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Dry Eye 2020

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Tackling the DED vicious circle<br />

A RECENTLY AWARDED Health Research<br />

Council project grant will investigate a novel<br />

eye drop that tackles the vicious circle of dry<br />

eye disease (DED), one of the most common,<br />

yet undertreated, chronic ocular surface<br />

conditions.<br />

Multifactorial in nature, DED can arise from<br />

numerous interrelated underlying pathologies.<br />

Current therapies, however, often address<br />

only a single issue, resulting in suboptimal<br />

treatment outcomes, said investigators, led by<br />

Associate Professor Ilva Rupenthal, director<br />

of the Buchanan Ocular Therapeutics Unit, in<br />

collaboration with Associate Professor Jennifer<br />

Fig 1. Vicious DED circle and project aim<br />

Craig, Dr Stuti Misra and Dr Priyanka Agarwal,<br />

from the University of Auckland. “Moreover,<br />

response to therapy is often slow with adverse<br />

effects from formulation excipients such as<br />

preservatives and surfactants causing further<br />

ocular toxicity upon long-term use, ultimately<br />

worsening DED symptoms.”<br />

This project will investigate the<br />

development of a preservative-free eye drop<br />

that tackles both tear film instability and<br />

ocular surface inflammation, without the<br />

need for further additives, to break the vicious<br />

circle of DED (Fig 1). This will be achieved<br />

by combining the inflammasome inhibitor,<br />

tonabersat, tackling inflammation upstream<br />

of currently used anti-inflammatory drugs,<br />

with a hydrocarbon vehicle able to stabilise<br />

the tear film lipid layer, said A/Prof Rupenthal<br />

who, together with Dr Agarwal, will be<br />

responsible for formulation development and<br />

characterisation, while A/Prof Craig and Dr<br />

Misra will map inflammasome involvement<br />

in DED patients to aid clinical translation.<br />

The research team will be supported by two<br />

PhD students, Santosh Bhujbal and a clinical<br />

researcher who is yet to be appointed, and will<br />

collaborate with the University of Cologne in<br />

Germany to test the developed eye drop in a<br />

A/Prof Jennifer Craig, Dr Stuti Misra and A/Prof Ilva<br />

Rupenthal<br />

pre-clinical model of DED<br />

“We are very excited to get this project<br />

started and develop an eye drop that<br />

tackles underlying inflammation while<br />

also addressing the tear film instability<br />

seen in most DED patients,” said the team.<br />

“DED remains one of the most common,<br />

yet undertreated chronic ocular surface<br />

conditions which negatively impacts the<br />

quality of life of patients. This eye drop has<br />

the potential to narrow the significant gap<br />

between diagnosed and appropriately treated<br />

DED patients in the near future.”<br />

We share<br />

your vision<br />

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T: +61 8 8444 6550<br />

E: auinfo@optos.com<br />

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Optos.com<br />

WWW.EYEONOPTICS.CO.NZ | 19

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