Official Title

Oral Omega-3 Fatty Acids in the Treatment of Dry Eye Syndrome
  • Phase

    N/A
  • Study Type

    Interventional
  • Intervention/Treatment

    icosapent ethyl ...
  • Study Participants

    27
The investigators hypothesize that oral omega-3-acid ethyl esters (Lovaza, GlaxoSmithKline, Research Triangle Park, NC) will decrease dry-eye related symptoms as well as clinical markers associated with dry eye disease (Schirmer-1 test values, positive vital staining with lissamine green, and fluorescein tear break-up time) when compared to administration of placebo.
Study Started
Jul 31
2010
Primary Completion
Aug 31
2014
Study Completion
Jun 15
2015
Results Posted
Dec 22
2017
Last Update
Dec 22
2017

Drug Oral Omega-3-acid ethyl esters

1 gram capsule by mouth four times daily for 45 days

Drug Placebo corn oil capsule

1 gram by mouth 4 times daily for 45 days

Omega-3-acid ethyl esters Active Comparator

Corn oil capsule Placebo Comparator

Criteria

Inclusion Criteria:

Age > 18 years
Typical symptoms of dry eye (photophobia, burning, foreign body sensation, blurred vision improved with blinking)
Schirmer Test < 8 mm/5 minutes
Fluorescein tear break-up time < 8 seconds
No current use of dry eye treatment (except artificial lubrication)
Signature on consent form

Exclusion Criteria:

Infectious keratoconjunctivitis or inflammatory disease unrelated to dry eye
Eyelid or eyelash abnormalities
Alteration of the nasolacrimal apparatus
Treatment with drugs affecting tearing
Concomitant ocular therapies
Topical ophthalmic steroids taken during the 4 weeks before the study
Pregnant/breast-feeding women
History of liver disease
History of fish and/or shellfish allergy or hypersensitivity
History of corn allergy or hypersensitivity
Treatment with systemic anticoagulation therapy
Patients with bleeding disorders or those receiving anticoagulation (e.g., warfarin, enoxaparin, dipyridamole, clopidogrel)

Summary

Omega-3-acid Ethyl Esters

Corn Oil Capsule

All Events

Event Type Organ System Event Term Omega-3-acid Ethyl Esters Corn Oil Capsule

Change From Baseline of the Ocular Surface Disease Index Score at Day 45

The Ocular Surface Disease Index Score is a validated, scored questionnaire that measures subjective symptoms of dry eye. Possible scores range from 0 (no symptoms of dry eye) to 100 (severest symptoms of dry eye). Change = (Day 45 score - Baseline score)

Omega-3-acid Ethyl Esters

-28.4
units on a scale (Median)
Inter-Quartile Range: -36.4 to -11.8

Omega-3-acid Ethyl Esters

-28.4
units on a scale (Median)
Inter-Quartile Range: -36.4 to -11.8

Corn Oil Capsule

-5.8
units on a scale (Median)
Inter-Quartile Range: -39.6 to 1.3

Corn Oil Capsule

-5.8
units on a scale (Median)
Inter-Quartile Range: -39.6 to 1.3

Change From Baseline of Schirmer-1 Test Value at Day 45

Schirmer-1 Test Value is a measurement of tear production. The amount of tears are measured in total millimeters after 5 minutes has elapsed. Low levels of tear production are associated with dry eye. Change = (Day 45 value - Baseline value).

Omega-3-acid Ethyl Esters

-2.5
millimeters (Median)
Inter-Quartile Range: -3.0 to 1.0

Omega-3-acid Ethyl Esters

-2.5
millimeters (Median)
Inter-Quartile Range: -3.0 to 1.0

Corn Oil Capsule

1.0
millimeters (Median)
Inter-Quartile Range: -4.0 to 4.0

Corn Oil Capsule

1.0
millimeters (Median)
Inter-Quartile Range: -4.0 to 4.0

Change From Baseline of Lissamine Green Staining Score at Day 45

Lissamine Green Staining Score is a measure of ocular surface irregularity secondary to dry eye. Possible scores range from 0 (no ocular surface irregularity secondary to dry eye) to 9 (severe ocular surface irregularity secondary to dry eye). Change = (Day 45 score - Baseline score)

Omega-3-acid Ethyl Esters

1.0
units on a scale (Median)
Inter-Quartile Range: -1.5 to 1.0

Omega-3-acid Ethyl Esters

1.0
units on a scale (Median)
Inter-Quartile Range: -1.5 to 1.0

Corn Oil Capsule

-1.0
units on a scale (Median)
Inter-Quartile Range: -2.0 to 0.0

Corn Oil Capsule

-1.0
units on a scale (Median)
Inter-Quartile Range: -2.0 to 0.0

Change From Baseline of Fluorescein Tear Break-Up Time (Seconds) at Day 45

Fluorescein Tear Break-Up Time is a measurement in seconds of tear film stability. The shorter the Fluorescein Tear Break-Up Time, the lower the tear film stability. Lower tear film stability is associated with dry eye. Change = (Day 45 value - Baseline value).

Omega-3-acid Ethyl Esters

1.7
time in seconds (Median)
Inter-Quartile Range: 0.3 to 3.8

Omega-3-acid Ethyl Esters

1.7
time in seconds (Median)
Inter-Quartile Range: 0.3 to 3.8

Corn Oil Capsule

0.3
time in seconds (Median)
Inter-Quartile Range: -0.7 to 4.3

Corn Oil Capsule

0.3
time in seconds (Median)
Inter-Quartile Range: -0.7 to 4.3

Total

27
Participants

Age, Continuous

58
years (Median)
Inter-Quartile Range: 49.5 to 67.5

Sex: Female, Male

Overall Study

Omega-3-acid Ethyl Esters

Corn Oil Capsule