Deep Sequencing Test for Intraocular Infections
(OPTICS Trial)
Trial Summary
What is the purpose of this trial?
This is a multi-center randomized controlled evaluator-masked trial designed to compare metagenomic deep sequencing (MDS) versus standard of care testing for improvement of outcomes for intraocular infections. Patients with presumed intraocular infections who meet the eligibility criteria will be randomized to receive MDS testing results or not to receive MDS testing results. All patients will receive standard-of-care testing to guide management. Enrolled patients will be followed at week 2, week 3-6 (randomization visit), and at 4 weeks after the randomization visit. The proportions of patients who received the appropriate therapy and the proportions of patients with improved outcome will be compared between arms. Patient quality of life, MDS performance, and the provider certainly of belief will be collected.
Do I need to stop my current medications for this trial?
The trial protocol does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Metagenomic Deep Sequencing (MDS) for intraocular infections?
Is metagenomic deep sequencing safe for humans?
How does the treatment Metagenomic Deep Sequencing (MDS) differ from other treatments for intraocular infections?
Metagenomic Deep Sequencing (MDS) is unique because it uses advanced genetic sequencing to identify a wide range of pathogens in eye infections, which can be difficult to diagnose with traditional methods. This approach allows for a more accurate and comprehensive detection of bacteria, viruses, fungi, and parasites in intraocular fluid, potentially leading to better-targeted treatments.12389
Eligibility Criteria
This trial is for adults over 18 with suspected infectious uveitis or post-operative endophthalmitis, which are types of eye infections. It's not suitable for those who can't consent, don't have enough specimen for MDS testing, are under 18, or are pregnant.Inclusion Criteria
Exclusion Criteria
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
Randomization and Initial Follow-up
Participants are randomized to receive MDS testing results or not, followed by initial follow-up visits
Follow-up
Participants are monitored for safety and effectiveness after randomization
Treatment Details
Interventions
- MDS (Comprehensive Sequencing)
- Standard of Care (SOC) (Diagnostic Test)