Trial Outcomes & Findings for Trial Comparing Patching Versus Atropine for Amblyopia in 7 to < 13 Year Olds (NCT NCT00315328)

NCT ID: NCT00315328

Last Updated: 2016-06-24

Results Overview

Visual acuity was measured in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

233 participants

Primary outcome timeframe

17 weeks

Results posted on

2016-06-24

Participant Flow

Between August 2005 and July 2007, 233 subjects were randomized at 39 certified sites (193 with moderate amblyopia 20/40 to 20/100 in a primary cohort, and an additional 40 with severe amblyopia 20/125 to 20/400 that were followed as a secondary cohort).

Subjects must have been wearing optimal spectacle correction for a minimum of 16 weeks or until stability of visual acuity was documented (no improvement in amblyopic eye visual acuity at 2 consecutive visits at least 4 weeks apart) before enrollment and randomization.

Participant milestones

Participant milestones
Measure
Patching-Moderate Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Overall Study
STARTED
98
95
18
22
Overall Study
5 Week Visit
91
89
17
19
Overall Study
COMPLETED
84
88
13
20
Overall Study
NOT COMPLETED
14
7
5
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Trial Comparing Patching Versus Atropine for Amblyopia in 7 to < 13 Year Olds

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patching-Moderate Amblyopia
n=98 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=95 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=18 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=22 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Total
n=233 Participants
Total of all reporting groups
Age, Continuous
8.9 years
STANDARD_DEVIATION 1.5 • n=5 Participants
9.1 years
STANDARD_DEVIATION 1.6 • n=7 Participants
9.5 years
STANDARD_DEVIATION 1.5 • n=5 Participants
9.2 years
STANDARD_DEVIATION 1.8 • n=4 Participants
9.0 years
STANDARD_DEVIATION 1.6 • n=21 Participants
Age, Customized
7 to <8 years
35 participants
n=5 Participants
28 participants
n=7 Participants
6 participants
n=5 Participants
9 participants
n=4 Participants
78 participants
n=21 Participants
Age, Customized
8 to <9 years
24 participants
n=5 Participants
26 participants
n=7 Participants
0 participants
n=5 Participants
4 participants
n=4 Participants
54 participants
n=21 Participants
Age, Customized
9 to <10 years
17 participants
n=5 Participants
16 participants
n=7 Participants
5 participants
n=5 Participants
3 participants
n=4 Participants
41 participants
n=21 Participants
Age, Customized
10 to <11 years
8 participants
n=5 Participants
10 participants
n=7 Participants
4 participants
n=5 Participants
2 participants
n=4 Participants
24 participants
n=21 Participants
Age, Customized
11 to <12 years
8 participants
n=5 Participants
7 participants
n=7 Participants
2 participants
n=5 Participants
1 participants
n=4 Participants
18 participants
n=21 Participants
Age, Customized
12 to <13 years
6 participants
n=5 Participants
8 participants
n=7 Participants
1 participants
n=5 Participants
3 participants
n=4 Participants
18 participants
n=21 Participants
Sex: Female, Male
Female
48 Participants
n=5 Participants
54 Participants
n=7 Participants
4 Participants
n=5 Participants
12 Participants
n=4 Participants
118 Participants
n=21 Participants
Sex: Female, Male
Male
50 Participants
n=5 Participants
41 Participants
n=7 Participants
14 Participants
n=5 Participants
10 Participants
n=4 Participants
115 Participants
n=21 Participants
Race/Ethnicity, Customized
White
68 participants
n=5 Participants
56 participants
n=7 Participants
16 participants
n=5 Participants
18 participants
n=4 Participants
158 participants
n=21 Participants
Race/Ethnicity, Customized
African-American
8 participants
n=5 Participants
11 participants
n=7 Participants
2 participants
n=5 Participants
1 participants
n=4 Participants
22 participants
n=21 Participants
Race/Ethnicity, Customized
Hispanic or Latino
20 participants
n=5 Participants
23 participants
n=7 Participants
0 participants
n=5 Participants
3 participants
n=4 Participants
46 participants
n=21 Participants
Race/Ethnicity, Customized
Asian
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
Race/Ethnicity, Customized
More than one race
1 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
