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This is a controlled, randomized, subject-masked, 3x3 crossover, non-dispensing, contralateral study. Twenty subjects will be recruited based on their scores (with their habitual lenses) from the Contact Lens Dry Eye Questionnaire-8 and examined on four occasions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Upper lid margin/Lower lid margin/Cornea | Experimental | Subjects that are at least 18 years of age wearing their habitual lenses will be randomized into one of six unique sequences of an ocular surface region. For each region within a sequence, the two treatments will be randomly assigned to the left and right eye (anesthesia left eye/placebo right eye OR placebo left eye/anesthesia left eye). |
|
| Lower lid margin/Cornea/ Upper lid margin | Experimental | Subjects that are at least 18 years of age wearing their habitual lenses will be randomized into one of six unique sequences. For each region within a sequence, the two treatments will be randomly assigned to the left and right eye (anesthesia left eye/placebo right eye OR placebo left eye/anesthesia left eye). |
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| Cornea/Upper lid margin/Lower lid margin | Experimental | Subjects that are at least 18 years of age wearing their habitual lenses will be randomized into one of six unique sequences. For each region within a sequence, the two treatments will be randomly assigned to the left and right eye (anesthesia left eye/placebo right eye OR placebo left eye/anesthesia left eye). |
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| Cornea/Lower lid margin/Upper lid margin | Experimental | Subjects that are at least 18 years of age wearing their habitual lenses will be randomized into one of six unique sequences. For each region within a sequence, the two treatments will be randomly assigned to the left and right eye (anesthesia left eye/placebo right eye OR placebo left eye/anesthesia left eye). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Local Anesthesia | Diagnostic Test | Minims Proxymetacaine hydrochloride Eye Drops |
|
| Measure | Description | Time Frame |
|---|---|---|
| Subjective Comfort Scores | Subjects were asked to rate how comfortable each eye was overall using a visual analog scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | 5 and 10 Minutes post-treament |
| Change in Subjective Comfort Scores From Pre-treatment to Post-treatment | Subjects were asked to rate how comfortable each eye was overall using a visual analog scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. Subjects wore their habitual contacts during the pre-treatment assessment. | 14-Hours upon Lens-Insertion (pre-treatment), and 10 Minutes post-treament |
| Subjective Comfort Score Difference Between Post-treatment and Post-insertion Within Anesthetic | Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | Immediately after lens-insertion, 5 and 10 minutes post-treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Subjective Comfort Between Ocular Regions at Posttreatment Within Anesthetic | Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | 5 and 10 minutes post treatment |
| Change in Subjective Comfort From Pre-treatment to Post-Treatment Between Ocular Regions |
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Inclusion Criteria:
Potential subjects must satisfy all of the following criteria to be enrolled in the study:
They are of legal age (18 years) and capacity of volunteer.
The subject must read, understand, and sign the STATEMENT OF INFORMED CONSENT and receive a fully executed copy of the form.
They must appear able and willing to adhere to the instructions set forth in this clinical protocol.
They have worn the same brand of soft spherical contact lenses for at least the previous three months, by self-report.
They are defined as 'symptomatic' contact lens wearers (CLDEQ-8 score of 20-37) with their habitual contact lenses.
They are willing to wear their lenses for approximately 14 hours on study days.
They have a wearable pair of spectacles, if applicable.
They agree not to participate in other clinical research for the duration of this study.
They can attain high contrast logMAR visual acuity of 0.20 or better in their habitual contact lenses in each eye.
Exclusion Criteria:
Potential subjects who meet any of the following criteria will be excluded from participating in the study:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Manchester | Manchester | M13 9PL | United Kingdom |
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A total of 22 subjects were enrolled in this study. Of those enrolled, 20 were dispensed at least one study lens while 2 subjects failed to meet all eligibility criteria. Of those dispensed, 17 completed the study while 3 subjects were discontinued.
