ClinicalTrials.gg
Not yet recruitingNCT07496515CH01Updated Oct 30, 2026

Omega-3 Supplementation vs Demodex vs Eyelid Cleanser for Pediatric Chalazia

A Phase 2 interventional study of Omega-3 supplement and Warm compress in Pediatric Chalazia, sponsored by Jaeb Center for Health Research. Not yet recruiting. Open to participants aged 4 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Jaeb Center for Health Research · Phase 2, Interventional, and Treatment

Updated Oct 30, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
168
Allocation
Randomized
Ages
4 Years to 17 Years
Sex
All
01

Study summary

Participants enrolled into the study will be prescribed twice daily warm compresses for 8 weeks and randomly allocated (1:1:1) to receive either 1) Oral omega-3 supplementation and standard eyelid cleanser, 2) Anti-Demodex eyelid cleanser, or 3) Standard eyelid cleanser as treatment for chalazia.

Participants will return for a visit after 8 weeks for a masked clinical exam to determine whether the chalazia has improved or resolved. The 8-week visit will also include a masked central reader's assessment of parent photographs, parental palpation of eyelids, and review of Parental Treatment Outcome Question as part of a telehealth objective.

After the 8-week visit, treatment is at investigator discretion other than 1) the OMEGA-3 group must continue the study-prescribed omega-3 supplementation and 2) the ANTI-DEMODEX and STANDARD groups must not receive omega-3 supplementation.

Participants will be followed from 8 weeks to 12 months from baseline to determine the proportion of participants with new chalazia based on monthly parental report and office visits at 6 months and 12 months.

Read the detailed description

The randomized clinical trial will address two primary questions:

  1. Is treatment with anti-Demodex eyelid cleanser superior to standard eyelid cleanser for improvement or resolution of chalazia at 8 weeks?
  2. Is treatment with omega-3 supplementation for one year superior to no omega-3 supplementation for one year for the prevention of new chalazia between 8 weeks and 12 months?

In addition, parents will take standardized photographs of their children's eyelids twice - first after the enrollment visit and second before the 8-week visit. Photographs will be supplemented with a Parental Treatment Outcome Question and parental palpation of the eyelids before the 8-week visit. The objective is to evaluate the agreement between a masked central reader's review of telehealth information (parental photos and Parental Treatment Outcome Question) and an in-office clinical assessment by a masked investigator "'gold standard") when determining whether chalazia have improved/resolved (versus not) at 8 weeks, across all treatment groups.

Treatment with warm compresses and one of two different eyelid cleansers is mandated in each group for the first 8 weeks of the study. Treatment between 8 weeks and 12 months is at investigator discretion; however, the omega-3 group must continue omega-3 supplementation through 12 months, and the anti-Demodex eyelid cleanser and standard eyelid cleanser groups must NOT receive any omega-3 supplementation.

Development of new chalazia between 8 weeks and 12 months will be assessed at 6- and 12-month follow-up visits, as well as by querying parents with monthly text or email message reminders and monthly online surveys. "New chalazion" is defined as a new lesion developing in the same location as a previously resolved chalazion or in a new area on any eyelid.

02

Conditions studied

  • Pediatric Chalazia

Keywords

  • pediatric
  • chalazia
03

In context

Lead sponsor

Jaeb Center for Health Research is the lead sponsor of 129 studies on the registry; 16 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 15 (88%) have results posted.

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

04

Who can participate

Ages eligible
4 Years to 17 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

  • Age 4 to \<17.0 years.
  • At least one chalazion measuring >3 mm, visible without special instrumentation.
  • Chalazion onset (all current lesions) within the past 6 months by parental report.
  • Willing to forego non-study use of omega-3 supplements (i.e., pills, liquid, gummies) for the duration of the study.
  • Prior or current treatment with warm compresses, eyelid cleanser/scrubs, topical antibiotic, and/or topical IS allowed.
  • Topical antibiotics and topical steroids must be discontinued at study enrollment.
  • All non-study treatments for chalazia must be discontinued at enrollment for the first 8 weeks of the study.
  • Parent seeking treatment for child's chalazion/chalazia.
  • There is a working microwave oven/and refrigerator in the home.
  • Parent has a smartphone or other digital device that can take photographs.
  • Parent is able and willing to take photographs and upload them to the PEDIG website.
  • The parent and participant are willing to comply with the assigned treatment regimen after an in-office trial of Cliradex® and Physician Recommended Nutraceuticals (PRN)® Eye Omega Benefits for Kids
  • Willing to consume fish-based oral supplements.
  • Contact lens correction of refractive error is allowed.

