Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05078099
Other study ID # NS-00101-R01
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date December 5, 2018
Est. completion date March 19, 2020

Study information

Verified date September 2021
Source NovaSight
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

An Eye-Tracking-Based Binocular Amblyopia Technology Improves Both Visual Acuity and Binocularity Screening A child is considered for the study after undergoing a standard of care and study-specific eye examinations (by a study investigator as part of the standard of care) that identify amblyopia appearing to meet the eligibility criteria. The study will be discussed with the child's parent(s) or guardian(s) (referred to subsequently as parent (s)). Parent(s) who express an interest in the study will be given a copy of the informed consent form to read. Written informed consent must be obtained from a parent and child prior to performing any study-specific procedures that are not part of the child's routine care. On screening visit, eligibility assessment, medical history, Demographic data, Refraction and Cycloplegia, Demonstration suitability using the CureSight, ATS Diplopia Questionnaire, Symptom Survey Distance VA Testing, Ocular Alignment Testing, Near VA Testing, Stereoacuity Testing- Titmus Fly, Eye movement exams (optional), Contrast sensitivity (optional), Reading rest (optional). All eligible subjects enrolled in the study will be followed for 24 weeks of training followed by 52 weeks of follow-up. 24 weeks: Binocular treatment 90 minutes per day, 5 days per week for 12 weeks followed by 90 minutes per day, 3 days per week for an additional 12 weeks Follow up visits - Visit 1: 4 weeks ± 1 week - Visit 2: 8 weeks ± 1 week - Visit 3: 12 weeks ± 1 week - Visit 4: 24 weeks ± 1 week (primary endpoint) - Optional Visit 5: 52 weeks ± 1 week (exploratory outcome, including retainment of improvement; and additional exploratory outcomes)


Description:

The Study Purpose is to evaluate the efficacy and safety of a novel binocular eye-tracking-based passive home treatment system delivering personalized amblyopia therapy. Methods: Real-time foveal area blur was induced on the dominant eye of 20 participants (aged 4-15 years) with anisometropic, strabismic (<5 PD) or mixed amblyopia. Subjects were trained over 12 weeks with 5 weekly sessions and then for an additional 12 weeks with 3 weekly sessions. Primary outcome was the improvement in best-corrected visual acuity (BCVA) and stereo acuity. Secondary outcomes were adherence, improvement persistence, and patient-reported comfort. Screening A child is considered for the study after undergoing a standard of care and study-specific eye examinations (by a study investigator as part of the standard of care) that identify amblyopia appearing to meet the eligibility criteria. The study will be discussed with the child's parent(s) or guardian(s) (referred to subsequently as parent (s)). Parent(s) who express an interest in the study will be given a copy of the informed consent form to read. Written informed consent must be obtained from a parent and child prior to performing any study-specific procedures that are not part of the child's routine care. On screening visit, eligibility assessment, medical history, Demographic data, Refraction and Cycloplegia, Demonstration suitability using the CureSight, ATS Diplopia Questionnaire, Symptom Survey, Distance VA Testing, Ocular Alignment Testing, Near VA Testing, Stereoacuity Testing- Titmus Fly, Eye movement exams (optional), Contrast sensitivity (optional), Reading rest (optional). All eligible subjects enrolled in the study will be followed for 24 weeks: Binocular treatment 90 minutes per day, 5 days per week for 12 weeks followed by 90 minutes per day, 3 days per week for an additional 12 weeks Follow up visits - Visit 1: 4 weeks ± 1 week - Visit 2: 8 weeks ± 1 week - Visit 3: 12 weeks ± 1 week - Optional Visit 5: 52 weeks ± 1 week (exploratory outcome, including retainment of improvement; and additional exploratory outcomes) - For each individual subject, clinician's decision regarding: continue treatment by patching or terminate treatment Treatment cessation and follow-up; or, Treatment continuation (patching) - Visit 4: 24 weeks ± 1 week (primary endpoint) The call center will be comprised of NovaSight personnel, protected by a firewall. For the patching group subjects, the call center personnel will contact all subjects' guardians at 1 week (3 to 7 days) to encourage initial compliance with treatment. For the CureSight treatment group, the call center will contact the subjects' guardians in order to: 1. Assist first time setup at home over the phone 2. Provide technical support by phone in case of system malfunction or any other query or problem appearing during treatment 3. Respond to compliance notifications of the software and contact the subject's guardians when needed in order to encourage compliance 4. Answer any questions that arise by the subjects or guardians. Permission for such contacts will be included in the Informed Consent Form. The call center personal will be exposed to the following details, contact information, email and phone number.