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| ID | Title | Description |
|---|---|---|
| FG000 | Lower Lid Margin/Upper Lid Margin/Cornea | Subjects assigned to recieved two treatmens contralaterally, in the lower lid margin during period 1, the upper lid margin during period 2 and the cornea at period 3. |
| FG001 | Lower Lid Margin/Cornea/Upper Lid Margin | Subjects assigned to recieved two treatmens contralaterally, in the lower lid margin during period 1, the cornea during period 2 and the upper lid margin during period 3. |
| FG002 | Upper Lid Margin/Lower Lid Margin/Cornea | Subjects assigned to recieved two treatmens contralaterally, in the upper lid margin during period 1, the lower lid margin during period 2 and the cornea during period 3. |
| FG003 | Upper Lid Margin/Cornea/Lower Lid Margin | Subjects assigned to recieved two treatmens contralaterally, in the upper lid margin during period 1, the cornea during period 2 and the lower lid margin during period 3. |
| FG004 | Cornea/Lower Lid Margin/Upper Lid Margin | Subjects assigned to recieved two treatmens contralaterally, in the Cornea during period 1, the lower lid margin during period 2 and the upper lid maring during period 3. |
| FG005 | Cornea/Upper Lid Margin/Lower Lid Margin | Subjects assigned to recieved two treatmens contralaterally, in the Cornea during period 1, the upper lid margin during period 2 and the lower lid maring during period 3. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period 1 |
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| Period 2 |
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| Period 3 |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Dispensed Subjects | All subjects dispensed at least one study lens. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Subjective Comfort Scores | Subjects were asked to rate how comfortable each eye was overall using a visual analog scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | All randomized subjects regardless of actual treatment and subsequent withdrawl from the study or deviation from protocol. | Posted | Mean | Standard Deviation | Units on a Scale | 5 and 10 Minutes post-treament | eyes | eyes |
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Throughout the entire duration of the study. Up to 6-weeks per subject.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | subjects that were exposed to the placebo during any point in the study. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Thomas Karkkainen, OD, MS, FAAO Sr. Principal Research Optometrist | Johnson & Johnson Vision Care, Inc. | 904-443-3402 | TKarkkai@its.jnj.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 24, 2018 | Jan 24, 2020 | Prot_SAP_000.pdf |
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|
| Upper lid margin/Cornea/Lower lid margin | Experimental | Subjects that are at least 18 years of age wearing their habitual lenses will be randomized into one of six unique sequences. For each region within a sequence, the two treatments will be randomly assigned to the left and right eye (anesthesia left eye/placebo right eye OR placebo left eye/anesthesia left eye). |
|
| Lower lid margin/Upper lid margin/Cornea | Experimental | Subjects that are at least 18 years of age wearing their habitual lenses will be randomized into one of six unique sequences. For each region within a sequence, the two treatments will be randomly assigned to the left and right eye (anesthesia left eye/placebo right eye OR placebo left eye/anesthesia left eye). |
|
| Placebo | Diagnostic Test | Sodium Chloride Solution |
|
Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. |
| 14 hours upon lens-insertion (pre-treatment), 5- and 10- minutes post-treatment |
| Subjective Comfort Difference Between Post-removal and Preinsertion Within Anesthetic and Cornea | Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | Immediately before lens-insertion (pre-insertion), 30 seconds after lens removal |
| COMPLETED |
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| NOT COMPLETED |
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| COMPLETED |
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| NOT COMPLETED |
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| Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Count of Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| OG002 | Test (Anesthetic) - Upper Lid Margin | Eyes that instilled the Test in either the right or left upper lid margin. |
| OG003 | Placebo- Upper Lid Margin | Eyes that instilled the Placebo in either the right or left upper lid margin. |
| OG004 | Test (Anesthetic)- Lower Lid Margin | Eyes that instilled the Test in either the right or left lower lid margin. |
