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The comparison of the therapeutic effects between 0.05% Tsporin and 0.05% Restasis in meibomian gland dysfunction

Status Approved

  • First Submitted Date

    2021/02/15

  • Registered Date

    2021/04/07

  • Last Updated Date

    2021/02/15

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0006070
    Unique Protocol ID GBIRB2016-238
    Public/Brief Title The comparison of the therapeutic effects between 0.05% Tsporin and 0.05% Restasis in meibomian gland dysfunction
    Scientific Title The comparison of the therapeutic effects between 0.05% Tsporin and 0.05% Restasis in meibomian gland dysfunction
    Acronym
    MFDS Regulated Study No
    IND/IDE Protocol No
    Registered at Other Registry No
    Healthcare Benefit Approval Status Not applicable
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number GBIRB2016-238
    Approval Date 2016-08-30
    Institutional Review Board Name Institutional Review Board of Gil Medical Center
    Institutional Review Board Address 21, Namdong-daero 774beon-gil, Namdong-gu, Incheon
    Institutional Review Board Telephone 032-460-2092
    Data Monitoring Committee No
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Dong Hyun Kim
    Title Assistant professor
    Telephone +82-32-460-3364
    Affiliation Gachon University Gil Medical Center
    Address Gil Medical Center, Gachon University College of Medicine, 1198, Guwol-dong, Namdong-Gu, Incheon
    Contact Person for Public Queries
    Name Dong Hyun Kim
    Title Assistant professor
    Telephone +82-32-460-3364
    Affiliation Gachon University Gil Medical Center
    Address Gil Medical Center, Gachon University College of Medicine, 1198, Guwol-dong, Namdong-Gu, Incheon
    Contact Person for Updating Information
    Name Dong Hyun Kim
    Title Assistant professor
    Telephone +82-32-460-3364
    Affiliation Gachon University Gil Medical Center
    Address Gil Medical Center, Gachon University College of Medicine, 1198, Guwol-dong, Namdong-Gu, Incheon
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Single
    Overall Recruitment Status Completed
    Date of First Enrollment 2016-08-30 Actual
    Target Number of Participant 50
    Primary Completion Date 2019-03-27 , Actual
    Study Completion Date 2019-12-03 , Actual
    Recruitment Status by Participating Study Site 1
    Name of Study Gachon University Gil Medical Center
    Recruitment Status Completed
    Date of First Enrollment 2016-08-30 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name Hanlim Pharmaceutical
    Organization Type Pharmaceutical Company
    Project ID
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Gachon University Gil Medical Center
    Organization Type Medical Institute
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    Topical cyclosporin is known to be effective in patients with meibomian gland dysfunction. Restasis, well-known cyclosporine eyedrop, is a suspension type component, so the burning sensation is the biggest issue that decrease patient compliance. Tsporin ophthalmic solution, which is made via nano-emulsion technique, is expected to increase the solubility of cyclosporin and to improve the clinical effects more. 
    
    The purpose of this study was to compare the therapeutic efficacy between two cyclosporine eyedrops in patients with meibomian gland dysfunction.
  • 8. Study Design

    Study Design Information - Study Type, Study Purpose, Phase, Intervention Model, Blinding/Masking, Blinded Subject, Allocation, Intervention Type, Intervention Description, Number of Arms, Arm Label, Target Number of Participant, Arm Type, Arm Description
    Study Type Interventional Study
    Study Purpose
    Treatment
    Phase Not applicable
    Intervention Model Parallel  
    Blinding/Masking Double
    Blinded Subject Subject, Investigator
    Allocation RCT
    Intervention Type Drug  
    Intervention Description
    Ocular surface disease index (OSDI), meibomian gland dysfunction grading, corneal staining, tear film destruction time (TBUT), and tear secretion between Tsporin and restasis groups at 12 weeks compared to baseline parameters. Fumeron (0.1% Fluorometholone) was used 4 times a day for the initial 4 weeks of treatment for improving initial discomfort and drug compliance in all patients, and then randomly assigned to the Tsporin and Restasis group for an additional 8 weeks.
    Number of Arms 2
    Arm 1

    Arm Label

    Restasis group

    Target Number of Participant

    25

    Arm Type

    Active comparator

    Arm Description

    Group treated with Restasis eyedrops
    
    Restasis eye drops 0.05%   BID
    Arm 2

    Arm Label

    Tsporin group

    Target Number of Participant

    25

    Arm Type

    Experimental

    Arm Description

    Group treated with Tsporin eyedrops
    T Sporin Eye Drop 0.05%   BID
  • 9. Subject Eligibility

    Subject Eligibility Information
    Condition(s)/Problem(s) * (H00-H59)Diseases of the eye and adnexa 
       (H04.11)Dry eye syndrome 

    Meibomian gland dysfunction
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    19Year~99Year

    Description

    Inclusion criteria
    -Adults over 19 years of age
    -Patients diagnosed with meibomian gland dysfunction
    -Patients with tear film destruction time of 8 seconds or less
    -Patients who complain of one or more of the following symptoms related to tear film instability (foreign body sensation, glare, tears)
    Exclusion Criteria
    Exclusion criteria
    -Patients being treated with anti-inflammatory therapy for dry eye syndrome, such as steroid eye drops or non-steroidal anti-inflammatory eye drops
    -Patients taking systemic steroids and immunosuppressants
    -Patients with a history of ocular surgery within the last 6 months
    -Patients who wear contact lenses during the clinical study
    -Pregnant and lactating women
    -Patients with a history of using cyclosporine eyedrops within the last 2 weeks
    -Those whose intraocular pressure exceeds 25mmHg
    -Punctal occlusion was performed within the last 1 month or during the clinical trial participation period
    -Hypersensitivity reaction or suspicion of hypersensitivity to the ingredients of the clinical trial drug
    -When the researcher determines that participation is inappropriate
    -Patients with active ocular infection
    Healthy Volunteers No
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome Efficacy
    Primary Outcome(s) 1
    Outcome
    OSDI score
    Timepoint
    12 weeks after treatments
    Secondary Outcome(s) 1
    Outcome
    Tear-film break up time
    Timepoint
    12 weeks after treatments
    Secondary Outcome(s) 2
    Outcome
    Grading of meibomian gland dysfunction
    Timepoint
    12 weeks after treatments
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered Yes
    Results Upload
    Final Enrollment Number 24
    Number of Publication 0
    Results Upload 최종보고서 - 티스포린 20191113_가천의대 김동현.docx
    Date of Posting Results 2021/04/07
    Protocol URL or File Upload
    Brief Summary
    In patients with meibomian gland dysfunction, the use of low-concentration steroids (0.1% fluorometholone) for the initial 4 weeks and Tsporin or Restasis for the next 8 weeks revealed the improvement of OSDI score, TBUT, and MGD grading. Tsporin group showed somewhat better improvement in TBUT and corneal staining score at 12 weeks of treatment compared to baseline compared to the Restasis group.
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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