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NCT05777798

Clinical Investigation on the Use of Ophthalmic Solution Based on Sodium Hyaluronate in Treatment of Eye Discomfort

Completed Results posted Last updated 7 January 2026
What this trial tests

trial testing Hyalistil Bio PF in Ocular Dryness in 28 participants. Completed in 3 August 2023.

Timeline
14 March 2023
Primary endpoint
3 August 2023
3 August 2023

Quick facts

Lead sponsorSIFI SpA
StatusCompleted
Study typeOBSERVATIONAL
Enrollment28
Start date14 March 2023
Primary completion3 August 2023
Estimated completion3 August 2023
Sites2 locations across Italy

Drugs / interventions tested

Conditions studied

Sponsor

SIFI SpA — full company profile →

Who can join

18 and older, any sex, with Ocular Dryness. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Tear Film Break-up Time With Fluorescein (TFBUT) Primary · Evaluated at Visit 1 (baseline) and Visit 3 (day 35 ± 4 - study termination)

The TFBUT will be performed after instillation of 5 microliters of 2% preservative-free sodium fluorescein solution into the inferior conjunctival cul-de-sac of each eye. The patient will be instructed to blink several times to thoroughly mix the fluorescein with the tear film. To achieve maximum fluorescence, the examiner should wait approximately 30 seconds after instillation before evaluating TFBUT. The TFBUT was measured by determining the time in seconds to tear break-up within 10 seconds maximum, and it was measured three time during the first minute after the instillation of fluorescein

TFBUT at Visit 1 (Baseline)
GroupValue95% CI
Hyalistil Bio PF5.00± 2.03
TFBUT at Visit 3 (Study termination)
GroupValue95% CI
Hyalistil Bio PF13.46± 5.83
Fluorescein Staining Secondary · Evaluated at Visit 1 (baseline), Visit 2 (day 14± 2) and Visit3 (day 35 ± 4 - study termination visit)

The NEI/Industry Workshop scale (1995) is an ophthalmological rating scale developed by the National Eye Institute (NEI, USA) to measure the degree of corneal and conjunctival staining after instillation of fluorescein or rose bengal/lissamine green. * The cornea is divided into 5 zones: Central, Superior, Inferior, Nasal, Temporal. Each zone is assigned a score from 0 to 3: 0 = no staining; 1 = mild; 2 = moderate; 3 = severe (Lower values=better outcomes - Total maximum cornea staining = 15). * The bulbar conjunctiva is divided into 6 areas: Superior nasal, Inferior nasal, Superior temporal,

Total NEI Score at Visit 1 (baseline)
GroupValue95% CI
Hyalistil Bio PF16.82± 5.48
Total NEI Score at Visit 2
GroupValue95% CI
Hyalistil Bio PF9.79± 3.45
Total NEI Score at Visit 3 (Study Termination Visit)
GroupValue95% CI
Hyalistil Bio PF5.18± 2.46
SANDE Secondary · Evaluated at Visit 1 (baseline), Visit2 (day 14± 2) and Visit3 (35 ± 4 - study termination)

The SANDE questionnaire (Symptom Assessment in Dry Eye) is a very simple, validated tool to assess dry eye symptoms. It's based on two visual analog scale (VAS) questions that measure: 1) Frequency of symptoms (dry and irritated); 2) Severity of symptoms (dryness and irritation). Each question is scored by the patients on a 0-100 mm VAS line (0 = no symptoms, 100 = maximum symptoms), marking the point that they feel represents their perception of their current state. Data collected from the SANDE questionnaire were calculated by multiplying the frequency score by the severity score and obta

