A Singapore Study to Assess How Neurovision Improve the Vision of Adults With Low to Moderate Myopia

NCT ID: NCT00348075

Last Updated: 2010-05-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2004-01-31

Study Completion Date

2009-01-31

Brief Summary

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To evaluate the efficacy of NeuroVision NVC vision correction technology to improve the vision of subjects with Low and Moderate Myopia in Asian eyes in Singapore

Detailed Description

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NeuroVision has developed a novel vision correction technology, which is a scientifically based treatment to improve vision based on new principles of visual psychophysics. NeuroVision NVC Vision Correction Technology is a non-invasive, patient-specific treatment based on visual stimulation and facilitation of neural connections responsible for vision. The treatment involves a programmed series of interactive visual exercises in front of a computer, and does not involve any form of prescription medications, or surgical treatment.

The technology has been proven in both Israel and Singapore's pilot study to work for myopia -1.50D and below.

This study is a clinical trial for Singapore Ministry of Defence personnel to evaluate the efficacy of this treatment beyond the proven myopia range. There will be 2 phases in the study; Phase 1 will include low myopes from -0.50D to -1.50D while Phase 2 covers moderate myopes from -1.75D to -3.00D. Subjects will be randomised into treatment and placebo group in the ratio of 3:1.

A randomized double masked controlled trial conducted in 2 Phases:

Phase I will involve 140 study subjects with low myopia randomized in a 3:1 randomization to receive NVC treatment versus placebo treatment.

It is assumed that the withdrawal rate will not exceed 20%, so that at least 112 study subjects will complete the treatment phase.

Interim analysis with stopping rule will be conducted after 3/4 of the patients complete the treatment phase.

Phase II will involve 180 study subjects with moderate myopia randomized in a 3:1 randomization to receive NVC treatment versus placebo treatment.

The 2 phases will be separate RCTs, with recruitment of Phase II subjects subsequent to completion of Phase I NVC treatments.

Conditions

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Myopia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

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Neurovision

Group Type EXPERIMENTAL

Neurovision

Intervention Type DEVICE

Interventions

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Neurovision

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. The subject's cycloplegic spherical equivalence in the worst eye is within the range of -0.50DS to -1.50DS of myopia, and astigmatism does not exceed 0.75DC in either eye.
2. The subject's refractive status is stable, with no increase beyond 0.5D in sphere or cylinder over the last six months.
3. The subject's age is between 17-55 years.
4. The subject's uncorrected visual acuity in both eyes should be between 0.1 and 0.7 logMAR.
5. The subject's best corrected visual acuity 0.05 LogMar (either eye)
6. The subject is cognitively intact and is able to follow multiple step instructions.
7. The subject is able to cease contact lens wear from Baseline examination onwards until the end of the treatment period. The subject is able to cease contact lens wear for at least a week before attending the Baseline examination, Post-treatment evaluation and Persistence evaluation.
8. The subject is able and willing to attend all study sessions and visits at the required frequency:

1. The total number of treatments is individual, approximately 30.
2. The required pace for the treatment sessions is at least 3 sessions per week.
3. No foreseen interruptions longer than 2 weeks during the treatment course.
9. Subject (or subject's parent/legal guardian if subject is less than 21 years of age at study entry) agrees to sign the Informed Consent Form (See Appendix D)
10. Manifest spherical equivalence - not more than 1.0Ds difference from cycloplegic spherical equivalence
11. Unaided VA difference between both eyes is less than 0.3 logMAR
12. The patient is very keen to improve unaided vision and to decrease the dependency on eye glasses


1. The subject's cycloplegic spherical equivalence in the worst eye is within the range of -1.750DS to -3.0DS of myopia, and astigmatism does not exceed 0.75DC in either eye.
2. The subject's refractive status is stable, with no increase beyond 0.5D in sphere or cylinder over the last six months.
3. The subject's age is between 17-55 years.
4. The subject's uncorrected visual acuity in the worst eye should not exceed 1.0 logMAR.
5. The subject's best corrected visual acuity 0.05 LogMar (either eye)
6. The subject is cognitively intact and is able to follow multiple step instructions.
7. The subject is able to cease contact lens wear from Baseline examination onwards until the end of the treatment period. The subject is able to cease contact lens wear for at least a week before attending the Baseline examination, Post-treatment evaluation and Persistence evaluation.
8. The subject is able and willing to attend all study sessions and visits at the required frequency:

