CHAMGAP
APPROVEDReviewed and approved by the Chamgap Editorial Team (2026-07-11). The draft was written by AI, the existence of all 2 cited sources was verified at the original page, and the verdict passed blind grading and adversarial audit. Methodology v0.6.
Verdict No. 302 · Search date 2026-07-11 · Methodology v0.6

Grape-skin enzymatic fermented extract,
does it really help with Improvement of dry eye and tear-film measures?

30-Second Summary
C
Evidence Grade C · 57 · Safety acceptable
KL-GEFE improved dry-eye measures in one randomized trial, but independent replication is absent
What the
research shows
A randomized trial in 108 patients with dry eye found that 800 mg/day of grape-skin-derived anthocyanin oligomers improved symptoms and some tear-film and ocular-surface measures. The grade is C because the published evidence is concentrated in one trial linked to the developer of KL-GEFE.
What the
ads claim
Advertisements may describe KL-GEFE as if it generates tears or treats dry-eye disease. The public data concern one short-term trial of the exact ingredient and do not address replacement of standard care or long-term disease course.
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Useful facts when choosing a product

  • The study and individually recognized dose is 800 mg/day.
  • KL-GEFE is a standardized anthocyanin-oligomer ingredient produced by fermentation of grape skin.
  • Its process and composition differ from generic grape-seed or grape-skin extracts.
  • The published clinical study was short term, and long-term safety and recurrence data are limited.
Gap Measurement · Verdict 302 · C 57
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

The 2023 trial by Fan and colleagues assigned 108 patients with mild-to-moderate dry eye to anthocyanin oligomers at 800 mg/day or a maltodextrin placebo. The paper reported improvements in tear break-up time, ocular-surface disease measures, symptoms, and quality of life, but it was a single study and included a Kitto Life researcher as an author. Trial registration KCT0007073 corresponds to the same 108-participant study.

02

Why this is classified as C (57)

Regulatory recognition is not grading evidence. A 108-participant RCT assessed both symptoms and objective measures, but all positive evidence is concentrated in one developer-linked proprietary KL-GEFE product trial without independent replication, so rule 2-b caps the grade at C. The range of positive endpoints supports 57 points.

Counterpoint. A signal for improving dry-eye symptoms and tear-film measures remains for the exact KL-GEFE formulation at 800 mg/day.

Rejudgment record. Reassessment (cross-check reflected) — Regulatory recognition is not grading evidence; a 108-participant RCT was positive for symptoms and tear-film measures, but it was a single developer-linked trial of the proprietary KL-GEFE product with no independent replication or long-term outcomes

Cross-check — Codex and Claude

This verdict was drafted by Codex through literature review and source-existence checks, cross-checked through blind grading and adversarial audit, and settled by reapplying the methodology boundary rules. Cases with split grades were resolved through rejudgment.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Fan M et al. 2023Randomized double-blind placebo-controlled trial12A Kitto Life researcher was a coauthor; detailed funding was unclearTear break-up time, ocular-surface disease measures, symptoms, and quality of lifeReported improvement in multiple dry-eye measures with anthocyanin oligomers at 800 mg/day.Key
KCT0007073Prospectively registered clinical trial108Dong-A University sponsor; proprietary ingredientEffect of grape-skin anthocyanin oligomers in patients with dry eyeCompleted registry record corroborates prospective registration of the published trial.Supportive
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Receipt — 2 References

All 2 cited sources were verified for existence at the original page (as of 2026-07-11).

Fan M, Kim SA, Choi YJ, Tang Y, Yang HP, Kim EK. 2023. Anthocyanin oligomer (grape skin extract) administration improves dry eye disease: A randomised, double-blind, placebo-controlled study. Clinical & Experimental Ophthalmology. 51(2):122-130. PMID: 36703096. DOI: 10.1111/ceo.14207.
checked
Kang KD, Jeung JG, Afzal R, Yang HP, Hwang HB. 2019. Effects of grape skin extract, anthocyanin oligomer, on a murine dry eye model. Journal of the Korean Society of Food Science and Nutrition. 48(4):395-402. DOI: 10.3746/jkfn.2019.48.4.395.
checked
Draft and rewrite: Codex (AI) · Verification: Codex blind grading and adversarial audit · Final adjudication: Claude
Reviewed and approved: Chamgap Editorial Team · Approval date: 2026-07-11 · Corrections: none

Cite this verdict

Grape-skin enzymatic fermented extract (KL-GEFE) × Improvement of dry eye and tear-film measures Evidence Grade C card
[Chamgap] Grape-skin enzymatic fermented extract (KL-GEFE) × Improvement of dry eye and tear-film measures — Evidence Grade C·57. 2 cited sources checked. Source: https://health-receipt.pages.dev/en/verdicts/eye/kl-gefe-dry-eye/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.