An External Pilot Study to Test the Feasibility of a Randomised Controlled Trial comparing Eye Muscle Surgery against Active Monitoring for Childhood Intermittent Distance Exotropia [X(T)]

ISRCTN ISRCTN44114892
DOI https://doi.org/10.1186/ISRCTN44114892
Protocol serial number 9967; HTA 09/01/20
Sponsor Newcastle upon Tyne Hospitals NHS Foundation Trust (UK)
Funder National Institute for Health Research (NIHR) (UK)
Submission date
22/03/2011
Registration date
22/03/2011
Last edited
26/05/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr M Clarke
Scientific

Claremont Wing
Royal Victoria Infirmary
Queen Victoria Road
Newcastle Upon Tyne
NE1 4LP
United Kingdom

Email m.p.clarke@newcastle.ac.uk

Study information

Primary study designInterventional
Study designRandomised; Interventional; Design type: Not specified, Treatment
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleAn External Pilot Study to Test the Feasibility of a Randomised Controlled Trial comparing Eye Muscle Surgery against Active Monitoring for Childhood Intermittent Distance Exotropia [X(T)]
Study acronymPilot RCT comparing Surgery to Observation for Intermittent Exotropia
Study objectivesThe aim is to design and conduct a randomised controlled trial of the clinical and cost effectiveness of immediate surgical treatment versus active monitoring in the management of intermittent exotropia in children under 16.

More details can be found at http://www.nets.nihr.ac.uk/projects/hta/090120
Protocol can be found at http://www.nets.nihr.ac.uk/__data/assets/pdf_file/0009/53100/PRO-09-01-20.pdf
Ethics approval(s)10/H0904/57
Health condition(s) or problem(s) studiedTopic: Eye; Subtopic: Eye (all Subtopics); Disease: Ophthalmology
InterventionEye muscle surgery
Intervention typeProcedure/Surgery
Primary outcome measure(s)

Number of patients; Timepoint(s): To determine whether participating centres are likely to recruit a sufficient number of patients

Key secondary outcome measure(s)

1. Pilot procedures; Timepoint(s): To pilot procedures involved in the trial including recruitment, randomisation, surgery and masking
2. Questionnaires; Timepoint(s): To identify through questionnaires reasons why parents decline permission to participate
3. Recruited patients; Timepoint(s): To determine whether recruited patients remain in allocated groups

Completion date01/12/2013

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Years
Upper age limit16 Years
SexAll
Target sample size at registration144
Key inclusion criteria1. Age = 6 months and = 16 years
2. Diagnosis of Intermittent Exotropia on the basis of parental history and clinical examination within 6 months of recruitment
3. Newcastle Control Score of = 3
4. Minimum size of squint of 15 prism dioptres
5. If aged 4 years and over evidence of near stereopsis i.e. ability to use the eyes together
Target Gender: Male & Female; Upper Age Limit 16 years ; Lower Age Limit 6 months
Key exclusion criteria1. Age under 6 months or over 16 years
2. Previous treatment for Intermittent Exotropia
3. Constant exotropia = 10 prism dioptres
4. Constant exotropia < 10 prism dioptres with absent near stereopsis
5. Intermittent Exotropia where near misalignment is = 10 prism dioptres more than the distance misalignment (Convergence insufficiency)
6. blyopia (poor vision) > 0.5 LogMAR in either eye
7. Structural ocular pathology
8. Significant neurodevelopmental delay
9. Families requiring translation services
Date of first enrolment01/09/2011
Date of final enrolment01/12/2013

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Royal Victoria Infirmary
Newcastle Upon Tyne
NE1 4LP
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2015 Yes No
Protocol article protocol 16/10/2012 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes