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TerminatedNCT02193490Updated Jan 18, 2020Results posted

DNase Treatment for Dry Eyes

A Phase 1/2 interventional study of DNase and Vehicle in Dry Eye, sponsored by University of Illinois at Chicago. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-01-18.

Sponsored by University of Illinois at Chicago · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Sponsor ceased sponsorship and terminated the research citing slow accrual of subjects in this clinical trial.
Phase
Phase 1/2
Study type
Interventional
Enrollment
47
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the tolerability and preliminary efficacy of DNase eye drops in patients with Sjogren's and Non-Sjogren Dry Eye Disease.

02

Conditions studied

  • Dry Eye

Keywords

  • DNase, Pulmozyme, dry eye disease, treatment
03

In context

Dry Eye Syndromes

1,292 studies on the registry are indexed under Dry Eye Syndromes; 191 are open to participants now.

This study's enrollment of 47 is below the median of 60 across 1,077 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

University of Illinois at Chicago is the lead sponsor of 515 studies on the registry; 133 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 18 (58%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Aged 18 years or older.
  • Capable of giving informed consent and does provide informed consent.
  • Documented Dry Eye Disease for at least 6 months.
  • Schirmer I \<10
  • Corneal/ conjunctival (Rose Bengal) staining ≥1
  • Ocular symptoms must be considered as annoying or activity limiting (OSDI ≥13; mild).
  • Women must be post-menopausal ≥ 1 year, or surgically sterilized. If not, a negative urine pregnancy test is required within 14 days of receiving her first dose of test medication (placebo/ study drug) along with definite evidence of contraceptive use during the duration of the study.

Exclusion criteria

Exclusion Criteria:

  • Allergic to Deoxyribonuclease eye drops or any similar products, or excipients of Deoxyribonuclease eye drops 0.1%.
  • Receiving or have received within 30 days any experimental systemic medication.
  • Active ocular infection or ocular allergies.
  • Any history of eyelid surgery or ocular surgery within the past 3 months.
  • Corneal epithelial defect larger than 1 mm2 in either eye.
  • The use of topical cyclosporine or corticosteroids within 2 weeks of enrollment
  • Have active drug/alcohol dependence or abuse history
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
47 participants (actual)

Study arms

  • Active comparator
    DNase

    DNase 0.1% eye drops four times a day for 8 weeks

    Drug: DNase

  • Placebo comparator
    Vehicle

    Drug vehicle eye drops four times a day for 8 weeks

    Drug: Vehicle

Interventions

  • DrugDNase

    DNase 0.1% eye drops four times a day for 8 weeks

    Also known as: Pulmozyme

  • DrugVehicle

    Drug vehicle eye drops four times a day for 8 weeks

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. The Change in Corneal Surface Staining as Measured by Rose Bengal Dye Staining

    Corneal staining score as measured by Rose Bengal (RB) dye staining using National Eye Institute (NEI) 1995 workshop grading scale. The dye was applied to each eye and a slit lamp was used to observe corneal staining. The NEI scale relies on a chart that divides the cornea into 5 sections and assigns a value from 0 (absent) to 3 (severe) to each section, based on the density of punctate staining, final staining score being the sum of individual section scores, for a range of 0 (minimum) -15 (maximum) points. Complete corneal staining clearance with RB dye defined as a score of 0 indicating the best outcome.

    Time frame: Between baseline and at 8 weeks of treatment

  2. The Change in the Ocular Surface Disease Index Score

    Ocular Surface Disease Index (OSDI), a 12-item questionnaire, assesses symptom of ocular irritation in dry eye disease (DED) and how it affects functioning related to vision in the past week. It has 3 subscales: ocular symptoms, vision-related function, and environmental triggers. Patients rate their responses on 0 to 4 scale with 0 being "none of the time" and 4 being "all of the time." OSDI score range from 0-100 with score 0-12 being normal, 13-22 being mild DED, 23-32 being moderate DED, and \>33 being severe DED. OSDI=\[(sum of scores for questions answered)×100\]/\[(total questions answered)×4\]

    Time frame: Between baseline and at 8 weeks of treatment

Other outcomes

  1. The Change in Mucoid Debris Strands Between Baseline and 8-weeks

    The presence of mucoid debris/strands over the ocular surface was assessed and the amount graded as the absence of mucoid debris (0) or presence of mucoid debris (1+, 2+ or 3+) with a bigger number indicating greater presence of mucoid debris with "3+" implying presence of the highest amount of mucoid debris and indicating the worst outcome.

