ISRCTN ISRCTN56110442
DOI https://doi.org/10.1186/ISRCTN56110442
IRAS number 333019
Secondary identifying numbers ID23-34 CV23-02, IRAS 333019
Submission date
30/08/2024
Registration date
13/09/2024
Last edited
13/09/2024
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

Background and study aims
The number of adolescents with myopia (short-sightedness) has been increasing very rapidly over the last 10 - 20 years. The concern is that short-sighted eyes are more likely to develop ocular pathology (eye disease) than normal eyes from the age of 60+. Therefore, various methods are being developed to minimise short-sightedness and prevent potential problems later in life, one such method is the use of special design contact lenses. This study aims to compare the acceptance of a new design of contact lenses with a currently marketed design.

Who can participate?
Children aged between 8 and 18 years old who have experience with soft contact lens wear and can insert and remove soft contact lenses

What does the study involve?
The participants will attend a total of four visits as described below.
The first phase will be conducted as a prospective, randomized (order of testing of the two study contact lenses), double-masked one-week cross-over. The second phase will be a double-masked parallel group comparison of the lenses after one month of use of the second lens type.
i. Visit 1 for screening, enrolment baseline and for collection of dispensing baseline data for the first contact lens type, randomly allocated either to the test or control contact lens to be worn for one week;
ii. Visit 2 for collection of the follow-up data after one week of use of the first contact lens type and dispensing baseline data for the second lens type;
iii. Visit 3 for collection of the follow-up data after one week of use of the second contact lens type and providing additional lenses for an additional three weeks of lens wear of the second lens type.
iv. Visit 4 for collection of the follow-up data after one month of use of the second contact lens type.

What are the possible benefits and risks of participating?
Participants have the opportunity to try contact lenses to help their vision and control the progression of their myopia.
Any contact lens wear comes at the risk of corneal infection, but the incidence rate is very low.

Where is the study run from?
Ocular Technology Group - International (OTG-i)

When is the study starting and how long is it expected to run for?
June 2023 to February 2025

Who is funding the study?
CooperVision International Limited

Who is the main contact?
Deborah Moore
DMoore@otg.co.uk

Contact information

Miss Deborah Moore
Public

66 Buckingham Gate
London
SW1E 6AU
United Kingdom

Phone +44 (0)2072224224
Email dmoore@otg.co.uk
Dr Michel Guillon
Scientific, Principal Investigator

66 Buckingham Gate
London
SW1E 6AU
United Kingdom

Phone +44 (0)2072224224
Email MGuillon@otg.co.uk

Study information

Study designRandomized double-masked prospective study
Primary study designInterventional
Secondary study designPhase01: Randomized cross over trial / Phase02:Randomized parallel trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titleClinical investigation of Buttermere (LENS271) soft contact lenses
Study hypothesisThe first co-primary hypothesis will be to test for any statistically significant difference in lens absolute decentration of Buttermere test contact lens vs MiSight® 1day control contact lens.
The second co-primary hypothesis will be to test for any statistically significant difference in contact lens centration clinical rating expressed in a dichotomous scale (optimal vs. non optimal) of Buttermere test contact lens vs MiSight® 1day control contact lens.
The third co-primary hypothesis will be to test for any statistically significant difference in contact lens movement at blink clinical rating expressed in a dichotomous scale (acceptable vs. non-acceptable) of Buttermere test contact lens vs MiSight® 1day control contact lens.
Ethics approval(s)

Approved 28/06/2024, South West - Central Bristol Research Ethics Committee (2 Redman Place, Stratford, London, E20 1JQ, United Kingdom; +44 (0)207 104 8197; centralbristol.rec@hra.nhs.uk), ref: 24/SW/0055

