An interventional study of TrueTear™ Application in Dry Eye Syndromes, sponsored by Allergan. Terminated at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-03-08.
Sponsored by Allergan · Not applicable, Interventional, and Treatment
This study will evaluate the change in tear meniscus height (TMH) produced by intranasal stimulation with TrueTear™ compared with the same device applied extranasally (control).
Exclusion Criteria:
TrueTear™ device, intranasal (test) application, for approximately 3 minutes on Day 0 followed by TrueTear™ device, extranasal (control) application, for approximately 3 minutes on Day 14.
Device: TrueTear™ Application
TrueTear™ device, extranasal (control) application, for approximately 3 minutes on Day 0 followed by TrueTear™ device, intranasal (test) application, for approximately 3 minutes on Day 14.
Device: TrueTear™ Application
Intranasal and extranasal application of TrueTear™ device for approximately 3 minutes at Day 0 and Day 14.
Change From Baseline (Pre-application) in Tear Meniscus Height (TMH) at Eye Opening and Pre-Blink
Tear meniscus height is defined as the mean height of the lower tear prism to the edge of the eye lid measured by the investigator using the Tear scope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to time (T) T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 minutes (mins) after application was reported. A negative change from Baseline (Pre-application) indicates improvement.
Time frame: Pre-application (Day 0) to time (T) 0 (immediately), 15, 30, 60, 120, 180, 240, 300 and 360 minutes on Day 0 after application
Change From Baseline (Pre-application) in Tear Lipid Layer Thickness at Eye Opening and Pre-Blink
Lipid layer thickness is defined as the average thickness of the lipid layer calculated from the thickness of the various pattern weighted by the relative coverage of each pattern measured by the investigator using the Tearscope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported. A negative change from Baseline (Pre-application) indicates improvement .
Time frame: Pre-application (Day 0) to time (T) 0 (immediately), 15, 30, 60, 120, 180, 240, 300 and 360 minutes on Day 0 after application
Change From Baseline (Pre-application) in Non-Invasive Tear Film Break-Up Time (NIBUT)
Non-invasive break-up time is the time in seconds between eye opening and the appearance of the first visible break in the lipid layer of the pre-corneal tear film measured by the investigator using the Tearscope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported. A negative change from Baseline (Pre-application) indicates improvement.
Time frame: Pre-application (Day 0) to time (T) 0 (immediately), 15, 30, 60, 120, 180, 240, 300 and 360 minutes on Day 0 after application
Change From Pre-application in Protective Index (PI)
The Protected Index (PI) corresponds to the percentage of the corneal surface that is not exposed to the atmosphere (i.e. fully covered by the tear film) over the full interblink period measured by the investigator using a Tear scope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported.
Time frame: Pre-application (Day 0) to time (T) 0 (immediately), 15, 30, 60, 120, 180, 240, 300 and 360 minutes on Day 0 after application
Change From Pre-application in Exposed Area (EA)
Exposed Area is defined as the percentage of the observed area not covered by the tear film at the time of the blink hence exposed to the atmosphere measured by the investigator using a Tear scope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported.
Time frame: Pre-application (Day 0) to time (T) 0 (immediately), 15, 30, 60, 120, 180, 240, 300 and 360 minutes on Day 0 after application
| Milestone | TrueTear™ Intranasal Then Extranasal Application | TrueTear™ Extranasal Then Intranasal Application |
|---|---|---|
| Started | 5 | 5 |
| Completed | 5 | 5 |
| Not completed | 0 | 0 |
| Milestone | TrueTear™ Intranasal Then Extranasal Application | TrueTear™ Extranasal Then Intranasal Application |
|---|---|---|
| Started | 5 | 5 |
| Completed | 5 | 5 |
| Not completed | 0 | 0 |
Tear meniscus height is defined as the mean height of the lower tear prism to the edge of the eye lid measured by the investigator using the Tear scope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to time (T) T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 minutes (mins) after application was reported. A negative change from Baseline (Pre-application) indicates improvement.
