ClinicalTrials.gg
Status unknownNCT02533154Updated Apr 7, 2022

Effect of Benzalkonium Chloride Containing Eye Drops on the Conjunctival Bacterial Flora of Dry Eye Patients

A Phase 4 interventional study of Prosicca and Prosicca sine in Dry Eye Syndromes, sponsored by Medical University of Vienna. Status unknown at 2 sites in Austria. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-07.

Sponsored by Medical University of Vienna · Phase 4, Interventional, and Basic science

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Benzalkonium chloride (BAC) is a preservative, which is a component of more than 70% of topical ophthalmic drugs. Although BAC is a preservative with an excellent antibacterial spectrum, it has also been shown to induce toxic effects to the ocular surface. Several studies have indicated that BAC may also have altering effects on the bacterial flora of the conjunctiva.

Since dry eye syndrome (DES) is a very common and multifactorial disease of the ocular surface and the tear fluid resulting in tear film instability, inflammation of the ocular surface, symptoms of discomfort and visual impairment, there are many different preserved as well as preservative-free ophthalmic preparations of ocular lubricants for the treatment of DES. Unpublished data from our department shows differences between artificial tears for the treatment of DES with and without BAC in bacterial culture.

Therefore, the aim of this study is to investigate the effect of artificial tear eyedrops with and without BAC on the conjunctival bacterial flora. For this 40 patients with mild or moderate dry eye syndrome with no use of artificial tears in the 4 weeks preceding the study will be recruited and treated either with the preservative-free "Prosicca sine" eyedrops or the BAC containing "Prosicca" eyedrops for one month. Conjunctival samples will be collected of one eye of each patient before and after the 1-month treatment period to compare the conjunctival bacterial flora of the two treatment groups.

02

Conditions studied

  • Dry Eye Syndromes

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03

In context

Dry Eye Syndromes

1,325 studies on the registry are indexed under Dry Eye Syndromes; 193 are open to participants now.

This study's planned enrollment of 40 is below the median of 60 across 1,103 interventional studies indexed under Dry Eye Syndromes.

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Lead sponsor

Medical University of Vienna is the lead sponsor of 1,105 studies on the registry; 182 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 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

  • Men and women aged between 18 and 75 years.
  • Signed and dated written informed consent.
  • History of dry eye syndrome for at least 3 months
  • Tear Break Up Time (BUT) ≤ 10 seconds or Schirmer I test ≤ 10 mm and ≥ 2mm
  • Normal ophthalmic findings except dry eye syndrome, ametropia \< 6 Dpt.
  • Recommended use of topical lubricants, but no administration of topical lubricants 4 weeks preceding the first study day.

Exclusion criteria

Exclusion Criteria:

  • History or presence of ocular disease judged by the investigator as incompatible with the study.
  • Any other topical ocular treatment than the study medication in the 4 weeks preceding the first study day and during the treatment period.
  • Wearing of contact lenses.
  • Symptoms of a clinically relevant illness in the 3 weeks before the first study day.
  • Participation in a clinical trial in the 3 weeks preceding the first study day.
  • Pregnancy, lactation.
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Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    BAC treatment group

    20 patients with mild or moderate dry eye syndrome receiving BAC containing Prosicca eyedrops for 1 month

    Drug: Prosicca · Other: Bacterial culture

  • Active comparator
    non-BAC treatment group

    20 patients with mild or moderate dry eye syndrome receiving preservative-free Prosicca sine eyedrops for 1 month

    Drug: Prosicca sine · Other: Bacterial culture

Interventions

  • DrugProsicca

    Prosicca eyedrops Dosage: on demand Route of administration: topical

  • DrugProsicca sine

    Prosicca sine eyedrops Dosage: on demand Route of administration: topical

  • OtherBacterial culture

    bacterial cultures obtained with conjunctival swabs

06

What researchers measure

Primary outcomes

  1. Number of colony forming units (CFU) in bacterial culture of conjunctival swab

    Time frame: 1 month

Secondary outcomes

  1. Tear Break Up Time (BUT)

    Time frame: 1 month

  2. Schirmer I test

    Time frame: 1 month

  3. OSDI© score

    Time frame: 1 month

  4. Instillation frequency

    Time frame: 1 month

07

Study locations

2 of 2 sites recruiting
  • Department of Clinical Pharmacology, Medical University of Vienna
    Vienna, 1090, Austria
    Recruiting
  • Department of Clinical Pharmacology, Medical University of Vienna
    Vienna, 1090, Austria
    • Gerhard Garhoefer, MD · Contact
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02533154
Responsible party
Gerhard Garhofer (Assoc. Prof. Dr., Medical University of Vienna) — Principal investigator
First posted
Aug 26, 2015
Start date
Jul 27, 2015
Primary completion
Sep 2023 (estimated)
Completion
Oct 2023 (estimated)
Last update
Apr 7, 2022

Study contacts

Gerhard Garhöfer, MD
Contact
gerhard.garhoefer@meduniwien.ac.at
+43 1 40400 ext. 29810

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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