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CompletedNCT04837807Updated Oct 10, 2022Results posted

Digital Device Users Who Are Treated With Systane Hydration PF

A Phase 4 interventional study of Systane Hydration PF in Dry Eye, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-10-10.

Sponsored by University of Alabama at Birmingham · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Systane Hydration PF is a recently released preservative-free artificial tear that is able to supplement the ocular surface's moisture while simultaneously soothing the eye. While Systane Hydration PF should in theory improve the symptoms and subsequently the quality of life of patients who have DES, this clinical application has yet to be tested. This drop furthermore is available in both unit-dose and multi-dose options; however, it is unclear if patient perceive a difference between the two dispensing methods. Therefore, the primary purpose of this study is to recruit patients who have DES and to treat them with Systane Hydration PF and determine how regular use of this drop impacts a patient's ocular surface symptoms and overall quality of life. This study will secondarily compare the two dispensing methods to determine if patients prefer one method over the other.

Read the detailed description

Extensive computer use is no longer an employment-specific challenge. Use of digital devices in work, home, and leisure settings is now the norm, and it is now socially expected. While the introduction of high-powered computers and digital devices have greatly improved many aspects of modern life, the pervasive use of digital devices has caused some patients to develop a condition known as Digital Eye Strain (DES). DES has been reported to be as high as 93% the population depending upon how the condition is defined, and its severity has been found to increase with increased digital device time. DES is a condition where patients experience symptoms such as glare, accommodative dysfunction, defocus, fatigue, discomfort, and dryness from digital device use, and these dry eye symptoms may also result in decreased quality of life. While dryness symptoms in DES are likely multifactorial (e.g., contact lens use, systemic disease status), much of the dryness symptoms in DES are probably due to tear film evaporation secondary to having a reduced number of blinks per minute while using digital devices. Since much of the ocular symptoms associated with DES stem from excessive tear evaporation, artificial tears have become an accepted DES treatment

Systane Hydration PF is a recently released preservative-free artificial tear that is able to supplement the ocular surface's moisture while simultaneously soothing the eye. Systane Hydration PF has HydroBoost technology, which is thought to enhance the drop's effectiveness by incorporating ingredients that increase drop retention. While Systane Hydration PF should in theory improve the symptoms and subsequently the quality of life of patients who have DES, this clinical application has yet to be tested. This drop furthermore is available in both unit-dose and multi-dose options; however, it is unclear if patient perceive a difference between the two dispensing methods. Therefore, the primary purpose of this study is to recruit patients who have DES and to treat them with Systane Hydration PF and determine how regular use of this drop impacts a patient's ocular surface symptoms and overall quality of life. This study will secondarily compare the two dispensing methods to determine if patients prefer one method over the other.

02

Conditions studied

  • Dry Eye

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Keywords

  • Digital Eye Strain
  • Dry Eye
  • Artificial Tears
  • Eye Comfort
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 30 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 Alabama at Birmingham is the lead sponsor of 1,396 studies on the registry; 284 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 124 (79%) 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
Yes

Inclusion criteria

  • 18 years or older
  • Using digital devices 8 or more hours per day
  • Eyes that are dry, irritated, itchy or burn while using a digital screen, like a computer or smartphone
  • Eye fatigue from digital screen use
  • Impact of Dry Eye on Daily Life (IDEEL) Work score ≤80
  • Ocular Surface Disease Index (OSDI) score between 13 and 32 (inclusive)
  • Willing to discontinue current artificial tears for at least 24 hours before enrollment

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding
  • Are currently using isotretinoin-derivatives or other ocular medications
  • Having any active ocular infection or inflammation
  • History of severe ocular trauma
  • Ocular surgery within the past 12 months
  • Having any known systemic health conditions that are thought to alter tear film physiology (e.g., Sjögren's syndrome
  • Using a dry eye treatment other than artificial tears
  • Currently using artificial tears more than 4 times per day
  • Contact lens wear within the past week
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Unit Dose First, Then Multi-Dose

    Subjects randomized to this group will apply the unit-dose version of Systane Hydration PF to determine if it helps alleviate symptoms associated with digital eye strain.

    Drug: Systane Hydration PF

  • Experimental
    Multi Dose, Then Unit Dose

    Subjects randomized to this group will apply multi-dose version of Systane Hydration PF to determine if it helps alleviate symptoms associated with digital eye strain.

    Drug: Systane Hydration PF

Interventions

  • DrugSystane Hydration PF

    This is an over-the-counter preservative free artificial tear that can be purchased at most retail stores and pharmacies.

06

What researchers measure

Primary outcomes

  1. IDEEL (Impact of Dry Eye on Daily Life) Quality of Life - Work Subsection

    Impact of Dry Eye on Daily Life (IDEEL) Work questions will be self-administered electronically to understand how treatment with Systane Hydration PF helps a patient's ability to work (0-100 scale with 100 being worst and 0 being best).