ConditionMyopia
InterventionThe study will be a randomized, double-masked prospective daily disposable study involving four study visits over approximately five weeks of wear, consisting of a 1-week crossover phase followed by a parallel-group phase where the participants will continue to use the second randomised contact lens type for an additional three weeks.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhasePhase IV
Drug / device / biological / vaccine name(s)Buttermere (LENS271) contact lenses, MiSight® 1-day contact lenses
Primary outcome measureThe hierarchical primary outcome measures that follow will be assessed at one-week follow-up visits after at least three hours of wear:
1. Total absolute decentration from pupil centre in mm measured using slit lamp biomicroscope with a digital recording attachment during the visit
2. Contact lens centration clinical rating measured using a forced choice clinical scale during the visit
3. Contact lens movement at blink clinical rating measured using a forced choice clinical scale during the visit
Secondary outcome measuresThe are no secondary outcome measures
Overall study start date15/06/2023
Overall study end date28/02/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupChild
Lower age limit8 Years
Upper age limit18 Years
SexBoth
Target number of participants90
Total final enrolment80
Participant inclusion criteria1. Age 8 to 18 years; at least half the population will be children or adolescents aged 8 to 15 years
2. Have experience with soft contact lens wear and able to insert and remove soft contact lenses
3. Parent/guardian and participant have read and understood the Participant Information Sheet
4. Parent/guardian and participant have read, signed and dated the Informed Consent and Assent (when applicable)
5. Best corrected visual acuity of at least 20/25 in each eye
6. Have normal eyes except for the need for visual correction
7. Spectacle refraction:
7.1. Age 8 to 12: -0.75D to -4.00D spherical equivalent, with cylinder ≤ -0.75D and maximum anisometropia of <1.00D
7.2. Age 13-18: -0.75D to -7.00D spherical equivalent, with cylinder ≤ -0.75D and maximum anisometropia of <1.00D
8. Be willing and able to adhere to the instructions set in the clinical protocol and maintain the appointment schedule
Participant exclusion criteria1. Acute and subacute inflammation or infection of the anterior chamber of the eye
2. Any eye disease, injury, or abnormality that affects the cornea, conjunctiva, or eyelids
3. Severe insufficiency of lacrimal secretion (dry eyes)
4. Corneal hypoesthesia (reduced corneal sensitivity), if not aphakic
5. Any systemic disease that may affect the eye or be exaggerated by wearing contact lenses
6. Allergic reactions of ocular surfaces or adnexa that may be induced or exaggerated by wearing contact lenses or use of contact lens solutions
7. Any active corneal infection (bacterial, fungal, or viral)
8. The patient is unable to follow lens handling and wear regimen or is unable to obtain assistance to do so
9. Newly prescribed use of systemic or ocular medications for which contact lens wear could be contraindicated as determined by the investigator
10. Monocular participants (only one eye with functional vision) or participants fit with only one lens
11. Subjects with slit lamp findings greater than grade 1 (e.g., edema, infiltrates, corneal neovascularization, corneal staining, tarsal abnormalities, conjunctival, anterior segment inflammation) as per ISO 11980:2012, any previous history or signs of a contact lens related corneal inflammatory event (past corneal ulcers), or any other ocular abnormality that may contraindicate contact lens wear at the enrolment visit
12. History of herpetic keratitis, ocular surgery or irregular cornea
13. Enrolment of the family members of the investigator, family members of the investigator’s staff, or individuals living in the households of these individuals
Recruitment start date01/04/2024
Recruitment end date30/01/2025

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Optometric Technology Group Ltd
66 Buckingham Gate
London
SW1E 6AU
United Kingdom

Sponsor information

CooperVision International Limited
Industry

Delta Park
Concorde Way
Segensworth North
Fareham, Hampshire
PO15 5RL
England
United Kingdom

Phone +44 (0)1489 883000
Email lhall@coopervision.com

Funders

Funder type

Industry

CooperVision
Government organisation / For-profit companies (industry)
Alternative name(s)
CooperVision, Inc., CooperVision Inc, CooperVision Inc., CooperVision, Inc
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planThe plans are unknown at this stage for publication or dissemination.
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date.

Editorial Notes

13/09/2024: Study's existence confirmed by Health Research Authority (HRA) (UK).