Ocular Rosacea Biome Study
NCT05296837 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-03-09
Summary
Ocular rosacea is an inflammatory disease of the eyelids and ocular surface. Like the facial disease, the ocular condition is chronic and recurrent. Sequelae of ocular rosacea vary from mild to severe. Ocular rosacea may cause chronic eye redness, blepharitis, recurrent chalazia, dry eye, corneal erosion, corneal vascularization, and corneal ulceration. Rosacea affecting the cornea can result in vision loss.
Prescription eye drops and ointments can be used topically to control mild ocular rosacea. However, severe disease, or rosacea that is not well controlled with local treatments is treated systemically. The most commonly used systemic treatment for rosacea is the bacteriostatic antibiotic doxycycline. Rosacea treatment doses of doxycycline vary widely. Treatment-dose doxycycline for systemic infections is 100mg twice a day. However, as rosacea is considered an inflammatory disease, doxycycline is often dosed at what is termed, sub-microbial dose doxycycline (SDD). Initially introduced in the oral medicine literature, SDD are doses 40mg and lower because systemic administration at this dose does not appear to alter the oral mucosa flora or increase resistance rates when given long-term for periodontal disease. Whereas 100mg doxycycline, even when given short term, may increase the percentage of culturable nasopharyngeal flora that is resistant to doxycycline. The FDA does not categorize SDD an antibiotic, stating this dosing is expected to exhibit only anti-inflammatory activity.
Conditions
- Ocular Rosacea
- Antimicrobial Resistance
Interventions
- DRUG
-
Doxycycline 40 MG ( 20mg twice daily)
Submicrobial dose doxycycline (40mg) to be administered as 20mg twice daily
- DRUG
-
Doxycycline 200 MG ( 100 mg twice daily)
200 mg dose doxycycline to be administered as 100mg twice daily
- DRUG
-
Placebo to be administered in tablet form twice daily
Sponsors & Collaborators
-
University of California, San Francisco
lead OTHER
Principal Investigators
-
Gerami Seitzman, MD · University of California, San Francisco
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-06-22
- Primary Completion
- 2025-07-11
- Completion
- 2026-07-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
A Four Week, Open-Label Study of Azithromycin Ophthalmic Solution, 1% (P08641)
NCT01220258 ·Status: TERMINATED ·Phase: PHASE2
-
Safety and Efficacy Study of AzaSite® in Subjects With Blepharitis
NCT00629941 ·Status: COMPLETED ·Phase: PHASE4
-
Comparative Study in the Efficacy of Topical Besifloxocin With Erythromycin for the Management of Acute Blepharitis
NCT01478256 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy Pilot Study of AzaSite (Azithromycin) in Subjects With Blepharitis
NCT00629590 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy Pilot Study of AzaSite® for Four Weeks in Subjects With Blepharitis
NCT00656539 ·Status: COMPLETED ·Phase: PHASE4
-
Azithromycin for Meibomian Gland Disease
NCT03953118 ·Status: TERMINATED ·Phase: PHASE4
-
Efficacy of Over the Counter (OTC) Povidone-Ioldine 5% for Treatment of Acute or Chronic Blepharitis
NCT01560962 ·Status: TERMINATED ·Phase: NA
-
Effects of Minocycline on Cytokine Levels in Severe Meibomian Gland Dysfunction
NCT01600625 ·Status: COMPLETED ·Phase: NA
-
Study Evaluating the Safety and Tolerability of NCX 4251 for the Treatment of Acute Exacerbations of Blepharitis
NCT03926026 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy Pilot Study of AzaSite® (Azithromycin) in Subjects With Blepharitis
NCT00629980 ·Status: COMPLETED ·Phase: PHASE4
-
The Ocular Microbiome in Patients With Dry Eye Disease
NCT04656197 ·Status: COMPLETED
-
Evaluation of AXR-270 for the Treatment of Posterior Blepharitis Associated With Meibomian Gland Dysfunction
NCT04469998 ·Status: COMPLETED ·Phase: PHASE2
-
Impact of XDEMVY® on Demodex Blepharitis in Soft Contact Lens Wearers
NCT06182358 ·Status: COMPLETED ·Phase: PHASE4
-
Oral Azithromycin Versus Doxycycline in Posterior Blepharitis
NCT01783860 ·Status: COMPLETED ·Phase: PHASE2
-
Ocular Surface Microbiome
NCT02298881 ·Status: COMPLETED
-
Tofacitinib for Inflammatory Eye Disease
NCT03580343 ·Status: UNKNOWN ·Phase: PHASE2
-
Low Dose Doxycycline in the Treatment of Corneal Burn
NCT01886560 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Ocular Surface Dry Eye Microbiome
NCT02306668 ·Status: UNKNOWN
-
A Study of ALTY-0501 for the Treatment of Dry Eye Administered 4 Times a Day for a 56 Day Period
NCT00439400 ·Status: COMPLETED ·Phase: PHASE2
-
Study to Evaluate the Safety and Efficacy of Minocycline Ointment in Subjects With Inflamed Meibomian Gland Dysfunction
NCT03888378 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of Dupilumab in Patients With Atopic Keratoconjunctivitis (AKC)
NCT04296864 ·Status: RECRUITING ·Phase: PHASE2
-
The Effect of Antibiotic Eye Drops on the Nasal Microbiome in Healthy Subjects
NCT05287425 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of Topical Tacrolimus 0.05% in the Treatment of Ocular Graft-Versus-Host Disease
NCT01977781 ·Status: COMPLETED ·Phase: PHASE1
-
Loteprednol and Tobramycin Versus Tobramycin and Dexamethasone, in the Treatment of Blepharokeratoconjunctivitis
NCT01028027 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety Study of a Steroid/Antibiotic Combination Eyedrop to Treat Non-Bacterial Blepharitis
NCT01408082 ·Status: COMPLETED ·Phase: PHASE3