Dry Eye Clinical Trial
Official title:
A Double-Masked, Randomized, Placebo-Controlled Study of ALTY-0501 (Doxycycline 0.025% Ophthalmic Solution) for the Treatment of Dry Eye Administered QID for a 56 Day Period Utilizing the Controlled Adverse Environment Model
The objective of this study is to assess the safety and efficacy of doxycycline 0.025% (ALTY-0501) ophthalmic solution for the treatment of dry eye using the Controlled Adverse Environment (CAE) Model.
Dry eye is the most prevalent form of ocular discomfort and irritation. Estimates range up
to 20 million people in the US being affected with mild dry eye, and the literature reports
that as many as 3.2 million American women suffer from clinically significant dry
eye.(Schaumberg et al, 2003). Dry eye can be related to external factors, such as the low
humidity of air conditioned offices, winter heating, a dusty or windy outdoor environment,
prolonged use of computers, or wearing of contact lenses, as well as to internal factors,
such as hormonal imbalance, autoimmune disease, the presence of many widely prescribed
systemic medications, anatomical changes or trauma, and aging. Chronic dry eye disease is
associated with an immune-based inflammation of the lacrimal glands and the ocular surface.
Symptoms result in mildly decreased quality of life at a minimum, and with increasing
severity, loss of function and productivity, pain, light sensitivity, and the misery that
accompanies significantly impaired vision and decreased quality of life. With the aging
population in the United States and other countries of the developed world, and with
increasing computer use, dry eye will become more prevalent.
Doxycycline is a well established anti-infective drug, and has been used systemically by
ophthalmologists to treat moderate to severe case of blepharitis for years. Recently it has
been demonstrated that doxycycline in low, non-antimicrobial concentrations also has
powerful anti-proteolytic and anti-inflammatory properties. Anecdotal reports on the use of
0.025% doxycyline eyedrops in human patients with dry eye and/or meibomian gland disease
indicate a significant improvement in ocular surface staining and a significant decrease in
patient symptoms.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator)
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