MGD-Meibomian Gland DysfunctionPhase 3MGDNCT06034626
Therapeutic Effectiveness of Different Machines in Intense Pulsed Light Treatment of Meibomian Gland Dysfunction
A Phase 3 study testing Intense pulsed light and 0.3% hyaluronic acid eye drops in people with MGD-Meibomian Gland Dysfunction, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 3 sites in China.
Trial summary
This study aimed to determine the therapeutic effectiveness of different machines in intense pulsed light (IPL) treatment of meibomian gland dysfunction (MGD). Subjects diagnosed with MGD underwent three sessions of IPL treatment in a control (M22) treatment group or experimental (OPL-I) treatment group and were… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- MGD-Meibomian Gland Dysfunction
- What is being tested?
- Intense pulsed light and 0.3% hyaluronic acid eye drops
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 216 participants
- Where
- 3 sitesChina
- Study dates
- 3 Nov 2020to 15 Dec 2021
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Fitzpatrick skin type I-IV according to sun sensitivity and skin appearance
- A Standard Patient Evaluation of Eye Dryness (SPEED) score of ≥6
- Tear breakup time (TBUT) of ≤10 s in the studied eye
- Corneal fluorescein staining (CFS) score of ≥1 (it is not necessary to consider this criterion if the TBUT is ≤5 s)
- Meibomian gland secretion score (MGSS) of ≥6 in the studied eye.
Who cannot join
- Use of prescription eye drops (excluding artificial tears) within 48 hours of recruitment
- Facial IPL treatment within the prior 12 months
- Any surgery of the eye or eyelids within the prior six months
- Ocular surface and eyelid abnormalities
- Any systemic condition that might cause eye dryness
- Use of photosensitive drugs within the prior three months
Show all 11Show fewer
- Precancerous lesions
- Skin cancer or pigmented lesions in the treatment area
- Overexposure to the sun within the previous month
- Ocular infections within the previous six months
- Uncontrolled infections or immunosuppressive diseases
Trial locations and contacts
3 sites in 1 country.
China3 sites
2nd Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, 310000
Hankou Aier Eye Hospital, Wuhan,Hubei Province
Wuhan, Hubei, 430000
Wuhan Aier Eye Hospital, Wuhan,Hubei Province
Wuhan, Hubei, 430000
About this study
This study aimed to determine the therapeutic effectiveness of different machines in intense pulsed light (IPL) treatment of meibomian gland dysfunction (MGD). Subjects diagnosed with MGD underwent three sessions of IPL treatment in a control (M22) treatment group or experimental (OPL-I) treatment group and were followed up three to four weeks after each session. Tear breakup time (TBUT), meibomian gland secretion scores (MGSS), meibomian gland meibum scores (MGMS), corneal fluorescein staining (CFS) scores, and the Standard Patient Evaluation of Eye Dryness (SPEED) was used to assess eye dryness signs and symptoms at baseline and follow-up visits.
- Conditions
- MGD-Meibomian Gland Dysfunction
- Being tested
- Intense pulsed light, 0.3% hyaluronic acid eye drops
- Keywords
- MGD, IPL, Non-inferiority analysis
- Medical subject headings
- Meibomian Gland Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intense pulsed lightProcedure or surgery
Each MGD patient underwent three treatment sessions at three-week intervals and three follow-up examinations over the course of treatment.
0.3% hyaluronic acid eye dropsDrug
0.3% hyaluronic acid eye drops (Hialid; Santen, Osaka, Japan) four times a day during the study, including the follow-up period.
| Study group | Role | What they receive |
|---|---|---|
| OPL-I | Experimental | Patients treated with OPL-I with the dual filter system Receives: Procedure: Intense pulsed light; Drug: 0.3% hyaluronic acid eye drops |
| M22 | Active comparator | Patients treated with OPL-I with the single filter system Receives: Procedure: Intense pulsed light; Drug: 0.3% hyaluronic acid eye drops |
What is being measured
The primary outcome is the main question the study is designed to answer.
