Lifitegrast 5% Ophthalmic Solution and Contact Lens Dryness

NCT ID: NCT03686878

Last Updated: 2018-09-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-16

Study Completion Date

2017-07-14

Brief Summary

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The most common reason for contact lens discontinuation is contact lens discomfort. The investigators believe that inflammation plays a role in contact lens discomfort and the use of lifitegrast 5% ophthalmic solution may reduce end of the day contact lens discomfort. This study will enroll 21 contact lens users who will be receiving lifitegrast 5% ophthalmic solution and monitor the contact lens discomfort for a 8 week period while.

Detailed Description

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Contact lens discontinuation is mostly associated with ocular discomfort. Most patients identifying dryness as the primary reason for contact lens discontinuation. Patients often resort to contact lens solutions, lubricating and/or rewetting drops to temporality improve their contact lens wearing experience. Clinicians often resort to changing contact lens designs, solutions and wearing modalities to improve comfort.

Contact lens discomfort is believed to be mediated by many factors including inflammation and very similar in clinical symptoms of dry eye disease and symptoms of dryness.

Lifitegrast 5.0% ophthalmic solution is an FDA approved solution for the management of signs and symptoms of dryness of dry eye disease. Studies have shown lifitegrast 5% ophthalmic solution may work by blocking the interaction between ICAM-1 and LFA-1 leading to a decrease in activation and recruitment of T-cells, an initial step in inflammation.

The safety and efficacy of Xiidra has been studied in four, 12 week clinical trials involving over 2,100 patients for signs (https://www.xiidra-ecp.com/efficacy-treating-signs) and symptoms (https://www.xiidra-ecp.com/efficacy-symptom-improvement).

The purpose of this open label, interventional study is to examine the effect of lifitegrast 5% ophthalmic solution in contact lens wearing experience by using the CLDEQ-8.

Conditions

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Contact Lens Contact Lens Discomfort Contact Lens Dryness

Keywords

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Keratoconjunctivitis Sicca Dry Eye Disease Eye Dryness

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Intervention Group

Lifitegrast 5% ophthalmic solution group

Group Type EXPERIMENTAL

Lifitegrast

Intervention Type DRUG

Lifitegrast used twice a day

Interventions

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Lifitegrast

Lifitegrast used twice a day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Agree with study protocol
2. Provide Informed Consent
3. Age 21 or over
4. Previous 10 months history of self-assessed comfortable wear samfilcon A contact lenses

Exclusion Criteria

1. Unable or unwilling to comply with study protocol
2. Unable of unwilling to provide Informed consent
3. Self-reported symptomatic intolerance of contact lenses
4. History of an active anterior segment, eyelids, eyelashes, corneal or conjunctival pathology, ongoing ocular infection, inflammation or any other ocular problem that would require management with additional topical ophthalmic medications.
5. Have had a history of corneal surgery (corneal transplants, LASIK, PRK).

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Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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EV Clinical Trials

OTHER

Sponsor Role lead

Responsible Party

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Agustin Gonzalez

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Eye & Vision

Richardson, Texas, United States

Site Status

Countries

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United States

References

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Efron N. Contact lens wear is intrinsically inflammatory. Clin Exp Optom. 2017 Jan;100(1):3-19. doi: 10.1111/cxo.12487. Epub 2016 Nov 2.

Reference Type BACKGROUND
PMID: 27806431 (View on PubMed)

Godin MR, Gupta PK. Lifitegrast ophthalmic solution in the treatment of signs and symptoms of dry eye disease: design, development, and place in therapy. Clin Ophthalmol. 2017 May 22;11:951-957. doi: 10.2147/OPTH.S117188. eCollection 2017.

Reference Type BACKGROUND
PMID: 28579745 (View on PubMed)

Nichols JJ, Willcox MD, Bron AJ, Belmonte C, Ciolino JB, Craig JP, Dogru M, Foulks GN, Jones L, Nelson JD, Nichols KK, Purslow C, Schaumberg DA, Stapleton F, Sullivan DA; members of the TFOS International Workshop on Contact Lens Discomfort. The TFOS International Workshop on Contact Lens Discomfort: executive summary. Invest Ophthalmol Vis Sci. 2013 Oct 18;54(11):TFOS7-TFOS13. doi: 10.1167/iovs.13-13212. No abstract available.

Reference Type BACKGROUND
PMID: 24058135 (View on PubMed)

Other Identifiers

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LF5-CLD

Identifier Type: -

Identifier Source: org_study_id