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Myopia Control With Orthokeratology Contact Lenses in Spain (MCOS)

Primary Purpose

Myopia, Progressive, Children, Only, Contact Lens Complication

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Menicon Z Night
Control
Sponsored by
Menicon Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Myopia, Progressive

Eligibility Criteria

6 Years - 12 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Be 6 to 12 years of age, both ages inclusive
  • A low-to-moderate level of myopia (between -0.75 and -4.00 D) and of astigmatism (≤ 1.00 D)
  • Neophyte contact lens wearer
  • Be successfully fitted with spectacles or orthokeratology contact lenses
  • Be able to achieve, through spherical refraction correction, a logMAR visual acuity of 0.8 or better in each eye
  • Be willing and able to follow the subject instructions and to meet the protocol-specified schedule of follow-up visits
  • White European ethnicity

Exclusion Criteria:

  • Systemic or ocular disease affecting ocular health
  • Use of any systemic or topical medications that could affect ocular physiology or contact lens performance
  • Any lid or anterior segment abnormalities for which contact lens wear could be contraindicated
  • CCLRU grade ≥ 2 for any given anterior segment ocular clinical signs
  • Aphakic, amblyopic, and atopic individuals
  • Refractive astigmatism ≥ ½ spherical refraction
  • Previous contact lens wear

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Menicon Z Night

    Glasses

    Arm Description

    The experimental group is allocated to wear Menicon Z Night orthokeratology contact lenses for two years

    The active comparator includes a group that was allocated to wear distance, single-vision glasses for two years

    Outcomes

    Primary Outcome Measures

    Axial length
    To compare axial length growth between white children with myopia wearing Menicon Z Night orthokeratology contact lenses and distance single-vision glasses. Measurements of axial length (in millimeters) were taken with the Zeiss IOLMaster (Carl Zeiss Jena GmbH, Jena, Germany). Three separate measurements of axial length were recorded per subject and per visit, and a mean obtained.

    Secondary Outcome Measures

    Adverse events
    To compare the incidence of adverse events between white children with myopia wearing Menicon Z Night orthokeratology contact lenses and distance single-vision glasses. Adverse events were classified into serious, significant, or non-significant. Recurrences of the same adverse event(s) in the same or fellow eye at any of the subsequent study visits were classified as separate events; bilateral events will be counted as two separate events. The incidence of adverse events was calculated as a percentage of eyes per annum.
    Patient-reported outcomes
    To compare vision-related quality-of-life measures between children wearing Menicon Z Night orthokeratology contact lenses and distance single-vision glasses. The pediatric refractive error profile survey was used to compare patient-reported outcomes in terms of the vision-specific quality of life between children in the Menicon Z Night and control groups. The survey consists of 26 statements scored from 1 (poor quality of life) to 5 (good quality of life), then scaled from 0 to 100 by subtracting 1 from the raw score of each question and multiplying by 25. The mean score of all items was calculated as the overall score. The survey includes 11 scales: overall vision, near vision, far distance vision, symptoms, appearance, satisfaction, activities, academics, handling, peer perception, and overall score.

    Full Information

    First Posted
    March 10, 2021
    Last Updated
    March 23, 2021
    Sponsor
    Menicon Co., Ltd.
    Collaborators
    Universidad Europea de Madrid, Aston University, Clinica novovision
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04806763
    Brief Title
    Myopia Control With Orthokeratology Contact Lenses in Spain
    Acronym
    MCOS
    Official Title
    Myopia Control With Orthokeratology Contact Lenses in Spain
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2021
    Overall Recruitment Status
    Completed
    Study Start Date
    March 1, 2007 (Actual)
    Primary Completion Date
    March 1, 2010 (Actual)
    Study Completion Date
    March 1, 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Menicon Co., Ltd.
    Collaborators
    Universidad Europea de Madrid, Aston University, Clinica novovision

