Clinical trial • Phase II|Phase IV • Ophthalmology

Brimonidine tartrate for Myopia

Phase II|Phase IV trial of Brimonidine tartrate for Myopia. open-label, none (study is single-arm using historical control). 40 participants.

Overview

Trial Therapeutic Area
Ophthalmology
Trial Disease
Myopia
Trial Stage
Phase II|Phase IV
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
23-04-2025
First CTIS Authorization Date
18-07-2025

Trial design

open-label, none (study is single-arm using historical control) Phase II|Phase IV trial in Spain.

Open Label
Yes
Comparator
None (study is single-arm using historical control)
Real World Control
Yes
Target Sample Size
40
Trial Duration For Participant
730

Eligibility

Recruits 40 paediatric patients.

Pregnancy Exclusion
In women of childbearing age negative urine pregnancy test performed in the 7 days prior to the start of treatment
Vulnerable Population
Children aged 6 to 14 are included and the trial marks vulnerable population. Written consent is required: "the patient over 12 years of age and the legal representative" must give written consent. Subject information and informed consent forms for 12-year-olds and for the legal representative are included in the trial documents.

Inclusion criteria

  • {"criterion_text":"- Age from ≥ 6 to ≤ 14 years.\n- Patients who, after being informed about the study design, the purposes of the study, the possible risks involved and that they may refuse to participate at any time, give their written consent to participate in the study (the patient over 12 years of age and the legal representative).\n- Myopia ≥ -1.50 Diopters of spherical equivalent, with a range of -1.50 to -5.50 D\n- Astigmatism with a cylinder power ≤ -1.50 Diopters\n- Anisometropia (difference of refraction between both eyes) in spherical equivalent ≤ 1.25 Diopters\n- Visual acuity (CVA) > 0.3 logMAR (0.5 on Snellen scale)\n- Intraocular pressure < 20 mm Hg\n- In women of childbearing age negative urine pregnancy test performed in the 7 days prior to the start of treatment\n- Women and men of childbearing age with a partner must agree to use a highly effective method of contraception (such as surgical sterilization, double barrier method, oral contraceptives or hormonal contraceptive implants) and to continue using them until 6 months after the last dose of treatment."}

Exclusion criteria

  • {"criterion_text":"- Presence of any other ocular pathology (except myopia)\n- History of allergy to the drugs and excipients used in the study\n- History of previous therapy for myopia by means of eye drops, contact lenses or multifocal or bifocal glasses\n- Amblyopia (2 or more lines of difference in visual acuity between both eyes, on logMAR scale, with optical correction)\n- Any of the following situations present at the time: prolonged ocular hyperemia, prolonged ocular irritation, ocular infections - mucopurulent discharge in ocular tissues, ocular pain, vision changes/alterations other than myopia\n- Any clinical situation that at the investigator's discretion makes participation inadvisable"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Myopia progression (change in spherical equivalent of refractive error) measured every 6 months","definition_or_measurement_approach":"Change in spherical equivalent of refractive error measured every 6 months"}

Secondary endpoints

  • {"endpoint_text":"- Change in axial length of the eye; axial length to corneal radius ratio (related to type of refractive error or myopia classification and risk of progression)","definition_or_measurement_approach":"Axial length change and axial length/corneal radius ratio (measurement method not further specified)"}
  • {"endpoint_text":"- Visual acuity (logMAR scale) for distance and near vision","definition_or_measurement_approach":"Visual acuity measured on logMAR scale for distance and near"}
  • {"endpoint_text":"- Stereo acuity by Randot circles / Randot preschool chart (initial visit only) in arc seconds (will be converted to logarithmic scale for statistical use of the variable).","definition_or_measurement_approach":"Stereo acuity measured with Randot circles / Randot preschool chart in arc seconds; converted to logarithmic scale for analysis"}
  • {"endpoint_text":"- Pupillometry/accommodation (Power Refractor III) Pupillometry in mm, under scotopic (< 1 cd/m2), mesopic (2-3 cd/m2) and photopic (10-20 cd/m2) conditions, using Power Refractor 3","definition_or_measurement_approach":"Pupillometry measured in mm under specified lighting conditions using Power Refractor 3; accommodation assessed with Power Refractor III"}
  • {"endpoint_text":"- Corneal topography with Oculus Pentacam elevation topographer.","definition_or_measurement_approach":"Corneal topography obtained using Oculus Pentacam elevation topographer"}
  • {"endpoint_text":"- Accommodation (amplitude of accommodation in diopters and accommodative gain resulting from the ratio of accommodation required/accommodation achieved or realized) with Power Refractor 3","definition_or_measurement_approach":"Amplitude of accommodation in diopters and accommodative gain measured with Power Refractor 3"}
  • {"endpoint_text":"- Intraocular pressure with air tonometer (non-contact) Tonoref III (Nidek), unless it is necessary to use the applanation tonometer, in inconclusive cases; measured in mm Hg-.","definition_or_measurement_approach":"Intraocular pressure measured in mm Hg using Tonoref III (non-contact); applanation tonometer used if needed"}
  • {"endpoint_text":"- Safety: collection of adverse events","definition_or_measurement_approach":"Collection and recording of adverse events (safety monitoring)"}

Recruitment

Planned Sample Size
40
Recruitment Window Months
36
Consent Approach
Written informed consent is required. The protocol states: "Patients who, after being informed about the study design, the purposes of the study, the possible risks involved and that they may refuse to participate at any time, give their written consent to participate in the study (the patient over 12 years of age and the legal representative)." Subject information and informed consent forms for 12-year-old participants and for legal representatives are included in the trial documents; trial materials include Spanish translations of the study information.

Geography

Total Number Of Sites
1
Total Number Of Participants
40

Spain

Earliest CTIS Part Ii Submission Date
23-06-2025
Latest Decision Or Authorization Date
18-07-2025
Processing Time Days
25
Number Of Sites
1
Number Of Participants
40

Sites

Site Name
Ramon y Cajal University Hospital
Department Name
Ophthalmology
Principal Investigator Name
Jaime Tejedor
Principal Investigator Email
jaime.tejedor@salud.madrid.org
Contact Person Name
Jaime Tejedor
Contact Person Email
jaime.tejedor@salud.madrid.org
Number Of Participants
40

Sponsor

Primary sponsor

Full Name
Fundacion Para La Investigacion Biomedica Del Hospital Universitario Ramon Y Cajal
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
Lumobry 0,25 mg/ml colirio en solución
Active Substance
Brimonidine tartrate
Modality
Small molecule
Routes Of Administration
Ophthalmic (eye drops)
Route
Ophthalmic
Authorisation Status
Marketing authorisation number 88470 (authorisation information present for ES)
Starting Dose
1 drop every 24 hours
Dose Levels
1 drop daily
Frequency
Every 24 hours
Maximum Dose
4 drops per day

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