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MiSight 1 Day Post-Approval Study for Effectiveness and Visual Symptoms

Not Applicable
Recruiting
Conditions
Myopia
Interventions
Device: Proclear 1 day
Device: MiSight 1 Day
Registration Number
NCT05285553
Lead Sponsor
Coopervision, Inc.
Brief Summary

The purpose of this post-approval study is to confirm the effectiveness of the MiSight 1 Day lens in clinical practices within the US and to assess the stability of the myopia reduction over one-year post-treatment.

Detailed Description

This study is a multicenter, parallel-group, controlled, double-masked (subject and investigator), randomized clinical trial with a total duration of four years.

Part 1 of this study will study the effectiveness of MiSight 1 Day in slowing myopia progression over three years in a US population. Subjects in Part 1 will wear MiSight 1 Day lenses or Proclear 1 day lenses.

Part 2 will study the stability of the effectiveness result over a one-year post-treatment period. All subjects in Part 2 will wear Proclear 1 day lenses. Subjects and investigators will remain masked from Part 1.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
900
Inclusion Criteria
  1. Informed Consent and Assent have been completed
  2. Be between 8 and 12 years of age inclusive at the time of enrollment.
  3. Manifest Refraction - Spherical Equivalent Refractive Error (SERE) at baseline between -0.75 D and -4.00 D inclusive (at the corneal plane) in each eye
  4. Best-corrected visual acuity by manifest refraction of +0.10 logMAR (20/25 Snellen equivalent) or better in each eye.
  5. Anisometropia: ≤ 1.50D SERE.
  6. Astigmatism: ≤ 0.75 D
  7. Free of ocular disease or abnormalities (including any corneal scar)
  8. Currently have good general health.
  9. Agree to accept the lens as assigned by the randomization.
  10. Be capable of comprehending the nature of the study and be willing and able to adhere to the instructions set forth in this protocol.
  11. Ability to comply with study procedures, including high and low (sub-study only) contrast high and low (sub-study only) lighting visual acuity, axial length, and cycloplegic auto-refraction measurements taken for both eyes.
  12. Able to maintain the visit schedule.
  13. Willingness to participate in the trial for 4 years.
  14. Interested in wearing contact lenses for approximately 10 hours per day and 6 days per week.
  15. Possesses, or obtains prior to dispensing, wearable and visually functional (20/40 or better) eyeglasses.
Exclusion Criteria
  1. Current or prior use of any pharmaceuticals or other methods for control of myopia, such as bifocals, progressive addition lenses, orthokeratology, atropine, pirenzepine or any other myopia control treatment.

  2. Use of any systemic or topical ocular medications or over-the-counter artificial tears which might interfere with contact lens wear, pupil size, accommodation or refractive state, or require the lenses to be removed during the day.

  3. Previously worn or currently wears rigid gas permeable contact lenses, including orthokeratology lenses

  4. Has any of the following specific contraindications to MiSight 1 Day lenses at Baseline Visit:

    • Acute and subacute inflammation or infection of the anterior chamber of the eye.
    • Any eye disease, injury, or abnormality that affects the cornea, conjunctiva, or eyelids.
    • Severe insufficiency of lacrimal secretion (dry eyes).
    • Corneal hypoesthesia (reduced corneal sensitivity), if not aphakic.
    • Any systemic disease that may affect the eye or be exaggerated by wearing contact lenses.
    • Allergic reactions of ocular surfaces or adnexa that may be induced or exaggerated by wearing contact lenses or use of contact lens solutions.
    • Any active corneal infection (bacterial, fungal, or viral).
    • If eyes are red or irritated.
    • The patient is unable to follow lens handling and wear regimen or unable to obtain assistance to do so.
  5. Has history of:

    • Corneal ulcer, corneal infiltrates, ocular viral or fungal infections or other recurrent ocular infections.
    • Giant papillary conjunctivitis
    • Allergic reactions of ocular surfaces or adnexa that may be induced or exaggerated by wearing contact lenses
    • A known allergy to fluorescein, benoxinate, proparacaine or tropicamide.
    • Corneal hypoesthesia (reduced corneal sensitivity)
  6. Keratoconus or an irregular cornea.

