Myopia Intervention in Children and Adolescents and Establishment of a Precise Intervention Model

NCT ID: NCT05357326

Last Updated: 2022-05-02

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

PHASE4

Total Enrollment

186 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-01

Study Completion Date

2023-08-31

Brief Summary

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Investigators are going to conduct a multi-centered randomized clinical trial that myopic children are randomly allocated into three groups: 0.01% atropine, 0.04% atropine and orthokeratology in order to evaluate the efficacy and side effects of different intervention methods and establish a risk factor model to predict the efficacy of myopia intervention, and to provide precise intervention plans and clinical decisions for the control of myopia.

Detailed Description

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Investigators are going to conduct a multi-centered randomized clinical trial that myopic children are randomly allocated into three groups: 0.01% atropine, 0.04% atropine and orthokeratology in order to evaluate the efficacy and side effects of different intervention methods and establish a risk factor model to predict the efficacy of myopia intervention, and to provide precise intervention plans and clinical decisions for the control of myopia.

Conditions

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Myopia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Children are randomly allocated into three groups: 0.01% atropine, 0.04% atropine and orthokeratology, each group includes 62 children.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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0.01% atropine

use atropine sulfate 0.01% eye drop every night before sleep for two years

Group Type ACTIVE_COMPARATOR

Atropine Sulfate 0.01% Eye Drop

Intervention Type DRUG

use one drop into subconjunctiva

0.04% atropine

use atropine sulfate 0.04% eye drop every night before sleep for two years

Group Type EXPERIMENTAL

Atropine Sulfate 0.04% Eye Drop

Intervention Type DRUG

use one drop into subconjunctiva

orthokeratology

wear orthokeratology lens every night for two years

Group Type EXPERIMENTAL

Orthokeratology

Intervention Type DEVICE

wear orthokeratology at night while sleeping

Interventions

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Atropine Sulfate 0.01% Eye Drop

use one drop into subconjunctiva

Intervention Type DRUG

Orthokeratology

wear orthokeratology at night while sleeping

Intervention Type DEVICE

Atropine Sulfate 0.04% Eye Drop

use one drop into subconjunctiva

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* children aged from 8-15 years old;
* children with spherical degree ranged from -1.0D to -4.0D, cylindrical degree less than -1.50D, astigmatism with the rule less than -1.25D, astigmatism with other axial distribution less than -0.50, anisometropia less than -1.50D;
* children with BCVA less than 0.1 LogMAR for both eyes;
* children without other eye diseases except for ametropia

Exclusion Criteria

* children with other eye diseases: amblyopia, strabismus, eye trauma, etc;
* children with cycloplegia contradictions;
* children who have used atropine or orthokeratology;
* children who are severly allergic with atropine;
* children who are using other eye drops for treatment;
* children who have contraindications to orthokeratology or cannot cooperate with it;
* children with severe heart, lung, liver and kidney diseases
Minimum Eligible Age

8 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role collaborator

Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University

OTHER

Sponsor Role collaborator

Shanghai Eye Disease Prevention and Treatment Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jianfeng Zhu

Role: STUDY_CHAIR

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

Locations

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Jianfeng Zhu

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianfeng Zhu

Role: CONTACT

13501822932 ext. 18101853556

Jiangnan He

Role: CONTACT

18101853556 ext. 18101853556

Facility Contacts

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Jianfeng Zhu

Role: primary

13501822932 ext. 13501822932

References

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Xu H, Chen M, Ye L, Shu Q, Peng Y, Liang X, Yu T, Ji Y, Li S, Shen Q, He J, Li L, Zhu J, Xu X. Orthokeratology, 0.04% Atropine, and 0.01% Atropine for Myopia Control: A Randomized Clinical Trial. JAMA Ophthalmol. 2025 Jul 24;143(9):731-8. doi: 10.1001/jamaophthalmol.2025.2321. Online ahead of print.

Reference Type DERIVED
PMID: 40705323 (View on PubMed)

Other Identifiers

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SHYB2021003

Identifier Type: -

Identifier Source: org_study_id

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