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CompletedNCT03265327TURMERICUpdated Apr 29, 2021

Effect of an Oral Supplement Containing Omega-3 and Omega-6 on Dry Eye Symptoms

An interventional study of Oral supplement containing omega-3 and omega-6 and Oral supplement containing coconut and olive oil in Dry Eye, sponsored by Nature's Way Canada. Completed at 1 site in Canada. Open to participants aged 19 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-29.

Sponsored by Nature's Way Canada · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
63
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

This study will investigate the effectiveness of two oral supplements on the ocular signs and symptoms in symptomatic dry eye patients. Eligible participants will be given one of two oral supplements to take once a day for up to three months.

02

Conditions studied

03

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Is over 19 years of age and has full legal capacity to volunteer;
  2. Has read and signed an information consent letter;
  3. Is willing and anticipated to be able to comply with the daily intake of liquid oil supplements (one teaspoon per day for three months);
  4. Is willing and able to follow instructions and maintain the appointment schedule;
  5. Exhibit moderate ocular dryness symptoms, defined as:

    1. A score of ≥23 on the Ocular Surface Disease Index (OSDI, (Allergan Inc., Irvine, CA)) questionnaire;
    2. Currently uses, or feels the need to use eye drops to relieve symptoms of dryness.

Exclusion criteria

Exclusion Criteria:

  1. Is participating in any concurrent clinical or research study;
  2. Has any known active* ocular disease and/or infection;
  3. Currently wears, or has worn contact lenses in the past 3 months;
  4. Has sensitivity or an allergy to products that contain fish, soy, coconut oil or olive oil;
  5. Has a systemic condition that in the opinion of the investigator may affect a study outcome variable;
  6. Is using any systemic or topical medications (including topical corticosteroids/NSAIDs or glaucoma medications) that in the opinion of the investigator may affect a study outcome variable;
  7. Is currently taking, or has used, any omega-3 or omega-6 supplements in the last three months;
  8. Has known sensitivity to the diagnostic pharmaceuticals to be used in the study;
  9. Is pregnant, lactating or planning a pregnancy at the time of enrolment;
  10. Is aphakic;
  11. Has undergone refractive error surgery;
  12. Is an employee of the Centre for Contact Lens Research;
  13. Has taken part in another (pharmaceutical) research study within the last 30 days;
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
63 participants (actual)

Study arms

  • Experimental
    Treatment

    Subjects will receive an oral supplement containing fish oil, evening primrose oil and borage oil.

    Dietary Supplement: Oral supplement containing omega-3 and omega-6

  • Placebo comparator
    Placebo

    Subjects will receive an oral supplement containing coconut oil and light olive oil.

    Dietary Supplement: Oral supplement containing coconut and olive oil

Interventions

  • Dietary supplementOral supplement containing omega-3 and omega-6

    An oral supplement containing omega-3 and omega-6

  • Dietary supplementOral supplement containing coconut and olive oil

    An oral supplement containing coconut oil and olive oil

05

What researchers measure

Primary outcomes

  1. Ocular Surface Disease Index (OSDI) score

    The OSDI is assessed on a scale of 0 and 100. A higher composite score indicates more severe dryness.

    Time frame: At screening

  2. Ocular Surface Disease Index (OSDI) score

    The OSDI is assessed on a scale of 0 and 100. A higher composite score indicates more severe dryness.

    Time frame: At 1 month

  3. Ocular Surface Disease Index (OSDI) score

    The OSDI is assessed on a scale of 0 and 100. A higher composite score indicates more severe dryness.

    Time frame: At 3 months

  4. Symptom Assessment in Dry Eye (SANDE) questionnaire

    The Symptom Assessment in Dry Eye (SANDE) questionnaire is a dry eye questionnaire that asks participants to describe the frequency and severity of their dry eye symptoms using a visual analogue scale.

    Time frame: At screening

  5. Symptom Assessment in Dry Eye (SANDE) questionnaire

    The Symptom Assessment in Dry Eye (SANDE) questionnaire is a dry eye questionnaire that asks participants to describe the frequency and severity of their dry eye symptoms using a visual analogue scale.

    Time frame: At 1 month

  6. Symptom Assessment in Dry Eye (SANDE) questionnaire

    The Symptom Assessment in Dry Eye (SANDE) questionnaire is a dry eye questionnaire that asks participants to describe the frequency and severity of their dry eye symptoms using a visual analogue scale.