| OG005 | Placebo- Lower Lid Margin | Eyes that instilled the Placebo in either the right or left lower lid margin. |
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|
|
| Primary | Change in Subjective Comfort Scores From Pre-treatment to Post-treatment | Subjects were asked to rate how comfortable each eye was overall using a visual analog scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. Subjects wore their habitual contacts during the pre-treatment assessment. | All randomized subjects regardless of actual treatment and subsequent withdrawl from the study or deviation from protocol. | Posted | Mean | Standard Deviation | Units on a Scale | 14-Hours upon Lens-Insertion (pre-treatment), and 10 Minutes post-treament | eyes | eyes |
|
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|
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| Primary | Subjective Comfort Score Difference Between Post-treatment and Post-insertion Within Anesthetic | Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | All randomized subjects regardless of actual treatment and subsequent withdrawal from study or deviation from protocol. | Posted | Mean | Standard Deviation | Units on a Scale | Immediately after lens-insertion, 5 and 10 minutes post-treatment | eyes | eyes |
|
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|
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| Secondary | Change in Subjective Comfort Between Ocular Regions at Posttreatment Within Anesthetic | Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | All randomized subjects regardless of actual treatment and subsequent withdrawal from study or deviation from protocol. | Posted | Mean | Standard Deviation | Units on a Scale | 5 and 10 minutes post treatment | eyes | eyes |
|
|
|
|
| Secondary | Change in Subjective Comfort From Pre-treatment to Post-Treatment Between Ocular Regions | Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | All randomized subjects regardless of actual treatment and subsequent withdrawal from study or deviation from protocol. | Posted | Mean | Standard Deviation | Units on a Scale | 14 hours upon lens-insertion (pre-treatment), 5- and 10- minutes post-treatment | eyes | eyes |
|
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|
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| Secondary | Subjective Comfort Difference Between Post-removal and Preinsertion Within Anesthetic and Cornea | Subjects were asked to rate how comfortable each eye was overall on the scale of 0 to 100 where 0=worse comfort imaginable and 100=best comfort imaginable. | All randomized subjects regardless of actual treatment and subsequent withdrawl from study or deviation from protocol. | Posted | Mean | Standard Deviation | Units on a Scale | Immediately before lens-insertion (pre-insertion), 30 seconds after lens removal | Eyes | Eyes |
|
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| 0 |
| 20 |
| 0 |
| 20 |
| 0 |
| 20 |
| EG001 | Test (Anesthetic) | Subjects that were exposed to the Anesthetic during any point in the study. | 0 | 20 | 0 | 20 | 0 | 20 |
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| eyes |
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| 10- Mintues Post Treatment |
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| Pre-treatment |
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| 10-Minutes Post Treatment | Linear Mixed Model | Least-square Mean Difference | 0.4 | Standard Error of the Mean | 6.30 | 2-Sided | 95 | -12.1 | 12.9 | Difference was calculated as Test - Placebo | Superiority | Subjective comfort was analyzed using linear mixed model. Statistical inference was made based on the 95% confidence interval constructed for the least square mean difference. |
| 5-Minutes Post Treatment | Linear Mixed Model | Least-Square Mean Difference | 0.3 | Standard Error of the Mean | 5.92 | 2-Sided | 95 | -11.4 | 12.1 | difference was calculated as Test - Placebo. | Superiority | Subjective comfort was analyzed using linear mixed model. Statistical inference was made based on the 95% confidence interval constructed for the least square mean difference. |
| 10-Mintues Post Treatment | Linear Mixed Model | Least-square Mean Difference | 2.4 | Standard Error of the Mean | 5.83 | 2-Sided | 95 | -9.2 | 14.0 | Difference was calculated as Test - Placebo. | Superiority | Subjective comfort was analyzed using linear mixed model. Statistical inference was made based on the 95% confidence interval constructed for the least square mean difference. |
