The Effectiveness and Safety of Two Low-concentration Atropine Sulfate Eye Drops (0.01%/0.02%) for Delaying the Pediatric Myopia Progression

NCT ID: NCT06708156

Last Updated: 2024-12-24

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

606 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-15

Study Completion Date

2027-12-31

Brief Summary

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The clinical trial aims to test the effectiveness and safety of two low-dose atropine sulfate eye drops for delaying myopia progression in children and adolescents.

Primary Objective: evaluate the effectiveness of 0.01% and 0.02% atropine sulfate eye drops for 96 weeks compared to placebo in delaying myopia progression in children and adolescents. Secondary Objective: evaluate the safety of two low-concentration atropine sulfate eye drops (0.01%/0.02%) in delaying myopia progression in children and adolescents.

Exploratory Objective:

1. the efficacy and safety of two low-concentration atropine sulfate eye drops (0.01%/0.02%) for 144 weeks.
2. evaluate the rebound effect of two low-concentration atropine sulfate eye drops (0.01%/0.02%) after discontinuation.

Detailed Description

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Conditions

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Myopia Myopia Progression

Keywords

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Myopia Atropine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Masking aims to achieve the unpredictability of randomized treatment groups by all parties involved in a clinical trial. To reduce the influence of evaluation bias or other factors, a double-blind experimental design was adopted in this study. Placebo is the auxiliary ingredient of atropine sulfate eye drops, and its specification, color, smell, etc. are consistent with the test drug and do not contain the active ingredient of the test drug. The drug in the experimental group was packaged in the same packaging as the placebo, and blinded according to random numbers to ensure that both the investigator and the subject were masked.

Study Groups

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Experimental group (0.01% atropine sulfate eye drops)

1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Group Type ACTIVE_COMPARATOR

Atropine sulfate eye drops 0.01%

Intervention Type DRUG

Drug: 0.01% atropine sulfate eye drops Dosage form and strength: 0.01% (0.4 mL: 0.04 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Experimental group (0.02% atropine sulfate eye drops)

1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Group Type ACTIVE_COMPARATOR

Atropine sulfate eye drops 0.02%

Intervention Type DRUG

Drug: 0.02% atropine sulfate eye drops Dosage form and strength: 0.02% (0.4 mL: 0.08 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Control group (placebo eye drops)

1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Group Type PLACEBO_COMPARATOR

Placebo eye drops

Intervention Type DRUG

Drug: placebo eye drops Dosage form and strength: 0.4 mL eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Interventions

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Atropine sulfate eye drops 0.01%

Drug: 0.01% atropine sulfate eye drops Dosage form and strength: 0.01% (0.4 mL: 0.04 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Intervention Type DRUG

Atropine sulfate eye drops 0.02%

Drug: 0.02% atropine sulfate eye drops Dosage form and strength: 0.02% (0.4 mL: 0.08 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Intervention Type DRUG

Placebo eye drops

Drug: placebo eye drops Dosage form and strength: 0.4 mL eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. The legal guardian of the subject voluntarily signed the written informed consent, and the subject over 8 years is required to sign the written informed consent voluntarily.
2. Patients with myopia aged 6 to 12 years, including cut-offs.
3. The equivalent spherical refraction ranges from -1.00 D to -4.00 D (automatic optometry under a cycloplegia condition) in both myopia eyes at inclusion screening.
4. The astigmatism of both eyes was ≤ 1.50 D under a cycloplegia condition at inclusion screening.
5. The antimetropia (measured by equivalent spherical refraction) is \< 2.00 D at inclusion screening.
6. Able to comply with study requirements, attend all study visits (including telephone visits), and be willing to receive random grouping of atropine treatment or placebo.

Exclusion Criteria

1. Allergic to this product or its excipients.
2. Suffering from eye diseases that may affect vision (e.g. lens diseases such as cataracts, glaucoma, fundus macular disease, keratopathy, uveitis, retinal detachment, severe vitreous opacity, etc., manifest strabismus, nystagmus, ocular acute inflammatory disease), history of recurrent chronic ocular inflammation, or any other ocular pathology (e.g., angular stenosis, shallow anterior chamber).
3. Intraocular pressure of either eye is \> 21 mmHg or \<10 mmHg at screening.
4. Use of low-concentration (0.05% and below) atropine sulfate eye drops (including various in-hospital preparations, except for test drugs) and orthokeratology lenses (OK lenses) within 6 months before the screening.
5. Use of other myopia control methods such as instruments (multifocal glasses, progressive multifocal glasses, etc.), medications (the use of cycloplegic agents for examinations such as optometry is allowed), and others (including traditional Chinese medicine, auricular acupuncture, massage, accommodative flippers, red light therapy instrument, etc.) within 3 months before screening.
6. Those who have participated in other clinical trials and received drug or medical device interventions within 3 months before screening.
7. Systemic or topical use of drugs that affect the efficacy evaluation, such as anticholinergics: atropine, pirenzepine, etc., and cholinomimetics: pilocarpine, etc. within 1 week before screening.
8. Combined with severe immune system disease, central nervous system disease, Down syndrome, asthma, cardiopulmonary insufficiency, liver and kidney dysfunction, etc.
9. Surgical intervention (ocular or systemic) within 6 months before screening, or planned surgery during the study.
10. Heart rate sustained (more than 10 minutes) greater than 120 beats/min at screening (after 10 minutes of rest if the ECG shows a heart rate greater than 120 beats per minute, the ECG should be retested 10 minutes later. If the retest result below 120 beats/min, the screening is successful; If the retest result is still \>120 beats/min, screening failed).
11. Need for ocular use or systemic oral corticosteroids during the study. Intranasal, inhaled, topical cutaneous, intra-articular, perianal steroids, and short-term oral steroids (i.e., continuous use for \< 2 weeks).
12. Other conditions that are considered unsuitable by the investigator.
Minimum Eligible Age

