Allergic Eye Disease Tear Mediators

The purpose of the research is to determine which inflammatory substances are involved in causing allergic symptoms in the eye. Allergic conjunctivitis is a common problem with symptoms of temporary redness, itching, tearing, and swelling of the eyes. Substances released by cells in the affected tissues cause allergic reactions in the eye and elsewhere in the body...

Date First Received: December 26, 2007

Last Updated: October 30, 2008

Verified by: University of Wisconsin, Madison, October 2008

Clinical Trial Phase: N/A | Start Date: September 2000

Overall Status: Recruiting

Estimated Enrollment: 40

Brief Summary

Official Title: “Expression of Inflammatory Mediators in Allergic Conjunctivitis”

Condition Keyword(s):

Intervention(s):

The purpose of the research is to determine which inflammatory substances are involved in causing allergic symptoms in the eye. Allergic conjunctivitis is a common problem with symptoms of temporary redness, itching, tearing, and swelling of the eyes. Substances released by cells in the affected tissues cause allergic reactions in the eye and elsewhere in the body.

Study Type: Interventional

Study Design: Basic Science, Open Label, Single Group Assignment

Study Primary Completion Date: September 2010

Detailed Clinical Trial Description

Ocular allergies are extremely common, affecting up to 80 million people in the USA. Our research question is:

Are there differences in inflammatory mediators and cell surface activation markers in patients undergoing seasonal allergic conjunctivitis compared to those with sight threatening disease such as Atopic Keratoconjunctivitis (AKC) and will the use of the anti-allergy eye drop, PATANOLĀ® (olopatadine hydrochloride) affect these parameters?

Experimental Design:

Ocular surface cells (by impression cytology) and tears (via capillary tube) are collected from allergic, non-allergic, and AKC subjects undergoing an reaction induced either by seasonal allergen or topical allergen provocation (specificity and dose determined via skin testing). Ocular surface cells are evaluated for surface activation markers. Tears are evaluated for mediator content. Tears are also incubated with peripheral blood eosinophils and lymphocytes to see effects on adhesion to conjunctival epithelial cells.

Intervention(s) in this Clinical Trial

  • Drug: olopatadine
    • olopatadine one drop in one eye for two weeks

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1

Outcome Measures for this Clinical Trial

Primary Measures

  • tear cytokine concentrations with and without treatment
    • Time Frame: 1-3 months
      Safety Issue?: No

Secondary Measures

  • conjunctival epithelial cell surface marker measured with and without treatment
    • Time Frame: 1-3 months
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Skin test positive
  • Able to put drops in eyes
  • Able to have tears collected

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: 65 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: Accepts Healthy Volunteers

Clinical Trial Sponsor Information

Lead Sponsor: University of Wisconsin, Madison

Overall Clinical Trial Officials and Contacts

Neal P Barney, MD Principal Investigator University of Wisconsin, Madison  

Related Publications

References

Cook EB. Tear cytokines in acute and chronic ocular allergic inflammation. Curr Opin Allergy Clin Immunol. 2004 Oct;4(5):441-5. Review.

Citations Reporting Results

Cook EB, Stahl JL, Brooks AM, Graziano FM, Barney NP. Allergic tears promote upregulation of eosinophil adhesion to conjunctival epithelial cells in an ex vivo model: inhibition with olopatadine treatment. Invest Ophthalmol Vis Sci. 2006 Aug;47(8):3423-9.

Additional Information

Information obtained from ClinicalTrials.gov on November 20, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00609128

Study ID Number: 1998-381

ClinicalTrials.gov Identifier: NCT00609128

Health Authority: United States: Institutional Review Board

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