    Time frame: At 3 months

  7. Schirmers test

    The small strip of paper is removed from the Schirmer test package, folded at one end, and is inserted into the outer corner of the participant's eyes. The participant is asked to close their eyes and wait for 5 minutes. After 5 minutes, the paper is removed and the length of which the paper strip is wetted is recorded in mm.

    Time frame: At screening

  8. Schirmers test

    The small strip of paper is removed from the Schirmer test package, folded at one end, and is inserted into the outer corner of the participant's eyes. The participant is asked to close their eyes and wait for 5 minutes. After 5 minutes, the paper is removed and the length of which the paper strip is wetted is recorded in mm.

    Time frame: At 1 month

  9. Schirmers test

    The small strip of paper is removed from the Schirmer test package, folded at one end, and is inserted into the outer corner of the participant's eyes. The participant is asked to close their eyes and wait for 5 minutes. After 5 minutes, the paper is removed and the length of which the paper strip is wetted is recorded in mm.

    Time frame: At 3 months

  10. Objective non-invasive tear film stability (NIKBUT)

    Time taken for tear film breakup as measured objectively in seconds.

    Time frame: At screening

  11. Objective non-invasive tear film stability (NIKBUT)

    Time taken for tear film breakup as measured objectively in seconds.

    Time frame: At 1 month

  12. Objective non-invasive tear film stability (NIKBUT)

    Time taken for tear film breakup as measured objectively in seconds.

    Time frame: At 3 months

  13. Non-invasive tear break up time (NITBUT)

    Time taken for tear film breakup as measured by a study investigator in seconds.

    Time frame: At screening

  14. Non-invasive tear break up time (NITBUT)

    Time taken for tear film breakup as measured by a study investigator in seconds.

    Time frame: At 1 month

  15. Non-invasive tear break up time (NITBUT)

    Time taken for tear film breakup as measured by a study investigator in seconds.

    Time frame: At 3 months

Secondary outcomes

  1. Change in Bulbar hyperemia after 3 months

    The redness of the bulbar conjunctiva of both eyes will be assessed in all four quadrants using the Efron scale (0-4, in 0.1 steps).

    Time frame: At screening, 1 month and 3 months

  2. Change in Limbal hyperemia after 3 months

    The redness of the limbal conjunctiva of both eyes will be assessed in all four quadrants using the Efron scale (0-4, in 0.1 steps).

    Time frame: At screening, 1 month and 3 months

  3. Change in Tear meniscus height after 3 months

    Measurement of tear meniscus height in mm.

    Time frame: At screening, 1 month and 3 months

  4. Change in Meiboscore (Arita's scale) after 3 months

    Graded on 0-3 scale. Grade 0: no dropout, Grade 1: \< 1/3 total area dropout, Grade 2: 1/3 to 2/3 total area dropout, Grade 3: \> 2/3 total area dropout

    Time frame: At screening, 1 month and 3 months

  5. Change in Visual acuity after 3 months

    High contrast logMAR VA with computerized charts in high illumination

    Time frame: At screening, 1 month and 3 months

  6. Change in Tear osmolarity after 3 months

    Measure of the osmolarity of collected tears.

    Time frame: At screening and 3 months

  7. Change in Omega-3 index after 3 months

    Amount of EPA and DHA in erythrocytes

    Time frame: At screening and 3 months

06

Study locations

1 site
  • Centre for Contact Lens Research
    Waterloo, Ontario N2L 3G1, Canada
07

References and documents

Publications

  • Ng A, Woods J, Jahn T, Jones LW, Sullivan Ritter J. Effect of a Novel Omega-3 and Omega-6 Fatty Acid Supplement on Dry Eye Disease: A 3-month Randomized Controlled Trial. Optom Vis Sci. 2022 Jan 1;99(1):67-75. doi: 10.1097/OPX.0000000000001826. PubMed 34882608 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03265327
Lead sponsor
Nature's Way Canada
Collaborators
Centre for Contact Lens Research
Responsible party
Sponsor
First posted
Aug 29, 2017
Start date
Aug 16, 2017
Primary completion
Jun 27, 2018
Completion
Jun 27, 2018
Last update
Apr 29, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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