BroadBand Light for the Treatment of Dry Eye Disease

NCT ID: NCT06174064

Last Updated: 2023-12-18

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-01

Study Completion Date

2025-08-30

Brief Summary

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The investigators will be evaluating the use of broadband light in Dry Eye and Meibomian Gland Dysfunction.

Detailed Description

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Broadband light (BBL) is a widely used treatment for improvement of inflammatory dermatologic conditions such as acne and rosacea, and may have similar therapeutic benefits on the treatment of dry eye disease by targeting inflammation of the eyelids. The investigators propose a prospective study to determine the safety and efficacy of BBL treatment on patients with dry eye disease and meibomian gland dysfunction. Each participant will have three treatments of BBL at monthly intervals to the cheek and periorbital area with subsequent follow up. Measured endpoints will include signs and symptoms of dry eye control including full ophthalmic exam, dry eye diagnostic testing, photographs, and standardized questionnaires.

Conditions

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Dry Eye Syndromes Meibomian Gland Dysfunction

Keywords

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Dry eye Blepharitis Meibomian gland dysfunction intense pulsed light

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomized to three arms: protocol 1, 2, and sham
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Patients will be randomized to protocol 1, 2, or sham but will not be aware of their assignment; investigators grading dry eye at baseline and after treatment will not be aware of which protocol the patients underwent.

Study Groups

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Protocol 1--420 and 560nm wavelengths

Broadband light treatment Patients will be treated with BBL with 420nm wavelength filter followed by 560nm wavelength filter to malar and periorbital areas once monthly for 3 months. Dry eye evaluation consisting of clinical testing as well as quality of life questionnaires will be performed at baseline and after the last BBL treatment.

Group Type ACTIVE_COMPARATOR

Broadband Light treatment

Intervention Type DEVICE

While shielding the eyes, multiple passes of broadband light will be applied to the upper cheeks and eyelids after applying topical lidocaine.

Protocol 2--560nm wavelength

Broadband Light treatment Patients will be treated with BBL with 560nm wavelength filter to malar and periorbital areas once monthly for 3 months. Dry eye evaluation consisting of clinical testing as well as quality of life questionnaires will be performed at baseline and after the last BBL treatment.

Group Type ACTIVE_COMPARATOR

Broadband Light treatment

Intervention Type DEVICE

While shielding the eyes, multiple passes of broadband light will be applied to the upper cheeks and eyelids after applying topical lidocaine.

Sham

Sham Broadband Light Treatment Patients will undergo the same preparation and procedure as for BBL treatment but the light source will be occluded. Patients will be treated with sham to malar and periorbital areas once monthly for 3 months. Dry eye evaluation consisting of clinical testing as well as quality of life questionnaires will be performed at baseline and after the last sham treatment.

Group Type SHAM_COMPARATOR

Sham broadband light treatment

Intervention Type DEVICE

The light will be occluded on the usual BBL device so that no treatment is delivered but the preparation and procedure will otherwise be the same.

Interventions

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Broadband Light treatment

While shielding the eyes, multiple passes of broadband light will be applied to the upper cheeks and eyelids after applying topical lidocaine.

Intervention Type DEVICE

Sham broadband light treatment

The light will be occluded on the usual BBL device so that no treatment is delivered but the preparation and procedure will otherwise be the same.

Intervention Type DEVICE

Other Intervention Names

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Intense Pulsed Light

Eligibility Criteria

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Inclusion Criteria

* Fitzpatrick Skin Type I-V
* Must be diagnosed with Dry eye disease (DED) and meibomian gland dysfunction (MGD)
* Persistent dry eye signs and or symptoms after at least one prior DED treatment modality

Exclusion Criteria

* Prior Intense pulsed light treatment for DED within the past six months
* Prior Meibomian gland treatment with a device for DED within the past three months
* History of trauma-induced ocular surface disease (thermal burns, chemical burns)
* Subject is pregnant
* History of seizures
* Having significant unprotected sun exposure within the treatment area
* Use of Accutane within the last six months
* Use of doxycycline in the last 1 month
* Allergy to proparacaine or lidocaine
* Having active herpes simplex virus infection within the treatment area
* Laser eye surgery (LASIK) within the past twelve months
* History of abnormal response to sunlight
* Having an active medical condition that may affect normal healing
* Having active infections or compromised immune system
* History of basal cell carcinoma in the treatment area within the past twelve months
* History of keloid scar formation
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ophthalmic Surgeons & Consultants of Ohio, Inc.

OTHER

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Sandy Zhang-Nunes

Director of Oculoplastics, USC Roski Eye Institute

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sandy Zhang-Nunes, MD

Role: PRINCIPAL_INVESTIGATOR

USC Roski Eye Institute

Central Contacts

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Sandy Zhang-Nunes, MD

Role: CONTACT

Phone: 323-442-6335

Email: [email protected]

Jessica R Chang, MD

Role: CONTACT

Phone: 323-442-6785

Email: [email protected]

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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USCBBLDRYEYE

Identifier Type: -

Identifier Source: org_study_id