Phase III clinical study to evaluate the efficacy of Alleance® (atropine sulfate 0.01%) ophthalmic solution through the incidence of unexpected adverse events, changes in Best Corrected Visual Acuity (BCVA), changes in intraocular pressure, changes in the amplitude of accommodation, compared to placebo, as a treatment to delay the progression of myopia and axial ocular elongation in children.
This is a study to demonstrate superiority, double-blind, randomized, controlled, comparative, and multicenter phase III clinical trial. Primary Objective: \- To demonstrate the superiority of Alleance® compared to placebo in delaying myopia progression in children. Specific objectives: * To demonstrate the reduction in progression in spherical equivalent in children using Alleance® compared to placebo after 12 months of treatment. * To demonstrate the reduction in progression in ocular axial length in children using Alleance® compared to placebo, after 12 months of treatment. Secondary objectives: * To compare the incidence of adverse events related to the interventions. * Compare the incidence of photophobia between interventions. * To assess pupillary diameter between the interventions. * To assess best-corrected far visual acuity between interventions. * To assess near best-corrected visual acuity between interventions. * To assess the amplitude of accommodation between interventions. * Assess intraocular pressure (IOP) between procedures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
123
Innovación Y Desarrollo En Ciencias de La Salud S de Rl de Cv
Mexico City, Mexico
RECRUITINGChanges in the spherical equivalent
The reduction in progression in spherical equivalent, will be calculated by combining the spherical component (E) and the cylindrical component (C) of the refractive error, independently for each eye: EE=E+C2
Time frame: Days 0 (Basal visit), 14 (Visit 1), 45 (Safety call 1), 180 (Visit 3), 225 (Safety call 2), 270(Visit 4), 315 (Safety call 4), 365 (Final Visit), 380 (Last Final Safety call)
Changes in axial eye length
The reduction in progression in ocular axial length will be measured utilizing optical biometry.
Time frame: Days 0 (Basal visit), 14 (Visit 1), 45 (Safety call 1), 180 (Visit 3), 225 (Safety call 2), 270(Visit 4), 315 (Safety call 4), 365 (Final Visit), 380 (Last Final Safety call)
Incidence of unexpected adverse events related to the interventions
Any unfavorable medical condition affecting the subject after the administration of the investigation product, related to such intervention.
Time frame: Days 0 (Basal visit), 14 (Visit 1), 45 (Safety call 1), 180 (Visit 3), 225 (Safety call 2), 270(Visit 4), 315 (Safety call 4), 365 (Final Visit), 380 (Last Final Safety call)
Incidence of photophobia between interventions
Any signs of uncomfortable vision, based on the diffusion of light through the ocular media or on a transient or permanent lack of adaptation. The subjects will be questioned regarding this symptoms' incidence.
Time frame: Days 0 (Basal visit), 14 (Visit 1), 180 (Visit 3), 365 (Final Visit), 380 (Last Final Safety call)
Changes in pupillary diameter between the interventions
The changes in pupillary diameter will be evaluated through the optical biometer or by the OPD scan Topographer III®.
Time frame: Days 0 (Basal visit), 14 (Visit 1), 180 (Visit 3), 365 (Final Visit), 380 (Last Final Safety call)
Changes in Best Corrected Visual Acuity (BCVA)
The best corrected visual acuity will be evaluated through the Snellen chart in subjects ≥ 6 years of age. The LEA chart is used to assess visual acuity in children older than 30 months of age.
Time frame: Days 0 (Basal visit), 14 (Visit 1), 180 (Visit 3), 365 (Final Visit), 380 (Last Final Safety call)
Changes in near best-corrected visual acuity
The bear best corrected visual acuity will be evaluated through the LEA chart, in subjects ≤ 5 years of age. The bear best corrected visual acuity will be evaluated through the Snellen chart in subjects ≥ 6 years of age. The LEA chart is used to assess visual acuity in children older than 30 months of age
Time frame: Days 0 (Basal visit), 14 (Visit 1), 180 (Visit 3), 365 (Final Visit), 380 (Last Final Safety call)
Changes in the amplitude of accommodation (AA) between interventions
The amplitude of accommodation(AA) is the difference between the resting state of the crystalline lens (far point) and the maximum refractive focus in diopters that the emmetropic or emmetropic patient can use to focus on near objects. The AA will be measured by the Donders method or by the approach method, utilizing the LEA chart.
Time frame: Days 0 (Basal visit), 14 (Visit 1), 180 (Visit 3), 365 (Final Visit), 380 (Last Final Safety call)
Changes in intraocular pressure (IOP)
Previous instillation of topical anesthetic, the IOP (both eyes) will be measured through a Goldmann tonometer during visits.
Time frame: Days 0 (Basal visit), 14 (Visit 1), 180 (Visit 3), 365 (Final Visit), 380 (Last Final Safety call)
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