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Pilot Study to Evaluate Levodopa as Treatment for Residual Amblyopia

A Pilot Study to Evaluate Levodopa as Treatment for Residual Amblyopia in 8 to 17 Year Olds

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00789672
Acronym
ATS14
Enrollment
33
Registered
2008-11-13
Start date
2009-01-31
Completion date
2009-12-31
Last updated
2016-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Amblyopia

Keywords

Amblyopia, Patching, Levodopa

Brief summary

This pilot study is being conducted as a prelude to a randomized trial to compare levodopa/carbidopa plus patching versus patching alone. The purpose of the pilot study is to demonstrate recruitment potential, to provide prospective data on the tolerability of levodopa as a treatment for amblyopia, to provide limited data on its safety, to provide limited data on it's efficiency, and to provide data to assist in selecting a dose to use in a subsequent phase 3 randomized trial. In addition, this study will provide the opportunity for investigators to gain experience in using levodopa prior to a randomized trial.

Detailed description

Amblyopia is the most common cause of monocular visual impairment in both children and young and middle-aged adults. Both patching and atropine are accepted treatment modalities for the management of moderate amblyopia in children. Despite best efforts with conventional amblyopia treatment, many older children and teenagers with amblyopia fail to achieve normal visual acuity in the amblyopic eye. In a previous PEDIG study (ATS3) where children 7 to 13 years old were treated with atropine and patching, only 36% of the children with moderate amblyopia and only 23% of the children with severe amblyopia achieved 20/40 or better acuity.

Interventions

Oral levodopa 0.76 mg/kg tid with carbidopa 0.17 mg/kg tid (approximately 4.5 to 1 formulation)

DEVICEpatching

2 hours daily patching

Sponsors

National Eye Institute (NEI)
CollaboratorNIH
Jaeb Center for Health Research
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
8 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

* Age 8 to \< 18 years old * Amblyopia associated with strabismus, anisometropia, or both * Visual acuity in the amblyopic eye 18 to 67 letters inclusive (20/50 to 20/400) * Visual acuity in the sound eye ≥ 78 letters (20/25 or better) * Current amblyopia treatment of at least 2 hours patching per day * No improvement in best-corrected amblyopic eye visual acuity between two consecutive visits at least 4 weeks apart using the same testing method and optimal spectacle correction (if needed), with no improvement of more than 4 letters or one logMAR line.

Exclusion criteria

* Myopia more than -6.00 D (spherical equivalent) in either eye. * Current vision therapy or orthoptics * Ocular cause for reduced visual acuity • nystagmus per se does not exclude the subject if the above visual acuity criteria are met * Prior intraocular or refractive surgery * History of narrow-angle glaucoma * Strabismus surgery planned within 16 weeks * Known allergy to levodopa-carbidopa * History of dystonic reactions * Current requirement to take oral iron supplements including multivitamins containing iron during the 8 weeks of treatment with levodopa-carbidopa * Current use of antihypertensive, anti-depressant medications, phenothiazines, butyrophenones, risperidone and isoniazid, non-specific monoamine oxidase inhibitors * Current use of medication for the treatment of attention deficit hyperactivity disorder * Known gastrointestinal or liver disease * History of melanoma * Known psychological problems * Known skin reactions to patch or bandage adhesives * Prior levodopa treatment * Current treatment with topical atropine * Females who are pregnant, lactating, or intending to become pregnant within the next 16 weeks. * A negative urine pregnancy test will be required for all females who have experienced menarche. * Requirements regarding the establishment of pregnancy and monitoring of pregnancy over the course of the study as defined by each individual Institutional Review Board may supersede these criteria.

Design outcomes

Primary

MeasureTime frameDescription
Distribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa9 weeks after starting levodopaVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
Mean Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa9 weeks after starting levodopaVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.
Distribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopabaseline to 9 weeksVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopabaseline to 9 weeksVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Tolerability of Study Medication-Adverse Event Reporting24 weeksNumber of adverse events reported throughout entire study.

Secondary

MeasureTime frameDescription
Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollmentenrollment to 4 weeksVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Distribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment4 weeks after enrollmentVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopabaseline to 10 weeks after stopping levodopaVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Distribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopabaseline to 10 weeks after stopping levodopaVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Mean Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment4 weeks after enrollmentVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.
Distribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa10 weeks after stopping levodopaVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
Mean Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa10 weeks after stopping levodopaVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.
Distribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollmentenrollment to 4 weeksVisual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.

Countries

United States

Participant flow

Recruitment details

Eligibility criteria included age 8 to \<18 years, best-corrected visual acuity in the amblyopic eye between 67 and 18 letters inclusive measured with E-ETDRS, fellow eye best-corrected visual acuity of 78 letters or better, and the presence or history of strabismus and/or anisometropia.

