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Trial registered on ANZCTR
Registration number
ACTRN12616000539437
Ethics application status
Approved
Date submitted
2/02/2016
Date registered
27/04/2016
Date last updated
21/03/2019
Date data sharing statement initially provided
21/03/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy of Manuka honey CycloPower ophthalmic cream in managing blepharitis
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Scientific title
Effect of Manuka honey CycloPower ophthalmic micro-emulsion cream on ocular parameters in blepharitis compared with no treatment
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Secondary ID [1]
288467
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Blepharitis
297500
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Condition category
Condition code
Eye
297690
297690
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Manuka honey CycloPower ophthalmic cream (0.5-1ml) will be applied externally to the skin of the upper and lower eyelid of one eye only (randomised to left or right), once daily, for 12 weeks, while the fellow eye serves as the control. Compliance will be monitored through follow-up telephone calls and the weighing of returned unused cream.
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Intervention code [1]
293801
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Treatment: Other
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Comparator / control treatment
No treatment
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Control group
Active
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Outcomes
Primary outcome [1]
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Dry eye signs as measured by keratography
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Assessment method [1]
297229
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Timepoint [1]
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Weeks 1, 4 and 12 after treatment commencement
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Primary outcome [2]
298113
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Dry eye symptoms by validated questionnaires; Standard Patient Evaluation of Eye Dryness (SPEED) and Symptom Assessment iN Dry Eye (SANDE)
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Assessment method [2]
298113
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Timepoint [2]
298113
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Weeks 1, 4 and 12 after treatment commencement
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Secondary outcome [1]
320409
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Lid margin microbial load as measured by laboratory culture of lid margin swabs followed by enumeration of bacteria
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Assessment method [1]
320409
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Timepoint [1]
320409
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Weeks 1, 4 and 12 after treatment commencement
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Secondary outcome [2]
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Ocular surface inflammation as measured by laboratory analysis of gene expression of inflammatory marker molecules (MMP-9 and IL-6) in cytological impressions of the conjunctiva
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Assessment method [2]
320410
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Timepoint [2]
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Weeks 1, 4 and 12 after treatment commencement
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Eligibility
Key inclusion criteria
- Males or females
- Age 18 years or over
- Normal lid / lash anatomy, and closure
- Clinically significant signs of blepharitis and symptoms of dry eye
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Contact lens wearers unwilling to remove lenses 48 hours prior to commencement of, and for the duration of, the study.
- Ocular surgery (such as refractive or cataract surgery) in either eye within 3 months of the screening visit
- A systemic condition or disease not stabilized or judged by the investigator to be incompatible with participation in the study (e.g. current systemic infection, uncontrolled autoimmune disease, uncontrolled immunodeficiency disease, history of myocardial infarction, etc.)
- The history or presence of any significant skin condition or disorder that might interfere with the study outcomes.
- The history or presence of any ocular disorder or condition in either eye that would likely interfere with the interpretation of the study results or patient safety such as a significant reduction in visual acuity e.g. less than 20/200; significant corneal or conjunctival scarring, pterygium or nodular pinguecula; current ocular infection or inflammation unrelated to dry eye; anterior (epithelial) basement membrane corneal dystrophy or other clinically significant corneal dystrophy or degeneration; ocular herpetic infection, etc.
