Comparison of Two Multi-Purpose Solution and Lens Material Combinations on Corneal Barrier Function

Study Description

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Brief Summary:

The purpose of this study is to measure the relative "barrier" function of the top layer of the cornea (called the epithelium), or the degree to which the cornea can prevent the penetration of the colored dye sodium fluorescein into the eye. This is a clinical investigation of the effect on corneal barrier function following wear of two contact lens materials and two contact lens care systems, approved for marketing in the US by the Food and Drug Administration. These contact lenses will be worn for two hours, following soak in one of two marketed contact lens disinfecting solutions. Approximately 25 young, adapted contact lens wearers will participate.

Condition or disease	Intervention/treatment	Phase
Contact Lens Disinfecting Solutions	Drug: ProClear Lens Material soaked in ReNu Multiplus Multipurpose Solution; Drug: Acuvue Advance Lens Material soaked in ReNu Multiplus Multipurpose Solution; Drug: Acuvue Advance Lens Material soaked in Optifree RepleniSH Multipurpose Solution; Drug: ProClear Lens Material soaked in Optifree RepleniSH Multipurpose Solution	Phase 4

Study Design

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Study Type :	Interventional (Clinical Trial)
Estimated Enrollment :	25 participants
Allocation:	Randomized
Intervention Model:	Crossover Assignment
Masking:	Double (Participant, Investigator)
Primary Purpose:	Treatment
Official Title:	Comparison of Two Multi-Purpose Solution and Contact Lens Material Combinations on Human Corneal Barrier Function
Study Start Date :	September 2007
Actual Primary Completion Date :	December 2007
Actual Study Completion Date :	March 2008

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
Experimental: 2; contact lenses disinfected in multipurpose solution	Drug: ProClear Lens Material soaked in ReNu Multiplus Multipurpose Solution; Contact lens soaked in multipuprpose solution for 8 hours, then worn for two hours
Experimental: 3; contact lenses disinfected in multipurpose solution	Drug: Acuvue Advance Lens Material soaked in ReNu Multiplus Multipurpose Solution; Contact lens soaked in multipuprpose solution for 8 hours, then worn for two hours
Experimental: 4; contact lenses disinfected in multipurpose solution	Drug: Acuvue Advance Lens Material soaked in Optifree RepleniSH Multipurpose Solution; Contact lens soaked in multipuprpose solution for 8 hours, then worn for two hours
Experimental: 1; contact lenses disinfected in multipurpose solution	Drug: ProClear Lens Material soaked in Optifree RepleniSH Multipurpose Solution; Contact lens soaked in multipuprpose solution for 8 hours, then worn for two hours

Outcome Measures

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Primary Outcome Measures :

1. Epithelial penetration rate of sodium fluoeescein, in nm/sec [ Time Frame: Immediately post measurement ]

Secondary Outcome Measures :

1. Corneal staining [ Time Frame: Immediately following barrier determination ]

Eligibility Criteria

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Ages Eligible for Study:	18 Years to 80 Years (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

• At least 18 years of age.

  • Understand your rights as a research subject and give written informed consent by signing the Informed Consent Form, Subject Bill of Rights, and Patient Authorization for Use and Release of Health and Research Study Information (HIPAA form).
  • Be likely to finish the entire study, understand the study instructions, and be willing to follow the instructions.
  • Contact lens prescription between +4.00 D to -9.00 D (spherical equivalent).
  • Best correctable visual acuity of at least 20/40 in each eye.
  • Willing to de-adapt (do not wear) from habitual contact lenses for periods of three days prior to barrier function determination.
  • Possess a functional spectacle prescription to allow adequate vision during the de-adaptation and barrier function determination periods.
  • No known ocular or systemic allergies, which may interfere with contact lens wear.
  • No known systemic disease, or need for medication that may interfere with contact lens wear (i.e. antihistamines, beta-blockers, steroids).

Exclusion Criteria:

• Subjects demonstrating any medical condition that may affect the results of this study SHOULD NOT be enrolled. The following are specific conditions that exclude subjects from enrollment in this study.

  • Eye (ocular) or systemic allergies that may interfere with contact lens wear.
  • Less than one month successful, full time (defined as more than 8 hours per day, and more than 5 days per week) soft lens wear.
  • Systemic disease or uses of medication, which may interfere with contact lens wear.
  • Clinically significant corneal swelling (greater than grade 3 or 4 on a 0-4 scale), corneal blood vessel growth) (vascularization), corneal staining, bulbar redness, tarsal redness, or any other abnormality of the cornea that may cause unsafe contact lens wear.
  • Any active ocular infection.
  • Prior corneal refractive surgery (i.e., LASIK, PRK, etc).
  • Have used medications within 24 hours of study entry or have an ongoing need to use ocular medication.
  • Are taking part in any other study or have taken part in a study within the last 14 days
  • Have a medical condition that your study eye doctor thinks may make it not appropriate for you to participate in this study.
  • Are pregnant, or anticipate becoming pregnant during the course of this study.

Contacts and Locations

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Locations

United States, California
Southern California College of Optometry
Fullerton, California, United States, 92831

Sponsors and Collaborators

Southern California College of Optometry

Alcon Research

Investigators

Principal Investigator:	Jerry R Paugh, OD, PhD	Southern California College of Optometry

More Information

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

ClinicalTrials.gov Identifier:	NCT00560898 History of Changes
Other Study ID Numbers:	00001418
First Posted:	November 20, 2007
Last Update Posted:	May 20, 2008
Last Verified:	May 2008

Keywords provided by Southern California College of Optometry:

staining; epithelial barrier function

Additional relevant MeSH terms:

Pharmaceutical Solutions