    Time frame: 2 weeks

Secondary outcomes

  1. Drop Dispensing Method Preference

    Subjects will report whether they preferred the unit-dose dispensing method or the multi-dose dispensing method via a forced choice questionnaire (forced choice with patient being required to pick if they like the unit-dose dispensing method or the multi-dose better).

    Time frame: Between groups at 2 weeks

  2. Ocular Surface Disease Index (OSDI) Questionnaire

    The Ocular Surface Disease Index (OSDI) will be self-administered electronically to understand how treatment with Systane Hydration PF helps a patient's ability to work (0-100 scale with 100 being worst and 0 being best).

    Time frame: 2 weeks

07

Results

Posted Oct 10, 2022

Participant flow

First Sequence (Week 1)
Participant flow — First Sequence (Week 1)
MilestoneUnit Dose, Then Multi-doseMulti Dose, Then Unit Dose
Started1515
Received sequence1515
Completed1514
Not completed01
Withdrew: Withdrawal by subject01
Washout 1 Day
Participant flow — Washout 1 Day
MilestoneUnit Dose, Then Multi-doseMulti Dose, Then Unit Dose
Started1514
Completed1414
Not completed10
Second Sequence (Week 2)
Participant flow — Second Sequence (Week 2)
MilestoneUnit Dose, Then Multi-doseMulti Dose, Then Unit Dose
Started1414
Completed1414
Not completed00

Outcome measures

PrimaryIDEEL (Impact of Dry Eye on Daily Life) Quality of Life - Work Subsection

Impact of Dry Eye on Daily Life (IDEEL) Work questions will be self-administered electronically to understand how treatment with Systane Hydration PF helps a patient's ability to work (0-100 scale with 100 being worst and 0 being best).

Time frame:
2 weeks
Reported as:
Median · score on a scale
IDEEL (Impact of Dry Eye on Daily Life) Quality of Life - Work Subsection
score on a scaleUnit DoseMulti Dose
IDEEL (Impact of Dry Eye on Daily Life) Quality of Life - Work Subsection81.4 ± 12.781.4 ± 12.7
Statistical analysis
  • Unit Dose vs Multi Dose · ANOVA · p = <0.05 · Mean difference (final values): 22.4This was a cross-over study, so there is really 30 subjects per group that was analyzed.
SecondaryDrop Dispensing Method Preference

Subjects will report whether they preferred the unit-dose dispensing method or the multi-dose dispensing method via a forced choice questionnaire (forced choice with patient being required to pick if they like the unit-dose dispensing method or the multi-dose better).

Time frame:
Between groups at 2 weeks
Reported as:
Count of participants · Participants
Drop Dispensing Method Preference
ParticipantsUnit DoseMulti Dose
Drop Dispensing Method Preference1613
SecondaryOcular Surface Disease Index (OSDI) Questionnaire

The Ocular Surface Disease Index (OSDI) will be self-administered electronically to understand how treatment with Systane Hydration PF helps a patient's ability to work (0-100 scale with 100 being worst and 0 being best).

Time frame:
2 weeks
Reported as:
Mean · score on a scale
Ocular Surface Disease Index (OSDI) Questionnaire
score on a scaleUnit DoseMulti Dose
Ocular Surface Disease Index (OSDI) Questionnaire14.3 ± 8.614.3 ± 8.6
Statistical analysis
  • Unit Dose vs Multi Dose · ANOVA · p = <0.05 · Mean difference (final values): 10.5This was a cross-over study, so there is really 30 subjects per group that was analyzed.

Adverse events

Collected over 1 month.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Unit Dose0/30 (0%)0/30 (0%)0/30 (0%)
Multi Dose0/30 (0%)0/30 (0%)0/30 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)All Participants
<=18 years0
Between 18 and 65 years30
>=65 years0
Age, Continuous
Age, Continuous(Years)All Participants
Median28.6 ± 12
Sex: Female, Male
Sex: Female, Male(Participants)All Participants
Female21
Male9
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)All Participants
Region of Enrollment
Region of Enrollment(participants)All Participants
United States30
08

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
09

References and documents

Study documents

  • Protocol, analysis plan and consent form · Nov 19, 2021

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

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04837807
Lead sponsor
University of Alabama at Birmingham
Collaborators
Alcon Research
Responsible party
Andrew Pucker (Assistant Professor, University of Alabama at Birmingham) — Principal investigator
First posted
Apr 8, 2021
Start date
Aug 18, 2021
Primary completion
Nov 19, 2021
Completion
Nov 19, 2021
Results posted
Oct 10, 2022
Last update
Oct 10, 2022

Oversight

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

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