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Trial registered on ANZCTR
Registration number
ACTRN12619000538145
Ethics application status
Approved
Date submitted
28/03/2019
Date registered
4/04/2019
Date last updated
15/02/2021
Date data sharing statement initially provided
4/04/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Understanding mechanism of progression of short-sightedness using progressive addition lenses
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Scientific title
Impact of progressive addition lens spectacles on accommodation errors in young adults with short-sightedness
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Secondary ID [1]
297367
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Nil known
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Universal Trial Number (UTN)
U1111-1230-6804
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Myopia (Short-sightedness)
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Condition category
Condition code
Eye
310723
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Short-sighted participants will be recruited from Queensland University of Technology and they will be provided with progressive addition lens spectacles to wear during waking hours. Progressive addition lenses contain a corridor of increasing power between distance and near zones, and are used to slow the worsening of myopia in children and young adults.
Two designs of the progressive addition lenses will be used. Type 1 is a conventional lens design with a wide corridor and type 2 is an interventional design with a narrow corridor. Participants will be followed up every three months for 12 months to measure the focussing error.
The principal investigator (PI), who is an optometrist, will perform refraction to check the power of the spectacles under supervision of A/Prof Katrina Schmid and Prof David Atchison in the Myopia Lab at the Queensland University of Technology. Then, the dispenser at the QUT optometry clinic verifies the segment heights measurements of the PI before ordering the spectacles.
The participants will be asked to wear the spectacle during usual waking hours. The prescription of spectacles for distance will be between -1.0 and -6.0 dioptre with the addition power of 1.50 D.
The focussing errors of the participants will be measured with the new spectacles at 0, 3, 6, 9 and 12 months timeline from the commencement of the intervention.
When the spectacles arrived from the lab, the prescription will be verified and the vision at far and near will be checked.
After spectacles are provided, the participants will be contacted via text or phone in a week to check the adaptation with the spectacles and duration of the spectacles wear. The participant will be contacted again after a month to assess the adaptation and duration of wearing hours.
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Intervention code [1]
314050
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Treatment: Devices
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Comparator / control treatment
Active control treatment: Type 1, conventional lens design with a wide corridor and the addition power of +1.5 D.
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Control group
Active
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Outcomes
Primary outcome [1]
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Focusing error as assessed by a complete ophthalmic analysis system (COAS) aberrometer at 40, 33 and 25 cm..
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Assessment method [1]
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Timepoint [1]
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12 months post intervention commencement
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Secondary outcome [1]
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The focussing errors will be measured with a complete ophthalmic analysis system (COAS) aberrometer at 40, 33 and 25 cm.
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Assessment method [1]
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Timepoint [1]
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0, 3, 6, and 9 months post intervention commencement
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Eligibility
Key inclusion criteria
Short-sightedness
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Minimum age
18
Years
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Maximum age
27
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Person with other eye conditions such as glaucoma.
Spectacles power more than - 6.0 dioptre.
Anisometropia or astigmatism of more than 1.5 dioptre
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation involved contacting the holder of the allocation schedule who was “off-site” or at central administration site.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
Not applicable
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
We calculated a sample size of at least 25 people with short-sightedness in each group (50 for two groups) based on the following assumptions: an overall standard deviation (SD) of 0.64 D which is based on a previous study (Berntsen et al. 2011) and expected difference of 0.5 D between the two progressive addition lenses groups at the end of 12 months, two tailed a=0.05 and power =0.8. Given the possibility of 20% dropout, we aim to enrol no less than 60 myopes. The significance level for all statistical tests will be set to P <0.05. The sample size calculation was performed using the University of British Columbia online sample size calculator: https:// www.stat.ubc.ca/~rollin/stats/ssize/ n2.html
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
10/04/2019
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Actual
10/04/2019
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Date of last participant enrolment
Anticipated
29/05/2020
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Actual
16/07/2020
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Date of last data collection
Anticipated
16/07/2021
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Actual
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Sample size
Target
60
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Accrual to date
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Final
56
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Institute of Health and Biomedical Sciences, Queensland University of Technology
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Address [1]
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60 Musk Avenue, Kelvin Grove, 4059, QLD
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Carl Zeiss Vision Australia
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Address [2]
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1284 South Road, Venture Road Off MAB Circuit
Tonsley
South Australia 5042
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
A/Prof Katrina L Schmid
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Address
School of Optometry and Vision Science, Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology
60 Musk Ave, Kelvin Grove, QLD, 4059, Australia
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Prof David A Atchison
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Address [1]
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School of Optometry and Vision Science, Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology
60 Musk Ave, Kelvin Grove, QLD, 4059, Australia
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Country [1]
301690
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Queensland University of Technology Human Research Ethics Committee
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Ethics committee address [1]
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88 Musk Avenue, Kelvin Grove, 4059, QLD, Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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19/12/2017
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Approval date [1]
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26/07/2018
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Ethics approval number [1]
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1800000390
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Summary
Brief summary
Myopia (short-sightedness) is the most common vision problem in children. Higher amounts are associated with vision threatening diseases in later life. Progressive addition spectacle lens designs, used primarily in presbyopia, appear to slow down the development of juvenile myopia but their efficacy tends to weaken after a period of about 12 months. The aim of this project is to further the understanding of the accommodation system (the near focusing mechanism) and drivers of the progression of myopia to ultimately lead to more effective lens designs. This study will improve understanding of eye structure changes during accommodation and provide a fundamental investigation of accommodation mechanisms in myopia. It will potentially contribute to improved designs and use of lenses for the treatment of myopia in children.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Dinesh Kaphle
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Address
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School of Optometry and Vision Science, Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology
60 Musk Ave, Kelvin Grove, QLD, 4059, Australia
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Country
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Australia
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Phone
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+61 7 31386155
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dinesh Kaphle
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Address
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School of Optometry and Vision Science, Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology
60 Musk Ave, Kelvin Grove, QLD, 4059, Australia
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Country
90835
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Australia
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Phone
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+61 7 31386155
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Katrina L Schmid
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Address
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School of Optometry and Vision Science, Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology
60 Musk Ave, Kelvin Grove, QLD, 4059, Australia
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Country
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Australia
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Phone
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+61 7 31386150
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Fax
90836
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
We do not think individual data would be useful. We do not have ethics approval for making IPD public.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
1748
Ethical approval
376944-(Uploaded-27-03-2019-16-34-43)-Study-related document.pdf
1749
Informed consent form
376944-(Uploaded-27-03-2019-16-37-07)-Study-related document.doc
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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