MyopiaPhase 3NCT06708156
The Effectiveness and Safety of Two Low-concentration Atropine Sulfate Eye Drops (0.01%/0.02%) for Delaying the Pediatric Myopia Progression
A Phase 3 study testing Atropine sulfate eye drops 0.01% and Atropine sulfate eye drops 0.02% in people with Myopia and Myopia Progression, run by Oupushifang Pharmaceutical Technology Co., Ltd. at 25 sites in China.
Trial summary
The clinical trial aims to test the effectiveness and safety of two low-dose atropine sulfate eye drops for delaying myopia progression in children and adolescents. Primary Objective: evaluate the effectiveness of 0.01% and 0.02% atropine sulfate eye drops for 96 weeks compared to placebo in delaying myopia… Read more about this study
- Who is it for?
- Ages 6 to 12 years
- Conditions the study is for
- Myopia, Myopia Progression
- What is being tested?
- Atropine sulfate eye drops 0.01% and Atropine sulfate eye drops 0.02%
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 606 participants
- Where
- 25 sitesChina
- Study dates
- 15 Jun 2024to 31 Dec 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 to 12 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- The legal guardian of the subject voluntarily signed the written informed consent, and the subject over 8 years is required to sign the written informed consent voluntarily.
- Patients with myopia aged 6 to 12 years, including cut-offs.
- The equivalent spherical refraction ranges from -1.00 D to -4.00 D (automatic optometry under a cycloplegia condition) in both myopia eyes at inclusion screening.
- The astigmatism of both eyes was ≤ 1.50 D under a cycloplegia condition at inclusion screening.
- The antimetropia (measured by equivalent spherical refraction) is < 2.00 D at inclusion screening.
- Able to comply with study requirements, attend all study visits (including telephone visits), and be willing to receive random grouping of atropine treatment or placebo.
Who cannot join
- Allergic to this product or its excipients.
- Suffering from eye diseases that may affect vision (e.g. lens diseases such as cataracts, glaucoma, fundus macular disease, keratopathy, uveitis, retinal detachment, severe vitreous opacity, etc., manifest strabismus, nystagmus, ocular acute inflammatory disease), history of recurrent chronic ocular inflammation, or any other ocular pathology (e.g., angular stenosis, shallow anterior chamber).
- Intraocular pressure of either eye is > 21 mmHg or <10 mmHg at screening.
- Use of low-concentration (0.05% and below) atropine sulfate eye drops (including various in-hospital preparations, except for test drugs) and orthokeratology lenses (OK lenses) within 6 months before the screening.
- Use of other myopia control methods such as instruments (multifocal glasses, progressive multifocal glasses, etc.), medications (the use of cycloplegic agents for examinations such as optometry is allowed), and others (including traditional Chinese medicine, auricular acupuncture, massage, accommodative flippers, red light therapy instrument, etc.) within 3 months before screening.
- Those who have participated in other clinical trials and received drug or medical device interventions within 3 months before screening.
Show all 12Show fewer
- Systemic or topical use of drugs that affect the efficacy evaluation, such as anticholinergics: atropine, pirenzepine, etc., and cholinomimetics: pilocarpine, etc. within 1 week before screening.
- Combined with severe immune system disease, central nervous system disease, Down syndrome, asthma, cardiopulmonary insufficiency, liver and kidney dysfunction, etc.
- Surgical intervention (ocular or systemic) within 6 months before screening, or planned surgery during the study.
- Heart rate sustained (more than 10 minutes) greater than 120 beats/min at screening (after 10 minutes of rest if the ECG shows a heart rate greater than 120 beats per minute, the ECG should be retested 10 minutes later. If the retest result below 120 beats/min, the screening is successful; If the retest result is still >120 beats/min, screening failed).
- Need for ocular use or systemic oral corticosteroids during the study. Intranasal, inhaled, topical cutaneous, intra-articular, perianal steroids, and short-term oral steroids (i.e., continuous use for < 2 weeks).
- Other conditions that are considered unsuitable by the investigator.
Trial locations and contacts
25 sites in 1 country. Contact the study team or a site near you to ask about taking part.
