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Phase 2 N=20 Supportive Care

Bandage Lenses in Treating Patients With Ocular Graft-Versus-Host Disease

Graft Versus Host Disease · Ophthalmologic Complications

Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Jul 2017
Primary outcome: Primary: Change in Patient-reported Symptoms Measured by the 8-point Lee Eye Subscale — 75.4; 63.2; 61.8; 56.3 units on a scale — p=0.01

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
graft versus host disease prophylaxis/therapy (Biological); questionnaire administration (Other); optical coherence tomography (Procedure)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Fred Hutchinson Cancer Center
Primary completion
Oct 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Patient-reported Symptoms Measured by the 8-point Lee Eye Subscale
75.4; 63.2; 61.8; 56.3 0.01 sig
PRIMARY
Number of Participants Who Perceived a Clinically Meaningful Change as Measured by the 8-level Lee Eye Symptom Subscale
9; 11; 9
PRIMARY
Change in Patient-reported Symptoms as Measured by the Ocular Surface Disease Index
54.5; 36.8; 32.9; 35.6 0.002 sig
PRIMARY
Number of Participants Who Perceived a Clinically Meaningful Change as Measured by the OSDI
10; 13; 10
PRIMARY
Change in Patient-reported Symptoms as Measured by the 11-point Eye Rating Scale
7.11; 5.00; 4.37; 3.94 0.001 sig
PRIMARY
Number of Participants Who Perceived a Clinically Meaningful Change as Measured by the 11-point Eye Scale
11; 13; 12
SECONDARY
Number of Patients Who Experienced Serious Adverse Events
SECONDARY
Change in Comprehensive Ophthalmologic Evaluations
0.26; 0.15 0.005 sig
SECONDARY
Change in Optical Coherence Tomography

Summary

This phase II clinical trial studies how well bandage lenses work in treating patients with ocular graft versus host disease. Bandage lenses may be helpful in relieving eye symptoms and damage caused by eye graft versus host disease.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of chronic graft versus host disease (GVHD) as defined by the National Institutes of Health (NIH) criteria
  • Ocular symptoms of NIH eye score 2 or greater:
  • Score 2: Moderate dry eye symptoms partially affecting activities of daily living (ADL) (requiring drops > 3 x per day or punctal plugs), WITHOUT vision impairment
  • Score 3: Severe dry eye symptoms significantly affecting ADL (special eyewear to relieve pain) OR unable to work because of ocular symptoms OR loss of vision caused by keratoconjunctivitis
  • No new systemic immunosuppressive medications within 1 month prior to enrollment
  • Subject has the ability to understand and willingness to sign a written informed consent document

Exclusion Criteria

  • Absolute neutrophil count < 1000/ul
  • Known hypersensitivity or allergy to contact lenses
  • Evidence of any active viral, bacterial, or fungal infection in the eyes that is progressive despite appropriate treatment
  • Treatment with contact lenses within the previous 3 months for any indication
  • Active psychiatric disorder, substance abuse or any other reason that would interfere with compliance with the study protocol
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01616056). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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