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The purpose of this prospective study is to assess the efficacy, safety and patient-reported outcomes of the Menicon Z Night orthokeratolgy contact lens for reducing myopia progression in children.
    Detailed Description
    The purpose of this prospective study is to assess the efficacy, safety and patient-reported outcomes of the Menicon Z Night orthokeratolgy contact lens for reducing myopia progression in children in comparison with a group of distance, single-vision glasses over a 2-year period. Efficacy was evaluated by assessing differences in the axial length between groups. Safety was evaluated by comparing the incidence of adverse events between groups. Differences between groups in patient-reported outcomes were evaluated using a questionnaire that assessed vision-related quality-of-life measures.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Myopia, Progressive, Children, Only, Contact Lens Complication, Perception, Self, Axial Myopia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Prospective, controlled, longitudinal
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    69 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Menicon Z Night
    Arm Type
    Experimental
    Arm Description
    The experimental group is allocated to wear Menicon Z Night orthokeratology contact lenses for two years
    Arm Title
    Glasses
    Arm Type
    Active Comparator
    Arm Description
    The active comparator includes a group that was allocated to wear distance, single-vision glasses for two years
    Intervention Type
    Device
    Intervention Name(s)
    Menicon Z Night
    Intervention Description
    To assess the use of Menicon Z Night contact lenses for reducing myopia progression in children
    Intervention Type
    Device
    Intervention Name(s)
    Control
    Intervention Description
    Distance, single-vision glasses were used as control
    Primary Outcome Measure Information:
    Title
    Axial length
    Description
    To compare axial length growth between white children with myopia wearing Menicon Z Night orthokeratology contact lenses and distance single-vision glasses. Measurements of axial length (in millimeters) were taken with the Zeiss IOLMaster (Carl Zeiss Jena GmbH, Jena, Germany). Three separate measurements of axial length were recorded per subject and per visit, and a mean obtained.
    Time Frame
    Two years
    Secondary Outcome Measure Information:
    Title
    Adverse events
    Description
    To compare the incidence of adverse events between white children with myopia wearing Menicon Z Night orthokeratology contact lenses and distance single-vision glasses. Adverse events were classified into serious, significant, or non-significant. Recurrences of the same adverse event(s) in the same or fellow eye at any of the subsequent study visits were classified as separate events; bilateral events will be counted as two separate events. The incidence of adverse events was calculated as a percentage of eyes per annum.
    Time Frame
    Two years
    Title
    Patient-reported outcomes
    Description
    To compare vision-related quality-of-life measures between children wearing Menicon Z Night orthokeratology contact lenses and distance single-vision glasses. The pediatric refractive error profile survey was used to compare patient-reported outcomes in terms of the vision-specific quality of life between children in the Menicon Z Night and control groups. The survey consists of 26 statements scored from 1 (poor quality of life) to 5 (good quality of life), then scaled from 0 to 100 by subtracting 1 from the raw score of each question and multiplying by 25. The mean score of all items was calculated as the overall score. The survey includes 11 scales: overall vision, near vision, far distance vision, symptoms, appearance, satisfaction, activities, academics, handling, peer perception, and overall score.
    Time Frame
    Two years

    10. Eligibility

    Sex
    All
    Gender Based
    Yes
    Gender Eligibility Description
    White European
    Minimum Age & Unit of Time
    6 Years
    Maximum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Be 6 to 12 years of age, both ages inclusive A low-to-moderate level of myopia (between -0.75 and -4.00 D) and of astigmatism (≤ 1.00 D) Neophyte contact lens wearer Be successfully fitted with spectacles or orthokeratology contact lenses Be able to achieve, through spherical refraction correction, a logMAR visual acuity of 0.8 or better in each eye Be willing and able to follow the subject instructions and to meet the protocol-specified schedule of follow-up visits White European ethnicity Exclusion Criteria: Systemic or ocular disease affecting ocular health Use of any systemic or topical medications that could affect ocular physiology or contact lens performance Any lid or anterior segment abnormalities for which contact lens wear could be contraindicated CCLRU grade ≥ 2 for any given anterior segment ocular clinical signs Aphakic, amblyopic, and atopic individuals Refractive astigmatism ≥ ½ spherical refraction Previous contact lens wear

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    22729437
    Citation
    Santodomingo-Rubido J, Villa-Collar C, Gilmartin B, Gutierrez-Ortega R. Myopia control with orthokeratology contact lenses in Spain: refractive and biometric changes. Invest Ophthalmol Vis Sci. 2012 Jul 31;53(8):5060-5. doi: 10.1167/iovs.11-8005.
    Results Reference
    result
    PubMed Identifier
    22773180
    Citation
    Santodomingo-Rubido J, Villa-Collar C, Gilmartin B, Gutierrez-Ortega R. Orthokeratology vs. spectacles: adverse events and discontinuations. Optom Vis Sci. 2012 Aug;89(8):1133-9. doi: 10.1097/OPX.0b013e318263c5af.
    Results Reference
    result
    PubMed Identifier
    23392299
    Citation
    Santodomingo-Rubido J, Villa-Collar C, Gilmartin B, Gutierrez-Ortega R. Myopia control with orthokeratology contact lenses in Spain: a comparison of vision-related quality-of-life measures between orthokeratology contact lenses and single-vision spectacles. Eye Contact Lens. 2013 Mar;39(2):153-7. doi: 10.1097/ICL.0b013e31827a0241.
    Results Reference
    result

    Learn more about this trial

    Myopia Control With Orthokeratology Contact Lenses in Spain

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