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Patching Strategies for Lazy Eye (ATS22 Trial)

Phase 3
Recruiting
Research Sponsored by Jaeb Center for Health Research
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
No previous treatment for amblyopia, including no more than 24 hours of spectacle wear
Amblyopia associated with anisometropia, strabismus, or both
Must not have
Previous intraocular or refractive surgery
Any previous treatment for amblyopia (patching, atropine, Bangerter filter, vision therapy, or binocular treatment)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 56 weeks
Awards & highlights
Pivotal Trial
No Placebo-Only Group

Summary

This trial is testing whether two different treatments for amblyopia (lazy eye) have the same outcome.

Who is the study for?
This trial is for children aged 3 to under 13 with lazy eye (amblyopia) who haven't been treated before. It's open to those with a certain type of misalignment in their eyes (strabismus), a difference in prescription between the eyes, or both. Kids can't join if they have severe nearsightedness, previous eye surgery, allergies to silicone or adhesive patches, or developmental delays that could affect treatment.
What is being tested?
The study tests two ways of treating lazy eye: wearing glasses alone first and then patching the stronger eye if needed (sequential), versus using glasses and patching at the same time from the start (simultaneous). Children will be randomly assigned to one of these two approaches.
What are the potential side effects?
Wearing glasses usually has no side effects other than possible discomfort adjusting to them. Patching may cause skin irritation where it sticks around the eye and might lead to some emotional distress due to its visibility.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have never been treated for lazy eye, including wearing glasses for it.
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I have lazy eye due to uneven eye power, crossed eyes, or both.
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I am between 3 and 12 years old.
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I have a misalignment in my eyes, noticed when looking near or far.
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I have not been treated for lazy eye, including wearing glasses for it.
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I had strabismus in the past, but it's now resolved.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had eye surgery before.
Select...
I have had treatment for lazy eye before.
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I am willing to not wear contact lenses during the study.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~56 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 56 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Mean Change in Amblyopic Eye logMAR distance Visual Acuity
Secondary study objectives
Change in binocularity levels
Difference in Mean Change of Distance Visual Acuity after 8 Weeks on Randomized Treatment
Difference in mean change in amblyopic-eye log contrast sensitivity
+4 more

Awards & Highlights

Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Simultaneous treatmentExperimental Treatment2 Interventions
full-time spectacle correction and part-time patching for 2 hours per day/7 days per week
Group II: Sequential treatmentActive Control2 Interventions
full-time spectacle correction first, with subsequent patching for 2 hours per day/7 days per week only if needed (no improvement (stable/worsening) and residual)

Find a Location

Who is running the clinical trial?

National Eye Institute (NEI)NIH
558 Previous Clinical Trials
1,407,927 Total Patients Enrolled
Jaeb Center for Health ResearchLead Sponsor
158 Previous Clinical Trials
35,045 Total Patients Enrolled
Pediatric Eye Disease Investigator GroupNETWORK
19 Previous Clinical Trials
4,210 Total Patients Enrolled
Vivian ManhStudy ChairSeattle Children's Hospital, University of Washington
Michael GrayStudy ChairChildren's Hospital Medical Center, Cincinnati

Media Library

Glasses Clinical Trial Eligibility Overview. Trial Name: NCT04378790 — Phase 3
Lazy Eye Research Study Groups: Simultaneous treatment, Sequential treatment
Lazy Eye Clinical Trial 2023: Glasses Highlights & Side Effects. Trial Name: NCT04378790 — Phase 3
Glasses 2023 Treatment Timeline for Medical Study. Trial Name: NCT04378790 — Phase 3
Lazy Eye Patient Testimony for trial: Trial Name: NCT04378790 — Phase 3
~251 spots leftby May 2028