ClinicalTrials.gg
TerminatedNCT06080438Updated Dec 5, 2024Results posted

Effect of Topical Botulinum Toxin Eyedrop on Palpebral Fissure

A Phase 4 interventional study of Botulinum toxin in Tears; Excess and Eyelid Spasm, sponsored by University of Miami. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-05.

Sponsored by University of Miami · Phase 4, Interventional, and Treatment

Why this study was terminated
Patient recruitment shortage and study coordinator turnover

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Nov 2022, registered Oct 2023).
Phase
Phase 4
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this research study is to test if Topical (applied to the surface of the eye) Botulinum Toxin temporarily lowers the upper eyelid and makes the eyelid appear less open and thereby affects the eye surface and decreases reflexive tearing.

02

Conditions studied

  • Tears; Excess
  • Eyelid Spasm
03

In context

Lacerations

174 studies on the registry are indexed under Lacerations; 43 are open to participants now.

This study's enrollment of 2 is below the median of 65 across 128 interventional studies indexed under Lacerations.

Browse Lacerations studies →

Lead sponsor

University of Miami is the lead sponsor of 840 studies on the registry; 164 are open to participants now.

Of its 115 completed or terminated interventional studies of FDA-regulated products, 97 (84%) 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
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

  • Adults aged 18 and above that present to the oculoplastic and reconstructive surgery department that are able to provide to participate
  • Presence of upper eyelid retraction or asymmetry( >1mm)

Exclusion criteria

Exclusion Criteria:

  • Adults unable to consent
  • Individuals less than 18 years of age
  • Prisoners
  • Pregnant women. o Patients will be asked if they are pregnant by research staff before participation in the study.

Women who are breast-feeding

  • Known contradictions or sensitivities to study medication
  • Grossly abnormal lid margins, anatomical abnormalities
  • Variable ptosis or eyelid position (e.g., myasthenia gravis, blepharospasm)
  • Any ocular or systemic condition that, in the opinion of the investigator, would confound study data, interfere with the subject's study participation, or affected the subject's safety or trial parameters
  • Presence of an active ocular infection
  • Inability to sit comfortably for 15 - 30 minutes
  • Botulinum toxin injection in the eyelids during the past 3 weeks.
  • Neuromuscular disorders (e.g., Parkinson's disease or myasthenia gravis)
  • Medication use known to interfere with the effects of botulinum toxin-A within the previous 1 month (e.g., aminoglycoside or benzodiazepines),
  • Previous history of reactions to botulinum toxin-A
  • Dysfunction of tear production or secretion (e.g., meibomian gland dysfunction or Sjogren's syndrome),
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Botulinum toxin group

    The left eye of each participant will receive botulinum toxin eye drops and will remain in this group for up to 40 minutes.

    Drug: Botulinum toxin

Interventions

  • 15 units of botulinum toxin administered one time to the eye via eye drops

    Also known as: BOTOX

06

What researchers measure

Primary outcomes

  1. Change in Palpebral Fissure Height

    Palpebral fissure on Day 3 minus palpebral fissure at baseline. Palpebral fissure is the area between the upper and lower eyelid margins. Palpebral fissure height on eyes is measured in primary gaze position with a clear ruler held in a central vertical position between the upper and lower eyelid margin.

    Time frame: baseline and Day 3

Secondary outcomes

  1. Corneal Staining Density

    Scoring of the ocular surface will be done by fluorescein staining and evaluating with a slit lamp and grading scale: 0-3 0 (no punctate staining) 1. (sparse density) 2. (moderate density) 3. (high density and overlapping lesions).

    Time frame: Baseline

  2. Corneal Staining Density

    Scoring of the ocular surface will be done by fluorescein staining and evaluating with a slit lamp and grading scale: 0-3 0 (no punctate staining) 1. (sparse density) 2. (moderate density) 3. (high density and overlapping lesions).