25 sites in 1 country
China25 sites, 25 recruiting
- Recruiting
Beijing Tongren Hospital Affiliated to Capital Medical University
Beijing
Feng Wu, 0086-15910961255, bjtrec@126.com
Ningli Wang, Postdoctoral
- Recruiting
Peking University Third Hospital
Beijing
Yueguo Chen
- Recruiting
Heping Hospital Affiliated to Changzhi Medical College
Changzhi, Shanxi
Yun Cui
- Recruiting
Chongqing Aier Eye Hospital
Chongqing
Yi Ren
- Recruiting
Daqingshi People's Hospital
Daqing, Heilongjiang
Xingmin Wang
- Recruiting
The Affiliated Hospital of Guizhou Medical University
Guiyang, Guizhou
Hao Gu
- Recruiting
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang
Lijun Shen
- Recruiting
Hefei Maternal and Child Health Hospital
Hefei, Anhui
Ruqin Zha
- Recruiting
The Second Hospital of Anhui Medical University
Hefei, Anhui
Liming Tao
- Recruiting
The First Affiliated Hospital of University of South China
Hengyang, Hunan
Gang Tan
- Recruiting
Huai'an First People's Hospital
Huai'an, Jiangsu
Chaopeng Li
- Recruiting
Kaifeng Central Hospital
Kaifeng, Henan
Hongmei Mu
- Recruiting
The Second Hospital of Lanzhou University
Lanzhou, Gansu
Wanna Ren
- Recruiting
Liuzhou People's Hospital
Liuzhou, Guangxi
Xiaobo Wan
- Recruiting
Affiliated Eye Hospital of Nanchang University
Nanchang, Jiangxi
Hongfei Liao
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi
Xiaorong Wu
- Recruiting
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi
Xiaolong Yin
- Recruiting
The People's Hospital of Guangxi Zhuang Autonomous Region
Nanning, Guangxi
Qi Chen
- Recruiting
Shanghai Eye Disease Prevention and Treatment Center (Shanghai Eye Hospital)
Shanghai
Haidong Zou
Wei Xu
- Recruiting
Shanxi Eye Hospital
Taiyuan, Shanxi
Junhong Li
- Recruiting
Tianjin Medical University Eye Hospital
Tianjin
Lin Liu
- Recruiting
Weifang Eye Hospital
Weifang, Shandong
Xianyong Sun
- Recruiting
Xianyang Hospital of Yan'an University
Xianyang, Shanxi
Binke Yu
- Recruiting
Xuancheng People's Hospital
Xuancheng, Anhui
Shenghua Dong
- Recruiting
The First People's Hospital of Zunyi
Zunyi, Guizhou
Wei Tan
About this study
Official title: The Effectiveness and Safety of Two Low-concentration Atropine Sulfate Eye Drops (0.01%/0.02%) for Delaying the Progression of Myopia in Children and Adolescents in a Randomized, Double-blind, Placebo Parallel-controlled, Multicenter, Phase III Clinical Trial
The clinical trial aims to test the effectiveness and safety of two low-dose atropine sulfate eye drops for delaying myopia progression in children and adolescents.
Primary Objective: evaluate the effectiveness of 0.01% and 0.02% atropine sulfate eye drops for 96 weeks compared to placebo in delaying myopia progression in children and adolescents. Secondary Objective: evaluate the safety of two low-concentration atropine sulfate eye drops (0.01%/0.02%) in delaying myopia progression in children and adolescents.
Read more
Exploratory Objective:
- the efficacy and safety of two low-concentration atropine sulfate eye drops (0.01%/0.02%) for 144 weeks.
- evaluate the rebound effect of two low-concentration atropine sulfate eye drops (0.01%/0.02%) after discontinuation.
- Conditions
- Myopia, Myopia Progression
- Being tested
- Atropine sulfate eye drops 0.01%, Atropine sulfate eye drops 0.02%, Placebo eye drops
- Keywords
- Myopia, Atropine
- Medical subject headings
- Myopia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Atropine sulfate eye drops 0.01%Drug
Drug: 0.01% atropine sulfate eye drops Dosage form and strength: 0.01% (0.4 mL: 0.04 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.
Atropine sulfate eye drops 0.02%Drug
Drug: 0.02% atropine sulfate eye drops Dosage form and strength: 0.02% (0.4 mL: 0.08 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.
Placebo eye dropsDrug
Drug: placebo eye drops Dosage form and strength: 0.4 mL eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute.
| Study group | Role | What they receive |
|---|---|---|
| Experimental group (0.01% atropine sulfate eye drops) | Active comparator | 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. Receives: Drug: Atropine sulfate eye drops 0.01% |
| Experimental group (0.02% atropine sulfate eye drops) | Active comparator | 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. Receives: Drug: Atropine sulfate eye drops 0.02% |
| Control group (placebo eye drops) | Placebo comparator | 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. Receives: Drug: Placebo eye drops |
What is being measured
The primary outcome is the main question the study is designed to answer.
