Evidence map›Paper›PMID 27645318›Full record

Trial reportBMC ophthalmology2016

Efficacy of a fixed combination of 0.09 % xanthan gum/0.1 % chondroitin sulfate preservative free vs polyethylene glycol/propylene glycol in subjects with dry eye disease: a multicenter randomized controlled trial.

Ana L Pérez-Balbuena, Juan C Ochoa-Tabares, Sandra Belalcazar-Rey, Cristian Urzúa-Salinas, Laura R Saucedo-Rodríguez, Regina Velasco-Ramos, Raúl G Suárez-Sánchez, Adolfo D Rodríguez-Carrizalez, Aldo A Oregón-Miranda

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01657253 (A Randomized, Double-blind, Phase III Clinical Trial to Evaluate the Efficacy and Safety of PRO-148 Versus Systane®, in Patients With Mild to Moderate Dry Eye), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 14% of its field
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.

NCT01657253 phase3completednot on this map

A Randomized, Double-blind, Phase III Clinical Trial to Evaluate the Efficacy and Safety of PRO-148 Versus Systane®, in Patients With Mild to Moderate Dry Eye

TypeinterventionalSponsorLaboratorios Sophia S.A de C.V.Ran2013 to 2015Enrolled183ConditionsDry EyeArmsPRO-148, Systane
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Artificial Tears: A Systematic Review.Clinical optometry · 2023
    Review
  7. Heterologous production of chondroitin.Biotechnology reports (Amsterdam, Netherlands) · 2022
    Review
  8. 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

9 authors at 6 institutions in 3 countries.

Ana L Pérez-BalbuenaDepartment of anterior segment, Asociación para evitar la ceguera en México, Hospital Dr. Luis Sánchez Bulnes, IAP, Ciudad de México, Mexico.
Juan C Ochoa-TabaresCornea specialized attention, Private. Guadalajara, Jalisco, Mexico.
Sandra Belalcazar-ReyDepartment of Ophthalmology, Fundación Oftalmológica Nacional, Bogota, Colombia.
Cristian Urzúa-SalinasDepartment of Ophthalmology, Hospital del Salvador, Santiago, Chile.
Laura R Saucedo-RodríguezDepartment of anterior segment, Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico.
Regina Velasco-RamosDepartment of anterior segment, Fundación Hospital Nuestra Señora de la Luz. IAP, Ciudad de México, Mexico.
Raúl G Suárez-SánchezDepartment of Ophthalmology, Instituto Médico de la Visión, Ciudad de México, Mexico.
Adolfo D Rodríguez-CarrizalezClinical Research Department, Laboratorios Sophia, SA de CV, Zapopan, Jalisco, Mexico.
Aldo A Oregón-MirandaClinical Research Department, Laboratorios Sophia, SA de CV, Zapopan, Jalisco, Mexico. aldo.oregon@sophia.com.mx.
Laboratorios Sophia (Mexico) · MXAsociacion Para Evitar la Ceguera en México Hospital Dr. Luis Sánchez Bulnes · MXFundación Neumológica Colombiana · COHospital Civil de Guadalajara · MXHospital del Salvador · CLSecretaría de Salud de Jalisco · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDry eye disease (DED) is multifactorial, affecting 5-34 % of the global adult population and reducing quality of life. The artificial tears or lubricants are the therapy most used for the treatment of DED, due to their low side effect profile, which attempt to modify the properties of the tear film. The aim of the present study was to evaluate the clinical efficacy of a fixed combination of xanthan gum and chondroitin sulfate preservative free on the ocular surface of patients with dry eye disease during 60 days of intervention.

methodsA phase III, double-blind, masked, controlled, multicenter, clinical trial of 148 subjects, randomized to either a fixed combination of xanthan gum 0.09 % and chondroitin sulfate 0.1 % (XG/CS) ophthalmic solution (n = 76) or a fixed combination of polyethylene glycol 400 0.4 % and propylene glycol 0.3 % (PEG/PG) (n = 72). Subjects self-dosed four times daily during 60 days. Follow-up was set on days 2, 7, 15, 30 and 60. Assessments of anterior/posterior segment ocular signs were performed. The outcome measures included Schirmer test, tear film break-up time and OSDI score. Security variables included intraocular pressure, lisamine green and fluorescein ocular surface stains.

resultsThe primary efficacy endpoints were similar between groups at baseline. After intervention time Schirmer test increased in both groups compared to baseline, XG/CS (6.4 ± 2.2 vs 11.0 ± 6.6; p = 0.002) and PEG/PG (6.5 ± 2.5 vs 10.5 ± 5.6; p = 0.019) respectively. Similar results were reported in the tear film break-up time in XG/CS (5.5 ± 2.1 vs 7.4 ± 2.9; p = 0.027) and PEG/PG (5.2 ± 2.0 vs 7.4 ± 2.7; p = 0.046) respectively. The OSDI score decreased to normal values in both groups, XG/CS (19.3 ± 7.4 vs 7.3 ± 5.9; p = 0.001) and PEG/PG (19.3 ± 7.5 vs 7.9 ± 8.2; p = 0.001) respectively. There was no significant difference between treatments for any parameter. Moreover, both groups decreased the presence of burning sensation, tearing, foreign body sensation, conjunctival hyperemia and photophobia. The adverse events were not related to the interventions.

conclusionsXanthan gum/chondroitin sulfate preservative free showed similar clinical efficacy, evaluated with OSDI score, TBUT and Schirmer test compared to polyethylene glycol/propylene glycol in the treatment of dry eye disease.

trial registrationClinicalTrials.gov: NCT01657253 . Date of registration May 19, 2014.

Indexed as

AdultAgedChondroitin SulfatesDouble-Blind MethodDry Eye SyndromesEye PainFemaleHumansLubricant Eye DropsMaleMiddle AgedPolyethylene GlycolsPolysaccharides, BacterialPreservatives, PharmaceuticalPropylene GlycolQuality of LifeChondroitin SulfatesLubricant Eye DropsPolyethylene GlycolsPolysaccharides, BacterialPreservatives, PharmaceuticalPropylene GlycolSurface-Active Agentsxanthan gumChondroitin sulfateDry eyeOSDITear filmXanthan gum

Identifiers

PMID27645318
PMCPMC5028962
OpenAlexW2523528293

What OpenQuestion holds

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Registered trials

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.