The Safety and Efficacy of SYD-101 in Children With Myopia

NCT ID: NCT03918915

Last Updated: 2026-01-15

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

PHASE3

Total Enrollment

852 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-24

Study Completion Date

2025-05-01

Brief Summary

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Myopia, or nearsightedness, is the most common eye disorder, often affecting more than 40% of adults in Europe, Asia and the USA. Severe myopia is associated with an increased risk of developing other eye conditions such as glucoma, cataracts and retinal detachment, which may lead to blindness. Early treatment of myopia in children could help slow the condition and minimize the risk of complications later in life. This study investigates the use of SYD-101, an eye solution, in slowing-down the progression of myopia in children.

Detailed Description

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This will be a 3-arm, multicentered, randomized, double-masked, vehicle-controlled study conducted in 2 parts.

Part 1 is the primary treatment period of 3 years, during which participants will receive 1 of 3 masked medications.

Part 2 is the randomized withdrawal period of 1 year, during which participants originally receiving Vehicle will receive SYD-101, and participants originally receiving SYD-101 will receive either Vehicle or SYD-101.

Conditions

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Nearsightedness Near Sightedness Near-sightedness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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SYD-101 0.01%

1 drop in each eye at bedtime. Part 1: participants will be randomized to SYD-101 0.01% Part 2: participants will be re-randomized to SYD-101 0.01% or Vehicle

Group Type EXPERIMENTAL

SYD-101 0.01%

Intervention Type DRUG

Sterile topical ophthalmic solution

SYD-101 0.03%

1 drop in each eye at bedtime. Part 1: participants will be randomized to SYD-101 0.03% Part 2: participants will be re-randomized to SYD-101 0.03% or Vehicle

Group Type EXPERIMENTAL

SYD-101 0.03%

Intervention Type DRUG

Sterile topical ophthalmic solution

Vehicle

1 drop in each eye at bedtime. Part 1: participants will be randomized to Vehicle Part 2: participants will be re-randomized to SYD-101 0.03%

Group Type PLACEBO_COMPARATOR

Vehicle

Intervention Type DRUG

Sterile topical ophthalmic solution without active ingredient

Interventions

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SYD-101 0.01%

Sterile topical ophthalmic solution

Intervention Type DRUG

SYD-101 0.03%

Sterile topical ophthalmic solution

Intervention Type DRUG

Vehicle

Sterile topical ophthalmic solution without active ingredient

Intervention Type DRUG

Other Intervention Names

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atropine sulfate atropine sulfate Placebo

Eligibility Criteria

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Inclusion Criteria

* Myopia of 0.5 D (diopters) to 6.00 D (inclusive) in both eyes.
* Astigmatism ≤1.50 D in both eyes.
* Anisometropia ≤1.00 D in both eyes.
* If myopia is ≥0.75 D, participant must be wearing single vision eyeglasses or soft, daily-wear, single-vision contact lenses that meet study investigator's criteria.
* BCVA (best-corrected visual acuity) Snellen equivalent of 20/32 or better.

Exclusion Criteria

* Participants with a history or current evidence of a medical condition predisposing them to degenerative myopia (e.g. Marfan syndrome, Stickler syndrome), or a condition that may affect visual function or development (e.g. diabetes mellitus, chromosome anomaly).
* Current use of a monoamine oxidase inhibitor.
* Evidence of any ocular inflammation or infection in either eye, including blepharitis, conjunctivitis, keratitis, and scleritis.
* Past, present or future plans to use orthokeratology (orthoK), rigid gas-permeable, bifocal, progressive-addition, multi-focal, or other lenses to reduce myopia progression; or the use of atropine, pirenzepine or other anti-muscarinic agent for myopia.
* History or evidence of ocular surgery or planned future ocular surgery in either eye.
Minimum Eligible Age

3 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sydnexis, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Site 143

Irwindale, California, United States

Site Status

Site 144

Pasadena, California, United States

Site Status

Site 148

San Diego, California, United States

Site Status

Site 104

San Diego, California, United States

Site Status

Site 110

Santa Barbara, California, United States

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Site 133

Sunnyvale, California, United States

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Site 130

Colorado Springs, Colorado, United States

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Site 100

Fort Collins, Colorado, United States

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Site 102

Danbury, Connecticut, United States

Site Status

Site 150

Waterbury, Connecticut, United States

Site Status

Site 122

Fort Lauderdale, Florida, United States

Site Status

Site 109

Jupiter, Florida, United States

Site Status

Site 119

Sweetwater, Florida, United States

Site Status

Site 120

Tamarac, Florida, United States

Site Status

Site 124

Marietta, Georgia, United States

Site Status

Site 116

Chicago, Illinois, United States

Site Status

Site 106

Wilmette, Illinois, United States

Site Status

Site 135

Indianapolis, Indiana, United States

Site Status

Site 131

Munster, Indiana, United States

Site Status

Site 137

Pittsburg, Kansas, United States

Site Status

Site 138

Bangor, Maine, United States

Site Status

Site 123

Boston, Massachusetts, United States

Site Status

Site 114

Washington, Missouri, United States

Site Status

Site 132

Henderson, Nevada, United States

Site Status

Site 139

Albuquerque, New Mexico, United States

Site Status

Site 127

Buffalo, New York, United States

Site Status

Site 117

Chapel Hill, North Carolina, United States

Site Status

Site 121

Raleigh, North Carolina, United States

Site Status

Site 105

Fargo, North Dakota, United States

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Site 111

Medford, Oregon, United States

Site Status

Site 147

Tigard, Oregon, United States

Site Status

Sie 136

Bala-Cynwyd, Pennsylvania, United States

Site Status

Site 128

Cranberry Township, Pennsylvania, United States

Site Status

Site 108

Charleston, South Carolina, United States

Site Status

Site 126

Lakeway, Texas, United States

Site Status

Site 142

San Antonio, Texas, United States

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Site 101

San Antonio, Texas, United States

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Site 115

The Woodlands, Texas, United States

Site Status

Site 149

Ogden, Utah, United States

Site Status

Site 140

Ogden, Utah, United States

Site Status

Site 113

Virginia Beach, Virginia, United States

Site Status

Site 204

Graz, Styria, Austria

Site Status

Site 203

Linz, Upper Austria, Austria

Site Status

Site 205

Vienna, , Austria

Site Status

Site 202

Bratislava, , Slovakia

Site Status

Site 201

Trebišov, , Slovakia

Site Status

Site 200

Trenčín, , Slovakia

Site Status

Countries

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United States Austria Slovakia

References

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Johnson P, Widder K, Cheetham J, Kirkeby L. Methods and baseline of a large, multicenter, phase 3 study with low-dose atropine (SYD-101) for the treatment of myopia progression in over 800 children (STAR Study). Invest Ophthalmol Vis Sci. 2025; 66(8), 2825

Reference Type BACKGROUND

Cheetham JK, Gieschen L, Kirkeby L, Widder K, Johnson P. The natural history of myopia progression in a large diverse pediatric population. Invest Ophthalmol Vis Sci. 2025; 66(8), 2824

Reference Type BACKGROUND

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://www.fda.gov/Safety/Recalls

FDA Safety Alerts and Recalls

Other Identifiers

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SYD-101-001

Identifier Type: -

Identifier Source: org_study_id

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