Soft Peripheral Contact Lens for Eye Elongation Control (SPACE):1-year Results of a Double-blinded Randomized Con-trolled Trial

NCT05733884 — Not applicable, Completed, 100 participants, Chung Shan Medical University

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RegistryNCT05733884
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: double, prevention
Enrollment100 (Actual)
SponsorChung Shan Medical University (Other)
ConditionsSoft Contact Lens
Interventionssoft contact lens (Other)
Datesstart 2020-12-09, primary completion 2022-05-04, completion 2022-05-04, first posted 2023-02-17, last updated 2023-02-21
Locations1 site in Taiwan

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-Summary

A prospective, randomised, double-blinded clinical trial was conducted including 115 children (55 male and 60 female) aged 8 to 15 years. The newest multifocal contact lenses were assigned to experimental group, and another commercial dual-focus optical designed contact lenses were assigned to control group to be worn for at least 8 hours per day, 7 days a week, for a period of 1 year. All contact lenses were replaced with new lenses every day. Measurements obtained using a LogMAR vision meter, including automated computerised optometry, handheld retinoscopy, high (96%) and low (12%) contrast sensitivity visual acuity values at a distance, and near-visible acuity values were used to evaluate the corneal curvature using a corneal mapper. Additionally, the axial length(AXL) of the eye was measured, and the tear quality was assessed using a slit lamp, including tear break-up time, tear river height, and observation of blink frequency. Furthermore, the eye's anterior surface was examined by slit lamp using the Efron grading scale.

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+Arms and interventions

ArmTypeInterventionsDescription
Daily Disposable Multifocal Soft Contact lenses, PEGAVISION, TaiwanExperimentalOther: soft contact lensSubjects will be asked to wear the lenses for 8 hours a day, at least 7 days a week. Contact lenses are worn and replaced every day. All subjects will be followed for 1 year after device allocation and will undergo brief clinical assessments at 1 day, 1 week, 1, 3, 6, 9, and 12 months.
Omafilcon A, dual-focus optical design, USAActive comparatorOther: soft contact lensSubjects will be asked to wear the lenses for 8 hours a day, at least 7 days a week. Contact lenses are worn and replaced every day. All subjects will be followed for 1 year after device allocation and will undergo brief clinical assessments at 1 day, 1 week, 1, 3, 6, 9, and 12 months.
  • soft contact lens (Other): soft contact lens

+Outcome measures

Primary outcomes

  • Spherical Equivalent Refraction (SER) [12 months]: The change in spherical equivalent refraction (SER) measured by cycloplegic autorefraction over 12 months.

Secondary outcomes

  • Axial Eye Length (AXL) [12 months]: The change in axial eye length (AXL) measured over 12 months. Axial length is measured after cycloplegia using optical biometry.

Other outcomes

  • Primary safety Endpoints [12 months]: All dispensed eyes over all follow-up visits. Measured on a scale of 0-4 with 0=no findings and 4=severe findings. Epithelial edema, epithelial microcysts, corneal staining, limbal \& bulbar injection, conjunctival abnormalities, corneal neovascularization and infiltrates will be measured.(700GL Slit Lamp, Takagi Europe)

+Eligibility

Sex: All, ages: 8 Years to 15 Years, accepts healthy volunteers

Inclusion Criteria:

* Subjects must be between the ages of 8 and 15 (both 8 and 15 years old).
* Subject's best corrected visual acuity must be at least LogMAR 0.10 or higher in both eyes.
* The subject's eyes must be healthy and normal, and "normal eyes" is defined as having the following characteristics.

  1. Based on the slit-lamp examination results of the screening clinic, determined that the infection of the conjunctiva, eyelids and accessory organs was less than Grade 2 (mild).
  2. No structural abnormality of the eyelid, conjunctiva or accessory organ tissue.
  3. Slit lamp findings must be less than Grade 1 (mild) and the cornea must not show: edema, staining, clouding, or vascularization according to the slit lamp findings of the screening clinic.
  4. No iritis.
  5. There are no other active eye diseases that are not suitable for contact lens wear.
* No topical eye drops are currently being used.
* The subject and his/her legal representative (if the subject is under 20 years old) are willing to sign the subject's consent form.
* Legal guardians of subjects under 12 years of age are willing to sign the informed consent form.
* Meet the following refractive criteria determined by cycloplegic autorefraction at baseline

  1. Spherical equivalent refractive error: between -0.75 and -6.00 D inclusive
  2. Astigmatism: ≤-0.75 D
  3. Anisometropia: <1.00 D

Exclusion criteria:

* Participants with certain eye diseases that may affect their eye health or may be aggravated by the test product.
* Those who are unable to comply with regular tracking and inspection.
* Subject is currently participating, or has participated in another drug trial within 4 weeks prior to enrollment in this trial.
* Subject has undergone any eye surgery or corneal surgery.
* Subject has used systemic steroids, other systemic medications that may significantly affect vision or recovery, ophthalmic steroids, eye ointments, or pupil dilators (except for examination pupil dilators) within 2 weeks prior to trial entry.
* Those who are unable to cooperate with regular tracking and inspection.
* Participants with poor hygiene practices that may compromise safety during the trial or be inconsistent with the participant's best interests.

+Locations (1)

FacilityCityCountryStatus
Chung Shan Medical University HospitalTaichungTaiwan

+Investigators

  • Min yen Hsu, PhD, Study director, Chung Shan Medical University