The A.R.R.E.S.T.® Spectacle Film Study

nthalmic

Status: Enrolling

Conditions: Myopia; Myopia Progression

Treatments: Device: A.R.R.E.S.T. spectacle film; Device: Single vision spectacle lens

Study type: Interventional

Funder types: NETWORK

Identifiers

NCT06692699

nthal2024-02

Details and patient eligibility

About

The goal of this clinical trial is to learn if spectacle films using Active Reconfiguration in Retinal Encoding of Spatio-Temporal (A.R.R.E.S.T.®) signal technology works to slow down the rate of myopia progression compared to single vision spectacle lenses in myopic children. The main questions it aims to answer are:

Do spectacle films using A.R.R.E.S.T.® technology slow down the rate of axial length growth? Do spectacle films using A.R.R.E.S.T.® technology slow down the rate of increase in myopic refractive error?

Researchers will compare spectacle films using A.R.R.E.S.T.® technology to a single vision spectacle lens.

Participants will:

Be randomly allocated to wear either spectacle lenses using A.R.R.E.S.T.® technology or single vision spectacle lenses.

Visit the clinic on seven occasions over a 12 month period.

Full description

The aim of this clinical trial is to compare the rate of myopia progression as measured by change from the Dispensing visit (up to 40 days from Baseline), in axial length and the change from Baseline in the spherical equivalent cycloplegic autorefraction between a spectacle film design using A.R.R.E.S.T.® technology (test) and a single vision spectacle lens (control). Myopic children (6-14 years of age) will be randomly allocated to wear either test or control.

The overall trial duration, including follow-up period, is expected to be approximately 18 months. Each participant's duration is expected to be approximately 12 months.

The visits are Baseline, Dispensing, 1 month, 3 months, 6 months, 9 months, and 12 months.

All procedures performed at these visits are standard, non invasive clinical tests.

Enrollment: 160 estimated patients

Sex: All

Ages: 6 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Be between 6 to 14 years old inclusive at time of enrolment.

• Have:

  • Read the Informed Assent.
  • Been explained the Informed Assent.
  • Indicated an understanding of the Informed Assent.
  • Signed the Informed Assent.

• Have their parent / legal guardian.

  • Read the Informed Consent.
  • Been explained the Informed Consent.
  • Indicated an understanding of the Informed Consent.
  • Signed the Informed Consent.

• Along with their parent/legal guardian, be capable of comprehending the nature of the study and be willing to adhere to the study requirements.

• Along with their parent/legal guardian, agree to maintain the visit and prescribed wearing schedule.

• Agree to wear the study spectacles for a minimum of 5 days/week, 6 hours/day for the duration of the study and to inform the investigator if their schedule is interrupted.

• Be in good general health, based on parent's/legal guardian's knowledge.

• Have best-corrected high contrast visual acuity of 0.10 logMAR (Snellen: 20/25, 6/7.6; Decimal: 0.80) or better in each eye.

• Meet the following criteria determined by cycloplegic autorefraction at Baseline:

  • -5.00 D ≤ spherical equivalent ≤ -0.75 D and sphere component ≤ -0.50 DS
  • -1.50 DC ≤ astigmatic component ≤ 0 DC
  • |Spherical equivalent anisometropia| ≤ 1.00 D. Exclusion Criteria

• Participant is currently an active participant in another study or was an active participant in another study within 30 days prior to this study.

• Current or prior use of interventions intended for myopia control, including but not limited to:

  • Optical devices:

    • Bifocal / multifocal spectacles.
    • Bifocal / multifocal contact lenses.
    • Orthokeratology.

  • Pharmacological agents:

    • Atropine with a concentration > 0.01%.
    • Participants who have previously used 0.01% atropine are eligible for this study provided they agree not to use 0.01% atropine for at least 30 days before baseline and at any time during the study.
    • Pirenzepine.

• Participant born earlier than 30 weeks or weighed < 1500 g at birth.

• A verbal report from the participant's parent / legal guardian is sufficient.

• Habitual use of a systemic or topical medication that may alter normal ocular findings / is known to affect a participant's ocular health / physiology either in an adverse or beneficial manner at enrolment and / or during the clinical trial.

• A known allergy to sodium fluorescein, benoxinate, proparacaine, tropicamide, or cyclopentolate.

• Strabismus as determined by cover test at distance (≥ 3 m) or near (40 cm) while wearing distance correction under non-cycloplegic conditions.

• Known ocular or systemic disease, such as but not limited to:

  • Diabetes.
  • Graves' disease.
  • Glaucoma.
  • Uveitis.
  • Scleritis.
  • Auto immune diseases such as ankylosing spondylitis, multiple sclerosis, Sjogrens syndrome, and systemic lupus erythematosus.

• Any ocular, systemic, or neuro-developmental conditions that could influence refractive development, such as but not limited to:

  • Persistent pupillary membrane.
  • Vitreous haemorrhage.
  • Cataract.
  • Central corneal scarring.
  • Eyelid haemangiomas.
  • Marfan's syndrome.
  • Down's syndrome.
  • Ehler's-Danlos syndrome.
  • Stickler's syndrome.
  • Ocular albinism.
  • Retinopathy of prematurity.

• Keratoconus or irregular cornea. The Investigator may, at their discretion, exclude anyone who they believe may not be able to fulfil the clinical trial requirements or it is believed to be in the participant's best interests.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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160 participants in 2 patient groups

Assigned Intervention 1

Active Comparator group

Description:

Single vision spectacle lens

Treatment:

Device: Single vision spectacle lens

Assigned Intervention 2

Experimental group

Description:

A.R.R.E.S.T.® spectacle films

Treatment:

Device: A.R.R.E.S.T. spectacle film