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Trial registered on ANZCTR
Registration number
ACTRN12608000342314
Ethics application status
Approved
Date submitted
15/07/2008
Date registered
22/07/2008
Date last updated
22/07/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Improving diagnosis and treatment of lid disease
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Scientific title
Establishing diagnostic criteria and optimising contemporary therapies for meibomian gland dysfunction by using three management strategies: latent heat goggles, warm compresses and liposomal spray
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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:
Meibomian gland dysfunction
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Condition category
Condition code
Eye
3557
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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
Three management strategies are to be used:
Latent Heat Goggles, Warm Compresses with a flaxseed pouch, and a Liposomal Spray. The latent heat goggles will be worn for 10 minutes at the 50°C setting. The treatment will be carried out two times within the overall intervention period of 4 hours. The warm compresses (flaxseed pouch) will be heated in a 900W microwave for 30 seconds as per the manufacturers instructions, and then applied to the closed eyes for 5 minutes. The treatment will be performed two times within the overall intervention period of 4 hours. A single application the liposomal spray (TearsAgain) which contains soy lecithin 1.0% will be applied to the closed eye, as per normal patient instructions. The treatment will be applied two times within the overall intervention period of 4 hours.
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Diagnosis / Prognosis
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Intervention code [3]
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Treatment: Drugs
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Comparator / control treatment
Comparator treatments: latent heat goggles vs. warm compresses vs. liposomal spray
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Control group
Active
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Outcomes
Primary outcome [1]
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Therapies for meibomian gland dysfunction will be optimised on the basis of the tear film evaporation rate.
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Assessment method [1]
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Timepoint [1]
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30 minutes and 1 hour following intervention
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Secondary outcome [1]
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Secondary outcome is the temperature profile of the ocular surface and adnexa, measured with a non-contact infra-red thermographer
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Assessment method [1]
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Timepoint [1]
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30 minutes and 1 hour following intervention
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Eligibility
Key inclusion criteria
Symptoms and signs of meibomian gland dysfunction
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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
1: major systemic or ophthalmic disease other than MGD
2: history of anterior eye surgery
3: marginal eyelid disease under treatment at the time of presentation
- contact lens wearers
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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)
Potential participants will be identified from outpatient ophthalmology clinics. Informed consent will be obtained prior to participation in the study. Participants will be randomly allocated in a concealed manner into one of the three treatment groups in an investigator-masked fashion.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomly allocated into one of the three treatment groups in equal numbers,using computer-generated random numbers (central randomisation by computer)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
21/07/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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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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University
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Name [1]
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Faculty Research Development Fund
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Address [1]
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Faculty of Science
University of Auckland
Private Bag 92019
Auckland 1142
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
Department of Optometry and Vision Science
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Address
University of Auckland
Private Bag 92019
Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Y Regional Ethics Committee
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Ethics committee address [1]
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C/- Ministry of Health 3rd floor, BNZ Building, 354 Victoria Street PO Box 1031, Hamilton 3240
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Ethics committee country [1]
5669
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New Zealand
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Date submitted for ethics approval [1]
5669
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10/07/2008
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Approval date [1]
5669
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Ethics approval number [1]
5669
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Pending
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Ethics committee name [2]
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University of Auckland Human Participants Ethics Committee
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Ethics committee address [2]
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University of Auckland Private Bag 92019 Auckland 1142
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Ethics committee country [2]
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New Zealand
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Date submitted for ethics approval [2]
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18/01/2008
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Approval date [2]
5671
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20/02/2008
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Ethics approval number [2]
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UAHPEC 2008/033
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Summary
Brief summary
Meibomian gland dysfunction (MGD) is a common, chronic eyelid disease, which can cause the affected individual to suffer from debilitating dry eye symptoms. Due to the multifaceted aetiology of dry eye, and often poor correlation between signs and symptoms, dry eye conditions are regularly misdiagnosed and mismanaged in clinical practice. This project plans to evaluate subjects with a range of meibomian gland dysfunction severity using a battery of sensitive, non-invasive tests. The results of the tests will be used to develop superior diagnostic criteria for this condition. We then plan to evaluate three contemporary methods for treating MGD, namely, latent heat goggles, warm compresses with a flaxseed pouch, and a liposomal spray, to establish the optimal treatment conditions, across the range of MGD severities, in order that clinicians may provide more sound, evidence-based recommendations to their patients in the management of the condition.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Jennifer P. Craig
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Address
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Department of Optometry and Vision Science
University of Auckland
Private Bag 92019
Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 373 7599 ext 88173
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Fax
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+ 64 9 308 2342
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Jennifer P. Craig
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Address
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Department of Optometry and Vision Science
University of Auckland
Private Bag 92019
Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 373 7599 ext 88173
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Fax
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+ 64 9 308 2342
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Email
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[email protected]
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No information has been provided regarding IPD availability
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
No additional documents have been identified.
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