| mm | TrueTear™ Extranasal Application | TrueTear™ Intranasal Application |
|---|---|---|
| Eye-opening,Pre-application,Day 0 | 0.312 ± 0.132 | 0.310 ± 0.143 |
| Eye-opening,Change at T0 after application,Day 0 | 0.047 ± 0.205 | 0.105 ± 0.177 |
| Eye-opening,Change at T15 after application,Day 0 | 0.010 ± 0.110 | 0.002 ± 0.096 |
| Eye-opening,Change at T30 after application,Day 0 | -0.035 ± 0.118 | -0.003 ± 0.100 |
| Eye-opening,Change at T60 after application,Day 0 | -0.018 ± 0.107 | -0.038 ± 0.092 |
| Eye-opening,Change at T120 after application,Day 0 | -0.021 ± 0.138 | -0.039 ± 0.101 |
| Eye-opening,Change at T180 after application,Day 0 | -0.049 ± 0.136 | -0.032 ± 0.103 |
| Eye-opening,Change at T240 after application,Day 0 | -0.022 ± 0.125 | -0.033 ± 0.137 |
| Eye-opening,Change at T300 after application,Day 0 | -0.055 ± 0.095 | -0.065 ± 0.110 |
| Eye-opening,Change at T360 after application,Day 0 | -0.049 ± 0.111 | -0.060 ± 0.126 |
| Pre-blink,Pre-application,Day 0 | 0.379 ± 0.152 | 0.350 ± 0.143 |
| Pre-blink,Change at T0 after application,Day 0 | 0.067 ± 0.263 | 0.154 ± 0.231 |
| Pre-blink,Change at T15 after application,Day 0 | 0.005 ± 0.143 | 0.027 ± 0.097 |
| Pre-blink,Change at T30 after application,Day 0 | -0.040 ± 0.149 | 0.012 ± 0.105 |
| Pre-blink,Change at T60 after application,Day 0 | -0.035 ± 0.159 | -0.008 ± 0.097 |
| Pre-blink,Change at T120 after application,Day 0 | -0.050 ± 0.150 | -0.024 ± 0.097 |
| Pre-blink,Change at T180 after application,Day 0 | -0.050 ± 0.153 | -0.039 ± 0.074 |
| Pre-blink,Change at T240 after application,Day 0 | -0.018 ± 0.159 | -0.037 ± 0.132 |
| Pre-blink,Change at T300 after application,Day 0 | -0.074 ± 0.133 | -0.070 ± 0.117 |
| Pre-blink,Change at T360 after application,Day 0 | -0.054 ± 0.121 | -0.047 ± 0.129 |
Lipid layer thickness is defined as the average thickness of the lipid layer calculated from the thickness of the various pattern weighted by the relative coverage of each pattern measured by the investigator using the Tearscope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported. A negative change from Baseline (Pre-application) indicates improvement .
| nm | TrueTear™ Extranasal Application | TrueTear™ Intranasal Application |
|---|---|---|
| Eye-opening,Pre-application,Day 0 | 41.090 ± 12.185 | 33.541 ± 9.848 |
| Eye-opening,Change at T0 after application,Day 0 | 0.325 ± 19.890 | 25.255 ± 21.278 |
| Eye-opening,Change at T15 after application,Day 0 | -2.527 ± 16.680 | 6.154 ± 9.924 |
| Eye-opening,Change at T30 after application,Day 0 | -6.820 ± 14.292 | 6.944 ± 14.559 |
| Eye-opening,Change at T60 after application,Day 0 | -2.542 ± 17.665 | 6.174 ± 13.224 |
| Eye-opening,Change at T120 after application,Day 0 | -6.385 ± 16.423 | -0.310 ± 11.519 |
| Eye-opening,Change at T180 after application,Day 0 | -2.766 ± 12.617 | 1.522 ± 9.387 |
| Eye-opening,Change at T240 after application,Day 0 | -4.815 ± 16.918 | 2.212 ± 9.965 |
| Eye-opening,Change at T300 after application,Day 0 | 0.481 ± 16.789 | 4.662 ± 12.366 |
| Eye-opening,Change at T360 after application,Day 0 | -4.210 ± 14.388 | 1.320 ± 9.393 |
| Pre-blink,Pre-application,Day 0 | 46.498 ± 19.880 | 45.330 ± 18.124 |
| Pre-blink,Change at T0 after application,Day 0 | 3.907 ± 19.689 | 23.203 ± 24.003 |
| Pre-blink,Change at T15 after application,Day 0 | -1.145 ± 17.824 | 4.018 ± 20.612 |
| Pre-blink,Change at T30 after application,Day 0 | -3.662 ± 17.007 | -0.351 ± 19.049 |
| Pre-blink,Change at T60 after application,Day 0 | 0.246 ± 20.592 | 2.990 ± 19.916 |
| Pre-blink,Change at T120 after application,Day 0 | -4.684 ± 17.573 | -3.939 ± 13.767 |
| Pre-blink,Change at T180 after application,Day 0 | -3.373 ± 14.149 | -4.464 ± 10.932 |
| Pre-blink,Change at T240 after application,Day 0 | -1.033 ± 17.147 | -4.381 ± 14.947 |
| Pre-blink,Change at T300 after application,Day 0 | 1.700 ± 20.157 | 1.725 ± 20.086 |
| Pre-blink,Change at T360 after application,Day 0 | -3.730 ± 16.013 | -4.863 ± 13.992 |
Non-invasive break-up time is the time in seconds between eye opening and the appearance of the first visible break in the lipid layer of the pre-corneal tear film measured by the investigator using the Tearscope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported. A negative change from Baseline (Pre-application) indicates improvement.