Race/Ethnicity, Customized
Not reported
1 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
Cause of Amblyopia
Strabismus
28 participants
n=5 Participants
33 participants
n=7 Participants
4 participants
n=5 Participants
4 participants
n=4 Participants
69 participants
n=21 Participants
Cause of Amblyopia
Anisometropia
46 participants
n=5 Participants
31 participants
n=7 Participants
6 participants
n=5 Participants
9 participants
n=4 Participants
92 participants
n=21 Participants
Cause of Amblyopia
Strabismus and anisometropia
24 participants
n=5 Participants
31 participants
n=7 Participants
8 participants
n=5 Participants
9 participants
n=4 Participants
72 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/400 (18 to 22 letters) (worse)
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
1 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/320 (23 to 27 letters)
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
1 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/250 (28 to 32 letters)
0 participants
n=5 Participants
0 participants
n=7 Participants
2 participants
n=5 Participants
4 participants
n=4 Participants
6 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/200 (33 to 37 letters)
0 participants
n=5 Participants
0 participants
n=7 Participants
8 participants
n=5 Participants
3 participants
n=4 Participants
11 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/160 (38 to 42 letters)
0 participants
n=5 Participants
0 participants
n=7 Participants
5 participants
n=5 Participants
4 participants
n=4 Participants
9 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/125 (43 to 47 letters)
0 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
9 participants
n=4 Participants
12 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/100 (48 to 52 letters)
6 participants
n=5 Participants
13 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
19 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/80 (53 to 57 letters)
15 participants
n=5 Participants
13 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
28 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/63 (58 to 62 letters)
24 participants
n=5 Participants
22 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
46 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/50 (63 to 67 letters)
33 participants
n=5 Participants
28 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
61 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
20/40 (68 to 72 letters) (best)
20 participants
n=5 Participants
19 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
39 participants
n=21 Participants
Distance Visual Acuity in Fellow Eye
20/32 (73 to 77 letters) (worse)
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
Distance Visual Acuity in Fellow Eye
20/25 (78 to 82 letters)
17 participants
n=5 Participants
20 participants
n=7 Participants
1 participants
n=5 Participants
6 participants
n=4 Participants
44 participants
n=21 Participants
Distance Visual Acuity in Fellow Eye
20/20 (83 to 87 letters)
43 participants
n=5 Participants
47 participants
n=7 Participants
8 participants
n=5 Participants
5 participants
n=4 Participants
103 participants
n=21 Participants
Distance Visual Acuity in Fellow Eye
20/16 (88 to 92 letters)
36 participants
n=5 Participants
26 participants
n=7 Participants
9 participants
n=5 Participants
11 participants
n=4 Participants
82 participants
n=21 Participants
Distance Visual Acuity in Fellow Eye
20/12 (93 to 97 letters) (best)
2 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
4 participants
n=21 Participants
Prior Treatment for Amblyopia at Enrollment
None
71 participants
n=5 Participants
68 participants
n=7 Participants
13 participants
n=5 Participants
18 participants
n=4 Participants
170 participants
n=21 Participants
Prior Treatment for Amblyopia at Enrollment
Patching
16 participants
n=5 Participants
16 participants
n=7 Participants
2 participants
n=5 Participants
3 participants
n=4 Participants
37 participants
n=21 Participants
Prior Treatment for Amblyopia at Enrollment
Atropine
2 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
Prior Treatment for Amblyopia at Enrollment
Patching and atropine
9 participants
n=5 Participants
11 participants
n=7 Participants
2 participants
n=5 Participants
1 participants