    Time frame: Day 3

  3. Change in Tearing

    Change in tearing will be calculated as tearing on Day 3 minus tearing at baseline. Tearing will be assessed using the Schirmer test with anesthesia. Schirmer strip is inserted into the lower conjunctival sac at the junction of the lateral and middle thirds, avoiding touching the cornea, and the length of wetting strips in millimeters is recorded after 5 minutes. The result can range from a minimum of 0 mm (no tearing) to a maximum of 35 mm (maximum tearing).

    Time frame: baseline and Day 3

07

Results

Posted Dec 5, 2024
Limitations and caveats
For interim analysis of futility, the investigators conducted the study with BT eye drops on the first 10 patients and then evaluated the results to see if there were any significant effects. If clinically significant effects are seen, then 34 patients totally (17 in BT vs 17 in saline) are included. The study was terminated and did not continue; therefore, only the first phase of the study was conducted with only one arm (BT eye drops) with results reported for the first phase only.

Participant flow

Participant flow — Overall Study
MilestoneBotulinum Toxin Group
Started2
Completed0
Not completed2
Withdrew: Lost to follow-up2

Outcome measures

PrimaryChange in Palpebral Fissure Height

Palpebral fissure on Day 3 minus palpebral fissure at baseline. Palpebral fissure is the area between the upper and lower eyelid margins. Palpebral fissure height on eyes is measured in primary gaze position with a clear ruler held in a central vertical position between the upper and lower eyelid margin.

Time frame:
baseline and Day 3
Reported as:
Mean · mm
Change in Palpebral Fissure Height
mmBotulinum Toxin Group
Change in Palpebral Fissure Height-0.5 ± 0.69
SecondaryCorneal Staining Density

Scoring of the ocular surface will be done by fluorescein staining and evaluating with a slit lamp and grading scale: 0-3 0 (no punctate staining) 1. (sparse density) 2. (moderate density) 3. (high density and overlapping lesions).

Time frame:
Baseline
Reported as:
Mean · score on a scale
Corneal Staining Density
score on a scaleBotulinum Toxin Group
Corneal Staining Density2 ± 0
SecondaryCorneal Staining Density

Scoring of the ocular surface will be done by fluorescein staining and evaluating with a slit lamp and grading scale: 0-3 0 (no punctate staining) 1. (sparse density) 2. (moderate density) 3. (high density and overlapping lesions).

Time frame:
Day 3
Reported as:
Mean · score on a scale
Corneal Staining Density
score on a scaleBotulinum Toxin Group
Corneal Staining Density2 ± 0
SecondaryChange in Tearing

Change in tearing will be calculated as tearing on Day 3 minus tearing at baseline. Tearing will be assessed using the Schirmer test with anesthesia. Schirmer strip is inserted into the lower conjunctival sac at the junction of the lateral and middle thirds, avoiding touching the cornea, and the length of wetting strips in millimeters is recorded after 5 minutes. The result can range from a minimum of 0 mm (no tearing) to a maximum of 35 mm (maximum tearing).

Time frame:
baseline and Day 3
Reported as:
Mean · mm
Change in Tearing
mmBotulinum Toxin Group
Change in Tearing3 ± 5.54

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Botulinum Toxin Group0/2 (0%)0/2 (0%)0/2 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Botulinum Toxin Group
<=18 years0
Between 18 and 65 years2
>=65 years0
Age, Continuous
Age, Continuous(years)Botulinum Toxin Group
Mean57 ± 4.2
Sex: Female, Male
Sex: Female, Male(Participants)Botulinum Toxin Group
Female2
Male0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Botulinum Toxin Group
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White2
More than one race0
Unknown or Not Reported0
Palpebral fissure
Palpebral fissure(mm)Botulinum Toxin Group
Mean11.75 ± 0.42
08

Study locations

1 site
  • University of Miami
    Miami, Florida 33135, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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 Dec 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06080438
Responsible party
Wendy Lee (Professor of Clinical, University of Miami) — Principal investigator
First posted
Oct 12, 2023
Start date
Nov 29, 2022
Primary completion
Jul 28, 2024
Completion
Jul 28, 2024
Results posted
Dec 5, 2024
Last update
Dec 5, 2024

Study contacts

Wendy Lee, MD
principal investigator · University of Miami

Oversight

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

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