Pre-assignment details

At enrollment, subjects were required to have been treated with at least 2 hours of patching per day of daily patching and while on that therapy, have had stable visual acuity (5 letters or one logMAR line of improvement since a previous visit at least 8 weeks earlier)

Participants by arm

ArmCount
Lower Dose 0.51 mg Levodopa/Carbidopa
Oral levodopa 0.51 mg/kg tid with carbidopa 0.17 mg/kg tid combined with 2 hours of daily patching, with a rapid taper of medication before a primary outcome exam.
16
Higher Dose 0.76 mg Levodopa/Carbidopa
Oral levodopa 0.76 mg/kg tid with carbidopa 0.17 mg/kg tid combined with 2 hours of daily patching, with a rapid taper of medication before a primary outcome exam.
17
Total33

Baseline characteristics

CharacteristicHigher Dose 0.76 mg Levodopa/CarbidopaLower Dose 0.51 mg Levodopa/CarbidopaTotal
Age, Continuous11.0 years
STANDARD_DEVIATION 2.2
11.3 years
STANDARD_DEVIATION 2.2
11.1 years
STANDARD_DEVIATION 2.2
Age, Customized
10 to <11
4 participants3 participants7 participants
Age, Customized
11 to <12
1 participants3 participants4 participants
Age, Customized
12 to <13
3 participants0 participants3 participants
Age, Customized
13 to <14
1 participants3 participants4 participants
Age, Customized
14 to <15
0 participants2 participants2 participants
Age, Customized
15 to <16
2 participants0 participants2 participants
Age, Customized
16 to <17
0 participants0 participants0 participants
Age, Customized
17 to <18
0 participants0 participants0 participants
Age, Customized
8 to <9
3 participants3 participants6 participants
Age, Customized
9 to <10
3 participants2 participants5 participants
Cause of Amblyopia
Anisometropia
5 participants6 participants11 participants
Cause of Amblyopia
Strabismus
5 participants2 participants7 participants
Cause of Amblyopia
Strabismus and anisometropia
7 participants8 participants15 participants
Distance Visual Acuity in Amblyopic Eye
20/100 (48 to 52 letters)
0 participants2 participants2 participants
Distance Visual Acuity in Amblyopic Eye
20/125 (43 to 47 letters)
1 participants0 participants1 participants
Distance Visual Acuity in Amblyopic Eye
20/160 (38 to 42 letters)
1 participants1 participants2 participants
Distance Visual Acuity in Amblyopic Eye
20/200 (33 to 37 letters)
1 participants1 participants2 participants
Distance Visual Acuity in Amblyopic Eye
20/250 (28 to 32 letters)
1 participants0 participants1 participants
Distance Visual Acuity in Amblyopic Eye
20/320 (23 to 27 letters)
0 participants0 participants0 participants
Distance Visual Acuity in Amblyopic Eye
20/400 (18 to 22 letters)
1 participants0 participants1 participants
Distance Visual Acuity in Amblyopic Eye
20/50 (63 to 67 letters)
1 participants4 participants5 participants
Distance Visual Acuity in Amblyopic Eye
20/63 (58 to 62 letters)
5 participants4 participants9 participants
Distance Visual Acuity in Amblyopic Eye
20/80 (53 to 57 letters)
6 participants4 participants10 participants
Distance Visual Acuity in Fellow Eye
20/12 (93 to 97 letters)
0 participants1 participants1 participants
Distance Visual Acuity in Fellow Eye
20/16 (88 to 92 letters)
5 participants5 participants10 participants
Distance Visual Acuity in Fellow Eye
20/20 (83 to 87 letters)
8 participants6 participants14 participants
Distance Visual Acuity in Fellow Eye
20/25 (78 to 82 letters)
4 participants4 participants8 participants
Mean (SD) Distance Visual Acuity in Amblyopic Eye50.5 letters
STANDARD_DEVIATION 12.2
56.2 letters
STANDARD_DEVIATION 8.8
53.2 letters
STANDARD_DEVIATION 10.9
Mean (SD) Distance Visual Acuity in Fellow Eye85.5 letters
STANDARD_DEVIATION 3.3
86.4 letters
STANDARD_DEVIATION 4.5
85.9 letters
STANDARD_DEVIATION 3.9
Mean (SD) Intereye Acuity Difference35.1 letters
STANDARD_DEVIATION 13.6
30.2 letters
STANDARD_DEVIATION 11.7
32.7 letters
STANDARD_DEVIATION 12.7
Mean (SD) Spherical Equivalent Refractive Error in Amblyopic Eye3.28 diopters
STANDARD_DEVIATION 1.93
4.05 diopters
STANDARD_DEVIATION 1.92
3.65 diopters
STANDARD_DEVIATION 1.93
Mean (SD) Spherical Equivalent Refractive Error in Fellow Eye1.04 diopters
STANDARD_DEVIATION 0.99
1.20 diopters
STANDARD_DEVIATION 1.17
1.12 diopters
STANDARD_DEVIATION 1.07
Race/Ethnicity
African-American
0 participants1 participants1 participants
Race/Ethnicity
Asian
0 participants0 participants0 participants
Race/Ethnicity
Hispanic or Latino
0 participants1 participants1 participants
Race/Ethnicity
More than one race
0 participants0 participants0 participants
Race/Ethnicity
Unknown/Not reported
0 participants0 participants0 participants
Race/Ethnicity
White
17 participants14 participants31 participants
Refractive Error in Amblyopic Eye (spherical equivalent/diopters)
<0.00D
1 participants0 participants1 participants
Refractive Error in Amblyopic Eye (spherical equivalent/diopters)
0 to < +1.00D
2 participants1 participants3 participants
Refractive Error in Amblyopic Eye (spherical equivalent/diopters)
+1.00 to <+2.00D
1 participants1 participants2 participants
Refractive Error in Amblyopic Eye (spherical equivalent/diopters)
+2.00 to <+3.00D
2 participants2 participants4 participants
Refractive Error in Amblyopic Eye (spherical equivalent/diopters)
+3.00 to <+4.00D
2 participants3 participants5 participants
Refractive Error in Amblyopic Eye (spherical equivalent/diopters)
greater than or equal to +4.00D
9 participants9 participants18 participants
Refractive Error in Fellow Eye (spherical equivalent/diopters)
<0.00D
0 participants1 participants1 participants
Refractive Error in Fellow Eye (spherical equivalent/diopters)
0 to < +1.00D
10 participants6 participants16 participants
Refractive Error in Fellow Eye (spherical equivalent/diopters)
+1.00 to <+2.00D
3 participants5 participants8 participants
Refractive Error in Fellow Eye (spherical equivalent/diopters)
+2.00 to <+3.00D
3 participants2 participants5 participants
Refractive Error in Fellow Eye (spherical equivalent/diopters)
+3.00 to <+4.00D
1 participants2 participants3 participants
Refractive Error in Fellow Eye (spherical equivalent/diopters)
greater than or equal to +4.00D
0 participants0 participants0 participants
Region of Enrollment
United States
17 participants16 participants33 participants
Sex: Female, Male
Female
9 Participants10 Participants19 Participants
Sex: Female, Male
Male
8 Participants6 Participants14 Participants
Weight in Kilograms34 kilograms47 kilograms42 kilograms