n=4 Participants
23 participants
n=21 Participants
Refractive Error in Amblyopic Eye (spherical equivalent)
< 0 Diopters (D)
2 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
4 participants
n=21 Participants
Refractive Error in Amblyopic Eye (spherical equivalent)
0 to < +1.00D
8 participants
n=5 Participants
10 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
20 participants
n=21 Participants
Refractive Error in Amblyopic Eye (spherical equivalent)
+1.00 to < +2.00D
13 participants
n=5 Participants
6 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
23 participants
n=21 Participants
Refractive Error in Amblyopic Eye (spherical equivalent)
+2.00 to < +3.00D
10 participants
n=5 Participants
8 participants
n=7 Participants
1 participants
n=5 Participants
3 participants
n=4 Participants
22 participants
n=21 Participants
Refractive Error in Amblyopic Eye (spherical equivalent)
+3.00 to < +4.00D
23 participants
n=5 Participants
16 participants
n=7 Participants
2 participants
n=5 Participants
4 participants
n=4 Participants
45 participants
n=21 Participants
Refractive Error in Amblyopic Eye (spherical equivalent)
>= +4.00D
42 participants
n=5 Participants
53 participants
n=7 Participants
12 participants
n=5 Participants
12 participants
n=4 Participants
119 participants
n=21 Participants
Refractive Error in Fellow Eye (spherical equivalent)
< 0 Diopters (D)
1 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
Refractive Error in Fellow Eye (spherical equivalent)
0 to < +1.00D
32 participants
n=5 Participants
29 participants
n=7 Participants
4 participants
n=5 Participants
9 participants
n=4 Participants
74 participants
n=21 Participants
Refractive Error in Fellow Eye (spherical equivalent)
+1.00 to < +2.00D
33 participants
n=5 Participants
17 participants
n=7 Participants
8 participants
n=5 Participants
5 participants
n=4 Participants
63 participants
n=21 Participants
Refractive Error in Fellow Eye (spherical equivalent)
+2.00 to < +3.00D
13 participants
n=5 Participants
9 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
25 participants
n=21 Participants
Refractive Error in Fellow Eye (spherical equivalent)
+3.00 to < +4.00D
7 participants
n=5 Participants
6 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
17 participants
n=21 Participants
Refractive Error in Fellow Eye (spherical equivalent)
>= +4.00D
12 participants
n=5 Participants
32 participants
n=7 Participants
3 participants
n=5 Participants
4 participants
n=4 Participants
51 participants
n=21 Participants
Distance Visual Acuity in Amblyopic Eye
62.4 ETDRS letter score
STANDARD_DEVIATION 5.7 • n=5 Participants
61.7 ETDRS letter score
STANDARD_DEVIATION 6.6 • n=7 Participants
37.5 ETDRS letter score
STANDARD_DEVIATION 5.0 • n=5 Participants
37.5 ETDRS letter score
STANDARD_DEVIATION 7.5 • n=4 Participants
57.9 ETDRS letter score
STANDARD_DEVIATION 11.1 • n=21 Participants
Distance Visual Acuity in Fellow Eye
86.0 ETDRS letter score
STANDARD_DEVIATION 3.6 • n=5 Participants
85.7 ETDRS letter score
STANDARD_DEVIATION 3.4 • n=7 Participants
87.0 ETDRS letter score
STANDARD_DEVIATION 3.5 • n=5 Participants
85.5 ETDRS letter score
STANDARD_DEVIATION 4.0 • n=4 Participants
85.9 ETDRS letter score
STANDARD_DEVIATION 3.6 • n=21 Participants
Intereye Acuity Difference
23.5 ETDRS letter score
STANDARD_DEVIATION 6.8 • n=5 Participants
24.0 ETDRS letter score
STANDARD_DEVIATION 7.0 • n=7 Participants
49.5 ETDRS letter score
STANDARD_DEVIATION 5.5 • n=5 Participants
47.5 ETDRS letter score
STANDARD_DEVIATION 9.5 • n=4 Participants
28.0 ETDRS letter score
STANDARD_DEVIATION 11.7 • n=21 Participants
Refractive Error in Amblyopic Eye (spherical equivalent
3.57 diopter
STANDARD_DEVIATION 2.07 • n=5 Participants
4.10 diopter
STANDARD_DEVIATION 2.19 • n=7 Participants
4.97 diopter
STANDARD_DEVIATION 2.50 • n=5 Participants
4.18 diopter
STANDARD_DEVIATION 1.99 • n=4 Participants
3.95 diopter
STANDARD_DEVIATION 2.16 • n=21 Participants
Refractive Error in Fellow Eye (spherical equivalent)
1.84 diopter
STANDARD_DEVIATION 1.74 • n=5 Participants
2.56 diopter
STANDARD_DEVIATION 2.22 • n=7 Participants
2.12 diopter
STANDARD_DEVIATION 1.76 • n=5 Participants
1.98 diopter
STANDARD_DEVIATION 2.11 • n=4 Participants
2.17 diopter
STANDARD_DEVIATION 2.00 • n=21 Participants

