Evidence map›Paper›PMID 26865350›Full record

Trial reportScientific reports2016

Randomized, Multicenter, Double-Blind Study of the Safety and Efficacy of 1%D-3-Hydroxybutyrate eye drops for Dry Eye Disease.

Tetsuya Kawakita, Miki Uchino, Kazumi Fukagawa, Kenichi Yoshino, Seika Shimazaki, Ikuko Toda, Mari Tanaka, Hiroyuki Arai, Keiko Sakatani, Seiichiro Hata and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Conjunctival Commensal Isolation and Identification in Mice.Journal of visualized experiments : JoVE · 2021
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tetsuya KawakitaDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo Japan.
Miki UchinoRyogoku Eye Clinic, 4-33-12, Ryogoku, Sumida, Tokyo Japan.
Kazumi FukagawaIidabashi Eye Clinic, 3-10-10, Iidabashi, Chiyoda, Tokyo Japan.
Kenichi YoshinoYoshino Eye Clinic, 1-20-10, Ueno, Taito, Tokyo Japan.
Seika ShimazakiShimazaki Eye Clinic, 2-4-13, Nagatacho, Chiyoda, Tokyo Japan.
Ikuko TodaMinamiaoyama Eye Clinic, 3-3-11, Kitaaoyama, Minato, Tokyo Japan.
Mari TanakaYatsu Ekimae Azisai Eye Clinic, 4-6-19, Yatsu, Narashino, Chiba, Japan.
Hiroyuki AraiMinatomirai Eye Clinic, 4-7-1, Minatomirai, Nishi, Yokohama Kanagawa Japan.
Keiko SakataniMinatomirai Eye Clinic, 4-7-1, Minatomirai, Nishi, Yokohama Kanagawa Japan.
Seiichiro HataSky building Eye Clinic, 2-19-12, Takashima, Nishi, Yokohama, Kanagawa Japan.
Takashi OkanoSmile Eye Clinic, 1-6-12, Aobadai, Aoba, Yokohama, Kanagawa Japan.
Kazuo TsubotaDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a previous study, we demonstrated that topical D-beta-hydroxybutyrate ameliorates corneal epithelial erosion and superficial punctate keratopathy in a rat model of dry eye disease. In the current investigation, we performed a prospective, randomized, multicentre, double-blind, placebo-controlled study to assess the safety and efficacy of 1% D-3-hydroxybutyrate eye drops in patients with dry eye disease. A total of 65 patients were randomly assigned to either the placebo group or the 1% D-3-hydroxybutyrate group, and the treatments were administered 6 times a day for 4 weeks. We then evaluated corneal fluorescein staining, corneal and conjunctival rose Bengal staining, tear film break-up time (BUT), Schirmer score, and subjective symptoms. At both 2 and 4 weeks, the corneal rose Bengal score was significantly better in the 1% D-3-hydroxybutyrate group than in the placebo group. Among patients with an initial Schirmer score of ≤5 mm, the corneal fluorescein staining score was significantly better in the 1% D-3-hydroxybutyrate group than in the placebo group at two weeks. Mild ocular symptoms occurred in both groups, and these spontaneously resolved. The present study suggested that 1% D-3-hydroxybutyrate eye drops are safe and effective in treating ocular surface disorders in patients with tear-deficient dry eye disease.

Indexed as

3-Hydroxybutyric AcidAdultAgedAnimalsConjunctivaCorneaDouble-Blind MethodDry Eye SyndromesFemaleFluoresceinFluorescent DyesHumansMaleMiddle AgedOphthalmic SolutionsPatient Safety3-Hydroxybutyric AcidFluoresceinFluorescent DyesOphthalmic SolutionsRose Bengal

Identifiers

PMID26865350
PMCPMC4749988

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.