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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04086524
Registration number
NCT04086524
Ethics application status
Date submitted
9/09/2019
Date registered
11/09/2019
Titles & IDs
Public title
A Patch Free Treatment for Young Children With Amblyopia
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Scientific title
A Patch Free Treatment for Young Children With Amblyopia
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Secondary ID [1]
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3600-105
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Secondary ID [2]
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12345
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Amblyopia
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Binocular Vision Disorder
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - Binocular cartoon treatment at home
Other interventions - Patching
Other interventions - Binocular cartoon treatment in office
Experimental: Binocular cartoon treatment at home - Participants will view a dichoptic binocular cartoon (provided by BBC) on the Nintendo 3DS-XL at home. They will continue to watch the cartoon for 60 minutes, 4 times a week, for 2 weeks. After 2 weeks, they will be given the option to continue for an additional 2 weeks (total of 4 weeks). Watching the cartoon does not require any special glasses. They will discontinue patching during this time.
Active comparator: Control group - Participants will patch for 2 hours every day at home. After 2 weeks, they will be given the option to crossover to the teratment group for an additional 2 weeks (total of 4 weeks). Patching is a common treatment for amblyopia, often considered the "golden standard." It is the most common comparison as a "control" group in amblyopia and vision therapy literature.
Experimental: Binocular cartoon treatment in office - Participants will view a dichoptic binocular cartoon (provided by BBC) on the Nintendo 3DS-XL in office. They will continue to watch the cartoon for 60 minutes, 4 times a week, for 2 weeks. After 2 weeks, they will be given the option to continue for an additional 2 weeks (total of 4 weeks). Watching the cartoon does not require any special glasses. They will discontinue patching during this time.
Other interventions: Binocular cartoon treatment at home
see arm description.
Other interventions: Patching
see arm description
Other interventions: Binocular cartoon treatment in office
see arm description.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Visual acuity
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Assessment method [1]
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Change in visual acuity, measured in logMAR using an electronic HOTV test
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Timepoint [1]
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2 weeks
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Secondary outcome [1]
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Visual acuity
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Assessment method [1]
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Change in visual acuity, measured in logMAR an electronic HOTV test
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Timepoint [1]
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4 weeks
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Secondary outcome [2]
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Motor function
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Assessment method [2]
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Change in motor function, measured using the Movement Assessment Battery for Children-2 (version 2)
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Timepoint [2]
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2 weeks
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Secondary outcome [3]
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Stereopsis
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Assessment method [3]
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Change in stereopsis, measured using the Randot Preschool Stereoacuity Test
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Timepoint [3]
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2 weeks
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Secondary outcome [4]
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Treatment adherence
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Assessment method [4]
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Self-reported amount of time spent viewing the cartoon or patching compared to amount of prescribed time
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Timepoint [4]
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4 weeks
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Secondary outcome [5]
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Treatment adherence
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Assessment method [5]
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Self-reported amount of time spent viewing the cartoon or patching compared to amount of prescribed time
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Timepoint [5]
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2 weeks
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Secondary outcome [6]
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Stereopsis
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Assessment method [6]
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Change in stereopsis, measured using the Randot Preschool Stereoacuity Test
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Timepoint [6]
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4 weeks
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Secondary outcome [7]
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Motor function
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Assessment method [7]
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Change in motor function, measured using the Movement Assessment Battery for Children-2 (version 2)
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Timepoint [7]
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4 weeks
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Secondary outcome [8]
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Interocular suppression
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Assessment method [8]
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Change in interocular suppression measured using the Worth 4 dot test
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Timepoint [8]
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2 weeks
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Secondary outcome [9]
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Interocular suppression
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Assessment method [9]
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Change in interocular suppression measured using the Worth 4 dot test
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Timepoint [9]
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4 weeks
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Secondary outcome [10]
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Interocular contrast balance
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Assessment method [10]
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Change in interocular contrast balance measured using a dichoptic letter chart
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Timepoint [10]
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2 weeks
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Secondary outcome [11]
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Interocular contrast balance
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Assessment method [11]
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Change in interocular contrast balance measured using a dichoptic letter chart
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Timepoint [11]
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4 weeks
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Eligibility
Key inclusion criteria
* Aged 3-5.9 years old (36-83 months at the time of registration)
* Confirmed diagnosis of amblyopia
* Best-corrected visual acuity of 20/32 - 20/100 in the amblyopic eye
* Best-corrected visual acuity of 20/16 - 20/40 in fellow eye for ages 3-4, and 20/16-20/32 for ages 5-5.9
* Interocular difference in visual acuity of 3 lines or greater
* If anisometropic, anisometropia (=1.00D)
* Wearing glasses for 8+ weeks + no change in VA w/ glasses for 4-6 weeks
* Must be able to experience simultaneous perception when viewing the binocular treatment stimuli with an appropriate interocular contrast offset
* Doctor and parent must be willing to forego patching/drops for 4 week study period
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Minimum age
36
Months
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Maximum age
83
Months
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* strabismus
* Diagnosed eye disease or visual disorder other than amblyopia or anisometropia
* >8 weeks premature
* Diagnosed or suspected developmental delay (eg. learning disability, autism, Down syndrome)
* Diagnosed systemic disease (eg. diabetes, lupus, albinism)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Crossover
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
13/01/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
30/11/2023
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Sample size
Target
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Accrual to date
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Final
34
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Recruitment in Australia
Recruitment state(s)
Queesnlan
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Recruitment hospital [1]
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Queensland University of Technology - Brisbane
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Recruitment postcode(s) [1]
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4000 - Brisbane
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Texas
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Waterloo
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Retina Foundation of the Southwest
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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McGill University
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Queensland University of Technology
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Address [3]
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Country [3]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to test whether a binocular treatment can improve vision and motor function in young children with amblyopia. The proposed treatment is an animation series that has been modified so that different characters in the animation are presented to each eye. The contrast of the images shown to the amblyopic eye is higher than the contrast of the images shown to the fellow eye. The aim of the treatment is to promote co-operation between the two eyes and improve visual and motor outcomes. We will compare the benefits of this binocular treatment to patching, whereby the better eye is occluded with an eye patch for two hours per day to force the usage of the weaker eye. We hypothesize that the binocular treatment will improve vision and motor outcomes in young children with amblyopia, and that these improvements will be superior to any effects of patching.
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Trial website
https://clinicaltrials.gov/study/NCT04086524
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ben Thompson, PhD
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Address
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University of Waterloo
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04086524