PRIMARY outcome

Timeframe: 17 weeks

Population: Primary analysis includes only patients who completed the 17 week exam between 13 and 26 weeks following randomization. No imputation was done if missed exam; analysis followed the intent to treat principle.

Visual acuity was measured in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/400 (18 to 22 letters) (worse)
0 participants
0 participants
0 participants
0 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/320 (23 to 27 letters)
0 participants
0 participants
0 participants
1 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/100 (48 to 52 letters)
3 participants
4 participants
1 participants
2 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/80 (53 to 57 letters)
3 participants
6 participants
4 participants
3 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/63 (58 to 62 letters)
5 participants
12 participants
0 participants
1 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/40 (68 to 72 letters)
20 participants
15 participants
0 participants
0 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/32 (73 to 77 letters)
19 participants
21 participants
0 participants
0 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/25 (78 to 82 letters)
14 participants
10 participants
0 participants
1 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/20 (83 to 87 letters)
6 participants
4 participants
0 participants
0 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/16 (88 to 92 letters) (best)
0 participants
1 participants
0 participants
0 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/250 (28 to 32 letters)
0 participants
0 participants
0 participants
3 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/200 (33 to 37 letters)
0 participants
0 participants
3 participants
3 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/160 (38 to 42 letters)
1 participants
0 participants
1 participants
3 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/125 (43 to 47 letters)
0 participants
1 participants
4 participants
2 participants
Distribution of Visual Acuity in the Amblyopic Eye at 17 Weeks
20/50 (63 to 67 letters)
13 participants
14 participants
0 participants
1 participants

PRIMARY outcome

Timeframe: 17 weeks

Visual acuity was measured in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Mean Visual Acuity in the Amblyopic Eye at 17 Weeks
71.0 ETDRS letter score
Standard Deviation 8.9
69.2 ETDRS letter score
Standard Deviation 9.2
46.0 ETDRS letter score
Standard Deviation 6.0
45.0 ETDRS letter score
Standard Deviation 14.0

PRIMARY outcome

Timeframe: Baseline to 17 weeks

Visual acuity was measured at baseline and 17 weeks in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. A difference between the scores at baseline and 17 weeks was calculated. A positive difference indicates acuity was better at 17 weeks than at baseline; a negative difference indicates acuity was worse at 17 weeks.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Distribution of Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
>=15 letters worse
1 participants
0 participants
0 participants
0 participants
Distribution of Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
5 to 9 letters better
22 participants
26 participants
4 participants
4 participants
Distribution of Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
10 to 14 letters worse
0 participants
2 participants
0 participants
0 participants
Distribution of Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
5 to 9 letters worse
0 participants
3 participants
0 participants
2 participants
Distribution of Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
+/- 4 letters
23 participants
22 participants
2 participants
6 participants
Distribution of Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
10 to 14 letters better
17 participants
20 participants
2 participants
3 participants
Distribution of Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
>=15 letters better
21 participants
15 participants
5 participants
5 participants

