ClinicalTrials.gg
RecruitingNCT07816224Updated Oct 14, 2026

Low-Dose Atropine Eye Drops for Excessive Tearing (Epiphora)

A Phase 2 interventional study of Atropine sulfate ophthalmic solution 0.005% and Vehicle arm in Epiphora, sponsored by Rehan Ahmed. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-14.

Sponsored by Rehan Ahmed · Phase 2, Interventional, and Treatment

Updated Oct 14, 2026Now RecruitingFirst site in United States+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study tests whether a very low concentration of atropine eye drops (0.005%) reduces excessive tearing (epiphora) in adults. Each participant will use two different eye drops, one at a time: the atropine drop and an identical-looking drop with no active ingredient (vehicle). Each drop is used once nightly for 7 days, with about 2 weeks between the two treatment periods. Neither the participant nor the study doctor will know which drop is being used during each period. The main measure is the change in how often participants need to wipe their eyes because of tearing. About 12 to 18 adults will take part.

02

Conditions studied

  • Epiphora
03

In context

Lacrimal Apparatus Diseases

36 studies on the registry are indexed under Lacrimal Apparatus Diseases; 2 are open to participants now.

This study's planned enrollment of 16 is below the median of 24 across 25 interventional studies indexed under Lacrimal Apparatus Diseases.

Browse Lacrimal Apparatus Diseases studies →

Lead sponsor

Rehan Ahmed is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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 18 years of age or older
  • Symptomatic epiphora (unilateral or bilateral) with tearing requiring eyelid wiping or dabbing at least 2 times per day (Munk score ≥2)
  • Epiphora attributed to functional/idiopathic, gustatory, environmental, or lacrimal outflow (e.g., nasolacrimal duct obstruction, punctal stenosis) etiology
  • Visual acuity of 20/200 or better in at least one eye (with habitual correction or pinhole)
  • Willing and able to self-administer eye drops nightly for 7 days in each of two treatment periods and attend all study visits
  • Prior use of topical atropine permitted if at least 10 days have elapsed since the last dose

Exclusion criteria

Exclusion Criteria:

  • dry eye disease, or tearing judged to be a reflex response to ocular surface disease, blepharitis, or other ocular surface irritation
  • Regular use of artificial tears, ocular lubricants, or dry eye medications, or unwillingness to stop them during the study
  • Active or recent (within 30 days) ocular infection, or active dacryocystitis
  • Current use of ophthalmic anticholinergic agents (unless stopped at least 10 days before Visit 1)
  • to atropine, other anticholinergics, or any component of the formulation
  • Angle-closure glaucoma or narrow anterior chamber angles
  • Pregnancy or breastfeeding
  • Participation in another interventional study within 30 days
  • Any condition or medication that, in the investigator's judgment, would interfere with study assessments or subject safety
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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
16 participants (estimated)

Study arms

  • Experimental
    Atropine then vehicle

    Atropine then vehicle - Description: Atropine 0.005% nightly for 7 days, approximately 14-day washout, then vehicle nightly for 7 days.

    Drug: Atropine sulfate ophthalmic solution 0.005% · Drug: Vehicle arm

  • Experimental
    Vehicle then atropine

    Vehicle then atropine - Description: Vehicle nightly for 7 days, approximately 14-day washout, then atropine 0.005% nightly for 7 days.

    Drug: Atropine sulfate ophthalmic solution 0.005% · Drug: Vehicle arm

Interventions

  • One drop in the affected eye(s) once nightly at bedtime for 7 days.

  • DrugVehicle arm

    Identical-appearing drops without atropine; one drop in the affected eye(s) once nightly at bedtime for 7 days. - Other name: Placebo

06

What researchers measure

Primary outcomes

  1. Change in tearing

    Within-participant difference (atropine minus vehicle) in change in Munk epiphora score from period baseline to Day 7 of each treatment period. Munk score range 0-4; higher scores indicate more frequent tearing.

    Time frame: Period baseline (Day 1) to Day 7 of each 7-day treatment period, assessed at the end-of-period visit (Day 8 ±2); approximately 4 weeks overall

07

Study locations

2 of 2 sites recruiting
  • Greater Houston Eye Consultants
    Houston, Texas 77401, United States
    Recruiting
  • North Texas Eye Specialists
    Mesquite, Texas 75150, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Nov 2026, 2 months later.

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

Registered
Sep 7, 2026
First posted
Sep 11, 2026
StartEst.
Sep 2026
Primary completionEst.
Nov 2026
CompletionEst.
Nov 2026
Last update
Oct 14, 2026
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.
Status
Not yet recruiting→Recruiting
changed Oct 14, 2026
Sites
2 sites added — first site in United States
Show 2 added (2 United States)
  • Greater Houston Eye Consultants · Houston, United States
  • North Texas Eye Specialists · Mesquite, United States
Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    Not yet recruiting→Recruiting
    2 sites added — first site in United States
    Show 2 added (2 United States)
    • Greater Houston Eye Consultants · Houston, United States
    • North Texas Eye Specialists · Mesquite, United States

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
NCT07816224
Lead sponsor
Rehan Ahmed
Responsible party
Rehan Ahmed (Physician, Greater Houston Eye Consultants) — Sponsor-investigator
First posted
Sep 11, 2026
Start date
Sep 2026 (estimated)
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
Oct 14, 2026

Study contacts

Rehan Ahmed, MD
Contact
studytearing@gmail.com
studytearing@gmail.com

Oversight

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

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Studies of the drug tested here: Atropine

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