AzTrials
AzTrials

Ocular InflammationPhase 3CRYSTALNCT05668455

Comparison of Topical Treatment for Inflammatory Secretions of the Conjonctiva (Patients With Ocular Prostheses)

A Phase 3 study testing Hydrocortisone, Dexamethasone and Povidone in people with Ocular Inflammation and Ocular Prostheses, run by Agnes at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

We propose to evaluate the efficacy of treatment with Hydrocortisone and Dexamethasone (in a cross-over design) in patients with ocular prostheses and significant functional discomfort. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Ocular Inflammation, Ocular Prostheses
What is being tested?
Hydrocortisone, Dexamethasone and Povidone
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
1 siteFrance
Study dates
12 May 2023to 20 Jul 2026
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient aged 18 years or older;
  • Wearing a permanent prosthesis for more than 6 months; - Consultant in the ophthalmology department;
  • Modified OSDI score ≥ 20 points out of 40 ;
  • Affiliated with a health insurance scheme,
  • For women of childbearing age: effective contraception (effective contraception includes oral contraception, intrauterine devices and other forms of contraception with a failure rate <1%, for the duration of the study and up to 1 week after the last dose administered)
  • Have given free, informed and written consent.

Who cannot join

  • Treatment with eye drop(s) (other than artificial tears or antiseptic) < 1 month;
  • Concomitant treatment with CYP3A inhibitors including cobicistat containing drugs,
  • Known contraindications to study treatments
  • Dermal fat grafting or complicated cavity;
  • Gougerot-Sjögren syndrome;
  • Allergic conjunctivitis;
Show all 11Show fewer
  • Damaged prosthesis;
  • Impossibility of carrying out the various tests required by the protocol for whatever reason (comprehension problems, motor disability);
  • Pregnant or breastfeeding woman;
  • Person already included in a RIPH1 research protocol with topical treatment of the cavity or systemic anti-inflammatory treatment and/or who could lead to a bias in the present study
  • Person under legal protection (safeguard of justice, curatorship, guardianship) or person deprived of liberty.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • Centre Hospitalier Universitaire de Rennes _ Pontchaillou

    Rennes, 35000

    Frederic MOURIAUX, MD, frederic.mouriaux@chu-rennes.fr

    Yann MAUCOURANT, MD, yann.maucourant@chu-rennes.fr

    Recruiting

Other trials in France

About this study

Official title: Comparison of Topical Hydrocortisone Versus Dexamethasone Treatment for Inflammatory Secretions of the Conjonctiva in Patients With Ocular Prostheses

We propose to evaluate the efficacy of treatment with Hydrocortisone and Dexamethasone (in a cross-over design) in patients with ocular prostheses and significant functional discomfort.

Read the detailed description

There are more than 100,000 eye prosthesis wearers in France. Half of these patients are bothered by secretions or sandy sensations, or even chronic pain. Various anti-inflammatory treatments are proposed without scientific basis.

A pilot study on a limited number of patients conducted in 2017 at the University Hospital of Rennes and published in 2019 showed the interest of Dexamethasone eye drops in these patients. However, this study was retrospective and not controlled.

We therefore wish to propose a prospective, placebo-controlled, single-blind clinical study to define the value of anti-inflammatory treatment in patients with ocular prostheses.

We propose to evaluate the efficacy of treatment with Hydrocortisone and Dexamethasone (in a cross-over design) in patients with ocular prostheses and significant functional discomfort.

Being tested
Hydrocortisone, Dexamethasone, Povidone

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT05668455
Study groupRoleWhat they receive
HYDROCORTISONEExperimentalTopical corticosteroid : hydrocortisone
Receives: Drug: Hydrocortisone
DEXAMETHASONEExperimentalTopical corticosteroid : dexamethasone
Receives: Drug: Dexamethasone
POVIDONEPlacebo comparatorTopical : tear substitute
Receives: Other: Povidone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Secretion Self-Rating Analog Scale score.

    The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints.

    This 40 point score is calculated as the sum of 4 criteria, each scored on 10 points.

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

    Measured: Before first treatment period of 14 days

  2. Secretion Self-Rating Analog Scale score.

    The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints.

    This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points.

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

    Measured: After first treatment period of 14 days

  3. Secretion Self-Rating Analog Scale score.

    The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints.

    This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points.

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

    Measured: At 1.5 month (1 Month Wash-out after first treatment, and before second treatment)

  4. Secretion Self-Rating Analog Scale score.

    The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints.

    This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points.

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

    Measured: At 2 months (After second treatment period of 14 days)

  5. Secretion Self-Rating Analog Scale score.

    The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints.

    This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points.

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

    Measured: At 3 months (1 Month Wash-out after second treatment, and before third treatment)

  6. Secretion Self-Rating Analog Scale score.

    The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints.

    This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points.

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)

    Measured: At 3.5 months (After third treatment period of 14 days)

Secondary outcomes (38)
  1. Bulbar conjunctival inflammation score

    Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

    Measured: At inclusion visit (basal)

  2. Bulbar conjunctival inflammation score

    Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

    Measured: After first treatment period of 14 days

  3. Bulbar conjunctival inflammation score

    Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

    Measured: At 2 months (After second treatment period of 14 days)

  4. Bulbar conjunctival inflammation score

    Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)

    Measured: At 3.5 months (After third treatment period of 14 days)

  5. Tarsal conjunctival inflammation score according

    Tarsal conjunctival inflammation score according to the grades of Saini et al.(Grade 1 to 4 : from absent to more than one millimetre in diameter)

    Measured: At inclusion visit (basal)

  6. Tarsal conjunctival inflammation score according

    Tarsal conjunctival inflammation score according to the grades of Saini et al.(Grade 1 to 4 : from absent to more than one millimetre in diameter)

    Measured: After first treatment period of 14 days

  7. Tarsal conjunctival inflammation score according

    Tarsal conjunctival inflammation score according to the grades of Saini et al.(Grade 1 to 4 : from absent to more than one millimetre in diameter)

    Measured: At 2 months (After second treatment period of 14 days)

  8. Tarsal conjunctival inflammation score according

    Tarsal conjunctival inflammation score according to the grades of Saini et al.(Grade 1 to 4 : from absent to more than one millimetre in diameter)

    Measured: At 3.5 months (After third treatment period of 14 days)

  9. Secretion frequency

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) according to the secretion analysis scale (Jacobs et al.)

    Measured: Before first treatment period of 14 days

  10. Secretion frequency

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) according to the secretion analysis scale (Jacobs et al.)

    Measured: After first treatment period of 14 days

  11. Secretion frequency

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 1.5 month (Before second treatment period of 14 days

  12. Secretion frequency

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 2 months (After second treatment period of 14 days

  13. Secretion frequency

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 3 months (Before third treatment period of 14 days)

  14. Secretion frequency

    Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 3.5 months (After third treatment period of 14 days)

  15. Colour of secretions

    Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) according to the secretion analysis scale (Jacobs et al.)

    Measured: Before first treatment period of 14 days

  16. Colour of secretions

    Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) according to the secretion analysis scale (Jacobs et al.)

    Measured: After first treatment period of 14 days

  17. Colour of secretions

    Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 1.5 month (Before second treatment period of 14 days)

  18. Colour of secretions

    Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 2 months (After second treatment period of 14 days

  19. Colour of secretions

    Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 3 months (Before third treatment period of 14 days)

  20. Colour of secretions

    Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 3.5 months (After third treatment period of 14 days)

  21. Amount of secretions

    Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) according to the secretion analysis scale (Jacobs et al.)

    Measured: Before first treatment period of 14 days

  22. Amount of secretions

    Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) according to the secretion analysis scale (Jacobs et al.)

    Measured: After first treatment period of 14 days

  23. Amount of secretions

    Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 1.5 month (Before second treatment period of 14 days)

  24. Amount of secretions

    Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 2 months (After second treatment period of 14 days

  25. Amount of secretions

    Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 3 months (Before third treatment period of 14 days

  26. Amount of secretions

    Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) according to the secretion analysis scale (Jacobs et al.)

    Measured: At 3.5 months (After third treatment period of 14 days)

  27. Thickness/Viscosity of secretions

    Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick) to the secretion analysis scale (Jacobs et al.)

    Measured: Before first treatment period of 14 days

  28. Thickness/Viscosity of secretions

    Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick) to the secretion analysis scale (Jacobs et al.)

    Measured: After first treatment period of 14 days

  29. Thickness/Viscosity of secretions

    Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick) to the secretion analysis scale (Jacobs et al.)

    Measured: At 1.5 month (Before second treatment period of 14 days)

  30. Thickness/Viscosity of secretions

    Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick) to the secretion analysis scale (Jacobs et al.)

    Measured: At 2 months (After second treatment period of 14 days

  31. Thickness/Viscosity of secretions

    Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick) to the secretion analysis scale (Jacobs et al.)

    Measured: At 3 months (Before third treatment period of 14 days)

  32. Thickness/Viscosity of secretions

    Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick) to the secretion analysis scale (Jacobs et al.)

    Measured: At 3.5 months (After third treatment period of 14 days)

  33. OSDI quality of life score adapted to prosthesis wearers

    OSDI quality of life score adapted to prosthesis wearers, scored on 40 points (10 items with a maximum of 4 points per item) (Maucourant et al.)

    Measured: Before first treatment period of 14 days

  34. OSDI quality of life score adapted to prosthesis wearers

    OSDI quality of life score adapted to prosthesis wearers, scored on 40 points (10 items with a maximum of 4 points per item) (Maucourant et al.)

    Measured: After first treatment period of 14 days

  35. OSDI quality of life score adapted to prosthesis wearers

    OSDI quality of life score adapted to prosthesis wearers, scored on 40 points (10 items with a maximum of 4 points per item) (Maucourant et al.)

    Measured: At 1.5 month (Before second treatment period of 14 days)

  36. OSDI quality of life score adapted to prosthesis wearers

    OSDI quality of life score adapted to prosthesis wearers, scored on 40 points (10 items with a maximum of 4 points per item) (Maucourant et al.)

    Measured: At 2 months (After second treatment period of 14 days

  37. OSDI quality of life score adapted to prosthesis wearers

    OSDI quality of life score adapted to prosthesis wearers, scored on 40 points (10 items with a maximum of 4 points per item) (Maucourant et al.)

    Measured: At 3 months (Before third treatment period of 14 days)

  38. OSDI quality of life score adapted to prosthesis wearers

    OSDI quality of life score adapted to prosthesis wearers, scored on 40 points (10 items with a maximum of 4 points per item) (Maucourant et al.)

    Measured: At 3.5 months (After third treatment period of 14 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Dec 2022
  2. Study start12 May 2023
  3. Primary completion25 Dec 2025 (estimated)
  4. Study completion20 Jul 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
Prospective, single-centre, controlled, randomised, single-blind, cross-over clinical study with 2 treatments and an artificial tear. (First treatment (14 days) and Wash out (1month) / Second treatment treatment (14 days) and Wash out (1month) /Third treatment (14 days) and Wash out (1month)
Masking
Single blind
Who is masked
Participant
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05668455
Sponsor's protocol ID
35RC21_8901_CRYSTAL
Acronym
CRYSTAL
Status last verified
Aug 2025
First submitted
3 Oct 2022
Last updated
15 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Hydrocortisone, Dexamethasone and Povidone in people with Ocular Inflammation and Ocular Prostheses, run by Agnes at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 15 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Secretion Self-Rating Analog Scale score. (time frame: Before first treatment period of 14 days). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Aug 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in