7. Individuals who are unable to read or understand the Participant Information Sheet in English
Date of first enrolment01/08/2019
Date of final enrolment23/12/2020

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Ocular Technology Group - International
66 Buckingham Gate
London
SW1E 6AU
United Kingdom

Sponsor information

CooperVision (United States)
Industry

6150 Stoneridge Mall Road
Pleasanton
94588
United States of America

Phone +1 925 251 6682
Email nkeir@coopervision.com
Website http://coopervision.com

Funders

Funder type

Industry

Cooper Vision Inc. (USA)

No information available

Results and Publications

Intention to publish date01/07/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planThere are no specific plans for publication or dissemination of the study results.
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results version v0.1 20/07/2021 No No
HRA research summary 28/06/2023 No No

Additional files

ISRCTN11525595_BasicResults_V0.1.docx

Editorial Notes

20/07/2021: The basic results of this trial have been uploaded. Total final enrolment number added.
28/01/2021: Trial’s existence confirmed by Yorkshire & The Humber - Bradford Leeds Research Ethics Committee.