Exclusion criteria

Exclusion Criteria:

  • Current chalazion on any eyelid present for over 6 months by parental report.
  • Use of oral omega-3 supplements (i.e., pills, liquid, gummies) in the last 2 months.
  • Use of oral antibiotics or oral within the prior 2 weeks.
  • Use of anti-Demodex treatment in the last 2 months.
  • Current or prior use of implanted steroids.
  • Prior surgery or injection for chalazia on any eyelid within the previous 6 months.
  • Presence of ptosis as defined by 2-mm or smaller marginal light-reflex distance 1 (MRD-1) (distance from corneal light reflex and bottom of upper eyelid). This includes ptosis covering the visual axis. Sectoral mechanical ptosis in the area of chalazia is allowed if the visual axis is not obscured, and the investigator does not deem the ptosis visually significant.
  • History of ptosis surgery.
  • Any conjunctivitis (e.g., phlyctenular keratoconjunctivitis, allergic, bacterial, and/or vernal) requiring treatment other than antihistamines, artificial tears, and/or cold compresses.
  • Intraocular inflammation of any kind within the last month.
  • Intraocular conditions that in the investigator's opinion may require use of oral or intraocular steroids, or systemic immunotherapy within the next year.
  • Current corneal erosion, infiltrates, ulcers, significant neovascularization (within 3 mm of optical center), or history of corneal graft or central corneal scarring
  • Known or allergy to Cliradex® Towelette ingredients including terpinen-4-ol, a tea tree oil derivative.
  • Known hypersensitivity or allergy to OCuSOFT® eyelid Scrub Plus Pre-Moistened Pads or its ingredients (Polyhexamethylene biguanide preservative (PHMB), provitamin B5, and decyl glucoside).
  • Known hypersensitivity or allergy to Bruder® mask
  • Ocular rosacea.
  • Known hypersensitivity or allergy of fish or seafood.
  • Known hypersensitivity or allergy to oral omega-3 supplements
  • Unable to consume liquid supplements orally.
  • Consumption of fish 4 or more times a week (on average).
  • Bleeding disorder or taking any anticoagulants/antiplatelet medications.
  • Daily use of non-steroidal anti-inflammatory (NSAID) or blood-pressure-lowering medications.
  • Current chemotherapy treatment.
  • Current use of orlistat (Xenical or Alli).
  • Current use of any other medication that the investigator feels may significantly interact with omega 3 supplementation, not including oral .
  • Diagnosis of any of the following conditions:

    • diabetes mellitus
    • heart rhythm disorder
    • underactive thyroid
    • liver disease
    • pancreatic disease
  • Moving outside the area in the next 12 months.
  • Other family member participating in the study.
  • Immediate family member (i.e., parent or legal guardian, sibling) is an investigator, coordinator, or certified tester directly affiliated with this study or an employee of the JAEB Center for Health Research.
  • Has previously been randomized as a participant in this study.
  • Developmental delays/sensory sensitivities that parents or the investigator feel would interfere with study treatment.
  • Pregnancy, lactating or planning on becoming pregnant during study participation.
Terms in these criteria, in plain language(3)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
168 participants (estimated)

Study arms

  • Experimental
    OMEGA-3 Group

    1x daily oral Omega-3 supplementation, plus 2x daily warm compresses and standard lid cleanser

    Dietary Supplement: Omega-3 supplement · Device: Warm compress · Device: Standard eyelid cleanser

  • Experimental
    ANTI-DEMODEX Group

    2x daily warm compresses and anti-Demodex lid cleanser

    Device: Warm compress · Drug: Anti-Demodex eyelid cleanser

  • Placebo comparator
    STANDARD Group

    2x daily warm compresses and standard lid cleanser

    Device: Warm compress · Device: Standard eyelid cleanser

Interventions

  • Dietary supplementOmega-3 supplement

    Oral omega-3 supplementation (eicosapentaenoic acid and docosahexaenoic acid) - once daily dose of 5mL (1000mg) or 10mL (2000 mg total), depending on age and weight

  • DeviceWarm compress

    Twice daily warm compresses (using a Bruder® Mask)

  • DeviceStandard eyelid cleanser

    Twice daily standard eyelid cleanser (OCuSOFT® eyelid Scrub Plus Pre-Moistened Pads)

  • DrugAnti-Demodex eyelid cleanser

    Twice daily anti-Demodex eyelid cleanser (Cliradex® Towelettes)

06

What researchers measure

Primary outcomes

  1. Anti-Demodex vs Standard Cleanser

    The primary efficacy outcome will be the proportion of participants whose chalazia are determined to be "improved or resolved" vs. "worse or unchanged" after 8 weeks, based on a masked investigator examination.

    Time frame: 8 weeks

  2. Omega-3 vs Standard

    The primary efficacy outcome will be the proportion of participants with development of new chalazia between 8 weeks to 12 months based on all available data.

    Time frame: 12 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

09

Updates

1 registry update since Sep 25, 2026
Start date
Oct 1, 2026→Feb 1, 2027
Oct 30, 2026
Primary completion
Dec 1, 2026→Oct 1, 2027
Oct 30, 2026
Study completion
Feb 1, 2028→Oct 1, 2028
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    Start date Oct 1, 2026→Feb 1, 2027
    Primary completion Dec 1, 2026→Oct 1, 2027
    Study completion Feb 1, 2028→Oct 1, 2028

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07496515
Responsible party
Sponsor
First posted
Mar 27, 2026
Start date
Feb 1, 2027 (estimated)
Primary completion
Oct 1, 2027 (estimated)
Completion
Oct 1, 2028 (estimated)
Last update
Oct 30, 2026

Study contacts

Danielle L Chandler, MSPH
Contact
dchandler@jaeb.org
813-975-8690
Raymond T Kraker, MSPH
Contact
rkraker@jaeb.org
813-975-8690
Amy L Waters, OD, FAAO
study chair · Children's Mercy Hospital and Clinics
Courtney L Kraus, MD
study chair · Wilmer Eye Institute

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion