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Lid Wiper Epitheliopathy Trial

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ClinicalTrials.gov Identifier: NCT01870856
Recruitment Status : Terminated (Primary efficacy was not demonstrated in Stage 1)
First Posted : June 6, 2013
Results First Posted : October 29, 2014
Last Update Posted : October 29, 2014
Sponsor:
Information provided by (Responsible Party):
Alcon Research

Brief Summary:
The purpose of this study is to evaluate the effect of contact lens lubricity on lid wiper epitheliopathy (LWE) in symptomatic contact lens wearers. LWE is defined as an alteration of that portion of the marginal conjunctival epithelium of the upper eyelid that wipes the ocular surface during blinking.

Condition or disease Intervention/treatment Phase
Lid Wiper Epitheliopathy Device: Spectacles Device: Delefilcon A contact lenses Device: Etafilcon A contact lenses Not Applicable

Detailed Description:
This study will be conducted in two stages. In Stage 1, participants will wear either spectacles or contact lenses for two weeks to determine the impact of interruption of contact lens wear on LWE. In Stage 2, a second cohort of participants will wear one of two contact lens brands for two weeks, and LWE and ocular discomfort will be compared.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 187 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Evaluation of Lid Wiper Epitheliopathy With and Without Daily Disposable Contact Lenses
Study Start Date : July 2013
Actual Primary Completion Date : October 2013
Actual Study Completion Date : October 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Eye Wear
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Spectacles, Stage 1
Spectacles per participant's habitual perscription worn for 2 weeks
Device: Spectacles
Per participant's habitual prescription
Active Comparator: 1-DAY ACUVUE, Stage 1
Etafilcon A contact lenses worn in both eyes at least 5 days per week, at least 6 hours per day, for 2 weeks in a daily disposable mode
Device: Etafilcon A contact lenses
Hydrogel single vision contact lenses
Other Name: 1-DAY ACUVUE®
Experimental: DAILIES TOTAL1, Stage 2
Delefilcon A contact lenses worn in both eyes at least 5 days per week, at least 6 hours per day, for 2 weeks in a daily disposable mode
Device: Delefilcon A contact lenses
Silicone hydrogel single vision contact lenses
Other Name: DAILIES TOTAL1®
Active Comparator: 1-DAY ACUVUE, Stage 2
Etafilcon A contact lenses worn in both eyes at least 5 days per week, at least 6 hours per day, for 2 weeks in a daily disposable mode
Device: Etafilcon A contact lenses
Hydrogel single vision contact lenses
Other Name: 1-DAY ACUVUE®



Primary Outcome Measures :
  1. Stage 1: Percent of Eyes Experiencing at Least 1 Grade Reduction in LWE at 2 Weeks [ Time Frame: Baseline, Week 2 ]
    LWE was measured by slit lamp evaluation of fluorescein and lissamine green staining of the upper eyelid. LWE was graded on a scale from 0 to 3, where 0=none and 3=severe. The percent of eyes experiencing at least a 1 grade reduction in LWE (from baseline) at the 2-week visit was compared between groups. One eye (study eye) contributed to the analysis.

  2. Stage 2: Percent of Eyes Experiencing at Least 1 Grade Reduction in LWE at 2 Weeks [ Time Frame: Baseline, Week 2 ]
    This outcome measure was not evaluated since primary efficacy was not demonstrated.


Secondary Outcome Measures :
  1. Stage 2: Change From Baseline in Ocular Discomfort Score (as Measured by SPEED) at 2 Weeks [ Time Frame: Baseline, Week 2 ]
    This outcome measure was not evaluated since primary efficacy was not demonstrated.



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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Sign Informed Consent document.
  • Severe lid wiper epitheliopathy (upper lid) in either eye.
  • Currently wearing spherical daily disposable soft contact lenses or daily wear soft contact lenses in both eyes with at least 3 months of contact lens wearing experience.
  • Symptomatic as determined by the SPEED questionnaire.
  • Willing to follow visit schedule.
  • Habitual contact lens power with the range of -1.00 to -6.00 diopters (D) with best corrected distance visual acuity greater than or equal to 20/25 in each eye.
  • Astigmatism less than or equal to 0.75D.
  • Possess spectacles which provide visual acuity of at least 20/25 in each eye.
  • Willing and able to complete daily diaries.
  • Other protocol-defined inclusion criteria may apply.

Exclusion Criteria:

  • Eye injury within 12 weeks immediately prior to enrollment.
  • Any ocular condition that would contraindicate contact lens wear.
  • Any use of systemic or ocular medications that would contraindicate contact lens wear, as determined by the investigator.
  • Currently wearing toric or multifocal soft contact lenses.
  • Participation in a clinical study (including contact lens or contact lens care product) within the previous 30 days.
  • Routinely sleeps in lenses for at least 1 night per week.
  • Other protocol-defined exclusion criteria may apply.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01870856


Sponsors and Collaborators
Alcon Research
Investigators
Study Director: Anne Brobst, OD, FAAO Alcon Research

Responsible Party: Alcon Research
ClinicalTrials.gov Identifier: NCT01870856     History of Changes
Other Study ID Numbers: C-13-005
First Posted: June 6, 2013    Key Record Dates
Results First Posted: October 29, 2014
Last Update Posted: October 29, 2014
Last Verified: October 2014

Keywords provided by Alcon Research:
Ocular discomfort
Contact lenses
Myopia