  7. Strabismus or amblyopia.

  8. Any systemic disease that may affect the eye or be exaggerated by wearing contact lenses.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Proclear 1 dayProclear 1 dayProclear 1 day
MiSight 1 dayMiSight 1 DayMiSight 1 day
Primary Outcome Measures
NameTimeMethod
Mean difference in cycloplegic SERE change from baseline3 years

Mean difference in cycloplegic SERE change from baseline; measured with cycloplegic auto-refraction in Diopters

Mean difference in axial length change from baseline3 years

Mean difference in axial length change from baseline between the MiSight 1 Day group and control lens group, measured in millimeters

Mean difference in rate of cycloplegic SERE change - Part 2 study1 year

Mean difference in rate of cycloplegic SERE change between the Part 1 MiSight 1 Day group and the Part 1 control lens group over one-year post-treatment; measured with cycloplegic auto-refraction in Diopters

Mean difference in rate of axial length - Part 2 study1 year

Mean difference in rate of axial length change between the Part 1 MiSight 1 Day group and Part 1 control lens group over one-year post-treatment.

Secondary Outcome Measures
NameTimeMethod
Percentage of subjects with no appreciable myopic progression3 years

Percentage of subjects with no appreciable myopic progression (-0.25D change or less)

Visual symptoms and the effects on activities of daily living3 years

Visual symptoms and the effects on activities of daily living are measured using a validated PRO Measure

Trial Locations

Locations (30)

Nova Southeastern University (NSU) College of Optometry

🇺🇸

Fort Lauderdale, Florida, United States

Chicago College of Optometry

🇺🇸

Downers Grove, Illinois, United States

Utah Eye Centers

🇺🇸

Ogden, Utah, United States

University of Alabama School of Optometry

🇺🇸

Birmingham, Alabama, United States

Marshall B. Ketchum University Southern California College of Optometry

🇺🇸

Fullerton, California, United States

Vision Solutions Optometry Inc

🇺🇸

La Mesa, California, United States

Paje Optometric

🇺🇸

Santa Ana, California, United States

Coan Eye Care and Optical Boutique

🇺🇸

Ocoee, Florida, United States

West Broward Eyecare Associates

🇺🇸

Tamarac, Florida, United States

Bright Eyes Family Vision Care

🇺🇸

Tampa, Florida, United States

SoLo Eye Care & Eyewear Gallery

🇺🇸

Chicago, Illinois, United States

Illinois College of Optometry

🇺🇸

Chicago, Illinois, United States

Carillon Vision Care

🇺🇸

Glenview, Illinois, United States

Brain Vision Institute

🇺🇸

Schaumburg, Illinois, United States

Kannarr Eye Care

🇺🇸

Pittsburg, Kansas, United States

New England College of Optometry

🇺🇸

Boston, Massachusetts, United States

Cornea and Contact Lens Institute

🇺🇸

Edina, Minnesota, United States

Vision Source EyeCare

🇺🇸

Kansas City, Missouri, United States

Athens Eye Care

🇺🇸

Athens, Ohio, United States

Ohio State University

🇺🇸

Columbus, Ohio, United States

ProCare Vision Center, Inc.

🇺🇸

Granville, Ohio, United States

Miamisburg Vision Care

🇺🇸

Miamisburg, Ohio, United States

Eye Care Professionals

🇺🇸

Powell, Ohio, United States

Southern College of Optometry

🇺🇸

Memphis, Tennessee, United States

Texas State Optical

🇺🇸

Beaumont, Texas, United States

University of Houston College of Optometry

🇺🇸

Houston, Texas, United States

Vision One Eyecare

🇺🇸

Katy, Texas, United States

Lone Star Vision

🇺🇸

Plano, Texas, United States

Virginia Pediatric Eye Care

🇺🇸

Chesapeake, Virginia, United States

Factoria Eye Clinic

🇺🇸

Bellevue, Washington, United States

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