Evidence map›Paper›PMID 28651550›Full record

Trial reportBMC ophthalmology2017

A novel TRPM8 agonist relieves dry eye discomfort.

Jee Myung Yang, Fengxian Li, Qin Liu, Marco Rüedi, Edward Tak Wei, Michael Lentsman, Hyo Seok Lee, Won Choi, Seong Jin Kim, Kyung Chul Yoon

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC ophthalmology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

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

33 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Article
  3. Symmetry-driven gating of TRPM8 by PIPNature communications · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Ion channels in dry eye disease.Indian journal of ophthalmology · 2023
    Review
  15. Review
  16. Ocular Surface Ion Transport and Dry Eye Disease.Current ophthalmology reports · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Review
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

10 authors at 6 institutions in 4 countries.

Jee Myung YangGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon, South Korea.
Fengxian LiDepartment of Anesthesiology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Qin LiuDepartment of Anesthesiology and Center for the Study of Itch, Washington University, School of Medicine, St. Louis, MO, USA.
Marco RüediAlveonix AG, Rotkreuz-Zug, Switzerland.
Edward Tak WeiAlta Research LLC, Berkeley, CA, USA.
Michael LentsmanPavlov Institute of Physiology, 199034, St. Petersburg, Russia.
Hyo Seok LeeDepartment of Ophthalmology, Chonnam National University Medical School and Hospital, 42 Jebong-ro, Dong-gu, Gwangju, 61469, South Korea.
Won ChoiDepartment of Ophthalmology, Chonnam National University Medical School and Hospital, 42 Jebong-ro, Dong-gu, Gwangju, 61469, South Korea.
Seong Jin KimDepartment of Dermatology, Chonnam National University Medical School and Hospital, 42 Jebong-ro, Dong-gu, Gwangju, 61469, South Korea. seongkim@jnu.ac.kr.
Kyung Chul YoonDepartment of Ophthalmology, Chonnam National University Medical School and Hospital, 42 Jebong-ro, Dong-gu, Gwangju, 61469, South Korea. kcyoon@jnu.ac.kr.ORCID http://orcid.org/0000-0002-2788-1851
Chonnam National University · KRChonnam National University Hospital · KRWashington University in St. Louis · USAltair Engineering (United States) · USKorea Advanced Institute of Science and Technology · KRPavlov Institute of Physiology of the Russian Academy of Sciences · RU

Funding

The Neural Basis of Ocular SensationsR01EY024704 · NEI · WASHINGTON UNIVERSITY · PI LIU, QIN · 2014 to 2024
$4.3M
NEI NIH HHS R01 EY024704
6 · The paper itself

Abstract

backgroundPhysical cooling of the eye surface relieves ocular discomfort, but translating this event to drug treatment of dry eye discomfort not been studied. Here, we synthesized a water-soluble TRPM8 receptor agonist called cryosim-3 (C3, 1-diisopropylphosphorylnonane) which selectively activates TRPM8 (linked to cooling) but not TRPV1 or TRPA1 (linked to nociception) and tested C3 in subjects with mild forms of dry eye disease.

methodsA set of 1-dialkylphosphoryalkanes were tested for activation of TRPM8, TRPV1 and TRPA1 receptors in transfected cells. The bioactivity profiles were compared by perioral, topical, and intravenous delivery to anesthetized rats. The selected lead candidate C3 or vehicle (water) was applied with a cotton gauze pad to upper eyelids of patients with dry eye disease (n = 30). Cooling sensation, tear film break-up time (TBUT), basal tear secretion, and corneal staining were evaluated. C3 was then applied four times daily for 2 weeks to patients using a pre-loaded single unit applicator containing 2 mg/mL of C3 in water (n = 20) or water only. TBUT, basal tear secretion, and corneal staining, and three questionnaires surveys of ocular discomfort (VAS scale, OSDI, and CVS symptoms) were analyzed before and at 1 and 2 weeks thereafter.

resultsC3 was a selective and potent TRPM8 agonist without TRPV1 or TRPA1 activity. In test animals, the absence of shaking behavior after C3 perioral administration made it the first choice for further study. C3 increased tear secretion in an animal model of dry eye disease and did not irritate when wiped on eyes of volunteers. C3 singly applied (2 mg/ml) produced significant cooling in <5 min, an effecting lasting 46 min with an increase in tear secretion for 60 min. C3 applied for 2 weeks also significantly increased basal tear secretion with questionnaire surveys of ocular discomfort indices clearly showing improvement of symptoms at 1 and 2 weeks. No complaints of irritation or pain were reported by any subject.

conclusionsC3 is a promising candidate for study of TRPM8 function on the eye surface and for relief of dry eye discomfort.

trial registrationISRCTN24802609 and ISRCTN13359367 . Registered 23 March 2015 and 2 September 2015.

Indexed as

AnimalsCricetinaeDisease Models, AnimalDouble-Blind MethodDry Eye SyndromesFemaleHumansMaleMiceMice, Inbred C57BLOphthalmic SolutionsTearsTRPM Cation ChannelsOphthalmic SolutionsTRPM8 protein, humanTRPM Cation ChannelsDry eyeEyelidOcular discomfortTRPM8

Identifiers

PMID28651550
PMCPMC5485613
OpenAlexW2711514215

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.