PRIMARY outcome

Timeframe: Baseline to 17 weeks

Visual acuity was measured at baseline and 17 weeks in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. A difference between the scores at baseline and 17 weeks was calculated. A positive difference indicates acuity was better at 17 weeks than at baseline; a negative difference indicates acuity was worse at 17 weeks.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Mean Change in Visual Acuity in the Amblyopic Eye From Baseline to 17 Weeks
8.6 ETDRS letter score
Standard Deviation 7.8
7.6 ETDRS letter score
Standard Deviation 7.5
9.0 ETDRS letter score
Standard Deviation 6.5
7.5 ETDRS letter score
Standard Deviation 10.5

SECONDARY outcome

Timeframe: 17 or 19 weeks

The Randot Preschool Stereotest measures stereopsis from 800 to 40 seconds of arc on patients as young as 2 years of age. This Stereotest is designed as a matching game in which the patient matches pictures in a test booklet wearing special glasses. A subject can fail the pretest (not see any pictures) or can score \>800 (the worst), 800, 400, 200, 100, 60, or 40 (the best) seconds of arc. If two shapes are identified correctly the patient progresses to the next lower stereoacuity level. A failed test occurs when the patient cannot identify any shapes.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
Failed black & white shape identification pretest
1 Participants
4 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
>800 arcsec (worse)
26 Participants
34 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
800 arcsec
9 Participants
3 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
400 arcsec
9 Participants
14 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
200 arcsec
10 Participants
10 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
100 arcsec
9 Participants
12 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
60 arcsec
7 Participants
2 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
40 arcsec (best)
13 Participants
9 Participants

SECONDARY outcome

Timeframe: 17 or 19 weeks

The Randot Preschool Stereotest measures stereopsis from 800 to 40 seconds of arc on patients as young as 2 years of age. This Stereotest is designed as a matching game in which the patient matches pictures in a test booklet wearing special glasses. A subject can fail the pretest (not see any pictures) or can score \>800 (the worst), 800, 400, 200, 100, 60, or 40 (the best) seconds of arc. If two shapes are identified correctly the patient progresses to the next lower stereoacuity level. A failed test occurs when the patient cannot identify any shapes.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=42 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=28 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
Failed black & white shape identification pretest
0 Participants
0 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
>800 arcsec (worse)
5 Participants
6 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
800 arcsec
3 Participants
1 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
400 arcsec
5 Participants
4 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
200 arcsec
7 Participants
4 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
100 arcsec
9 Participants
8 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
60 arcsec
6 Participants
0 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Anisometropic Participants With Moderate Amblyopia Only
40 arcsec (best)
7 Participants
5 Participants

SECONDARY outcome

Timeframe: 17 or 19 weeks

The Randot Preschool Stereotest measures stereopsis from 800 to 40 seconds of arc on patients as young as 2 years of age. This Stereotest is designed as a matching game in which the patient matches pictures in a test booklet wearing special glasses. A subject can fail the pretest (not see any pictures) or can score \>800 (the worst), 800, 400, 200, 100, 60, or 40 (the best) seconds of arc. If two shapes are identified correctly the patient progresses to the next lower stereoacuity level. A failed test occurs when the patient cannot identify any shapes.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=42 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=60 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
60 arcsec
1 Participants
2 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
40 arcsec (best)
6 Participants
4 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
200 arcsec
3 Participants
6 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
100 arcsec
0 Participants
4 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
Failed black & white shape identification pretest
1 Participants
4 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
>800 arcsec (worse)
21 Participants
28 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
800 arcsec
6 Participants
2 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With Moderate Amblyopia From Strabismus Only or Combined Mechanism
400 arcsec
4 Participants
10 Participants

