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NCT Number: NCT07715266

SAFETY AND PERFORMANCE OF A NEW MEDICAL DEVICE ON POST CATARACT SURGERY DRY EYE DISEASE

Cataract surgery is one of the most frequent and successful interventions currently undertaken in medicine. However, a significant number of patients who underwent cataract surgery still complain about postoperative symptoms, such as irritation, pain, dryness, burning sensation, and foreign body sensation. Dry eye disease (DED) is a common postoperative symptom, with a prevalence fluctuating from 9.8% to 34% depending on the studies. The onset, or the worsening, of DED signs and symptoms usually occurs in the first postoperative week and may last for months affecting the satisfaction and quality of life of the patient. The reasons of dry eye development after cataract surgery include thermal and light toxicity from the microscope, corneal epithelial damage, repeated drying and irrigation of ocular surface during operation, sterilization of conjunctival sac and eyelid with chemicals, transection of the corneal nerves by corneal incision, use of topical anaesthetics, and preservatives in topical eye drops. The mainstay of post-cataract surgery DED prevention and management is the treatment with non-preserved artificial tears, which has shown good results in terms of the reduction in postoperative DED signs and symptoms in previous clinical studies.

NOX-01 Ocular Drops is a medical device not already CE-marked. It is a preservative-free ophthalmic lubricant solution intended to be used in cases of moderate to severe dry eye in adults, regardless of gender. NOX-01 is a biomimetic emulsion which lubricates and protects the corneal surface, limiting the inflammation due to dry eye and stabilizing the tear film.

The primary objective of this pilot and pre-market study is to assess the tolerance of NOX-01 on eye dryness syndrome before and after a cataract surgery, in patients with pre-existing mild to moderate DED, during 84 days of use (12 weeks). The performance of the product, used 4 times per day, in improving signs of symptoms of DED, will also be assessed before and after cataract surgery, as well as subject and investigator satisfaction.

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Key information

Age range

18 year–78 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Oftalvist, Alicante, Spain

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 2. Age: > 18 years and less than 78 years old. 3. Subject who requires a unilateral cataract surgery (phacoemulsification and intra ocular lens implantation) or bilateral cataract surgery with delay of maximum 4 days between two eyes operation.
  • Subject with mild to moderate dry eye at the pre-operative visit with the following scores:
  • OSDI (Ocular Surface Disease Index) ≥ 13 and ≤ 32
  • Schirmer test in the operated eye ≥ 5 mm/5min and ≤ 15 mm/5min And/or
  • Non-invasive break-up time (NIBUT) in the operated eye: sum of 3 measurement ≥ 5 sec and ≤ 15 sec 5. Patient who did not use artificial tears 1 week before the screening visit. 6. Patient having given freely and expressly his informed consent. 7. Patient psychologically able to understand the study related information and to give a written informed consent.
  • Female of childbearing potential should use a contraceptive regimen recognized as effective since at least 12 weeks before screening visit, during all the study and at least 1 month after the study end.

Exclusion criteria

In terms of population

  • Pregnant or nursing woman or planning a pregnancy during the study.
  • Subject who had been deprived of their freedom by administrative or legal decision or who is under guardianship.
  • Subject in a social or sanitary establishment.
  • Subject suspected to be non-compliant according to the investigator's judgment.
  • Patient using contact lens during screening period and the entire study (even if prescribed by the investigator after surgery).

In terms of associated pathology

  • Subject with a condition or receiving a medication which, in the investigator's judgment, put the subject at undue risk.
  • Subject with severe eye dryness
  • Patient with palpebral malposition with a tendency to incomplete blinking +/- scleral show
  • Patient with general pathologies that can cause dry eye syndrome like: thyroid disorder, cutaneous rosacea, acne and/or iatrogenic effects of isotretinoin treatment.
  • Presence of ocular comorbidities such as glaucoma, uveitis or cystoid macular oedema.
  • Neuropathic causes of dry eye ( long-standing contact lens wearing, previous ocular herpes infections)
  • Past or active ocular surface diseases (any corneal disease, cicatricial conjunctivitis, ocular surface burns, keratinization of the eyelid margin, Sjogren syndrome, corneal trauma)
  • Ocular or general factors predisposing the patient to an increased risk for intraoperative complications, according to investigator's evaluation
  • Know hypersensitivity to any component of the study product Relating to previous or ongoing treatment
  • Subject with other ocular surgery in the 12 previous months.
  • Subject with lid surgery in the 3 previous months
  • Subject who received systemic non-steroidal anti-inflammatory drugs, immunosuppressants, corticoids or any medication that could interfere with lacrimal function during the 3 weeks prior to the study.
  • Subject who received topical antibiotics, topical NSAIDs, topical steroid or topical cyclosporine in either eye in the past month.