SPEED Scores
Standard Patient Evaluation of Eye Dryness questionnaire
Measured: Baseline, 1 month, 2 months, 3 months, 4 months
CFS scores
corneal fluorescein staining scores
Measured: Baseline, 1 month, 2 months, 3 months, 4 months
TBUT
Tear breakup time
Measured: Baseline, 1 month, 2 months, 3 months, 4 months
MGSS
Meibomian gland secretion scores. The MGSS evaluates the obstruction of meibum along the lower eyelid. Three positions along the lower eyelid were detected (five nasal, five central, and five temporal meibomian glands). A score of 0 indicated secretion by all five glands, a score of 1 indicated secretion by three to four glands, a score of 2 indicated secretion by one or two glands, and a score of 3 indicated no secretion by any glands.
Measured: Baseline, 1 month, 2 months, 3 months, 4 months
MGMS
meibomian gland meibum scores. The MGMS evaluates the quality of meibum along the lower eyelid, with a score of 0 indicating clear liquid meibum, a score of 1 indicating cloudy liquid meibum, a score of 2 indicating cloudy granular meibum, and a score of 3 indicating toothpaste-like solid meibum).
Measured: Baseline, 1 month, 2 months, 3 months, 4 months
Secondary outcomes (2)
BCVA
best-corrected visual acuity
Measured: Baseline, 4 months
IOP
intraocular pressure measurements
Measured: Baseline, 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2023
- Study start3 Nov 2020
- Primary completion10 Aug 2021
- Study completion15 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for MGD-Meibomian Gland DysfunctionStudies of the same condition, open and under way.
- More trials run by Second Affiliated Hospital, Zhejiang University, School of MedicineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The trial aimed to assess therapeutic effectiveness of the study treatment arm (OPL-I with the dual filter system; Miracle Laser systems, Wuhan, China) to the control treatment arm (M22 with a single filter; Lumenis, Yokneam, Israel). Each MGD patient underwent three treatment sessions at three-week intervals and three follow-up examinations over the course of treatment.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 216 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- Aier Eye Hospital, Wuhan
- Responsible party
- Sponsor
- Investigators
- Xiuming Jin, PhD, Study director, Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, China
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06034626
- Sponsor's protocol ID
- 2020-210
- Acronym
- MGD
- Status last verified
- Aug 2023
- First submitted
- 29 Aug 2023
- Last updated
- 13 Sep 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: For patients' privacy reasons
Publications
Toyos R, McGill W, Briscoe D. Intense pulsed light treatment for dry eye disease due to meibomian gland dysfunction; a 3-year retrospective study. Photomed Laser Surg. 2015 Jan;33(1):41-6. doi: 10.1089/pho.2014.3819.
PubMed 25594770Yan X, Hong J, Jin X, Chen W, Rong B, Feng Y, Huang X, Li J, Song W, Lin L, Cheng Y. The Efficacy of Intense Pulsed Light Combined With Meibomian Gland Expression for the Treatment of Dry Eye Disease Due to Meibomian Gland Dysfunction: A Multicenter, Randomized Controlled Trial. Eye Contact Lens. 2021 Jan 1;47(1):45-53. doi: 10.1097/ICL.0000000000000711.
PubMed 32452923
Study at a glance
From the registry record, last updated by the sponsor on 13 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Therapeutic Effectiveness of Different Machines in Intense Pulsed Light Treatment of Meibomian Gland Dysfunction
- ClinicalTrials.gov ID
- NCT06034626
- Acronym / sponsor ID
- MGD / 2020-210
- Conditions
- MGD-Meibomian Gland Dysfunction
- Keywords
- MGD, IPL, Non-inferiority analysis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 216 participants (actual)
- Lead sponsor
- Second Affiliated Hospital, Zhejiang University, School of MedicineUniversity, hospital or other
- Collaborators
- Aier Eye Hospital, Wuhan
- Study start
- 3 Nov 2020 (actual)
- Primary completion
- 10 Aug 2021 (actual)
- Study completion
- 15 Dec 2021 (actual)
- First posted
- 13 Sep 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aimed to determine the therapeutic effectiveness of different machines in intense pulsed light (IPL) treatment of meibomian gland dysfunction (MGD). Subjects diagnosed with MGD underwent three sessions of IPL treatment in a control (M22) treatment group or experimental (OPL-I) treatment group and were followed up three to four weeks after each session. Tear breakup time (TBUT), meibomian gland secretion scores (MGSS), meibomian gland meibum scores (MGMS), corneal fluorescein staining (CFS) scores, and the Standard Patient Evaluation of Eye Dryness (SPEED) was used to assess eye dryness signs and symptoms at baseline and follow-up visits.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- The trial aimed to assess therapeutic effectiveness of the study treatment arm (OPL-I with the dual filter system; Miracle Laser systems, Wuhan, China) to the control treatment arm (M22 with a single filter; Lumenis, Yokneam, Israel). Each MGD patient underwent three treatment sessions at three-week intervals and three follow-up examinations over the course of treatment.
