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CompletedNCT00803452Updated Dec 22, 2017Results posted

Lipids of the Human Tear Film and Their Effect on Tear Stability

A Phase 4 interventional study of doxycycline and azithromycin in Blepharitis, sponsored by University of Louisville. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-12-22.

Sponsored by University of Louisville · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This prospective, randomized, comparative clinical trial evaluates the effect of either oral doxycycline, oral essential fatty acid, or topical azithromycin to modify the secretions of the meibomian gland in subjects with meibomian gland dysfunction and/or dry eye disease.

Read the detailed description

Subjects with meibomian gland dysfunction undergo expression of the meibomian gland secretion prior to beginning treatment with either oral doxycycline or topical azithromycin solution. Doxycycline is dosed at 100 mg bid; topical azithromycin is delivered once per day as a 1% solution. Treatment with doxycycline is for two months; treatment with topical azithromycin is for one month. Following treatment, meibomian glands are again expressed and the lipids measured by spectroscopy (FTIR, MALDI-TOF, NMR)for characterization of structure and function. Analysis for presence of doxcycline or azithromycin is also performed. Changes in lipid parameters are correlated with clinical signs and symptoms of disease.

02

Conditions studied

  • Blepharitis

Keywords

  • Meibomian gland dysfunction
  • Lid margin disease
  • doxycycline
  • azithromycin
  • essential fatty acid
03

In context

Blepharitis

73 studies on the registry are indexed under Blepharitis; 9 are open to participants now.

This study's enrollment of 31 is below the median of 60 across 65 interventional studies indexed under Blepharitis.

Browse Blepharitis studies →

Lead sponsor

University of Louisville is the lead sponsor of 291 studies on the registry; 54 are open to participants now.

Of its 19 completed or terminated interventional studies of FDA-regulated products, 7 (37%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Meibomian gland dysfunction

Exclusion criteria

Exclusion Criteria:

  • Lid margin scarring; herpetic blepharitis
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Active comparator
    Doxycycline

    Oral doxycycline

    Drug: doxycycline

  • Active comparator
    azithromycin

    Topical azithromycin daily to the conjunctival culdesac

    Drug: azithromycin

Interventions

  • Oral doxycycline 100mg bid

    Also known as: Minocycline

  • topical 1% azithromycin daily to eye

    Also known as: Azasite

06

What researchers measure

Primary outcomes

  1. Global Response to Therapy

    Global Response to Therapy (itch, dryness, burning and swelling of eyes) as assessed with a questionnaire completed by the subjects. The questionnaire asked subjects to rate their improvement on a scale from 4 to 0 with 4 being resolution of symptoms and 0 being no improvement. Data reported here represent the number of eye of subjects that reported that their symptoms were resolved or improved in each eye.

    Time frame: 4 weeks

07

Results

Posted Dec 22, 2017

Participant flow

Participant flow — Overall Study
MilestoneDoxycyclineAzithromycin
Started922
Completed917
Not completed05
Withdrew: Adverse event02
Withdrew: Lost to follow-up03

Outcome measures

PrimaryGlobal Response to Therapy

Global Response to Therapy (itch, dryness, burning and swelling of eyes) as assessed with a questionnaire completed by the subjects. The questionnaire asked subjects to rate their improvement on a scale from 4 to 0 with 4 being resolution of symptoms and 0 being no improvement. Data reported here represent the number of eye of subjects that reported that their symptoms were resolved or improved in each eye.

Time frame:
4 weeks
Reported as:
Number · eyes
Global Response to Therapy
eyesDoxycyclineAzithromycin
Global Response to Therapy1641
Statistical analysis
  • Doxycycline vs Azithromycin · t-test, 2 sided · p = .001

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Doxycycline0/9 (0%)0/9 (0%)0/9 (0%)
Azithromycin0/22 (0%)0/22 (0%)0/22 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)DoxycyclineAzithromycinTotal
Mean68 ± 464 ± 365 ± 3
Sex: Female, Male
Sex: Female, Male(Participants)DoxycyclineAzithromycinTotal
Female01010
Male91221
Region of Enrollment
Region of Enrollment(participants)DoxycyclineAzithromycinTotal
United States92231
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Study locations

1 site
  • Kentucky Lions Eye Center
    Louisville, Kentucky 40202, United States
09

References and documents

Publications

  • Foulks GN, Borchman D, Yappert M, Kakar S. Topical azithromycin and oral doxycycline therapy of meibomian gland dysfunction: a comparative clinical and spectroscopic pilot study. Cornea. 2013 Jan;32(1):44-53. doi: 10.1097/ICO.0b013e318254205f. PubMed 22668581 ↗
  • Foulks GN, Borchman D, Yappert M, Kim SH, McKay JW. Topical azithromycin therapy for meibomian gland dysfunction: clinical response and lipid alterations. Cornea. 2010 Jul;29(7):781-8. doi: 10.1097/ICO.0b013e3181cda38f. PubMed 20489573 ↗
  • Borchman D, Foulks GN, Yappert MC, Bell J, Wells E, Neravetla S, Greenstone V. Human meibum lipid conformation and thermodynamic changes with meibomian-gland dysfunction. Invest Ophthalmol Vis Sci. 2011 Jun 1;52(6):3805-17. doi: 10.1167/iovs.10-6514. PubMed 21398284 ↗
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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2008, a primary completion of Dec 2010 and a completion of Dec 2010. It does not say whether these dates are actual or estimated.

Results were first posted in Dec 2017, 7 years after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 1, 2008
First posted
Dec 5, 2008
Start
Jul 2008
Primary completionActual
Dec 2010
CompletionActual
Dec 2010
Results first posted
Dec 22, 2017
Last update
Dec 22, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 22, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00803452
Responsible party
Douglas Bourchman (Professor, University of Louisville) — Principal investigator
First posted
Dec 5, 2008
Start date
Jul 2008
Primary completion
Dec 2010
Completion
Dec 2010
Results posted
Dec 22, 2017
Last update
Dec 22, 2017

Study contacts

Gary N Foulks, MD
principal investigator · University of Louisville

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Doxycycline · Azithromycin

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