Evaluating very low-level red light therapy for dry age-related macular degeneration

ISRCTN ISRCTN14626095
DOI https://doi.org/10.1186/ISRCTN14626095
Sponsor Low Vision Academy
Funder Low Vision Academy
Submission date
21/09/2026
Registration date
24/09/2026
Last edited
24/09/2026
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Marcella Nebbioso
Scientific, Public

Department of Sense Organs, Faculty of Medicine and Odontology, Sapienza University of Rome, p. le A.
Moro 5
Rome
00185
Italy

Phone +39 (0)3392156212
Email marcella.nebbioso@uniroma1.it
Dr Pierdomenico D'Andrea
Public, Principal investigator

Department of Medicine and Aging Sciences, University “G. D’Annunzio” Chieti-Pescara, Chieti Italy
Via Rieti 45
Pescara
65121
Italy

Phone +39 (0)3314331171
Email p.dandrea@riabilitazioneunich.it

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlPlacebo
AssignmentParallel
PurposeTreatment
Scientific titleSix-month multicenter clinical study evaluating the safety and efficacy of low fluence photobiomodulation using a wearable multi-wavelength visible light device in nonexudative age-related macular degeneration
Study objectives
Ethics approval(s)

Approved 30/09/2022, Low Vision Academy Scientific Ethics Committee (Piazza Sempione 3, Milano, 20145, Italy; +39 (0)23315865; a.manassero@fgeditore.it), ref: 2022/C930

Health condition(s) or problem(s) studiedNonexudative age-related macular degeneration (dry AMD)
InterventionPatients were randomized (approximate 2:1 allocation ratio) using a computer-generated permuted block sequence (Research Randomizer). Randomisation was performed strictly at the patient level (both eyes of a participant received the same assignment). Allocation concealment and blinding were managed by an independent, unblinded study coordinator who generated the allocation sequence, scheduled participants, and distributed physically identical devices. Participants and data analysts remained strictly blinded throughout the study (single-blind trial).

Active treatment arm:
Participants received photobiomodulation (PBM) therapy using a wearable, frame-based low-level red light device (incorporating non-coaxial LEDs at 605 nm, 630 nm, and 660 nm with zero blue light emission). The treatment regimen consisted of:
1. Induction phase: 10 sessions (12 minutes each) over 15 days
2. Maintenance phase: three sessions per week (12 minutes each) for 6 months
3. Setting: performed in outpatient clinic settings under medical/healthcare supervision

Sham control arm:
Participants underwent an identical treatment schedule (10 induction sessions over 15 days, followed by three weekly sessions for 6 months) using a physically identical device that provided no active PBM therapy.

Treatment duration: 6 months.

Follow-up evaluations: baseline, 1 month and 6 months. Assessments included BCVA (ETDRS), microperimetry (macular integrity assessment [MAIA] for macular response stability and full threshold), optical coherence tomography macular thickness, intraocular pressure, and a patient-reported usability/comfort questionnaire.
Intervention typeDevice
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Jupiter TM
Primary outcome measure(s)
  1. Retinal sensitivity measured using fundus-controlled microperimetry at baseline , 1 month and 6 months
  2. Visual acuity measured using BCVA at 40 cm an 4 m expressed in logMAR and converted to ETDRS letters at baseline and after 8 months
Key secondary outcome measure(s)
Completion date20/03/2025

Eligibility

Participant type(s)
Age groupMixed
Lower age limit50 Years
Upper age limit101 Years
SexAll
Target sample size at registration48
Total final enrolment45
Key inclusion criteria1.Age ≥50 years
2. Early, intermediate and late dry AMD (AREDS1)
3. Best corrected visual acuity (BCVA) 50–75 ETDRS letters
4. Microperimetry sensitivity 5–25 dB
5. Ability to comply with home treatment
6. Written informed consent
Key exclusion criteria1. Neovascular AMD
2. Significant media opacities (cataract, posterior capsule opacification)
3. Recent ocular surgery
4. Glaucoma with field loss
5. Diabetic macular edema
6. Uveitis or photosensitivity
7. Severe systemic disease
8. Participation in another trial within 3 months
Date of first enrolment08/01/2023
Date of final enrolment29/09/2024

Locations

Countries of recruitment

  • Italy

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo

Editorial Notes

24/09/2026: Study's existence confirmed by the Low Vision Academy Scientific Ethics Committee.