~168 spots leftby Feb 2027

Dichoptic Treatment for Lazy Eye

(ATS24 Trial)

Recruiting in Palo Alto (17 mi)
+29 other locations
Age: < 18
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 3
Recruiting
Sponsor: Jaeb Center for Health Research
Must not be taking: Cycloplegic eyedrops
Disqualifiers: Heterotropia, Prism, Myopia, Ocular co-morbidity, others
No Placebo Group
Pivotal Trial (Near Approval)
Prior Safety Data

Trial Summary

What is the purpose of this trial?

Participants eligible for the study will be randomly allocated (1:1:1) to receive either Luminopia dichoptic treatment while wearing optical correction if needed, Vivid Vision dichoptic treatment while wearing optical correction if needed, or continued optical correction alone if needed, with clinical assessments at 9- and 18-weeks post-randomization. At the 18-week primary outcome visit, participants who were randomly assigned to receive optical correction alone if needed with an IOD of 1 logMAR line (5 letters) or more, will be offered randomization to Luminopia or Vivid Vision dichoptic therapy and if they accept, followed forward with visits at 27- and 36-weeks post-randomization. The study will end for all other participants at 18 weeks.

Will I have to stop taking my current medications?

The trial protocol does not specify if you need to stop taking your current medications, but it does require stopping cycloplegic eyedrops (like atropine) two weeks before joining the study.

What data supports the effectiveness of the treatment Luminopia One for lazy eye?

Research shows that dichoptic treatments like Luminopia One, which involve presenting different images to each eye, can improve visual acuity (sharpness of vision) and encourage better adherence in children with amblyopia (lazy eye). These treatments are more engaging for children, potentially leading to better compliance and outcomes compared to traditional methods.12345

Is dichoptic treatment for lazy eye safe for humans?

The research does not provide specific safety data for dichoptic treatments like Luminopia or Vivid Vision, but these treatments are generally designed to be non-invasive and involve using video games or movies to improve vision, which suggests they are likely safe for human use.12367

How is the dichoptic treatment for lazy eye different from other treatments?

The dichoptic treatment for lazy eye, like Luminopia and Vivid Vision, is unique because it uses therapeutic modifications to streaming content or movies to balance visual input from each eye, making it more engaging and potentially improving adherence compared to traditional methods like eye patches or blurring drops.238910

Research Team

MT

Marjean T Kulp, OD

Principal Investigator

Ohio State University

BG

Benajmin G Jastrzembski, MD

Principal Investigator

University of California, Davis

Eligibility Criteria

This trial is for children aged 8 to less than 13 with lazy eye (amblyopia) ranging from mild to severe (20/40 to 20/200 vision). They must have a significant difference in vision between eyes and may have associated conditions like strabismus or anisometropia. Kids with very slight eye alignment issues are included, but those with more serious unrelated health problems cannot participate.

Inclusion Criteria

I am between 8 and 12 years old.
I have lazy eye due to crossed eyes, different eye prescriptions, or both.
Refractive correction required for specific refractive errors
See 11 more

Exclusion Criteria

Myopia greater than -6.00D spherical equivalent in either eye
I have an eye condition that could affect my vision.
I have experienced double vision more than once in the past week.
See 7 more

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either Luminopia dichoptic treatment, Vivid Vision dichoptic treatment, or continued optical correction alone, with clinical assessments at 9- and 18-weeks post-randomization

18 weeks
2 visits (in-person) at 9 and 18 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Optional Extension

Participants initially receiving optical correction alone with an IOD of 1 logMAR line or more may opt into further dichoptic therapy and are followed with visits at 27- and 36-weeks post-randomization

18 weeks
2 visits (in-person) at 27 and 36 weeks

Treatment Details

Interventions

  • Luminopia (Behavioural Intervention)
  • Vivid Vision (Behavioural Intervention)
Trial OverviewThe study tests two treatments for lazy eye: Luminopia and Vivid Vision, both used alongside regular glasses if needed. It compares these therapies against just using glasses alone. Children will be randomly assigned to one of the three groups and evaluated at weeks 9 and 18, with some continuing until week 36.
Participant Groups
3Treatment groups
Experimental Treatment
Active Control
Group I: Vivid Vision GroupExperimental Treatment1 Intervention
dichoptic games using the Vivid Vision headset, prescribed approximately 25 minutes per day (treatment time to complete the day's sessions can be split into shorter sessions totaling about 25 minutes each day) 6 days per week with current optical correction if needed
Group II: Luminopia GroupExperimental Treatment1 Intervention
dichoptic movies/shows wearing the Luminopia headset prescribed 1 hour per day (treatment time can be split into shorter sessions totaling 1 hour each day) 6 days a week with current optical correction if needed
Group III: Continued Optical Correction GroupActive Control1 Intervention
continued full-time optical correction alone if needed

