Neurosensory Abnormalities in SymptomAtic Ocular Surface Patients (NASA)

NCT ID: NCT04838223

Last Updated: 2026-01-27

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

SUSPENDED

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-07-02

Study Completion Date

2026-07-31

Brief Summary

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This study is designed to measure how common nerve abnormalities are within a group of patients who feel discomfort within their eyes.

Detailed Description

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Conditions

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Dry Eye Neuropathic Pain

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Neuropathic Corneal Pain with Ocular Surface Discomfort

Participants diagnosed with neuropathic corneal pain with ocular surface discomfort

Hyperosmolar Response

Intervention Type OTHER

A single drop of hypertonic sodium chloride solution at room temperature will be instilled in each eye and change in pain/other symptoms after up to 90 seconds of application (to account for any initial irritation symptoms) will be observed.

Proparacaine Challenge Test

Intervention Type OTHER

A single drop of Proparacaine hydrochloride ophthalmic solution, (Alcaine®, 0.5%) will be used on each eye respectively and any change in pain/other symptoms will be noted after 90 seconds (to account for initial discomfort from the preservative in Proparacaine solution).

Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) Optional; only for Contact Lens Wearers

Intervention Type OTHER

The CLDEQ-8 is a validated eight-item scaled questionnaire developed to reflect the overall opinion of soft contact lenses.

Ocular Pain Assessment Survey (OPAS)

Intervention Type OTHER

Twenty seven-item quantitative questionnaire designed to provide an assessment of the symptoms and quality of life effect of ocular pain \[18\]. The 27 items of the OPAS questionnaire are graded on a scale of 0 to 10, or 10 to 100, where 0 indicates none and 10 or 100 indicate maximum.

Visual Analogue Questionnaire

Intervention Type OTHER

Symptoms of ocular comfort and dryness will be graded for each eye on a scale of 0-10, where 0=extremely uncomfortable, extremely dry and 10=excellent comfort, no dryness. An average rating will be provided for the morning, afternoon and evening.

Neuropathic Corneal Pain with Dry Eye Disease

Participants diagnosed with dry eye disease and neuropathic corneal pain

Hyperosmolar Response

Intervention Type OTHER

A single drop of hypertonic sodium chloride solution at room temperature will be instilled in each eye and change in pain/other symptoms after up to 90 seconds of application (to account for any initial irritation symptoms) will be observed.

Proparacaine Challenge Test

Intervention Type OTHER

A single drop of Proparacaine hydrochloride ophthalmic solution, (Alcaine®, 0.5%) will be used on each eye respectively and any change in pain/other symptoms will be noted after 90 seconds (to account for initial discomfort from the preservative in Proparacaine solution).

Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) Optional; only for Contact Lens Wearers

Intervention Type OTHER

The CLDEQ-8 is a validated eight-item scaled questionnaire developed to reflect the overall opinion of soft contact lenses.

Ocular Pain Assessment Survey (OPAS)

Intervention Type OTHER

Twenty seven-item quantitative questionnaire designed to provide an assessment of the symptoms and quality of life effect of ocular pain \[18\]. The 27 items of the OPAS questionnaire are graded on a scale of 0 to 10, or 10 to 100, where 0 indicates none and 10 or 100 indicate maximum.

Visual Analogue Questionnaire

Intervention Type OTHER

Symptoms of ocular comfort and dryness will be graded for each eye on a scale of 0-10, where 0=extremely uncomfortable, extremely dry and 10=excellent comfort, no dryness. An average rating will be provided for the morning, afternoon and evening.

NCP or Dry Eye in patients with ocular surface discomfort

Participants diagnosed with neuropathic corneal pain or with a neuropathic component of dry eye in patients with ocular surface discomfort

Hyperosmolar Response

Intervention Type OTHER

A single drop of hypertonic sodium chloride solution at room temperature will be instilled in each eye and change in pain/other symptoms after up to 90 seconds of application (to account for any initial irritation symptoms) will be observed.

Proparacaine Challenge Test

Intervention Type OTHER

A single drop of Proparacaine hydrochloride ophthalmic solution, (Alcaine®, 0.5%) will be used on each eye respectively and any change in pain/other symptoms will be noted after 90 seconds (to account for initial discomfort from the preservative in Proparacaine solution).

Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) Optional; only for Contact Lens Wearers

Intervention Type OTHER

The CLDEQ-8 is a validated eight-item scaled questionnaire developed to reflect the overall opinion of soft contact lenses.

Ocular Pain Assessment Survey (OPAS)

Intervention Type OTHER

Twenty seven-item quantitative questionnaire designed to provide an assessment of the symptoms and quality of life effect of ocular pain \[18\]. The 27 items of the OPAS questionnaire are graded on a scale of 0 to 10, or 10 to 100, where 0 indicates none and 10 or 100 indicate maximum.

Visual Analogue Questionnaire

Intervention Type OTHER

Symptoms of ocular comfort and dryness will be graded for each eye on a scale of 0-10, where 0=extremely uncomfortable, extremely dry and 10=excellent comfort, no dryness. An average rating will be provided for the morning, afternoon and evening.

Interventions

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Hyperosmolar Response

A single drop of hypertonic sodium chloride solution at room temperature will be instilled in each eye and change in pain/other symptoms after up to 90 seconds of application (to account for any initial irritation symptoms) will be observed.

Intervention Type OTHER

Proparacaine Challenge Test

A single drop of Proparacaine hydrochloride ophthalmic solution, (Alcaine®, 0.5%) will be used on each eye respectively and any change in pain/other symptoms will be noted after 90 seconds (to account for initial discomfort from the preservative in Proparacaine solution).

Intervention Type OTHER

Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) Optional; only for Contact Lens Wearers

The CLDEQ-8 is a validated eight-item scaled questionnaire developed to reflect the overall opinion of soft contact lenses.

Intervention Type OTHER

Ocular Pain Assessment Survey (OPAS)

Twenty seven-item quantitative questionnaire designed to provide an assessment of the symptoms and quality of life effect of ocular pain \[18\]. The 27 items of the OPAS questionnaire are graded on a scale of 0 to 10, or 10 to 100, where 0 indicates none and 10 or 100 indicate maximum.

Intervention Type OTHER

Visual Analogue Questionnaire

Symptoms of ocular comfort and dryness will be graded for each eye on a scale of 0-10, where 0=extremely uncomfortable, extremely dry and 10=excellent comfort, no dryness. An average rating will be provided for the morning, afternoon and evening.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Presents with ocular surface discomfort or for dry eye care
* Best corrected visual acuity of 20/40 or better in each eye
* Subject reported duration of symptoms of at least 3 months
* 100 subjects will be required to be habitual contact lens wearers as defined by use of contact lenses at least 5 hours per day at least 5 days per week for the last year.

Exclusion Criteria

* Use of contact lenses on the day of the visit
* Pregnant or nursing
* Irregular corneas (e.g., ectatic disease, transplantation, or corneal dystrophies)
* Ocular surgery in the past 3 months
* Ocular infection in the past 3 months
* Active ocular allergies
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CooperVision International Limited (CVIL)

INDUSTRY

Sponsor Role collaborator

Bausch & Lomb Incorporated

INDUSTRY

Sponsor Role collaborator

Tufts Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pedram Hamrah, MD

Role: PRINCIPAL_INVESTIGATOR

Tufts Medical Center

Locations

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Canyon City Eye Care

Azusa, California, United States

Site Status

Western University of Health Sciences

Pomona, California, United States

Site Status

University of California at San Francisco - Francis I Proctor Foundation

San Francisco, California, United States

Site Status

Bruce W. Carter VA Medical Center

Miami, Florida, United States

Site Status

University of Illinois at Chicago

Chicago, Illinois, United States

Site Status

Illinois College of Optometry

Chicago, Illinois, United States

Site Status

Kannarr Eye Care

Pittsburg, Kansas, United States

Site Status

University of Maryland

Baltimore, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Korb & Associates

Boston, Massachusetts, United States

Site Status

Midwest Vision Research Foundation at Prepose Vision Institute

St Louis, Missouri, United States

Site Status

Ophthalmology Associates

St Louis, Missouri, United States

Site Status

Vita Eye Clinic

Shelby, North Carolina, United States

Site Status

SkyVision Centers

Westlake, Ohio, United States

Site Status

Hospital of the University of Pennsylvania (Scheie Eye Institute Perelman)

Philadelphia, Pennsylvania, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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00000319

Identifier Type: -

Identifier Source: org_study_id

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