| seconds | TrueTear™ Extranasal Application | TrueTear™ Intranasal Application |
|---|---|---|
| Pre-application, Day 0 | 18.211 ± 23.626 | 10.536 ± 8.458 |
| Change at T0 after application, Day 0 | -2.668 ± 16.857 | 4.784 ± 13.738 |
| Change at T15 after application, Day 0 | -2.489 ± 15.788 | 0.835 ± 8.258 |
| Change at T30 after application, Day 0 | 3.561 ± 19.045 | -0.639 ± 7.272 |
| Change at T60 after application, Day 0 | 6.951 ± 27.848 | -0.954 ± 9.171 |
| Change at T120 after application, Day 0 | -0.128 ± 14.178 | 1.683 ± 7.172 |
| Change at T180 after application, Day 0 | 4.911 ± 20.700 | -0.449 ± 6.029 |
| Change at T240 after application, Day 0 | 1.525 ± 26.612 | -0.787 ± 9.026 |
| Change at T300 after application, Day 0 | -0.387 ± 15.805 | -1.656 ± 5.560 |
| Change at T360 after application, Day 0 | -1.509 ± 18.756 | -0.722 ± 8.369 |
The Protected Index (PI) corresponds to the percentage of the corneal surface that is not exposed to the atmosphere (i.e. fully covered by the tear film) over the full interblink period measured by the investigator using a Tear scope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported.
| percentage of area covered by tear film | TrueTear™ Extranasal Application | TrueTear™ Intranasal Application |
|---|---|---|
| Pre-application, Day 0 | 99.999 ± 0.004 | 98.797 ± 5.351 |
| Change at T0 after application, Day 0 | -0.003 ± 0.015 | 1.200 ± 5.343 |
| Change at T15 after application, Day 0 | 0.000 ± 0.001 | 1.198 ± 5.352 |
| Change at T30 after application, Day 0 | -0.009 ± 0.036 | 1.196 ± 5.352 |
| Change at T60 after application, Day 0 | 0.000 ± 0.007 | 1.196 ± 5.352 |
| Change at T120 after application, Day 0 | 0.000 ± 0.002 | 1.179 ± 5.260 |
| Change at T180 after application, Day 0 | 0.001 ± 0.004 | 1.193 ± 5.353 |
| Change at T240 after application, Day 0 | -0.005 ± 0.020 | 1.196 ± 5.352 |
| Change at T300 after application, Day 0 | -0.004 ± 0.017 | 1.196 ± 5.352 |
| Change at T360 after application, Day 0 | 0.000 ± 0.003 | 1.198 ± 5.352 |
Exposed Area is defined as the percentage of the observed area not covered by the tear film at the time of the blink hence exposed to the atmosphere measured by the investigator using a Tear scope Plus in conjunction with a Topcon SL-D7 slit lamp biomicroscope and high-resolution digital video recording. Change from Baseline to T0 (immediately), T15, T30, T60, T120, T180, T240, T300, T360 mins after application was reported.
| percentage area not covered by tear film | TrueTear™ Extranasal Application | TrueTear™ Intranasal Application |
|---|---|---|
| Pre-application, Day 0 | 0.005 ± 0.022 | 0.022 ± 0.057 |
| Change at T0 after application, Day 0 | 0.014 ± 0.077 | -0.014 ± 0.035 |
| Change at T15 after application, Day 0 | -0.002 ± 0.010 | -0.006 ± 0.046 |
| Change at T30 after application, Day 0 | 0.033 ± 0.140 | -0.008 ± 0.051 |
| Change at T60 after application, Day 0 | -0.001 ± 0.029 | 0.001 ± 0.088 |
| Change at T120 after application, Day 0 | -0.004 ± 0.016 | 0.028 ± 0.145 |
| Change at T180 after application, Day 0 | -0.005 ± 0.022 | 0.011 ± 0.086 |
| Change at T240 after application, Day 0 | 0.012 ± 0.040 | -0.008 ± 0.091 |
| Change at T300 after application, Day 0 | 0.005 ± 0.022 | -0.002 ± 0.052 |
| Change at T360 after application, Day 0 | -0.001 ± 0.018 | -0.006 ± 0.051 |
Collected over Day 0 up to Day 14. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| TrueTear™ Extranasal Application | 0/10 (0%) | 0/10 (0%) | 0/10 (0%) |
| TrueTear™ Intranasal Application | 0/10 (0%) | 0/10 (0%) | 0/10 (0%) |
All participants who received TrueTear™ either intranasally or extranasally.
| Age, Continuous(years) | All Study Participants |
|---|---|
| Mean | 52.4 ± 10.1 |
| Sex: Female, Male(Participants) | All Study Participants |
|---|---|
| Female | 4 |
| Male | 6 |
| Race and Ethnicity Not Collected(Participants) | All Study Participants |
|---|
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