Trial Outcomes & Findings for TrueTear in Sjogren's Disease Patients (NCT NCT03719885)

NCT ID: NCT03719885

Last Updated: 2023-07-07

Results Overview

Tear production measured immediately following intranasal tear neurostimulation. For this measurement, Schirmer strips (small strips of paper with measurements on them) are placed in the corner of each eye. The amount of wetting of the Schirmer strips is measured in millimeters. Wetting of less than 5 mm is indicative of deficient tear production.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

55 participants

Primary outcome timeframe

Immediately following the procedure (ie immediately following use of the device)

Results posted on

2023-07-07

Participant Flow

Participant milestones

Participant milestones
Measure
Study Group
The participants recruited for this study were those who were 22 years or older, had a clinical diagnosis of Sjogren's Syndrome (SS), and produced 10 mm. or less of tears over the course of 5 minutes (measured using Schirmer strips). They also had to have an OSDI score ≥13.
Overall Study
STARTED
55
Overall Study
COMPLETED
35
Overall Study
NOT COMPLETED
20

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

TrueTear in Sjogren's Disease Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Group
n=35 Participants
The participants recruited for this study were those who had a clinical diagnosis of Sjogren's Syndrome (SS) and produced 10 mm. or less of tears over the course of 5 minutes (measured using Schirmer strips).
Age, Continuous
57.1 years
STANDARD_DEVIATION 11.4 • n=5 Participants
Sex: Female, Male
Female
35 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Year of Sjogren's diagnosis
Prior to 2000
3 Participants
n=5 Participants
Year of Sjogren's diagnosis
2000 - 2010
11 Participants
n=5 Participants
Year of Sjogren's diagnosis
After 2010
21 Participants
n=5 Participants
OSDI Score
50.5 units on a scale
STANDARD_DEVIATION 21 • n=5 Participants

PRIMARY outcome

Timeframe: Immediately following the procedure (ie immediately following use of the device)

Tear production measured immediately following intranasal tear neurostimulation. For this measurement, Schirmer strips (small strips of paper with measurements on them) are placed in the corner of each eye. The amount of wetting of the Schirmer strips is measured in millimeters. Wetting of less than 5 mm is indicative of deficient tear production.

Outcome measures

Outcome measures
Measure
Intervention
n=35 Participants
TrueTear Intranasal Tear Neurostimulator: This study will evaluate the difference between active and control applications in tear production during active stimulation as measured by Schirmer testing
Schirmer Testing
Cotton Swab
10.2 mm.
Standard Deviation 1.3
Schirmer Testing
Extranasal Application
0.8 mm.
Standard Deviation 0.8
Schirmer Testing
Intranasal Application
13.5 mm.
Standard Deviation 1.6

SECONDARY outcome

Timeframe: Immediately following the procedure (ie immediately following use of the device)

Population: Participants' eyes were examined pre and post active application to confirm that the device did not cause any changes to the participant's vision. A serious change in vision would have been reported as an adverse event

Clinically significant change in Best corrected visual acuity (BCVA)- this measurement was taken to determine if a significant change in BCVA was noted for participants. If a clinically significant change was noted (greater or equal to 2 lines of vision) then a subject would be listed in the data table below.

Outcome measures

Outcome measures
Measure
Intervention
n=35 Participants
TrueTear Intranasal Tear Neurostimulator: This study will evaluate the difference between active and control applications in tear production during active stimulation as measured by Schirmer testing
Clinically Significant Changes in Visual Acuity
0 Participants

SECONDARY outcome

Timeframe: Immediately following the procedure (ie immediately following use of the device)

Population: Eyes were examined pre and post active application to confirm that the device did not cause any changes to the physical structure or appearance of the eyes

Clinically significant changes in slit lamp examination . Subjects who experienced clinically significant changes would be represented in the data table below.

Outcome measures

Outcome measures
Measure
Intervention
n=35 Participants
TrueTear Intranasal Tear Neurostimulator: This study will evaluate the difference between active and control applications in tear production during active stimulation as measured by Schirmer testing
Clinically Significant Changes in Slit Lamp Exam
0 Participants

SECONDARY outcome

Timeframe: Immediately following the procedure (ie immediately following use of the device)

Population: All participants who used the device were observed for any adverse events

Pain, headache, nosebleed, etc felt to be associated with use of the device

Outcome measures

Outcome measures
Measure
Intervention
n=35 Participants
TrueTear Intranasal Tear Neurostimulator: This study will evaluate the difference between active and control applications in tear production during active stimulation as measured by Schirmer testing
Number of Adverse Events
1 occurance of adverse event

Adverse Events

Study Group

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Study Group
n=55 participants at risk
The participants recruited for this study were those who had a clinical diagnosis of Sjogren's Syndrome (SS) and produced 10 mm. or less of tears over the course of 5 minutes (measured using Schirmer strips).
Eye disorders
Small conjunctival hemorrhage
1.8%
1/55 • Adverse events were collected throughout the duration of the study (from the time the patient was enrolled in the study until they completed visit 2). We also provided patients with our contact information, in case they experienced any adverse events in the days following visit 2.
The adverse event data was collected immediately following the event. The subject was also called a week later to ensure that the issue had resolved.

Additional Information

Research Coordinator

Penn Medicine

Phone: 215-662-9393

Results disclosure agreements

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