SECONDARY outcome

Timeframe: 17 or 19 weeks

Stereoacuity is scored as seconds of arc with values of: \<800, 800, 400, 200, 100, 60, 40. The lower the arc second value, the better the score (i.e. 40 arc sec is best stereoacuity; \<800 is the worst). A change score was defined as the difference between baseline and outcome in score level (i.e. moving from 800 at baseline to 400 at outcome is one level change, moving from 800 to 200 is two levels, etc.) change in levels was categorized as "within one level" meaning change was -1, 0, or +1.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
>= 2 levels worse
4 Participants
9 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
Within 1 level
57 Participants
54 Participants
Stereoacuity Measured by the Randot Preschool Test at 17 or 19 Weeks- Participants With All Causes of Moderate Amblyopia
>= 2 levels better
17 Participants
18 Participants

SECONDARY outcome

Timeframe: 17 weeks

Population: Number of subjects who completed the 17wk amblyopia treatment index questionnaire evaluating the impact of treatment on the child and family.

Questionnaire scores on the Social Stigma subscale of the Amblyopia Treatment Index. Questions were evaluated on a likert type scale as strongly agree (5) to strongly disagree (1), with a higher number indicating worse response.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=66 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=64 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Amblyopia Treatment Index - Social Stigma (Moderate Amblyopia Only)
2.37 Units on a scale
Standard Deviation 0.75
1.91 Units on a scale
Standard Deviation 0.75

SECONDARY outcome

Timeframe: 17 weeks

Population: Number of subjects who completed the 17wk amblyopia treatment index questionnaire evaluating the impact of treatment on the child and family.

Questionnaire scores on the compliance subscale of the Amblyopia Treatment Index. Questions were evaluated on a likert type scale as strongly agree (5) to strongly disagree (1), with a higher number indicating worse response.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=66 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=64 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Amblyopia Treatment Index - Compliance (Moderate Amblyopia Only)
2.59 Units on a scale
Standard Deviation 0.93
2.03 Units on a scale
Standard Deviation 0.82

SECONDARY outcome

Timeframe: 17 weeks

Population: Number of subjects who completed the 17wk amblyopia treatment index questionnaire evaluating the impact of treatment on the child and family.

Questionnaire scores on the adverse events subscale of the Amblyopia Treatment Index. Questions were evaluated on a likert type scale as strongly agree (5) to strongly disagree (1), with a higher number indicating worse response.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=66 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=64 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Amblyopia Treatment Index - Adverse Effects Scale (Moderate Amblyopia Only)
2.28 Units on a scale
Standard Deviation 0.68
2.22 Units on a scale
Standard Deviation 0.80

SECONDARY outcome

Timeframe: 17 weeks

Visual acuity was measured in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Distribution of Visual Acuity in the Fellow Eye at 17 Weeks
20/50 (63 to 67 letters) (worse)
0 participants
0 participants
0 participants
0 participants
Distribution of Visual Acuity in the Fellow Eye at 17 Weeks
20/40 (68 to 72 letters)
0 participants
0 participants
0 participants
1 participants
Distribution of Visual Acuity in the Fellow Eye at 17 Weeks
20/32 (73 to 77 letters)
2 participants
4 participants
0 participants
1 participants
Distribution of Visual Acuity in the Fellow Eye at 17 Weeks
20/25 (78 to 82 letters)
5 participants
12 participants
1 participants
2 participants
Distribution of Visual Acuity in the Fellow Eye at 17 Weeks
20/20 (83 to 87 letters)
31 participants
42 participants
4 participants
4 participants
Distribution of Visual Acuity in the Fellow Eye at 17 Weeks
20/16 (88 to 92 letters)
42 participants
29 participants
5 participants
11 participants
Distribution of Visual Acuity in the Fellow Eye at 17 Weeks
20/12 (93 to 97 letters) (best)
4 participants
1 participants
3 participants
1 participants

