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CompletedNCT07175909Updated Sep 16, 2026

Proteomics Analysis of Human Tears in the Diagnosis and Management of Dry Eye Disease

An interventional study of The Rexon-Eye, an electrotherapy device utilizing Quantum Molecular Resonance (QMR) technology in Dry Eye Disease (DED) and Dry Eye, sponsored by The Hong Kong Polytechnic University. Completed at 1 site in Hong Kong. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by The Hong Kong Polytechnic University · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 4 years 8 months after the study started (first participant enrolled Jan 2021, registered Sep 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

In this study, the initial tear proteome profiles in Dry Eye Disease (DED) patients, the safety and effectiveness of using an EC certificate DED treatment device in DED management, together with the associated global tear proteome changes, will be investigated.

Read the detailed description

Diagnosis of Dry Eye Disease (DED) is current based on questionnaires, quantitative and qualitive tear and ocular surface assessment such as tear breakup time, corneal staining, and tear osmolarity. However, many of these clinical procedures show weak correlation between the clinical findings and subjective symptoms. Therefore, a more reliable method to aid in the diagnosis and management of dry eye disease is clearly needed.

Recently, a high frequency electrotherapy device using Quantum Molecular Resonance (QMR) technique, the Rexon-Eye was approved with EC certificate as a medical device for the treatment of the ocular surface disorders. During the treatment, a low-intensity, high-frequency (a spectrum of frequencies ranging from 4 MHz to 64 MHz) stimulations are applied on the epidermis of closed eyelids up to the lid border by special designed goggles. Previous data showed that it could effectively improve symptoms and clinical signs of DED by increasing the tear secretion and improving the meibomian gland function. Although clinically safe and effective, the mechanisms on how the stimulation could benefit DED are still unknown and ocular changes in response to the DED treatment in molecular level has not yet been investigated.

In this study, the initial tear proteome profiles in DED patients, the safety and effectiveness of using QMR in DED management together with the associated global tear proteome changes will be investigated. A total of 75 participants aged 18 to 65 years old will be recruited. 50 patients are DED patients and will be randomly assigned into treatment group and blinded control group. 25 non-DED age-matched subjects will be recruited as normal control. After the baseline DED evaluation, those eligible patients will be randomly allocated into treatment group and blinded control group. A total of four treatments will be performed to the treatment group and normal control in a weekly bases according the suggested protocol by the manufacturer. The blinded control group will receive sham treatments also in a weekly bases. Two outcome evaluation visits will be arranged for all participants one month and three months after the final treatment (i.e. the 4th treatment). The blinded control group will receive four QMR treatment after the second outcome evaluation visit. The same four treatments (identical to the treatment group) will be conducted followed by two extra outcome evaluation visits. Baseline and post-treatment tears will be collected using Schirmer strips, and changes in the tear proteome will be quantified using a mass spectrometer.

02

Conditions studied

  • Dry Eye Disease (DED)
  • Dry Eye

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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 75 is above the median of 60 across 1,077 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

The Hong Kong Polytechnic University is the lead sponsor of 659 studies on the registry; 250 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • OSDI score ≥ 13, and
  • Fail one of the three diagnostic tests:

    • Non-invasive tear break-up time (NITBUT) less than 10s;
    • Tears osmolarity higher than or equals to 308 mOsm/L or inter-ocular difference > 8 mOsm/L;
    • When assessing with slit lamp, shows more than 9 spots of conjunctival stain with lissamine green, more than 5 spots of corneal stain with fluorescein or lid wiper epitheliopathy (LWE) with lissamine green ≥ 2 mm in length and/or ≥ 25% sagittal width.

Exclusion criteria

Exclusion Criteria:

  • Any active ocular infections, inflammations or anomalies in eyelid;
  • Pregnant or lactating;
  • Uncontrolled, newly diagnosed systemic diseases or with modified long-term medications within 6 months;
  • Carrying active implantable devices (e.g., pacemakers and hearing aids)
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
75 participants (actual)

Study arms

  • Active comparator
    DED Treatment Arm

    Following a comprehensive evaluation,this group of subjects will undergo a 20-minute treatment once per week for four weeks.

    Device: The Rexon-Eye, an electrotherapy device utilizing Quantum Molecular Resonance (QMR) technology

  • Other
    Non- DED Control Arm

    Following a comprehensive evaluation, this group of subjects will undergo a 20-minute treatment once per week for four weeks.

    Device: The Rexon-Eye, an electrotherapy device utilizing Quantum Molecular Resonance (QMR) technology

  • Sham comparator
    DED Control Arm

    Following a comprehensive evaluation, the sham treatment group will firstly undergo a 20-minute sham treatment once per week for four weeks. Two additional comprehensive evaluations and tear fluid collections will be conducted one month and three months after the completion of the treatment period. After the three-month post-treatment evaluation, the control group will receive four weekly treatments.

    Device: The Rexon-Eye, an electrotherapy device utilizing Quantum Molecular Resonance (QMR) technology

Interventions

  • DeviceThe Rexon-Eye, an electrotherapy device utilizing Quantum Molecular Resonance (QMR) technology

    The device has received EC certification as a medical device for the treatment of ocular surface disorders. It will deliver a low-intensity alternating electrical current (ranging from 4 MHz to 64 MHz) to targeted biological tissue via contact electrodes. Previous studies have shown the effectiveness of this treatment in alleviating dry eye symptoms, both subjectively and objectively.

06

What researchers measure

Primary outcomes

  1. Clinical efficacy

    Ocular Surface Disease Index

    Time frame: From enrollment to the end of treatment at 4 (Treatment group) to 8 (Sham treatment group)months

Secondary outcomes

  1. The associated tear proteomics changes after treatment

    Differences in tear protein groups induced by the treatment, along with their corresponding flow change relative to baseline will be investigated through mass spectrometry analysis

    Time frame: From enrollment to the end of treatment at 4 (Treatment group) to 8 (Sham treatment group)months

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Study locations

1 site
  • The Hong Kong Polytechnic University, Hong Kong,
    Hong Kong, Hong Kong
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References and documents

Publications

  • Trivli A, Karmiris E, Dalianis G, Ruggeri A, Terzidou C. Evaluating the efficacy of Quantum Molecular Resonance (QMR) electrotherapy in mixed-type dry eye patients. J Optom. 2023 Apr-Jun;16(2):128-134. doi: 10.1016/j.optom.2022.06.003. Epub 2022 Jul 16. PubMed 35851496 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07175909
Lead sponsor
The Hong Kong Polytechnic University
Responsible party
TSE Sung Hei Jimmy (Assistant Professor of Practice, The Hong Kong Polytechnic University) — Principal investigator
First posted
Sep 16, 2025
Start date
Jan 1, 2021
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
Sep 16, 2026

Study contacts

Sung Hei Jimmy Tse
principal investigator · The Hong Kong Polytechnic University, Hong Kong,

Oversight

Data monitoring committee
No
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 Sep 2026. You cannot join it, but the record below documents what was studied.

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