About this trial
The goal of this clinical trial is to evaluate the preliminary efficacy of the use of insulin eye drops in the control of dry eye disease in patients with topical hypotensors, compared to placebo (artificial tears).
The main question aims to answer whether glaucoma patients treated with topical hypotensors could benefit from the use of insulin eye drops for the treatment of dry eye.
Participants will be assigned to one of the two treatment arms and will be required to attend four follow-up visits (baseline, 1, 3, and 6 months).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients who provide written informed consent and who are able and willing to comply with all scheduled study visits and procedures.
Patients ≥ 18 years at the screening visit.
Ocular hypertension or glaucoma controlled with hypotensive treatment
Diagnosis of dry eye
Disqualifiers
Uncontrolled glaucoma with expected changes in antihypertensive treatment in the next 6 months
Changes in topical glaucoma treatment in the last 3 months
Severe dry eye requiring immediate treatment
Previous eye surgery, except cataract surgery more than 12 months ago
Trial design
Parallel
Treatments tested in this trial
Insulin
DrugTopical insulin 1UI/ml 4 times a day
Artificial tear
DrugArtificial tears 4 times a day
Treatment groups
Trial outcomes
Primary outcomes
Changes in dry eye symptoms from baseline to 6 months after treatment time
Dry eye symptoms will be evaluated using OSDI
Secondary outcomes
Change of corneal staining from baseline to 6 months after treatment
Corneal staining will be evaluated on the slit-lamp and on slit-lamp images
Change in corneal aesthesiometry from baseline to 6 months after treatment
Aesthesiometry will be evaluated using Cochet Bonnet
Change in conjunctival hyperemia from baseline to 6 months after treatment
Conjunctival hyperemia will be evaluated using Keratograph
Change in non-invasive tear film break-up time from baseline to 6 months after treatment
Non-invasive tear film break-up time will be evaluated using Keratograph
Sponsors and contacts
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Barbara Burgos Blasco
Lead sponsor
Hospital San Carlos, Madrid
Sponsor institution