    Time frame: Between baseline and 8-weeks of treatment

07

Results

Posted Nov 5, 2019
Limitations and caveats
Outcomes of this clinical trial shouldn't be over-interpreted for benefit. Accurate assessment of therapeutic implications of DNase eye drops will only be possible after adequately powered definitive pivotal trials. Small sample size is a limitation.

Participant flow

This single-center study was conducted at the Department of Ophthalmology Clinical Trials and Translational Center, the University of Illinois at Chicago (UIC).

Participant flow — Overall Study
MilestoneDNaseVehicle
Started2522
Completed2120
Not completed42

Outcome measures

PrimaryThe Change in Corneal Surface Staining as Measured by Rose Bengal Dye Staining

Corneal staining score as measured by Rose Bengal (RB) dye staining using National Eye Institute (NEI) 1995 workshop grading scale. The dye was applied to each eye and a slit lamp was used to observe corneal staining. The NEI scale relies on a chart that divides the cornea into 5 sections and assigns a value from 0 (absent) to 3 (severe) to each section, based on the density of punctate staining, final staining score being the sum of individual section scores, for a range of 0 (minimum) -15 (maximum) points. Complete corneal staining clearance with RB dye defined as a score of 0 indicating the best outcome.

Time frame:
Between baseline and at 8 weeks of treatment
Reported as:
Median · score on a scale
The Change in Corneal Surface Staining as Measured by Rose Bengal Dye Staining
score on a scaleDNaseVehicle
OD-1.00 (-3.00 to -1.00)0.00 (-0.25 to 1.00)
OS-1.00 (-3.00 to -1.00)0.00 (0.00 to 1.00)
Statistical analysis
  • DNase vs Vehicle · Kruskal-Wallis · p = 0.001
PrimaryThe Change in the Ocular Surface Disease Index Score

Ocular Surface Disease Index (OSDI), a 12-item questionnaire, assesses symptom of ocular irritation in dry eye disease (DED) and how it affects functioning related to vision in the past week. It has 3 subscales: ocular symptoms, vision-related function, and environmental triggers. Patients rate their responses on 0 to 4 scale with 0 being "none of the time" and 4 being "all of the time." OSDI score range from 0-100 with score 0-12 being normal, 13-22 being mild DED, 23-32 being moderate DED, and \>33 being severe DED. OSDI=\[(sum of scores for questions answered)×100\]/\[(total questions answered)×4\]

Time frame:
Between baseline and at 8 weeks of treatment
Reported as:
Median · score on a scale
The Change in the Ocular Surface Disease Index Score
score on a scaleDNaseVehicle
OD-20.75 (-37 to -11.80)-8.43 (-25 to -0.7)
OS-20.75 (-37 to -11.80)-8.43 (-25 to -0.7)
Statistical analysis
  • DNase vs Vehicle · Kruskal-Wallis · p = 0.078
Other pre-specifiedThe Change in Mucoid Debris Strands Between Baseline and 8-weeks

The presence of mucoid debris/strands over the ocular surface was assessed and the amount graded as the absence of mucoid debris (0) or presence of mucoid debris (1+, 2+ or 3+) with a bigger number indicating greater presence of mucoid debris with "3+" implying presence of the highest amount of mucoid debris and indicating the worst outcome.