Find a Clinic Near You

Research Locations NearbySelect from list below to view details:
Boston Children's Hospital WalthamBoston, MA
Ohio State University College of OptometryColumbus, OH
Virginia Pediatric Eye CenterNorfolk, VA
UAB Pediatric Eye Care; Birmingham Health CareBirmingham, AL
More Trial Locations
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Who Is Running the Clinical Trial?

Jaeb Center for Health Research

Lead Sponsor

Trials
162
Recruited
36,200+
Dr. Roy W. Beck profile image

Dr. Roy W. Beck

Jaeb Center for Health Research

Chief Medical Officer since 2022

MD, PhD

Adam Glassman profile image

Adam Glassman

Jaeb Center for Health Research

Chief Executive Officer since 2023

PhD in Biostatistics

Pediatric Eye Disease Investigator Group

Collaborator

Trials
20
Recruited
4,800+

National Eye Institute (NEI)

Collaborator

Trials
572
Recruited
1,320,000+
Dr. Michael F. Chiang profile image

Dr. Michael F. Chiang

National Eye Institute (NEI)

Chief Executive Officer since 2020

MD from Harvard Medical School

Dr. Richard Lee profile image

Dr. Richard Lee

National Eye Institute (NEI)

Chief Medical Officer since 2021

MD, PhD from Harvard Medical School

Findings from Research

Current treatments for amblyopia, like occlusion and pharmacological blurring, have limited success, with less than two-thirds of children achieving good visual acuity in the affected eye.
There is a lack of randomized controlled trials (RCTs) on new binocular treatments for amblyopia, but non-controlled studies show promise, indicating a need for further research to establish their safety and effectiveness.
Binocular versus standard occlusion or blurring treatment for unilateral amblyopia in children aged three to eight years.Tailor, V., Bossi, M., Bunce, C., et al.[2022]
Active vision therapy significantly improved visual acuity in most of the 160 pseudophakic amblyopic patients aged 3.5 to 25 years, with many achieving better than 20/60 vision after 6 months of treatment.
Despite some patients experiencing a decrease in visual acuity after therapy ended, particularly those under 15 years old, their vision improved again with subsequent therapy sessions, indicating the potential for ongoing benefits from active vision therapy.
Active vision therapy for pseudophakic amblyopia.Verma, A., Singh, D.[2019]
A total of 42 amblyopia-related games were found in mobile app stores, with most categorized as medical, but only 7% involved eye care professionals in their development.
The lack of professional input in the majority of these games suggests a need for quality assurance from qualified eye care professionals to improve trust and efficacy in amblyopia treatment through these apps.
Smartphone Applications for Amblyopia Treatment: A Review of Current Apps and Professional Involvement.Paudel, N.[2019]

References

A Randomized Trial of Binocular Dig Rush Game Treatment for Amblyopia in Children Aged 4 to 6 Years. [2023]
Binocular versus standard occlusion or blurring treatment for unilateral amblyopia in children aged three to eight years. [2022]
Digital therapeutic improves visual acuity and encourages high adherence in amblyopic children in open-label pilot study. [2021]
Active vision therapy for pseudophakic amblyopia. [2019]
5.Russia (Federation)pubmed.ncbi.nlm.nih.gov
[Use of liquid crystal eyeglasses for examination and recovery of binocular vision]. [2008]
Smartphone Applications for Amblyopia Treatment: A Review of Current Apps and Professional Involvement. [2019]
Stereoacuity Improvement using Random-Dot Video Games. [2020]
Binocular amblyopia treatment with contrast-rebalanced movies. [2020]
Binocular iPad treatment for amblyopia in preschool children. [2022]
10.United Statespubmed.ncbi.nlm.nih.gov
Nonsurgical management of diplopia. [2019]