Recruitment information / eligibility

Status Completed
Enrollment 23
Est. completion date March 19, 2020
Est. primary completion date March 19, 2020
Accepts healthy volunteers No
Gender All
Age group 4 Years to 40 Years
Eligibility Inclusion Criteria: The following criteria must be met for a child to be enrolled in the study: 1. Age 4 to 40 years male and female 2. Amblyopia associated with strabismus, anisometropia, or both (previously treated or untreated) 3. Must have refractive error correction (based on a cycloplegic refraction completed within the last 7 months) 4. Spectacle correction meeting the above criteria must be worn For at least 16 weeks OR until distance VA stability is documented (defined as <0.1 logMAR change by the same testing method measured on 2 consecutive exams at least 8 weeks apart). 5. VA, measured in each eye without cycloplegia in current spectacle correction using the Lea symbol per ATS VA protocol for children < 7 years and the EETDRS VA protocol for children = 7 years on a study-approved device displaying single surrounded optotypes, as follows: 1. Visual acuity in the amblyopic eye <1.0 logMAR (20/200) 2. Best-corrected dominant-eye VA <0.2 3. Interocular difference = 2 logMAR lines 6. Heterotropia with a near deviation of <5? (measured by SPCT) in habitual correction (Angles of ocular deviation >4? are not allowed because large magnitudes of the deviation would compromise successful alignment of the dichoptic stimuli.) 7. Passing a dedicated 10 min in-clinic performance ability test to assure suitable eye tracking performance (validity of eye tracking data >90% and successful calibration process). 7. Subjects and families eligible for clinic visits over duration of study. 8. Subject in general good health and able, as per investigator decision, to comply with study visits and protocol procedures and wear refractive correction and has access to wireless internet at home which is able to support the CureSight treatment (loaned by sponsor). 9. Signed and dated informed consent form. 10. Parent and participant understand and are willing to comply with study procedures and will be available for the duration of the study. Exclusion Criteria: 1. Myopia greater than -6.00 D. spherical equivalent in either eye. 2. Known skin reactions to patch or bandage adhesives. 3. Severe developmental delay that would interfere with treatment or evaluation (in the opinion of the investigator). 4. Any condition that might interfere with eye tracking, such as ptosis 5. Any reported anatomic ocular anomaly (e.g., small lens opacity, myelinated nerve fiber layer). 6. Previous intraocular or refractive surgery. 7. Heterophoria with a total near deviation of =10? (measured by PACT

Study Design


Related Conditions & MeSH terms


Intervention

Device:
CureSight
Binocular eye-tracking-based passive home treatment system delivering personalized amblyopia therapy

Locations

Country Name City State
Israel Sheba medical center Ramat Gan Select A State

Sponsors (1)

Lead Sponsor Collaborator
NovaSight

Country where clinical trial is conducted

Israel, 

Outcome

Type Measure Description Time frame Safety issue
Primary Best-Corrected Visual Acuity of Amblyopic Eye Mean visual acuity change from baseline Using LogMAR LEA symbols optotype for participants < 7 years of age and LEA numbers optotype for participants = 7 years of age 24 weeks
Primary Best-Corrected Visual Acuity of Fellow Eye Mean visual acuity change from baseline Using LogMAR LEA symbols for participants < 7 years of age and LEA numbers for participants = 7 years of age 24 weeks
Secondary Adherence Duration spent using the device divided by the duration of treatment prescribed 4, 8, 12, and 24 weeks
Secondary Stereoacuity Mean stereoacuity change from baseline using the Titmus stereo acuity chart 4, 8, 12, and 24 weeks
Secondary Amblyopic eye best-corrected visual acuity Mean visual acuity change from baseline Using LogMAR LEA symbols for participants < 7 years of age and LEA numbers for participants = 7 years of age 4, 8, 12, and 24 weeks
See also
  Status Clinical Trial Phase
Recruiting NCT04238065 - A Clinical Trial of Caterna Virtual Reality Facilitating Treatment in Children With Amblyopia N/A
Completed NCT04432181 - Comparison of Deviation Types Among Astigmatic Children With Or Without Amblyopia
Terminated NCT02767856 - Regimens of Intermittent Occlusion Therapy for Amblyopia in Children N/A
Completed NCT02458846 - Efficacy of Visual Screening in Ontario N/A
Completed NCT01190813 - Levodopa for the Treatment of Residual Amblyopia Phase 3
Completed NCT01109459 - Multimodal Physician Intervention to Detect Amblyopia N/A
Completed NCT04313257 - Monocular Action Video Game Treatment of Amblyopia N/A
Completed NCT04315649 - Effect of 3D Movie Viewing on Stereopsis in Strabismus and / or Anisometropic Amblyops N/A
Completed NCT05223153 - OCT-A and Amblyopia
Recruiting NCT05522972 - Establishing New Treatment Approaches for Amblyopia: Perceptual Learning and Video Games N/A
Completed NCT01430247 - Vision Screening for the Detection of Amblyopia N/A
Completed NCT02200211 - Study of Binocular Computer Activities for Treatment of Amblyopia N/A
Recruiting NCT06429280 - Clinical Data Registry of Amblyopia Patients on Luminopia Treatment
Withdrawn NCT04959422 - Assuring Ophthalmologic Follow up N/A
Active, not recruiting NCT05612568 - 5 Years of Eye Screening for ARF in Children Aged <3 Years in Flanders
Recruiting NCT03655912 - Binocular Visual Therapy and Video Games for Amblyopia Treatment. N/A
Recruiting NCT06150391 - Evaluation of Amblyopia Protocols Using a Dichoptic Gabor Videogame Program N/A
Completed NCT03754153 - Binocularly Balanced Viewing Study N/A
Terminated NCT02246556 - Dichoptic Virtual Reality Therapy for Amblyopia in Adults Phase 1
Withdrawn NCT02594358 - Caffeine in Amblyopia Study Phase 1/Phase 2

External Links