Time frame:
Between baseline and 8-weeks of treatment
Reported as:
Median · score on a scale
The Change in Mucoid Debris Strands Between Baseline and 8-weeks
score on a scaleDNaseVehicle
OD-1.00 (-2.00 to 0.00)0.00 (0.00 to 1.00)
OS0.00 (-1.00 to 0.00)0.00 (0.00 to 0.25)
Statistical analysis
  • DNase vs Vehicle · Kruskal-Wallis · p = <0.001

Adverse events

Collected over Between baseline and 8-weeks of treatment.. Non-serious events are listed at a 4% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DNase0/25 (0%)0/25 (0%)9/25 (36%)
Vehicle0/22 (0%)0/22 (0%)12/21 (57.1%)
Most frequent other events
Most frequent other events
EventDNaseVehicle
BurningEye disorders5/252/21
ItchingEye disorders1/254/21
GrittinesEye disorders4/252/21
Blurred VisionEye disorders3/253/21
Light SensitivityEye disorders1/251/21

Baseline characteristics

Age, Continuous
Age, Continuous(Years)DNaseVehicleTotal
Median57 (44 to 64)55.5 (50.2 to 60.8)56 (47 to 62.5)
Sex: Female, Male
Sex: Female, Male(Participants)DNaseVehicleTotal
Female231740
Male257
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)DNaseVehicleTotal
Hispanic or Latino10515
Not Hispanic or Latino151732
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)DNaseVehicleTotal
American Indian or Alaska Native011
Asian213
Native Hawaiian or Other Pacific Islander000
Black or African American5510
White181533
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)DNaseVehicleTotal
United States252247
Diagnosis
Diagnosis(Participants)DNaseVehicleTotal
Sjogren's Syndrome131225
Non-Sjogren's DED8614
Ocular GVHD448
OSDI
OSDI(units on a scale)DNaseVehicleTotal
Median50 (32.5 to 62.5)49 (36.6 to 72.9)50 (33.65 to 71.335)
Corneal Staining
Corneal Staining(units on a scale)DNaseVehicleTotal
Oculus Dexter (OD)5 (3 to 7)5 (4 to 8)5 (3 to 6.25)
Oculus Sinister (OS)5 (3 to 6)5 (4 to 8)5 (4 to 7)

7 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Translational Clinic of Corneal Neurobiology laboratory, Illinois Eye and Ear Infirmary, University of Illinois at Chicago
    Chicago, Illinois 60612, United States
09

References and documents

Publications

  • Tibrewal S, Sarkar J, Jassim SH, Gandhi S, Sonawane S, Chaudhary S, Byun YS, Ivanir Y, Hallak J, Horner JH, Newcomb M, Jain S. Tear fluid extracellular DNA: diagnostic and therapeutic implications in dry eye disease. Invest Ophthalmol Vis Sci. 2013 Dec 11;54(13):8051-61. doi: 10.1167/iovs.13-12844. PubMed 24255046 ↗
  • Sonawane S, Khanolkar V, Namavari A, Chaudhary S, Gandhi S, Tibrewal S, Jassim SH, Shaheen B, Hallak J, Horner JH, Newcomb M, Sarkar J, Jain S. Ocular surface extracellular DNA and nuclease activity imbalance: a new paradigm for inflammation in dry eye disease. Invest Ophthalmol Vis Sci. 2012 Dec 17;53(13):8253-63. doi: 10.1167/iovs.12-10430. PubMed 23169882 ↗

Study documents

  • Protocol and statistical analysis plan · Jul 6, 2015

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02193490
Lead sponsor
University of Illinois at Chicago
Collaborators
Research to Prevent Blindness, Genentech, Inc.
Responsible party
Sandeep Jain, MD (Associate Professor of Ophthalmology, University of Illinois at Chicago) — Principal investigator
First posted
Jul 17, 2014
Start date
Jul 2014
Primary completion
Oct 11, 2017
Completion
Oct 11, 2017
Results posted
Nov 5, 2019
Last update
Jan 18, 2020

Study contacts

Sandeep Jain, MD
principal investigator · University of Illinois at Chicago

Oversight

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

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