Total score severity: Visit 1 (baseline)
GroupValue95% CI
Hyalistil Bio PF67.32± 16.53
Total score severity: Study termination
GroupValue95% CI
Hyalistil Bio PF26.43± 22.15
Total score frequency: Visit 1 (baseline)
GroupValue95% CI
Hyalistil Bio PF67.68± 17.08
Total score frequency: Study termination
GroupValue95% CI
Hyalistil Bio PF27.14± 25.07
Evaluation of the Degree of Satisfaction to the Treatment Reported by Patients Through the Use of the Visual Analogue Scale (VAS). Secondary · Evaluated at day 35 ± 4 of treatment

To evaluate the degree of satisfaction of patients to the treatment we used the visual analogue scale (VAS) ranging from 0 to 100 mm in a horizontal line. Patients will be asked to place a vertical mark (on the horizontal line, from 0 to100 mm) to indicate the degree of satisfaction to the treatment, where: 0-10 mm=no: 1-30 mm=very mild; 31-50 mm=mild; 51-70 mm=moderate; 71-90 mm=strong; 91-100 mm=very strong. Patients were asked to rate their level of satisfaction answering each of these questions: 1) "I feel satisfied using this treatment? ''; 2) "With this treatment, I have a feeling of f

1) "I feel satisfied using this treatment?"
GroupValue95% CI
Hyalistil Bio PF0
Hyalistil Bio PF4
Hyalistil Bio PF3
Hyalistil Bio PF12
2) "With this treatment, I have a feeling of freshness?"
GroupValue95% CI
Hyalistil Bio PF2
Hyalistil Bio PF1
Hyalistil Bio PF3
Hyalistil Bio PF14
3) "With this treatment, I have a feeling of relief?"
GroupValue95% CI
Hyalistil Bio PF1
Hyalistil Bio PF2
Hyalistil Bio PF2
Hyalistil Bio PF15
4) "This treatment contributed to reduce my pain due to eye dryness?''
GroupValue95% CI
Hyalistil Bio PF0
Hyalistil Bio PF2
Hyalistil Bio PF4
Hyalistil Bio PF14
5) "This treatment is comfortable? ''
GroupValue95% CI
Hyalistil Bio PF0
Hyalistil Bio PF2
Hyalistil Bio PF2
Hyalistil Bio PF11
Dry Eye-Related Quality of Life (DEQS Total Score) Secondary · Baseline (Visit 1) and Study Termination Visit (Day 35 ± 4)

Quality of life was assessed using the Dry Eye-Related Quality of Life Score (DEQS) questionnaire, which includes 15 items grouped into two subscales: Symptom Burden (6 items) and Impact on Daily Life (9 items). Each item is scored on a 0 to 4 scale, with higher scores indicating worse symptoms. Subscale scores range from 0 to 24 and 0 to 36, respectively. A total DEQS score was calculated by summing all item scores and converting the raw total to a 0-100 scale, where lower scores indicate better quality of life.

DEQS Summary score - Visit 1 baseline
GroupValue95% CI
Hyalistil Bio PF53.87± 13.44
DEQS Summary score - Study Termination V
GroupValue95% CI
Hyalistil Bio PF24.08± 17.13
DEQS Bothersome Ocular Symptoms subscale Visit 1 baseline
GroupValue95% CI
Hyalistil Bio PF56.37± 13.72
DEQS Bothersome Ocular Symptoms subscale Study Termination Visit
GroupValue95% CI
Hyalistil Bio PF23.25± 16.70
DEQS Impact on Daily Life subscale Visit 1 baseline
GroupValue95% CI
Hyalistil Bio PF51.96± 17.26
DEQS Impact on Daily Life subscale Study Termination Visit
GroupValue95% CI
Hyalistil Bio PF23.81± 19.31
Tear Film Break-up Time With Fluorescein (TFBUT) Secondary · Evaluated at day 14 ± 2 of treatment (Visit 2) and day 35 ± 4 of treatment (Visit 3 - Study termination)

