Postmarketing Parallel Randomized Clinical Trial to Determine the Efficacy and Safety of Atropine and DIMS Lenses in the Control of Myopia in a Pediatric Population

2024-514651-15-00 Protocol 01-DIMS-2021 Therapeutic use (Phase IV) Ongoing, recruitment ended

Start 16 Feb 2022 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol 01-DIMS-2021

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruitment ended
Participants planned 111
Countries 1
Sites 1

Myopia

To determine the efficacy and safety of the combined use of diluted atropine eye drops 0.025% and DIMS technology ophthalmic lenses in the control of myopia progression in the paediatric population.

Key facts

Sponsor
Hospital Clinico San Carlos
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11]
Trial duration
16 Feb 2022 → ongoing
Decision date (initial)
2024-07-18
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-514651-15-00
EudraCT number
2021-003373-64
ClinicalTrials.gov
NCT06431841

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy

To determine the efficacy and safety of the combined use of diluted atropine eye drops 0.025% and DIMS technology ophthalmic lenses in the control of myopia progression in the paediatric population.

Secondary objectives 3

  1. To know the tolerability of ophthalmic lenses with DIMS technology in a myopic paediatric population.
  2. Correlating the data obtained with patient-specific covariates
  3. Evaluate and measure the effect on refractive state and axial length in each group

Conditions and MedDRA coding

Myopia

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patients between 4-16 years old
  2. Informed consent signed by parents or tutors for all patients and for patients aged 12-16 years. Assent in children under 12 years old
  3. Refractive defect: myopia greater than -1.00 dioptres (D)
  4. Myopia progression of at least -0.50 D in the last 12 months
  5. Astigmatism of 2 D or less and anisometropia of 1.50 D or less
  6. Best-corrected monocular visual acuity (VA) of 0.2 logMAR(6/9) or better

Exclusion criteria 8

  1. Children under 4 years old and over 16 years old
  2. Strabismus and binocular vision anomalies
  3. Alterations in eye fundus that the researcher consider necessary the patient exclusion
  4. Ocular pathology of the anterior segment (media opacity such as cataracts, glaucoma, aphakia, pseudophakia, uveitis, keratoconus or surface alterations), and any pathology of the posterior segment that prevents correct vision
  5. Amblyopia
  6. Previous ocular surgery
  7. Systemic pathology (cardiopulmonary pathology, connective tissue disorders, neurological or psychiatric pathology) or baseline condition of the patient that does not allow the examination to be performed (such as mental or psychomotor retardation)
  8. Previous treatments for myopia control, including orthokeratology, rigid contact lenses, bifocal soft contact lenses or for myopia control, bifocal and multifocal ophthalmic lenses in the 3 months prior to the study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Change in refractive error after cycloplegia (with 1% cyclopentolate 3 drops 10 minutes apart; measured after 30 minutes) relative to baseline values.
  2. Proportion of patients presenting adverse events

Secondary endpoints 3

  1. Change in axial length in millimetres, relative to baseline values
  2. Change in choroidal and retinal thickness measured on Optical Coherence Tomography (OCT) in μm, relative to baseline values
  3. Change in intraocular pressure in mmHg, relative to baseline values

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Atropine Sulfate

SCP1145632 · ATC

Active substance
Atropine Sulfate
Substance synonyms
SYN1012701, NVK002, ATROPINE SULPHATE
Route of administration
OPHTHALMIC
Max daily dose
1 Other
Max total dose
1095 Other
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
S01FA01 — ATROPINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Dose 0.025 % (1 drop a day)

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hospital Clinico San Carlos

Sponsor organisation
Hospital Clinico San Carlos
Address
Calle Del Profesor Martin Lagos Sn
City
Madrid
Postcode
28040
Country
Spain

Scientific contact point

Organisation
Hospital Clinico San Carlos
Contact name
Investigator Sponsor

Public contact point

Organisation
Hospital Clinico San Carlos
Contact name
Investigator Sponsor

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruitment ended 111 1
Rest of world 0

Investigational sites

Spain

1 site · Ongoing, recruitment ended
Hospital Clinico San Carlos
Ophthalmology, Calle Del Profesor Martin Lagos Sn, 28040, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2022-02-16 2022-02-23 2023-06-28

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_01-DIMS-2021_Transition_2024-514651-15-00_V7_05022024 7
Recruitment arrangements (for publication) Not applicable_Recruitment Arrangements_01-DIMS-2021 1
Subject information and informed consent form (for publication) L1_SIS and ICF children and adolescents_01-DIMS-2021 4
Subject information and informed consent form (for publication) L1_SIS and ICF children and adolescents_extension_01-DIMS-2021 1
Subject information and informed consent form (for publication) L1_SIS and ICF parents and tutors__extension_01-DIMS-2021 1
Subject information and informed consent form (for publication) L1_SIS and ICF parents and tutors_01-DIMS-2021 4
Summary of Product Characteristics (SmPC) (for publication) G2_ SmPC atropine_01-DIMS-2021 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-08 Spain Acceptable with conditions
2024-07-18
2024-07-18