About this trial
The goal of this interventional study is to compare the efficacy of Atropine 0.05% to Atropine 0.5% treatment against progression of axial length in European children with progressive myopia, and to evaluate the safety, adherence, and reasons for nonresponse. Subjects will use Atropine eye drops for a period of 3 years, followed by a 2 year observational period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children aged 6 to ≤ 11 years with bilateral myopia
Onset of myopia ≥ 4 years of age
History of progression
SER of at least -1.00D and no greater than -6.00D in each eye measured using cycloplegic auto refraction
Disqualifiers
Allergy to atropine or other excipients of the eye drops
History of amblyopia or strabismus
History of retinal dystrophy or systemic disorder
Abnormal ocular biometry aside from axial length
Trial design
Parallel
Treatments tested in this trial
Atropine Ophthalmic 0.05%
DrugAtropine 0.05% sulphate ophthalmic solution
Atropine Ophthalmic 0.5%
DrugAtropine 0.5% sulphate ophthalmic solution
Treatment groups
Trial outcomes
Primary outcomes
Progression of axial length in mm from baseline to t = 36 months.
Secondary outcomes
Progression of axial length in mm from baseline to t = 60 months.
Progression of spherical equivalent of refraction in dioptres from baseline to t = 36 months. compared to atropine 0.5% treatment.
Progression of spherical equivalent of refraction in dioptres from baseline to t = 60
Proportion of subjects who show ≤ 0.20 mm (good response); 0.2 - 0.3 mm (acceptable response), and > 3 mm (nonresponse)
Sponsors and contacts
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Erasmus Medical Center
Lead sponsor
ZonMw: The Netherlands Organisation for Health Research and Development
Collaborator