Protocol summary

Study aim
Examining the health and effectiveness of using exosomes derived from limbal mesenchymal stem cells in dry eye patients
Design
Clinical trial, parallel groups, blind on one side, phase 3 on 30 patients.
Settings and conduct
In this research, all patients with complaints of burning or itching or feeling of a foreign body in the eye, referred to Rasoul Akram Hospitals in Tehran, will be included in the study. The sample size is 30 people. A total of 40 patients will be examined. Data analyst will be blinded.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Patients with complaints of burning or itching or feeling of a foreign body in the eye, Moderate and severe dry eye severity, Age between 18-70 years. Exclusion criteria: Previous history of eye surgery, Any disease that suppresses the immune system, Pregnancy and breastfeeding, Eyelid abnormalities, Use of eye drops in the past year except artificial tears and lubricating ointments, Use of systemic drugs that affect the tear film in last three months, Use of systemic steroid in the last three months, Use of contact lenses in the last three months
Intervention groups
Intervention group: Patients will receive one drop (0.05 cc) of exosome with one drop (0.05 cc) of artificial tears without preservative in the right eye, every 6 hours (4 times a day) for three months. Control group: Patients will receive one drop (0.05 cc) of artificial tears without preservative in the left eye, every 6 hours (4 times a day) for three months.
Main outcome variables
Dry eye

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20231022059814N1
Registration date: 2023-11-11, 1402/08/20
Registration timing: prospective

Last update: 2023-11-11, 1402/08/20
Update count: 0
Registration date
2023-11-11, 1402/08/20
Registrant information
Name
Kian Alirezaei
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 86701
Email address
kian.alirezaei.72@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-12-06, 1402/09/15
Expected recruitment end date
2024-03-05, 1402/12/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Examining the health and effectiveness of using exosomes derived from limbal mesenchymal stem cells in dry eye patients
Public title
The effect of exosomes on dry eye
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with complaints of burning or itching or feeling of a foreign body in the eye Moderate and severe dry eye severity Age between 18-70 years
Exclusion criteria:
Previous history of eye surgery Any disease that suppresses the immune system Pregnancy and breastfeeding Eyelid abnormalities Use of eye drops in the past year except artificial tears and lubricating ointments Use of systemic drugs that affect the tear film in last three months Use of systemic steroid in the last three months Use of contact lenses in the last three months
Age
From 18 years old to 70 years old
Gender
Both
Phase
3
Groups that have been masked
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 30
More than 1 sample in each individual
Number of samples in each individual: 2
In each of the participants, the right eye and the left eye will be examined as 2 samples. The intervention will be done in the right eye and the left eye will be the intervention group.
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Single blinded
Blinding description
The person in charge of data collection, the analyst and the outcome evaluator will collect and analyze the data based on groups 1 and 2 and will not know the type of treatment provided in the groups and will be kept blind.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Iran University of Medical Sciences
Street address
Iran University of Medical Sciences, Hemmat Highway
City
Tehran
Province
Tehran
Postal code
1449614535
Approval date
2023-09-12, 1402/06/21
Ethics committee reference number
IR.IUMS.FMD.REC.1402.283

Health conditions studied

1

Description of health condition studied
Dry eye
ICD-10 code
H04.12
ICD-10 code description
Dry eye syndrome

Primary outcomes

1

Description
Dry eye
Timepoint
Before the intervention, 4 and 12 weeks after the intervention
Method of measurement
Based on the ocular surface disease index questionnaire

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Patients with dry eyes, will receive in the right eye, one drop (0.05 cc) of exosome derived from limbal mesenchymal stem cells with a concentration of 0.01 micro liter (produced in the laboratory by the researcher) along with one drop (0.05 cc) artificial tears Advanced 0.15 without preservative containing 150 mg of sodium hyaluronate per 100 ml (manufacturer: Artipic Pharmaceutical Company), every 6 hours (4 times a day) for three months.
Category
Treatment - Drugs

2

Description
Control group: Patients with dry eyes, will receive in the left eye, one drop (0.05 cc) artificial tears Advanced 0.15 without preservative containing 150 mg of sodium hyaluronate per 100 ml (manufacturer: Artipic Pharmaceutical Company), every 6 hours (4 times a day) for three months.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Rasoul-Akram Hospital
Full name of responsible person
Kian Alirezaei
Street address
Rasoul-Akram Hospital, Niayesh St., Sattarkahn Ave
City
Tehran
Province
Tehran
Postal code
1445613131
Phone
+98 21 6435 2222
Email
Rasoolhospital@iums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Reza Falak
Street address
Iran University of Medical Sciences, Hemmat Highway
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 8670 2503
Email
research@iums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Iran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Hossein Aghaei
Position
Associate Professor
Latest degree
Specialist
Other areas of specialty/work
Ophthalmology
Street address
Rasoul-Akram Hospital, Niayesh St., Sattarkahn Ave
City
Tehran
Province
Tehran
Postal code
1445613131
Phone
+98 21 6655 8811
Email
draghaei.h@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Hossein Aghaei
Position
Associate Professor
Latest degree
Subspecialist
Other areas of specialty/work
Ophthalmology
Street address
Rasoul-Akram Hospital, Niayesh St., Sattarkahn Ave
City
Tehran
Province
Tehran
Postal code
1445613131
Phone
+98 21 6655 8811
Email
draghaei.h@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Kian Alirezaei
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Ophthalmology
Street address
Rasoul-Akram Hospital, Niayesh St., Sattarkahn Ave
City
Tehran
Province
Tehran
Postal code
1445613131
Phone
+98 21 6655 8811
Email
Kian.alirezaei.72@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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