Comparison of Topical Treatment for Inflammatory Secretions of the Conjonctiva (Patients With Ocular Prostheses)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-85
SponsorAgnes

About this trial

We propose to evaluate the efficacy of treatment with Hydrocortisone and Dexamethasone (in a cross-over design) in patients with ocular prostheses and significant functional discomfort.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient aged 18 years or older;

Wearing a permanent prosthesis for more than 6 months; - Consultant in the ophthalmology department;

Modified OSDI score ≥ 20 points out of 40 ;

Affiliated with a health insurance scheme,

Disqualifiers

Treatment with eye drop(s) (other than artificial tears or antiseptic) < 1 month;

Concomitant treatment with CYP3A inhibitors including cobicistat containing drugs,

Known contraindications to study treatments

Dermal fat grafting or complicated cavity;

Trial design

Design model

Crossover

Treatments tested in this trial

  • Hydrocortisone

    Drug

    1 drops 4 times a day

  • Dexamethasone

    Drug

    1 drops 4 times a day

  • Povidone

    Other intervention

    1 drops 4 times a day

Treatment groups

30 Participants
are divided into 3 treatment groups
Group A: HYDROCORTISONEExperimental treatment 1 intervention
Group B: DEXAMETHASONEExperimental treatment 1 intervention
Group C: POVIDONEPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Secretion Self-Rating Analog Scale score.

The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40 point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

Time frame
Before first treatment period of 14 days
2

Secretion Self-Rating Analog Scale score.

The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

Time frame
After first treatment period of 14 days
3

Secretion Self-Rating Analog Scale score.

The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

Time frame
At 1.5 month (1 Month Wash-out after first treatment, and before second treatment)
4

Secretion Self-Rating Analog Scale score.

The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

Time frame
At 2 months (After second treatment period of 14 days)

Secondary outcomes

1

Bulbar conjunctival inflammation score

Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

Time frame
At inclusion visit (basal)
2

Bulbar conjunctival inflammation score

Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

Time frame
After first treatment period of 14 days
3

Bulbar conjunctival inflammation score

Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

Time frame
At 2 months (After second treatment period of 14 days)
4

Bulbar conjunctival inflammation score

Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

Time frame
At 3.5 months (After third treatment period of 14 days)

Other outcomes

Sponsors and contacts

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Agnes

Lead sponsor

Rennes University Hospital

Sponsor institution

Direction Générale de l'Offre de Soins

Collaborator

Laboratoires Thea

Collaborator