Effective change from baseline in equivalent spherical refraction at Week 96 visit
The inter-group difference in the value of change from baseline in equivalent spherical refraction after 0.01% or 0.02% atropine sulfate eye drops versus placebo under a cycloplegia condition at the Week 96 visit
Measured: At the Week 96 visit
Secondary outcomes (9)
Effective change from baseline in eye axis length at 24 months
Value of change from baseline in eye axis length at 24 months of dosing (0.02% atropine vs. placebo; 0.01% atropine vs. placebo)
Measured: At the Week 96 visit
Effective change from baseline in refraction at 12 months
Change from baseline in refraction (automatic optometric equivalent spherical refraction under a cycloplegia condition) at 12 months (0.02% atropine vs. placebo; 0.01% atropine vs. placebo)
Measured: At the Week 48 visit
Effective change from baseline in ocular axis length at 12 months
Change from baseline in ocular axis length at 12 months of dosing (0.02% atropine vs. placebo; 0.01% atropine vs. placebo)
Measured: At the Week 48 visit
Progression of refraction ≤0.50 D at 12 months and 24 months and percentage
Progression of refraction (automatic optometric equivalent spherical refraction under a cycloplegia condition) ≤0.50 D at 12 months and 24 months (0.02% atropine vs. placebo; 0.01% atropine vs. placebo) and percentage (0.02% atropine vs. placebo; 0.01% atropine vs. placebo)
Measured: At the Week 48 and Week 96 visits
Progression of refraction ≤0.75D at 12 months and 24 months and percentage
Progression of refraction (automatic optometric equivalent spherical refraction under a cycloplegia condition) ≤0.75D at 12 months and 24 months and percentage (0.02% atropine vs placebo; 0.01% atropine vs placebo)
Measured: At the Week 48 and Week 96 visits
Progression of refraction ≤1.00D at 12 months and 24 months and percentage
Progression of refraction (automatic optometric equivalent spherical refraction under a cycloplegia condition) ≤1.00D at 12 months and 24 months (0.02% atropine vs. placebo; 0.01% atropine vs. placebo) and percentage (0.02% atropine vs. placebo; 0.01% atropine vs. placebo)
Measured: At the Week 48 and Week 96 visits
Progression of refraction >1.00D at 12 months and 24 months and percentage
Progression of refraction (automatic optometric equivalent spherical refraction under a cycloplegia condition) >1.00D at 12 months and 24 months of dosing and percentage (0.02% atropine vs. placebo; 0.01% atropine vs. placebo)
Measured: At the Week 48 and Week 96 visits
Percentage of patients with 30% and 50% reduction in myopia progression at 12 and 24 months
Percentage of patients with 30% and 50% reduction in myopia progression at 12 and 24 months of medication compared to control (0.02% atropine versus placebo; 0.01% atropine versus placebo)
Measured: At the Week 48 and Week 96 visits
Change from baseline in other ocular morphologic measures at 12 months and 24 months
Change from baseline in other ocular morphologic measures (e.g., corneal curvature, vitreous chamber depth, choroidal thickness) at 12 months and 24 months of dosing (0.02% atropine vs. placebo; 0.01% atropine vs. placebo)
Measured: At the Week 48 and Week 96 visits
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Nov 2024
- Study start15 Jun 2024
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MyopiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 606 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Oupushifang Pharmaceutical Technology Co., Ltd.
- Sponsor type
- University, hospital or other
- Collaborators
- Seefunge Pharmaceutical Technology Co., Ltd., AUTEK China Inc.
- Responsible party
- Sponsor
- Investigators
- Ningli Wang, Postdoctoral, Principal investigator, Beijing Tongren Hospital Affiliated to Capital Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06708156
- Sponsor's protocol ID
- CTR20240786
- Other IDs
- CTR20240786
- Status last verified
- Dec 2024
- First submitted
- 20 Nov 2024
- Last updated
- 24 Dec 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness and Safety of Two Low-concentration Atropine Sulfate Eye Drops (0.01%/0.02%) for Delaying the Progression of Myopia in Children and Adolescents in a Randomized, Double-blind, Placebo Parallel-controlled, Multicenter, Phase III Clinical Trial
- ClinicalTrials.gov ID
- NCT06708156
- Acronym / sponsor ID
- CTR20240786
- Conditions
- Myopia, Myopia Progression
- Keywords
- Myopia, Atropine
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 606 participants (estimated)
- Lead sponsor
- Oupushifang Pharmaceutical Technology Co., Ltd.University, hospital or other
- Collaborators
- Seefunge Pharmaceutical Technology Co., Ltd., AUTEK China Inc.
- Study start
- 15 Jun 2024 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2027 (estimated)
- First posted
- 27 Nov 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The clinical trial aims to test the effectiveness and safety of two low-dose atropine sulfate eye drops for delaying myopia progression in children and adolescents.
Primary Objective: evaluate the effectiveness of 0.01% and 0.02% atropine sulfate eye drops for 96 weeks compared to placebo in delaying myopia progression in children and adolescents. Secondary Objective: evaluate the safety of two low-concentration atropine sulfate eye drops (0.01%/0.02%) in delaying myopia progression in children and adolescents.
Exploratory Objective:
- the efficacy and safety of two low-concentration atropine sulfate eye drops (0.01%/0.02%) for 144 weeks.
