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CompletedNCT05906381Updated Sep 26, 2025

Dry Eye Symptom Mitigation by Oral Intake of Probiotics

An interventional study of Probiotics and Placebo in Dry Eye, sponsored by Chung Shan Medical University. Completed at 1 site in Taiwan. Open to participants aged 20 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-26.

Sponsored by Chung Shan Medical University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
20 Years to 65 Years
Sex
All
01

Study summary

This study investigates whether the oral intake of a probiotics capsule product may relieve dry eye symptoms. Participants will be aged between 20 - 65 years of age, with confirmed diagnosis of dry eye status. The participants will be assessed for several parameters and asked to take 1 probiotics capsule per day for 35 days. The parameters will include ocular surface health, tear volume, tear quality, intraocular pressure, tear osmolarity and serum biochemical test. After the 35 days are completed, the participants will be assessed again for the same parameters.

Read the detailed description

This investigation is a randomized, double-blind study. Subjects with confirmed diagnosis of dry eye are randomly assigned to control group or treatment group, and asked to orally intake 1 capsule of either placebo or probiotics per day. All participants will be assessed for parameters, including intraocular pressure, ocular surface health, tear film breakup time (TBUT), tear volume (Schirmer's test), tear osmolarity, ocular surface impression cytology, ocular surface disease index (OSDI) and serum biochemical tests for quantification of hyaluronic acid, sialic acid, glutathione contents.The assessments are conducted at day1 for baseline and after the 35-day oral intake. The parameters are used to compare and evaluate whether the probiotics can relieve dry eye symptoms.

02

Conditions studied

  • Dry Eye

Keywords

  • probiotics
  • dry eye
  • eye sore
  • eye strain
03

In context

Dry Eye Syndromes

1,366 studies on the registry are indexed under Dry Eye Syndromes; 207 are open to participants now.

This study's enrollment of 88 is above the median of 60 across 1,129 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

Chung Shan Medical University is the lead sponsor of 125 studies on the registry; 25 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • aged between 20 and 65 years
  • with Schirmer's test results less than 10 mm or Ocular Surface Disease Index more than 25

Exclusion criteria

Exclusion Criteria:

  • evident ocular diseases such as cornea disease, cataract, vitreous degeneration, glaucoma, and retinopathy.
  • diabetes
  • hypertension
  • or other chronic diseases or belong to vulnerable groups(pregnancy woman, prisoner, ethical minorities, economic or educationally disadvantaged subjects, disabled individuals such as those at terminal stage of tumorigenesis, blindness, terminal ill individuals)
05

Study design

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

Study arms

  • Placebo comparator
    Control group

    Subjects will take a capsule of containing microcrystalline cellulose per day for 35 days.

    Dietary Supplement: Placebo

  • Experimental
    Treatment group

    Subjects will take a capsule of containing Streptococcus thermophilus per day for 35 days.

    Dietary Supplement: Probiotics

Interventions

  • Dietary supplementProbiotics

    A specific probiotics capsule product, containing Streptococcus thermophilus will be given to participants for oral intake for 35 days.

  • Dietary supplementPlacebo

    A specific capsule product, containing microcrystalline cellulose will be given to participants for oral intake for 35 days.

06

What researchers measure

Primary outcomes

  1. Change of Schirmer's Test Value from Baseline

    The Schirmer's Test is used to assess tear secretion volume. The amounts of tears are measured in total millimeters after 5 minutes has elapsed. Lower measurement amount is regarded as a parameter of presence of dry eye disease.

    Time frame: on baseline and day36

  2. Change of Tear Film Breakup Time from Baseline

    Tear Break-Up Time is a measurement to reflect tear quality and is expressed in seconds. The shorter the Tear Break-Up Time, the poorer the tear film stability and quality. Lower measurement outcome (less than 10 seconds) is regarded as a parameter of presence of dry eye disease.

    Time frame: on baseline and day36

  3. Ocular Surface Index Change from Baseline

    Ocular Surface Index is assessed with fluorescein staining to reflect ocular surface damages. The staining scale ranges from 0 to 3, from milder to severe status, where grade 0 shows no staining, and grade 3 shows extensive staining.

