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Screening and Identification of Biomarkers for High Myopia by a Rapid Method

Active, not recruiting
Conditions
High Myopia
Interventions
Diagnostic Test: blood sample
Registration Number
NCT05803174
Lead Sponsor
Beijing Tongren Hospital
Brief Summary

To screen and identify sensitive biomarkers for high myopia via a robust, convenient, and cost-effective approach according to the association between high myopia and concentration of biomarkers in tear fluid, saliva and blood among adults and children.

Detailed Description

Myopia has emerged as a serious public health issue, with the prevalence increasing rapidly worldwide, especially in East Asia. Increasingly early onset of myopia leads to high myopia with sight-threatening complications (e.g., secondary cataracts, glaucoma, and retinal detachment) that cannot be treated by optical means.

A key goal of myopia research over the past decades has been to identify those sensitive biomarkers. Accurate monitoring of myopic-specific biomarkers is desirable for achieving early diagnosis, progression assessment, and prognostic management.

However, measurement of levels of MMPs in human have been restricted to aqueous humors, which is invasive and the findings are difficult to be replicated in other studies. In order to achieve the goal of convenient high myopic detection, the use of a panel of biomarkers using a multiplex approach may indeed be rapid and highly reproducible with potentially higher sensitivity and specificity than single biomarkers, such as MMP 2 for the early detection of high myopia.

In this study we have used a newly developed immunoassay technology, and identified a panel of novel biomarkers for early detection of high myopia by non-invasively evaluating several biomarkers that are measurable in the saliva and tear fluid of adults.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria

Not provided

Exclusion Criteria
  1. Amblyopia: best corrected visual acuity (BCVA) of either eye less than 1.0 for adults and children over 6 years old;
  2. Active ocular inflammatory diseases, such as uveitis and other inflammatory diseases;
  3. Secondary myopia, genetic disease or connective tissue- related myopia;
  4. Moderate or severe ptosis;
  5. Congenital cataract, glaucoma;
  6. Other fundus diseases other than myopic related fundus lesions;
  7. Intraocular or refractive surgery history;
  8. The refractive medium is turbid, and it is impossible to take a clear fundus image; (9)Unable to cooperate with fundus image shooting and other examination;

(10)Do not receive cycloplegia or have contraindications; (11)Poor overall condition, unable to follow up for a long time; (12)The subject refuses to participate in the research; (13)Other cases in which the researcher judges that it is not suitable for participation in the study.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Emmetropic subjectsblood sampleSpherical equivalent (Diopter, D) to be between -0.5 and +0.5 D
Low and moderate myopic subjectsblood sampleSpherical equivalent (Diopter, D) to be less than -0.5 but over -6.0D
High myopic subjectsblood sampleSpherical equivalent (Diopter, D) to be over or equal to -6.0D
Primary Outcome Measures
NameTimeMethod
Concentration of TNF-α in tear fluid, saliva and blood sample among emmetropic, low and moderate myopic, and high myopic groupsJune 30, 2023

TNF-α: Tumor necrosis factor is an adipokine and a cytokine.

Secondary Outcome Measures
NameTimeMethod
Concentration of IL-1 in tear fluid, saliva and blood sample among emmetropic, low and moderate myopic, and high myopic groupsJune 30, 2023

IL-1: Interleukin 1

Trial Locations

Locations (1)

Beijing Tongren Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

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