- evaluate the rebound effect of two low-concentration atropine sulfate eye drops (0.01%/0.02%) after discontinuation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Experimental group (0.01% atropine sulfate eye drops) | Active comparator | Drug: Atropine sulfate eye drops 0.01%1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. |
| Experimental group (0.02% atropine sulfate eye drops) | Active comparator | Drug: Atropine sulfate eye drops 0.02%1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. |
| Control group (placebo eye drops) | Placebo comparator | Drug: Placebo eye drops1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. |
Who may qualify
- Ages
- 6 to 12 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- The legal guardian of the subject voluntarily signed the written informed consent, and the subject over 8 years is required to sign the written informed consent voluntarily.
- Patients with myopia aged 6 to 12 years, including cut-offs.
- The equivalent spherical refraction ranges from -1.00 D to -4.00 D (automatic optometry under a cycloplegia condition) in both myopia eyes at inclusion screening.
- The astigmatism of both eyes was ≤ 1.50 D under a cycloplegia condition at inclusion screening.
- The antimetropia (measured by equivalent spherical refraction) is < 2.00 D at inclusion screening.
Key exclusion criteria (12 listed)
- Allergic to this product or its excipients.
- Suffering from eye diseases that may affect vision (e.g. lens diseases such as cataracts, glaucoma, fundus macular disease, keratopathy, uveitis, retinal detachment, severe vitreous opacity, etc., manifest strabismus, nystagmus, ocular acute inflammatory disease), history of recurrent chronic ocular inflammation, or any other ocular pathology (e.g., angular stenosis, shallow anterior chamber).
- Intraocular pressure of either eye is > 21 mmHg or <10 mmHg at screening.
- Use of low-concentration (0.05% and below) atropine sulfate eye drops (including various in-hospital preparations, except for test drugs) and orthokeratology lenses (OK lenses) within 6 months before the screening.
- Use of other myopia control methods such as instruments (multifocal glasses, progressive multifocal glasses, etc.), medications (the use of cycloplegic agents for examinations such as optometry is allowed), and others (including traditional Chinese medicine, auricular acupuncture, massage, accommodative flippers, red light therapy instrument, etc.) within 3 months before screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Atropine sulfate eye drops 0.01%Drug: 0.01% atropine sulfate eye drops Dosage form and strength: 0.01% (0.4 mL: 0.04 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. | Drug | Experimental group (0.01% atropine sulfate eye drops) |
| Atropine sulfate eye drops 0.02%Drug: 0.02% atropine sulfate eye drops Dosage form and strength: 0.02% (0.4 mL: 0.08 mg) eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. | Drug | Experimental group (0.02% atropine sulfate eye drops) |
| Placebo eye dropsDrug: placebo eye drops Dosage form and strength: 0.4 mL eye drops Usage: both eyes, 1 drop in each eye, once a day, every night before sleep, gently press the dacryocyst on both sides for about 1 minute. | Drug | Control group (placebo eye drops) |
Primary outcome
Effective change from baseline in equivalent spherical refraction at Week 96 visit
Time frame: At the Week 96 visit
The inter-group difference in the value of change from baseline in equivalent spherical refraction after 0.01% or 0.02% atropine sulfate eye drops versus placebo under a cycloplegia condition at the Week 96 visit
9 secondary outcomes
Effective change from baseline in eye axis length at 24 months
Time frame: At the Week 96 visit
Effective change from baseline in refraction at 12 months
Time frame: At the Week 48 visit
Effective change from baseline in ocular axis length at 12 months
Time frame: At the Week 48 visit
Progression of refraction ≤0.50 D at 12 months and 24 months and percentage
Time frame: At the Week 48 and Week 96 visits
Progression of refraction ≤0.75D at 12 months and 24 months and percentage
Time frame: At the Week 48 and Week 96 visits
Progression of refraction ≤1.00D at 12 months and 24 months and percentage
Time frame: At the Week 48 and Week 96 visits
Progression of refraction >1.00D at 12 months and 24 months and percentage
Time frame: At the Week 48 and Week 96 visits
Percentage of patients with 30% and 50% reduction in myopia progression at 12 and 24 months
Time frame: At the Week 48 and Week 96 visits
Change from baseline in other ocular morphologic measures at 12 months and 24 months
Time frame: At the Week 48 and Week 96 visits
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Dec 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Ningli Wang, Postdoctoral principal investigator
Beijing Tongren Hospital Affiliated to Capital Medical University
25 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Atropine sulfate eye drops 0.01% and Atropine sulfate eye drops 0.02% in people with Myopia and Myopia Progression, run by Oupushifang Pharmaceutical Technology Co., Ltd. at 25 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 24 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 25 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Liang Gao (0086-15056564539, 9071044822@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Effective change from baseline in equivalent spherical refraction at Week 96 visit (time frame: At the Week 96 visit). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Dec 2024.