    Time frame: on baseline and day36

  4. Tear Osmolality Change from Baseline

    Tear osmolality is used as a parameter of dry eye status.

    Time frame: on baseline and day36

  5. Serum Biochemical Test

    To determine the effects of oral probiotics intake on the contents of hyaluronic acid, sialic acid, and glutathione in the serum.

    Time frame: on baseline and day36

Secondary outcomes

  1. Ocular Surface Impression Cytology Change from Baseline

    To assess the status of conjunctival goblet cells and epithelium.

    Time frame: on baseline and day36

  2. Ocular Surface Disease Index Score Change from Baseline

    A questionnaire is used to assess the health status on ocular surface, with higher scores indicating more severe status.

    Time frame: on baseline and day36

  3. Intraocular Pressure Change from Baseline

    To determine the effects of intervention on intraocular pressure.

    Time frame: on baseline and day36

07

Study locations

1 site
  • Jen-Ai Hospital
    Taichung, 412, Taiwan
08

References and documents

Publications

  • Herrero-Vanrell R, Peral A. [International Dry Eye Workshop (DEWS). Update of the disease]. Arch Soc Esp Oftalmol. 2007 Dec;82(12):733-4. doi: 10.4321/s0365-66912007001200002. No abstract available. Spanish. PubMed 18040913 ↗
  • Fox RI, Chan R, Michelson JB, Belmont JB, Michelson PE. Beneficial effect of artificial tears made with autologous serum in patients with keratoconjunctivitis sicca. Arthritis Rheum. 1984 Apr;27(4):459-61. doi: 10.1002/art.1780270415. No abstract available. PubMed 6712760 ↗
  • Wilson WS, Duncan AJ, Jay JL. Effect of benzalkonium chloride on the stability of the precorneal tear film in rabbit and man. Br J Ophthalmol. 1975 Nov;59(11):667-9. doi: 10.1136/bjo.59.11.667. PubMed 1203224 ↗
  • Brito-Zeron P, Ramos-Casals M; EULAR-SS task force group. Advances in the understanding and treatment of systemic complications in Sjogren's syndrome. Curr Opin Rheumatol. 2014 Sep;26(5):520-7. doi: 10.1097/BOR.0000000000000096. PubMed 25050925 ↗
  • Sullivan DA, Krenzer KL, Sullivan BD, Tolls DB, Toda I, Dana MR. Does androgen insufficiency cause lacrimal gland inflammation and aqueous tear deficiency? Invest Ophthalmol Vis Sci. 1999 May;40(6):1261-5. PubMed 10235562 ↗
  • Schrader S, Mircheff AK, Geerling G. Animal models of dry eye. Dev Ophthalmol. 2008;41:298-312. doi: 10.1159/000131097. PubMed 18453777 ↗
  • Chisari G, Chisari EM, Francaviglia A, Chisari CG. The mixture of bifidobacterium associated with fructo-oligosaccharides reduces the damage of the ocular surface. Clin Ter. 2017 May-Jun;168(3):e181-e185. doi: 10.7417/T.2017.2002. PubMed 28612893 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2023 to primary completion in Aug 2023, 3 months.

Of 199 non-industry interventional studies with no phase under Dry Eye Syndromes, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 25. This study's 3 months is below that.

Counting every sponsor, half of 312 studies reached it within 10 months; a quarter within 4 and three quarters within 18.

How these figures are worked out, and which studies are left out of them.

Registered
May 19, 2023
First posted
Jun 15, 2023
StartActual
May 13, 2023
Primary completionActual
Aug 31, 2023
CompletionActual
Dec 31, 2023
Last update
Sep 26, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05906381
Collaborators
Nutrarex Biotech Co., Ltd.
Responsible party
Sponsor
First posted
Jun 15, 2023
Start date
May 13, 2023
Primary completion
Aug 31, 2023
Completion
Dec 31, 2023
Last update
Sep 26, 2025

Study contacts

David Pei-Cheng Lin
principal investigator · Chung Shan Medical University

Oversight

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

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This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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