- Known hypersensitivity to any of the components of the study preparation or bee products
- Active or uncontrolled severe systemic allergy, chronic seasonal allergies, rhinitis or sinusitis requiring treatment (i.e. antihistamines, decongestants, oral or aerosol steroids) at the time of screening
- Use of medication known to cause ocular drying (e.g., cyclosporine, antihistamines, tricyclic antidepressants, anxiolytics, antimuscarinics, beta-blocking agents, diuretics, phenothiazines, steroids, etc.) within 30 days of the screening visit
- Punctal plugs (unless permanent)
- Participation in any clinical trial with a new active substance or a new device during the past 30
- Women who are pregnant, planning a pregnancy or nursing at study entry.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subject eligibility will be assessed and participants will be enrolled with informed consent if the inclusion and exclusion criteria are met. Treated eye and control eye allocation will be randomised and concealed from the investigator via opaque sealed envelopes given to the participants.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer-generated randomisation schedule allocates the left/right eye to treatment/control
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Other
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Other design features
Paired eye trial
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/05/2016
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Actual
15/05/2016
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Date of last participant enrolment
Anticipated
15/11/2016
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Actual
6/03/2018
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Date of last data collection
Anticipated
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Actual
7/06/2018
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Sample size
Target
50
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Accrual to date
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Final
53
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Manuka Health New Zealand Ltd
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Address [1]
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66 Weona Court,
Te Awamutu 3800
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Country [1]
292811
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New Zealand
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Primary sponsor type
University
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Name
The University of Auckland
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Address
Department of Ophthalmology
Faculty of Medical and Health Sciences
University of Auckland
85 Park Rd, Grafton
Auckland 1023
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Country
New Zealand
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Manuka Health New Zealand Ltd
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Address [1]
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66 Weona Court,
Te Awamutu 3800
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Country [1]
291552
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294313
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University of Auckland Human Participants Ethics Committee
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Ethics committee address [1]
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The University of Auckland Private Bag 92019 Auckland 1142
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Ethics committee country [1]
294313
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New Zealand
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Date submitted for ethics approval [1]
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31/10/2015
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Approval date [1]
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05/11/2015
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Ethics approval number [1]
294313
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013084
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Summary
Brief summary
Blepharitis, or inflammation of the eyelid, is a common, debilitating and chronic condition. This disease manifests clinically as either anterior blepharitis affecting the front portion of the eyelid and the eyelashes, or posterior blepharitis which involves the inner eyelid. Posterior blepharitis is usually caused by dysfunction of the lipid-producing meibomian glands in the eyelid and both types of blepharitis increase the susceptibility of the eyelids to over-colonisation by bacteria. Existing treatments for eyelid disease are costly and ineffective, and no readily and commercially available ophthalmic product targets both the bacterial and inflammatory disease processes. Both the anti-bacterial and anti-inflammatory effects of New Zealand native Manuka honey have been proven, and it has been shown in research conducted in collaboration with Medihoney Antibacterial Honey (Medihoney Pty Ltd., Australia) that a honey-based ophthalmic formation may have a therapeutic effect in blepharitis and meibomian gland dysfunction (MGD). Therefore, there is a clear rationale for developing a novel ophthalmic product based on New Zealand native Manuka honey for the clinical treatment of blepharitis and MGD. We identified the species of bacteria present on the eyelids of people affected by eyelid disease and demonstrated that Manuka Honey with CycloPower has an anti-bacterial effect on these specific microorganisms. Subsequently, we developed a formulation of Manuka Honey with CycloPower suitable for use externally around the eye and the safety and lack of toxicity of this product was demonstrated first in a corneal epithelial cell line in vitro, then in vivo in an animal study, and finally in healthy human volunteers. Thus, we hypothesise that Manuka Honey with CycloPower may improve the clinical signs and symptoms of blepharitis in this present trial.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Jennifer P Craig
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Address
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Department of Ophthalmology
The University of Auckland
Private Bag 91019
Auckland 1142
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Country
63258
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New Zealand
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Phone
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+6499238173
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Fax
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+6493677173
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Email
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[email protected]
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Contact person for public queries
Name
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Jennifer P Craig
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Address
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Department of Ophthalmology
The University of Auckland
Private Bag 91019
Auckland 1142
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Country
63259
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New Zealand
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Phone
63259
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+6499238173
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Fax
63259
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+6493677173
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Email
63259
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[email protected]
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Contact person for scientific queries
Name
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Jennifer P Craig
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Address
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Department of Ophthalmology
The University of Auckland
Private Bag 91019
Auckland 1142
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Country
63260
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New Zealand
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Phone
63260
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+6499238173
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Fax
63260
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+6493677173
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Email
63260
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Randomized masked trial of the clinical efficacy of MGO Manuka Honey microemulsion eye cream for the treatment of blepharitis.
2020
https://dx.doi.org/10.1016/j.jtos.2019.11.009
N.B. These documents automatically identified may not have been verified by the study sponsor.
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