1. The total number of treatments is individual, approximately 30.
2. The required pace for the treatment sessions is at least 3 sessions per week.
3. No foreseen interruptions longer than 2 weeks during the treatment course.
9. Subject (or subject's parent/legal guardian if subject is less than 21 years of age at study entry) agrees to sign the Informed Consent Form (See Appendix D)

Exclusion Criteria

1. The subject suffers from any other eye disease(s) or other causes for the reduced visual acuity, aside from myopia and/or astigmatism.
2. The subject suffers from myopia-related visual complications resulting in visual loss, including myopic macular degeneration, myopic cataract and previous or pre-existing myopic retinal detachment.
3. The subject is suffering from Diabetes Mellitus.
4. The subject has previously undergone a refractive surgery procedure in either eye.
5. The subject is or may be pregnant.
6. The subject has an activity limitation due to medical disorders (including migraines, seizure disorders, etc.), medications, or emotional status that might potentially impair the subject's ability to perform the treatment.
Minimum Eligible Age

17 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Defence Medical Research Institute, Singapore Armed Forces

UNKNOWN

Sponsor Role collaborator

NeuroVision

INDUSTRY

Sponsor Role collaborator

Singapore National Eye Centre

OTHER_GOV

Sponsor Role lead

Responsible Party

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Singapore Eye Research Institute

Principal Investigators

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Donald Tan, FRCS

Role: PRINCIPAL_INVESTIGATOR

Singapore Eye Research Institute

Locations

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Singapore Eye Research Institute

Singapore, , Singapore

Site Status

Countries

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Singapore

References

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Polat U, Sagi D. Lateral interactions between spatial channels: suppression and facilitation revealed by lateral masking experiments. Vision Res. 1993 May;33(7):993-9. doi: 10.1016/0042-6989(93)90081-7.

Reference Type BACKGROUND
PMID: 8506641 (View on PubMed)

Sagi D, Tanne D. Perceptual learning: learning to see. Curr Opin Neurobiol. 1994 Apr;4(2):195-9. doi: 10.1016/0959-4388(94)90072-8.

Reference Type BACKGROUND
PMID: 8038576 (View on PubMed)

Polat U, Norcia AM. Neurophysiological evidence for contrast dependent long-range facilitation and suppression in the human visual cortex. Vision Res. 1996 Jul;36(14):2099-109. doi: 10.1016/0042-6989(95)00281-2.

Reference Type BACKGROUND
PMID: 8776476 (View on PubMed)

Polat U, Mizobe K, Pettet MW, Kasamatsu T, Norcia AM. Collinear stimuli regulate visual responses depending on cell's contrast threshold. Nature. 1998 Feb 5;391(6667):580-4. doi: 10.1038/35372.

Reference Type BACKGROUND
PMID: 9468134 (View on PubMed)

Lim KL, Fam HB. NeuroVision treatment for low myopia following LASIK regression. J Refract Surg. 2006 Apr;22(4):406-8. doi: 10.3928/1081-597X-20060401-20.

Reference Type BACKGROUND
PMID: 16629076 (View on PubMed)

Polat U, Ma-Naim T, Belkin M, Sagi D. Improving vision in adult amblyopia by perceptual learning. Proc Natl Acad Sci U S A. 2004 Apr 27;101(17):6692-7. doi: 10.1073/pnas.0401200101. Epub 2004 Apr 19.

Reference Type BACKGROUND
PMID: 15096608 (View on PubMed)

Related Links

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http://www.seri.com.sg/

Singapore Eye Research Institute

http://www.neuro-vision.com/

Neurovision Website

Other Identifiers

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R330/23/2003

Identifier Type: -

Identifier Source: org_study_id

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