| 5-Mintues Post Treatment | Linear Mixed Model | Least-square Mean Difference | 2.9 | Standard Error of the Mean | 5.76 | 2-Sided | 95 | -8.5 | 14.3 | Difference was calculated as Test - Placebo. | Superiority | Subjective comfort was analyzed using linear mixed model. Statistical inference was made based on the 95% confidence interval constructed for the least square mean difference. |
| 10-Mintues Post Treatment | Linear Mixed Model | Least-sqaure Mean Difference | 7.6 | Standard Error of the Mean | 5.67 | 2-Sided | 95 | -3.7 | 18.8 | difference was calculated as Test - Placebo. | Superiority | Subjective comfort was analyzed using linear mixed model. Statistical inference was made based on the 95% confidence interval constructed for the least square mean difference. |
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| 10 Minutes Post Treatment |
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| 10-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | -4.3 | Standard Error of the Mean | 4.85 | 2-Sided | 95 | -13.9 | 5.3 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0 for at least one of the three ocular regions (upper lid margin, lower lid margin, or cornea). | Mean difference was calculated as (10-min Post-Treatment MINUS Immediate Post-insertion). |
| 5-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | -16.4 | Standard Error of the Mean | 4.04 | 2-Sided | 95 | -24.4 | -8.3 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0 for at least one of the three ocular regions (upper lid margin, lower lid margin, or cornea). | Mean difference was calculated as (5-min Post-Treatment MINUS Immediate Post-insertion). |
| 10-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | -9.6 | Standard Error of the Mean | 4.14 | 2-Sided | 95 | -17.8 | -1.4 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0 for at least one of the three ocular regions (upper lid margin, lower lid margin, or cornea). | Mean difference was calculated as (10-min Post-Treatment MINUS Immediate Post-insertion). |
| 5-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | -12.3 | Standard Error of the Mean | 4.15 | 2-Sided | 95 | -20.6 | -4.1 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0 for at least one of the three ocular regions (upper lid margin, lower lid margin, or cornea). | Mean difference was calculated as (5-min Post-Treatment MINUS Immediate Post-insertion). |
| 10-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | -8.2 | Standard Error of the Mean | 4.25 | 2-Sided | 95 | -16.7 | 0.2 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0 for at least one of the three ocular regions (upper lid margin, lower lid margin, or cornea). | Mean difference was calculated as (10-min Post-Treatment MINUS Immediate Post-insertion). |
|
|
5-Minutes Post Treatment |
| Mixed Models Analysis |
| Mean Difference (Final Values) |
| 8.5 |
| Standard Error of the Mean |
| 4.77 |
| 2-Sided |
| 95 |
| -1.0 |
| 18.0 |
| Superiority |
Superiority was concluded if the lower limit of 95% confidence interval was greater than 0. |
Mean Difference was cacluated as Corneal - Lower Lid Margin |
| 10-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | 6.8 | Standard Error of the Mean | 5.12 | 2-Sided | 95 | -3.5 | 17.0 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0. | Mean Difference was cacluated as Corneal - Upper Lid Margin |
| 5-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | 11.2 | Standard Error of the Mean | 4.82 | 2-Sided | 95 | 1.6 | 20.8 | Superiority | Subjective comfort was analyzed using linear mixed model. Statistical inference was made based on the 95% confidence interval constructed for the least square mean difference. | Mean Difference was cacluated as Corneal - Upper Lid Margin |
|
| 10-Minutes Post Treatment |
|
| 5-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | 7.8 | Standard Error of the Mean | 6.10 | 2-Sided | 95 | -4.9 | 19.9 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0. | Mean Difference was cacluated as Corneal - Lower Lid Margin: 5-mintues post treatment - Pre Treatment. |
| 10-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | 2.9 | Standard Error of the Mean | 6.19 | 2-Sided | 95 | -9.3 | 15.2 | Superiority | Superiority was concluded if the lower limit of 95% confidence interval was greater than 0. | Mean Difference was cacluated as Corneal - Upper Lid Margin: 10-mintues post treatment - Pre Treatment. |
| 5-Minutes Post Treatment | Mixed Models Analysis | Mean Difference (Final Values) | 7.4 | Standard Error of the Mean | 6.17 | 2-Sided | 95 | -4.9 | 19.6 | Superiority | Subjective comfort was analyzed using linear mixed model. Statistical inference was made based on the 95% confidence interval constructed for the least square mean difference. | Mean Difference was cacluated as Corneal - Upper Lid Margin: 5-mintues post treatment - Pre Treatment. |