Trial Outcomes & Findings for The Effects of Dietary Supplementation With Omega-3 Fatty Acids on Symptoms of Dry Eye (NCT NCT03141931)

NCT ID: NCT03141931

Last Updated: 2020-06-11

Results Overview

Measured using the Ocular Surface Disease Index questionnaire. Ocular surface disease index is assessed on a scale of 0 to 100 with higher score representing greater disability. Scores can range from 10 to 100.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

119 participants

Primary outcome timeframe

3 months

Results posted on

2020-06-11

Participant Flow

Participant milestones

Participant milestones
Measure
Lacritec
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Overall Study
STARTED
61
58
Overall Study
COMPLETED
49
52
Overall Study
NOT COMPLETED
12
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effects of Dietary Supplementation With Omega-3 Fatty Acids on Symptoms of Dry Eye

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Supplement
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Total
n=119 Participants
Total of all reporting groups
Age, Categorical
<=18 years
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
49 Participants
n=5 Participants
42 Participants
n=7 Participants
91 Participants
n=5 Participants
Age, Categorical
>=65 years
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Age, Continuous
38.9 years
STANDARD_DEVIATION 18.2 • n=5 Participants
44.1 years
STANDARD_DEVIATION 19.2 • n=7 Participants
41.43 years
STANDARD_DEVIATION 18.83 • n=5 Participants
Sex: Female, Male
Female
44 Participants
n=5 Participants
37 Participants
n=7 Participants
81 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
21 Participants
n=7 Participants
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
61 Participants
n=5 Participants
58 Participants
n=7 Participants
119 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
35 Participants
n=5 Participants
25 Participants
n=7 Participants
60 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
33 Participants
n=7 Participants
59 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Australia
61 Participants
n=5 Participants
58 Participants
n=7 Participants
119 Participants
n=5 Participants
Ocular Surface Disease Index
37 units on a scale
n=5 Participants
36 units on a scale
n=7 Participants
36 units on a scale
n=5 Participants
Ocular Comfort Index
40.6 units on a scale
n=5 Participants
38.9 units on a scale
n=7 Participants
39.0 units on a scale
n=5 Participants
Dry Eye Questionnaire - 5
12.43 units on a scale
n=5 Participants
11.5 units on a scale
n=7 Participants
11.80 units on a scale
n=5 Participants
Non-invasive tear break-up time
11.7 seconds
STANDARD_DEVIATION 5.1 • n=5 Participants
12.0 seconds
STANDARD_DEVIATION 6.4 • n=7 Participants
11.70 seconds
STANDARD_DEVIATION 6.28 • n=5 Participants
Tear Evaporation
58.03 g.m^2.h
n=5 Participants
58.36 g.m^2.h
n=7 Participants
58.24 g.m^2.h
n=5 Participants

PRIMARY outcome

Timeframe: 3 months

Population: All participant received at-least one dose of treatment.

Measured using the Ocular Surface Disease Index questionnaire. Ocular surface disease index is assessed on a scale of 0 to 100 with higher score representing greater disability. Scores can range from 10 to 100.

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Subjective Ocular Symptoms
27.42 score on a scale
Interval 11.18 to 43.66
27.43 score on a scale
Interval 11.8 to 43.48

PRIMARY outcome

Timeframe: 3 months

Population: All participants received at least one dose of treatment.

Measured using the Ocular Comfort Index questionnaire. Ocular comfort index questionnaire score range from 0 to 72. Lowest slow indicates better subjective symptoms.

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Subjective Ocular Comfort
35.61 score on a scale
Interval 27.08 to 44.14
35.66 score on a scale
Interval 27.11 to 44.21

PRIMARY outcome

Timeframe: 3 months

Population: All participants received at least one dose of treatment.

Measured using the Dry Eye Questionnaire 5. Dry eye questionnaire 5 score ranges from 0 to 22. Lower score represents better outcome.

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Subjective Ocular Dryness
9.75 score on a scale
Interval 5.81 to 13.69
9.78 score on a scale
Interval 5.89 to 13.67

SECONDARY outcome

Timeframe: 3 months

Population: All participants received at least one dose of treatment.

Measured in seconds using the Oculus Keratograph. Higher value represents better outcome.

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Non-invasive Tear Film Break-up Time
11.50 Seconds
Interval 5.84 to 17.16
11.49 Seconds
Interval 5.88 to 17.1

SECONDARY outcome

Timeframe: 3 months

Population: All participants received at least one dose of treatment.

Measured in g.m\^2.h using the Vapometer

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Tear Evaporation Rate
59.10 g.m^2.h
Standard Deviation 25.41
59.11 g.m^2.h
Standard Deviation 25.48

SECONDARY outcome

Timeframe: 3 months

Population: All participants received at least one dose of treatment.

Measured in millimeters using the Oculus Keratograph 5M

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Tear Meniscus Height
0.26 mm
Standard Deviation 0.10
0.27 mm
Standard Deviation 0.19

SECONDARY outcome

Timeframe: 3 months

Population: All participants received at least one dose of treatment.

Measured in millimeters using phenol red thread tests

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Tear Volume
18.17 mm
Standard Deviation 6.73
18.13 mm
Standard Deviation 6.89

SECONDARY outcome

Timeframe: 3 months

Population: All participants received at least one dose of treatment.

Measured in nanometers using the LipiView ocular surface interferometer

Outcome measures

Outcome measures
Measure
Lacritec
n=61 Participants
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 Participants
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Tear Film Lipid Layer Thickness
64.59 nm
Standard Deviation 20.33
64.84 nm
Standard Deviation 19.98

Adverse Events

Lacritec

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Lacritec
n=61 participants at risk
Combination of flaxseed oil, borage oil and fish oil omega-3 fatty acids Lacritec: Concentrated Omega-3 Triglycerides-fish 332 mg Equiv. Eicosapentaenoic Acid (EPA) 134 mg Equiv. Docosahexaenoic Acid (DHA) 66.8 mg Flax Seed Oil (Linseed Oil) 334 mg Equiv. Oleic acid 58.5 mg Equiv. Linoleic acid 58.5 mg Equiv. Linolenic acid 192 mg Borago officinalis seed oil fixed (Borage) 434 mg Equiv. gamma-Linolenic acid 95.5 mg
Placebo
n=58 participants at risk
Polyethylene glycol, Oleic acid, Propylene glycol Placebo: polyethylene glycol (500mg), oleic acid (659mg) and propylene glycol (115mg)
Gastrointestinal disorders
Digestive issues
21.3%
13/61 • Number of events 13 • 3 months
25.9%
15/58 • Number of events 15 • 3 months

Additional Information

Dr Jacqueline Tan

University of New South Wales

Phone: +61 (02) 9385 6551

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place