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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