The TFBUT will be performed after instillation of 5 microliters of 2% preservative-free sodium fluorescein solution into the inferior conjunctival cul-de-sac of each eye. The patient will be instructed to blink several times to thoroughly mix the fluorescein with the tear film. To achieve maximum fluorescence, the examiner should wait approximately 30 seconds after instillation before evaluating TFBUT. The TFBUT was measured by determining the time in seconds to tear break-up within 10 seconds maximum, and it was measured three time during the first minute after the instillation of fluorescein

TFBUT at Visit 2
GroupValue95% CI
Hyalistil Bio PF10.27± 5.01
TFBUT at Visit 3 (Study termination)
GroupValue95% CI
Hyalistil Bio PF13.46± 5.83
Best Corrected Visual Acuity (BCVA) Secondary · Evaluated at day 14± 2 and 35 ± 4 of treatment versus baseline

The ETDRS chart uses a standardized, logarithmic letter chart (Sloan letters, 5 per line). Results can be reported as either logMAR values or letter scores, in our study we used the "Line method" (the smallest line where at least 3 of 5 letters are correctly read), while Visual Acuity was expressed as Snellen Distance Equivalent (meters); in the Italian decimal system, 10/10 corresponds to 6/6" or 0.0 logMAR. To maintain consistency across clinics and trials, the examination conditions were standardized as follow: Test distance 4 meters, Chart uniformly illuminated (\~85 cd/m² luminance), wit

BCVA Visit 1 (Baseline)
GroupValue95% CI
Hyalistil Bio PF1
Hyalistil Bio PF2
Hyalistil Bio PF2
Hyalistil Bio PF23
BCVA Visit 2
GroupValue95% CI
Hyalistil Bio PF1
Hyalistil Bio PF2
Hyalistil Bio PF2
Hyalistil Bio PF23
BCVA Study Termination Visit
GroupValue95% CI
Hyalistil Bio PF1
Hyalistil Bio PF2
Hyalistil Bio PF1
Hyalistil Bio PF24
Investigator Global Assessment of Safety (IGAS) Secondary · Study Termination Visit (Day 35 ± 4)

Safety was assessed using the Investigator Global Assessment of Safety (IGAS), a 4-point categorical scale where 1 = very good safety, 2 = good safety, 3 = moderate safety, and 4 = poor safety. IGAS was evaluated at the Study Termination Visit and summarized by reporting the number and percentage of participants in each category.

GroupValue95% CI
Hyalistil Bio PF27
Hyalistil Bio PF0
Hyalistil Bio PF0
Hyalistil Bio PF0
Change in Intraocular Pressure (IOP) Secondary · Baseline (Visit 1), Visit 2 (Day 14 ± 2), and Study Termination Visit (Day 35 ± 4)

Intraocular pressure (IOP) was measured in mmHg using Goldmann applanation tonometry after topical anesthesia with unpreserved 0.4 percent oxybuprocaine hydrochloride. IOP was assessed at three pre-specified study visits: baseline (Visit 1), Visit 2 during treatment, and the Study Termination Visit. Results were summarized by visit for all participants included in the intention-to-treat population.

IOP - Visit 1
GroupValue95% CI
Hyalistil Bio PF12.86± 2.00
IOP - Visit 2
GroupValue95% CI
Hyalistil Bio PF12.82± 1.44
IOP - Visit 3 Study termination Visit
GroupValue95% CI
Hyalistil Bio PF12.61± 1.32
Treatment Compliance Rate Secondary · During the treatment period, assessed at Study Termination Visit (Day 35 ± 4)

Treatment compliance was assessed during the treatment period by counting returned single-dose containers and boxes at the Study Termination Visit. Compliance was calculated as the percentage of prescribed doses administered relative to planned doses for each participant. Participants were categorized into predefined compliance categories (\<50%, 50-80%, \>80%) for reporting purposes.

GroupValue95% CI
Hyalistil Bio PF1
Hyalistil Bio PF2
Hyalistil Bio PF25

Sponsor's own description

The purpose of this study is to assess the performance and safety resulting from the treatment of an ophthalmic solution for the ocular discomfort and in particular in presence of ocular dryness.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing