Trial Outcomes & Findings for Visual Restoration for Hemianopia (NCT NCT03350919)

NCT ID: NCT03350919

Last Updated: 2020-12-24

Results Overview

Change in the perimetric mean deviation (PMD) generated by standard Humphrey automated perimetry using a 24-2 testing pattern between baseline and post-training after a 6-month training interval.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

48 participants

Primary outcome timeframe

6 months

Results posted on

2020-12-24

Participant Flow

No subjects were excluded from the study between recruitment and randomization to assigned groups.

Participant milestones

Participant milestones
Measure
Training in the Blind Field
Training in the blind field using software Training in the blind field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the blind field. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks.
Training in the Intact Field
Training in the intact field using software Training in the intact field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the intact field of vision. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks.
Overall Study
STARTED
25
23
Overall Study
COMPLETED
23
23
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Visual Restoration for Hemianopia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Training in the Blind Field
n=25 Participants
Training in the blind field using software Training in the blind field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the blind field. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks.
Training in the Intact Field
n=23 Participants
Training in the intact field using software Training in the intact field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the intact field of vision. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks.
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
57.4 years
STANDARD_DEVIATION 10.8 • n=5 Participants
61.5 years
STANDARD_DEVIATION 9.4 • n=7 Participants
59.3 years
STANDARD_DEVIATION 10.5 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
18 Participants
n=7 Participants
37 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
25 Participants
n=5 Participants
23 Participants
n=7 Participants
48 Participants
n=5 Participants
Region of Enrollment
United States
25 participants
n=5 Participants
23 participants
n=7 Participants
48 participants
n=5 Participants
Preliminary deficit size
819.7 square degrees of visual angle
STANDARD_DEVIATION 190.6 • n=5 Participants
755.2 square degrees of visual angle
STANDARD_DEVIATION 167.6 • n=7 Participants
788.8 square degrees of visual angle
STANDARD_DEVIATION 181.0 • n=5 Participants
Patients with right sided deficits
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Time since lesion
15.0 months
n=5 Participants
15.5 months
n=7 Participants
15.28 months
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Population: All subjects that completed the assigned training were included in analysis. Each eye was analyzed independently for the primary outcome measure.

Change in the perimetric mean deviation (PMD) generated by standard Humphrey automated perimetry using a 24-2 testing pattern between baseline and post-training after a 6-month training interval.

Outcome measures

Outcome measures
Measure
Training in the Blind Field (Left Eye)
n=23 Eyes
Training in the blind field using software Training in the blind field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the blind field. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks. Final outcomes will be reported independently for Left and Right eyes.
Training in the Intact Field (Left Eye)
n=23 Eyes
Training in the intact field using software Training in the intact field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the intact field of vision. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks. Final outcomes will be reported independently for Left and Right eyes.
Training in the Blind Field (Right Eye)
n=23 Eyes
Training in the blind field using software Training in the blind field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the blind field. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks. Final outcomes will be reported independently for Left and Right eyes.
Training in the Intact Field (Right Eye)
n=23 Eyes
Training in the intact field using software Training in the intact field: A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the intact field of vision. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks. Final outcomes will be reported independently for Left and Right eyes.
24-2 Humphrey PMD Change From Baseline to 6-month Post-training Timepoint
0.84 decibels
Interval 0.22 to 1.47
0.10 decibels
Interval -0.52 to 0.72
0.58 decibels
Interval 0.07 to 1.08
0.12 decibels
Interval -0.38 to 0.62

Adverse Events

Training in the Blind Field

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

Training in the Intact Field

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Steven E. Feldon, MD

University of Rochester

Phone: 585-273-1050

Results disclosure agreements

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