Bupivacaine Injection of Eye Muscles to Treat Strabismus

NCT ID: NCT01616108

Last Updated: 2019-09-23

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

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2020-09-30

Brief Summary

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This study seeks to determine if bupivacaine injection of eye muscles can make them stronger and stiffer, and thereby correct the position of eyes that are turned in or mis-aligned, a condition generally termed strabismus. It seeks further to find out the different effects of various concentrations or formulations of bupivacaine, and whether addition of Botox to other eye muscles can add to the effect of bupivacaine and enhance the correction of strabismus.

Detailed Description

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Patients eligible for inclusion in the study will be age 8 to 95 years and have an eye deviation (strabismus) that is potentially subject to surgical correction.

The eye alignment will be measured. The eye muscles may be measured by MRI. The eye will be anesthetized by eye drops. One or more eye muscles will be injected with bupivacaine. Botox® will be injected into the antagonist muscle in some cases to increase the effect of the bupivacaine.

Data on the strabismus deviation, any side effects of the drug injection, and the eye muscles as measured by MRI, will be recorded at intervals after injection. These data will be compared with the like measurements taken before injection.

The primary outcome will be the eye alignment change at 180 days. A secondary outcome will be the change in muscle size, strength, or stiffness.

For large strabismus deviations not fully corrected by a first injection, a second injection can be made. Follow-up alignment and muscle measurements will be as for the initial injection.

Conditions

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Strabismus Esotropia Exotropia Graves Disease Ptosis, Eyelid

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Bupivacaine Injection

Differences in concentration from 0.75% to 3.0% are compared. Differences in volume for 1.0 mL to 3.0 mL are compared. Differences in compounding with addition of epinephrine will be used and compared to plain bupivacaine.

Group Type EXPERIMENTAL

Bupivacaine

Intervention Type DRUG

Differences in concentration from 0.75% to 3.0% are compared. Differences in volume for 1.0 mL to 3.0 mL are compared. Differences in compounding with addition of epinephrine will be used and compared to plain bupivacaine.

Interventions

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Bupivacaine

Differences in concentration from 0.75% to 3.0% are compared. Differences in volume for 1.0 mL to 3.0 mL are compared. Differences in compounding with addition of epinephrine will be used and compared to plain bupivacaine.

Intervention Type DRUG

Other Intervention Names

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Marcaine

Eligibility Criteria

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Inclusion Criteria

* Clinical pattern of strabismus of 5 prism diopters or more

Exclusion Criteria

* Active eye infection
Minimum Eligible Age

8 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eidactics

OTHER

Sponsor Role collaborator

Sutter Health

OTHER

Sponsor Role collaborator

Strabismus Research Foundation

OTHER

Sponsor Role collaborator

Smith-Kettlewell Eye Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Alan B. Scott

Senior Scientist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alan B Scott, MD

Role: PRINCIPAL_INVESTIGATOR

Strabismus Research Foundation

Joel M Miller, PhD

Role: PRINCIPAL_INVESTIGATOR

Strabismus Research Foundation

Locations

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Strabismus Research Foundation

San Francisco, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Alan B Scott, MD

Role: CONTACT

415 923 3120

Joel M Miller, PhD

Role: CONTACT

415 672 0473

Facility Contacts

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ALAN B SCOTT, MD

Role: primary

415-509-2122

References

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Miller JM, Scott AB, Danh KK, Strasser D, Sane M. Bupivacaine injection remodels extraocular muscles and corrects comitant strabismus. Ophthalmology. 2013 Dec;120(12):2733-2740. doi: 10.1016/j.ophtha.2013.06.003. Epub 2013 Aug 2.

Reference Type BACKGROUND
PMID: 23916485 (View on PubMed)

Scott AB, Miller JM, Shieh KR. Bupivacaine injection of the lateral rectus muscle to treat esotropia. J AAPOS. 2009 Apr;13(2):119-22. doi: 10.1016/j.jaapos.2008.10.016.

Reference Type BACKGROUND
PMID: 19393509 (View on PubMed)

Scott AB, Alexander DE, Miller JM. Bupivacaine injection of eye muscles to treat strabismus. Br J Ophthalmol. 2007 Feb;91(2):146-8. doi: 10.1136/bjo.2006.110619. Epub 2006 Nov 29.

Reference Type BACKGROUND
PMID: 17135337 (View on PubMed)

Debert I, Miller JM, Danh KK, Scott AB. Pharmacologic injection treatment of comitant strabismus. J AAPOS. 2016 Apr;20(2):106-111.e2. doi: 10.1016/j.jaapos.2015.11.011.

Reference Type BACKGROUND
PMID: 27079589 (View on PubMed)

Scott AB, Miller JM, Shieh KR. Treating strabismus by injecting the agonist muscle with bupivacaine and the antagonist with botulinum toxin. Trans Am Ophthalmol Soc. 2009 Dec;107:104-9.

Reference Type RESULT
PMID: 20126486 (View on PubMed)

Related Links

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http://www.srfsf.org

Homepage for The Strabismus Research Foundation.

Other Identifiers

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BPX-STRAB

Identifier Type: -

Identifier Source: org_study_id

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