6 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seefunge Pharmaceutical Technology Co., Ltd.

INDUSTRY

Sponsor Role collaborator

AUTEK China Inc.

UNKNOWN

Sponsor Role collaborator

Oupushifang Pharmaceutical Technology Co., Ltd.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ningli Wang, Postdoctoral

Role: PRINCIPAL_INVESTIGATOR

Beijing Tongren Hospital Affiliated to Capital Medical University

Locations

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Hefei Maternal and Child Health Hospital

Hefei, Anhui, China

Site Status RECRUITING

The Second Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status RECRUITING

Xuancheng People's Hospital

Xuancheng, Anhui, China

Site Status RECRUITING

The Second Hospital of Lanzhou University

Lanzhou, Gansu, China

Site Status RECRUITING

Liuzhou People's Hospital

Liuzhou, Guangxi, China

Site Status RECRUITING

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

Site Status RECRUITING

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status RECRUITING

The First People's Hospital of Zunyi

Zunyi, Guizhou, China

Site Status RECRUITING

Daqingshi People's Hospital

Daqing, Heilongjiang, China

Site Status RECRUITING

Kaifeng Central Hospital

Kaifeng, Henan, China

Site Status RECRUITING

The First Affiliated Hospital of University of South China

Hengyang, Hunan, China

Site Status RECRUITING

Huai'an First People's Hospital

Huai'an, Jiangsu, China

Site Status RECRUITING

Affiliated Eye Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

The Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

Weifang Eye Hospital

Weifang, Shandong, China

Site Status RECRUITING

Heping Hospital Affiliated to Changzhi Medical College

Changzhi, Shanxi, China

Site Status RECRUITING

Shanxi Eye Hospital

Taiyuan, Shanxi, China

Site Status RECRUITING

Xianyang Hospital of Yan'an University

Xianyang, Shanxi, China

Site Status RECRUITING

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

Beijing Tongren Hospital Affiliated to Capital Medical University

Beijing, , China

Site Status RECRUITING

Peking University Third Hospital

Beijing, , China

Site Status RECRUITING

Chongqing Aier Eye Hospital

Chongqing, , China

Site Status RECRUITING

Shanghai Eye Disease Prevention and Treatment Center (Shanghai Eye Hospital)

Shanghai, , China

Site Status RECRUITING

Tianjin Medical University Eye Hospital

Tianjin, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Liang Gao

Role: CONTACT

Phone: 0086-15056564539

Email: [email protected]

Shaolong XUE, Dr.

Role: CONTACT

Phone: 0086-18565027687

Email: [email protected]

Facility Contacts

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Ruqin Zha

Role: primary

Liming Tao

Role: primary

Shenghua Dong

Role: primary

Wanna Ren

Role: primary

Xiaobo Wan

Role: primary

Qi Chen

Role: primary

Hao Gu

Role: primary

Wei Tan

Role: primary

Xingmin Wang

Role: primary

Hongmei Mu

Role: primary

Gang Tan

Role: primary

Chaopeng Li

Role: primary

Hongfei Liao

Role: primary

Xiaorong Wu

Role: primary

Xiaolong Yin

Role: primary

Xianyong Sun

Role: primary

Yun Cui

Role: primary

Junhong Li

Role: primary

Binke Yu

Role: primary

Lijun Shen

Role: primary

Feng Wu

Role: primary

Ningli Wang, Postdoctoral

Role: backup

Yueguo Chen

Role: primary

Yi Ren

Role: primary

Haidong Zou

Role: primary

Wei Xu

Role: backup

Lin Liu

Role: primary

Other Identifiers

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CTR20240786

Identifier Type: REGISTRY

Identifier Source: secondary_id

CTR20240786

Identifier Type: -

Identifier Source: org_study_id