SECONDARY outcome

Timeframe: 17 weeks

Visual acuity was measured in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Mean Visual Acuity in the Fellow Eye at 17 Weeks
87.3 ETDRS letter score
Standard Deviation 3.8
85.8 ETDRS letter score
Standard Deviation 3.9
88.5 ETDRS letter score
Standard Deviation 5.0
86.5 ETDRS letter score
Standard Deviation 6.5

SECONDARY outcome

Timeframe: Baseline to 17 weeks

Visual acuity was measured at baseline and 17 weeks in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. A difference between the scores at baseline and 17 weeks was calculated. A positive difference indicates acuity was better at 17 weeks than at baseline; a negative difference indicates acuity was worse at 17 weeks.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Distribution of Change in Visual Acuity in the Fellow Eye From Baseline to 17 Weeks
+/- 4 letters
69 participants
72 participants
8 participants
11 participants
Distribution of Change in Visual Acuity in the Fellow Eye From Baseline to 17 Weeks
>=10 letters worse
0 participants
0 participants
0 participants
1 participants
Distribution of Change in Visual Acuity in the Fellow Eye From Baseline to 17 Weeks
5 to 9 letters worse
4 participants
7 participants
1 participants
2 participants
Distribution of Change in Visual Acuity in the Fellow Eye From Baseline to 17 Weeks
5 to 9 letters better
11 participants
9 participants
4 participants
4 participants
Distribution of Change in Visual Acuity in the Fellow Eye From Baseline to 17 Weeks
>=10 letters better
0 participants
0 participants
0 participants
2 participants

SECONDARY outcome

Timeframe: Baseline to 17 weeks

Visual acuity was measured at baseline and 17 weeks in each eye using the electronic early treatment diabetic retinopathy study (E-ETDRS) method which resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. A difference between the scores at baseline and 17 weeks was calculated. A positive difference indicates acuity was better at 17 weeks than at baseline; a negative difference indicates acuity was worse at 17 weeks.

Outcome measures

Outcome measures
Measure
Patching-Moderate Amblyopia
n=84 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=88 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=13 Participants
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=20 Participants
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Mean Change in Visual Acuity in the Fellow Eye From Baseline to 17 Weeks
1.5 ETDRS letter score
Standard Deviation 3.1
0.3 ETDRS letter score
Standard Deviation 3.5
1.0 ETDRS letter score
Standard Deviation 3.0
1.0 ETDRS letter score
Standard Deviation 5.0

Adverse Events

Patching-Moderate Amblyopia

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Atropine-Moderate Amblyopia

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Patching-Severe Amblyopia

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Atropine-Severe Amblyopia

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Patching-Moderate Amblyopia
n=98 participants at risk
Patching 2 hours per day plus near activities for one hour while patching among patients with moderate amblyopia (20/40 to 20/100)
Atropine-Moderate Amblyopia
n=95 participants at risk
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with moderate amblyopia (20/40 to 20/100).
Patching-Severe Amblyopia
n=18 participants at risk
Patching 2 hours per day plus near activities for one hour while patching among patients with severe amblyopia (20/125 to 20/400)
Atropine-Severe Amblyopia
n=22 participants at risk
Atropine 1% once each weekend day in the sound eye plus near activities for at least one hour every day among patients with severe amblyopia (20/125 to 20/400).
Eye disorders
Light sensitivity
0.00%
0/98 • Adverse events were collected through the 17 week outcome visit.
14.7%
14/95 • Adverse events were collected through the 17 week outcome visit.
0.00%
0/18 • Adverse events were collected through the 17 week outcome visit.
13.6%
3/22 • Adverse events were collected through the 17 week outcome visit.
General disorders
Systemic
0.00%
0/98 • Adverse events were collected through the 17 week outcome visit.
0.00%
0/95 • Adverse events were collected through the 17 week outcome visit.
0.00%
0/18 • Adverse events were collected through the 17 week outcome visit.
9.1%
2/22 • Adverse events were collected through the 17 week outcome visit.

Additional Information

Raymond Kraker

Jaeb Center for Health Research

Phone: 813-975-8690

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place