Effect of Four Different Diagnostic Eye Drops on Tear Film Thickness

NCT07230548 — Phase 3, Completed, 20 participants, Medical University of Vienna

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Effect of Single Instillation of Four Different Diagnostic Eye Drops on Tear Film Thickness in Healthy Subjects

RegistryNCT07230548
StatusCompleted
PhasePhase 3
Study typeInterventional; randomized, crossover, masking: triple, diagnostic
Enrollment20 (Actual)
SponsorMedical University of Vienna (Other)
ConditionsOcular Surface Disease, Tear Film Characteristics
InterventionsOxybuprocaine MDU, Oxybuprocaine SDU, Oxybuprocaine/fluorescein SDU, Fluorescein SDU (Drug)
Datesstart 2020-06-10, primary completion 2020-10-28, completion 2020-10-28, first posted 2025-11-17, last updated 2025-11-17
Locations1 site in Austria

Related Papers Related Patents Related Grants Related Experts
All trials for Ocular Surface Disease All trials for Tear Film Characteristics All trials of Oxybuprocaine MDU All trials of Oxybuprocaine SDU

-Summary

The use of topical anesthesia as well as corneal vital staining with fluorescein is an inevitable part of various ophthalmological examinations and surgical treatments. However, eye drops that don't come in single dose packages are required to contain preservatives such as chlorhexidine diacetate. An increasing number of surveys proves the partly severe side effects that preservative-containing eye drops may induce. The aim of the present study therefore is to investigate the effects of four different topical diagnostic eye drops (Novain®, Minims Oxybuprocaine Hydrochloride®, Thilorbin® and Minims®) on tear film thickness in healthy subjects. Tear film thickness will be measured at baseline and at defined time points after single instillation. The course of tear film thickness during the study day will provide information about the influence on tear film stability of the four different eye drops. Healthy subjects will receive Novain®, Minims Oxybuprocaine Hydrochloride®, Thilorbin® and Minims® eye drops on 4 different study days in a randomized order. Assessment of lipid layer thickness will be performed before and at pre-specified time points after instillation as secondary outcome. Other clinical measures such as determination of tear film break up time (TFBUT), corneal sensation, and Schirmer I test will be performed. The study will be conducted in a randomized, single masked, observer blinded four-way cross-over design. Subjects will receive all four diagnostic eye drops on 4 different study days in a randomized order.

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+Arms and interventions

ArmTypeInterventionsDescription
Oxybuprocaine MDUActive comparatorDrug: Oxybuprocaine MDUSubjects will receive 30µl of oxybuprocaine preserved in multi-dose units (MDU) in both eyes after the baseline measurements on the randomized study day
Oxybuprocaine SDUActive comparatorDrug: Oxybuprocaine SDUSubjects will receive 30µl of oxybuprocaine preserved in single-dose units (SDU) in both eyes after the baseline measurements on the randomized study day
Fluorescein SDUActive comparatorDrug: Fluorescein SDUSubjects will receive 30µl of fluorescein preserved in single-dose units (SDU) in both eyes after the baseline measurements on the randomized study day
Oxybuprocaine/fluorescein SDUActive comparatorDrug: Oxybuprocaine/fluorescein SDUSubjects will receive 30µl of oxybuprocaine/fluorescein preserved in single-dose units (SDU) in both eyes after the baseline measurements on the randomized study day
  • Oxybuprocaine MDU (Drug): the effect of instillation of 30µl of oxybuprocaine preserved as multi-dose unit (MDU) in both eyes will be investigated
  • Oxybuprocaine SDU (Drug): the effect of instillation of 30µl of oxybuprocaine preserved as single-dose unit (SDU) in both eyes will be investigated
  • Oxybuprocaine/fluorescein SDU (Drug): the effect of instillation of 30µl of oxybuprocaine/fluorescein preserved as single-dose unit (SDU) in both eyes will be investigated
  • Fluorescein SDU (Drug): the effect of instillation of 30µl of fluorescein preserved as single-dose unit (SDU) in both eyes will be investigated

+Outcome measures

Primary outcomes

  • Change of tear film thickness [Predose and at defined time points (10±5, 20±5, 40±5, 60±5, 120±10 and 240±10 minutes) after single instillation]: Change of tear film thickness as measured with optical coherence tomography predose and at defined time points (10±5, 20±5, 40±5, 60±5, 120±10 and 240±10 minutes) after single instillation

Secondary outcomes

  • Corneal Sensation [Predose and at defined time points (10±5, 20±5, 40±5, 60±5, 120±10 and 240±10 minutes) after single instillation]: The measurement of corneal sensation predose and at defined time points (10±5, 20±5, 40±5, 60±5, 120±10 and 240±10 minutes) after single instillation using a Cochet-Bonnet aesthesiometer
  • Tear film break up time [Change of tear film break up time predose 240±10 minutes after single instillation]: Change of tear film break up time from baseline to 240±10 minutes after single instillation
  • Schirmer 1 test [Baseline to 240±10 minutes after single instillation]: Change of Schirmer 1 test as measured from baseline to 240±10 minutes after single instillation

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Men and women aged at least 18 years
* Written informed consent prior to study-related procedures
* Normal ophthalmic findings
* No use of eye drops including topical lubricants in the 4 weeks before screening

Exclusion Criteria:

* Participation in a clinical trial in the 3 weeks preceding the study
* Symptoms of a clinically relevant illness in the 3 weeks before the first study day
* Presence or history of a severe medical condition as judged by the clinical investigator
* Intake of parasympathomimetic or anti-psychotic drugs
* Wearing of contact lenses
* Dry eye syndrome (Schirmer I test ≤10mm or TFBUT <10 sec.)
* Glaucoma in the medical history
* Treatment with corticosteroids in the 4 weeks preceding the study
* Topical treatment with any ophthalmic drug in the 4 weeks preceding the study
* Ocular infection or clinically significant inflammation
* Ocular surgery in the 3 months preceding the study
* Sjögren's syndrome
* Stevens-Johnson syndrome
* History of allergic conjunctivitis
* Pregnancy, planned pregnancy or lactating
* Known hypersensitivity to any component of the study medication

+Locations (1)

FacilityCityCountryStatus
Department of Clinical Pharmacology, Medical University of ViennaViennaAustria