Treatment and study plan

NOX-01

Device

1 drop per eye, four times per day, in the operated eye

Primary outcomes

  1. Tolerance of NOX-01

    Time frame: Day 1, Day 7, Day 28 and Day 84

    The tolerance of NOX-01 will be assessed by an ocular examination of an ophthalmologist and ocular symptoms after instillation assessed by the patient.

    The proportion of each of the following ocular sign: palpebral signs, conjunctival discharge, chemosis, folliculopapillary conjunctivitis, filamentary keratitis, flap oedema, flap folds, other, will be described before product use and at each time point during the study. In case of ocular sign increase during the study, the relationship to the product will be evaluated.

    At each time point, the presence, average intensity, average duration and frequency of each of the following symptom after instillation of the product will be described on a scale from 0 (None) to 3(Severe): burning/irritation, stinging/ eye pain, itching, eye dryness feeling, foreign body sensation, light sensitivity, blurred vision, other.

    Proportion of subject with at least one severe symptom will be calculated.

Secondary outcomes

  1. Conjunctival hyperaemia using the McMonnies photographic scale

    Time frame: 7 day before surgery, Day 1, Day 7, Day 28 and D84

    Change from baseline before cataract surgery (Day-7) and from baseline after cataract surgery (Day1) at each applicable time point for the following parameters, in the first operated eye:

  2. Non-invasive film Break-Up Time (NIBUT)

    Time frame: 7 day before surgery, Day 1, Day 7, Day 28 and Day 84

    Change from baseline before cataract surgery (Day-7) and from baseline after cataract surgery (Day1) at each applicable time point for the following parameters, in the first operated eye

  3. Schirmer test result

    Time frame: 7 day before surgery, Day 1, Day 7, Day 28 and Day 84

    Change from baseline before cataract surgery (Day-7) and from baseline after cataract surgery (Day1) at each applicable time point for the following parameters, in the first operated eye

  4. Cornea and conjunctiva staining (Oxford score)

    Time frame: 7 day before surgery, Day 1, Day 7, Day 28 and Day 84

    Change from baseline before cataract surgery (Day-7) and from baseline after cataract surgery (Day1) at each applicable time point for the following parameters, in the first operated eye

  5. OSDI score

    Time frame: 7 day before surgery, D1, Day 7, Day 28 and Day 84

    Change from baseline before cataract surgery (Day-7) and from baseline after cataract surgery (Day1) at each applicable time point for the following parameters, in the first operated eye

  6. Epithelial Thickening Mapping : Total pachymetry (total thickness of the cornea)

    Time frame: 7 day before surgery, Day 1, Day 7, Day 28

    Change from baseline before cataract surgery (Day-7) and from baseline after cataract surgery (Day1) at each applicable time point for the following parameters, in the first operated eye

  7. Intra-Ocular Pressure (IOP)

    Time frame: 7 day before surgery, Day 1, Day 84

    Change from baseline before cataract surgery (Day-7) and from baseline after cataract surgery (Day1) at each applicable time point for the following parameters, in the first operated eye

  8. Symptoms evaluated by the patient using a VAS

    Time frame: Day 7, Day 28, Day 84

  9. Global tolerance score evaluated by the investigator

    Time frame: Day 84

    On a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)

  10. Global tolerance score evaluated by the patient

    Time frame: Day 84

    On a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)

  11. Global performance score evaluated by the investigator

    Time frame: Day 84

    On a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)

  12. Global performance score evaluated by the patient

    Time frame: Day 84

    On a 4-point scale (Unsatisfactory, Not very satisfactory, Satisfactory, Very satisfactory)

  13. Patient satisfaction

    Time frame: Day 28 and Day 84

    Questionnaire

  14. Adverse event

    Time frame: 7 day before surgery, Day 1, Day 7, Day 28, Day 84

    Adverse event collection

Study contacts

Contact information is provided by the study sponsor or research team.

Gautier LALEVEE

CONTACT

[email protected]

+33 7 85 89 31 39

Sponsors and collaborators

Lead sponsor

NOXELIS

Industry

Collaborators

  • Eurofins Dermscan Pharmascan
  • Leon Research

Registry information

Official study title

PILOT STUDY TO EVALUATE THE SAFETY AND PERFORMANCE OF A NEW MEDICAL DEVICE ON POST CATARACT SURGERY DRY EYE DISEASE

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jul 20, 2026
Registry last updated
Jul 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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