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Effects of Topical Insulin on Levels of Tear Inflammatory Mediators

Phase 1
Conditions
Dry Eye
Interventions
Drug: Topical Insulin
Registration Number
NCT04877210
Lead Sponsor
Universiti Kebangsaan Malaysia Medical Centre
Brief Summary

60 samples are take to determine the effects of topical insulin on tear inflammatory mediators interleukin 1a, interleukin 6 and matrix metalloprotenase 9 in diabetics with dry eye disease.

Detailed Description

Tear samples are taken to compare the levels of inflammatory markers (IL 1a, IL6 and MMP 9) pre-and post treatment with topical insulin in normal saline compared to standard therapy and normal saline in diabetics with dry eyes and also to correlate the IL 1a, IL6 and MMP 9 levels with clinical outcomes in diabetics with dry eyes treated with topical insulin in normal saline, standard therapy and normal saline

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • all diabetics aged 18 - 50 years of age with at least mild OSDI scores
Exclusion Criteria
  • Diabetics on contact lenses
  • Diabetic with history of ocular surgery in the preceding 3 months
  • Post menopausal women
  • Known mild dry eye with prior usage of topical therapy who are unable to discontinue
  • Known case of allergic eye disease
  • Sjogren's syndrome patients
  • Unwilling or unable to attend 6 follow up and sampling sessions

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Topical InsulinTopical InsulinInsulin (Actrapid) diluted in normal saline
Normal SalineTopical InsulinNormal saline eyedrops
Standard Artifical TearTopical InsulinGutt systane ultra
Primary Outcome Measures
NameTimeMethod
Biochemical marker 24 weeks

Interleukin 6

Biochemical marker 14 weeks

Interleuikn 1-alpha

Biochemical marker 34 weeks

Matrix metallo-proteinase 9

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

PPUKM

🇲🇾

Kuala Lumpur, Malaysia

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