| Arm | Type | Receives |
|---|---|---|
| OPL-I | Experimental | Procedure: Intense pulsed light, Drug: 0.3% hyaluronic acid eye dropsPatients treated with OPL-I with the dual filter system |
| M22 | Active comparator | Procedure: Intense pulsed light, Drug: 0.3% hyaluronic acid eye dropsPatients treated with OPL-I with the single filter system |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Fitzpatrick skin type I-IV according to sun sensitivity and skin appearance
- A Standard Patient Evaluation of Eye Dryness (SPEED) score of ≥6
- Tear breakup time (TBUT) of ≤10 s in the studied eye
- Corneal fluorescein staining (CFS) score of ≥1 (it is not necessary to consider this criterion if the TBUT is ≤5 s)
- Meibomian gland secretion score (MGSS) of ≥6 in the studied eye.
Key exclusion criteria (11 listed)
- Use of prescription eye drops (excluding artificial tears) within 48 hours of recruitment
- Facial IPL treatment within the prior 12 months
- Any surgery of the eye or eyelids within the prior six months
- Ocular surface and eyelid abnormalities
- Any systemic condition that might cause eye dryness
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intense pulsed lightEach MGD patient underwent three treatment sessions at three-week intervals and three follow-up examinations over the course of treatment. | Procedure or surgery | M22, OPL-I |
| 0.3% hyaluronic acid eye drops0.3% hyaluronic acid eye drops (Hialid; Santen, Osaka, Japan) four times a day during the study, including the follow-up period. | Drug | M22, OPL-I |
Primary outcome
SPEED Scores
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months
Standard Patient Evaluation of Eye Dryness questionnaire
CFS scores
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months
corneal fluorescein staining scores
TBUT
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months
Tear breakup time
MGSS
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months
Meibomian gland secretion scores. The MGSS evaluates the obstruction of meibum along the lower eyelid. Three positions along the lower eyelid were detected (five nasal, five central, and five temporal meibomian glands). A score of 0 indicated secretion by all five glands, a score of 1 indicated secretion by three to four glands, a score of 2 indicated secretion by one or two glands, and a score of 3 indicated no secretion by any glands.
MGMS
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months
meibomian gland meibum scores. The MGMS evaluates the quality of meibum along the lower eyelid, with a score of 0 indicating clear liquid meibum, a score of 1 indicating cloudy liquid meibum, a score of 2 indicating cloudy granular meibum, and a score of 3 indicating toothpaste-like solid meibum).
2 secondary outcomes
BCVA
Time frame: Baseline, 4 months
IOP
Time frame: Baseline, 4 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Sep 2023.
- Background: PubMed 25594770Toyos R, McGill W, Briscoe D. Intense pulsed light treatment for dry eye disease due to meibomian gland dysfunction; a 3-year retrospective study. Photomed Laser Surg. 2015 Jan;33(1):41-6. doi: 10.1089/pho.2014.3819.
- Background: PubMed 32452923Yan X, Hong J, Jin X, Chen W, Rong B, Feng Y, Huang X, Li J, Song W, Lin L, Cheng Y. The Efficacy of Intense Pulsed Light Combined With Meibomian Gland Expression for the Treatment of Dry Eye Disease Due to Meibomian Gland Dysfunction: A Multicenter, Randomized Controlled Trial. Eye Contact Lens. 2021 Jan 1;47(1):45-53. doi: 10.1097/ICL.0000000000000711.
- Individual participant dataSharing planned: No. For patients' privacy reasons
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Xiuming Jin, PhD study director
Eye Center of the 2nd Affiliated Hospital, School of Medicine, Zhejiang University, China
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Intense pulsed light and 0.3% hyaluronic acid eye drops in people with MGD-Meibomian Gland Dysfunction, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 3 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
SPEED Scores (time frame: Baseline, 1 month, 2 months, 3 months, 4 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06034626, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Sep 2023.