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
8 / 1611 / 17
serious
Total, serious adverse events
0 / 160 / 17

Outcome results

Primary

Distribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).

Time frame: 9 weeks after starting levodopa

ArmMeasureGroupValue (NUMBER)
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/80 (53 to 57)1 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/50 (63 to 67)4 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/100 (47 to 52 letters)2 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/40 (68-72 letters)3 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/63 (58 to 62)3 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/32 (73 to 77 letters)1 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa<20/100 (<47 letters)2 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/32 (73 to 77 letters)1 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa<20/100 (<47 letters)5 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/100 (47 to 52 letters)0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/80 (53 to 57)1 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/63 (58 to 62)5 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/50 (63 to 67)3 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa20/40 (68-72 letters)2 participants
Primary

Distribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.

Time frame: baseline to 9 weeks

ArmMeasureGroupValue (NUMBER)
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa5 to 9 letters worse0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa5 to 9 letters better5 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa10 to 14 letters worse0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa10 to 14 letters better2 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting LevodopaWithin plus or minus 4 letters9 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa>=15 letters better0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa>=15 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa>=15 letters better1 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa>=15 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa10 to 14 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa5 to 9 letters worse1 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting LevodopaWithin plus or minus 4 letters5 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa5 to 9 letters better6 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa10 to 14 letters better4 participants
Primary

Mean Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.

Time frame: 9 weeks after starting levodopa

ArmMeasureValue (MEAN)Dispersion
Lower Dose 0.51 mg Levodopa/CarbidopaMean Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa59.9 lettersStandard Deviation 9.7
Higher Dose 0.76 mg Levodopa/CarbidopaMean Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa56.5 lettersStandard Deviation 12.7
Primary

Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.

Time frame: baseline to 9 weeks

ArmMeasureValue (MEAN)Dispersion
Lower Dose 0.51 mg Levodopa/CarbidopaMean Change in Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa3.8 lettersStandard Deviation 3.5
Higher Dose 0.76 mg Levodopa/CarbidopaMean Change in Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa6.1 lettersStandard Deviation 5.6
Comparison: Given this was pilot study, no formal sample size estimates were calculated.95% CI: [-6, 1]
Primary

Tolerability of Study Medication-Adverse Event Reporting

Number of adverse events reported throughout entire study.

Time frame: 24 weeks

ArmMeasureGroupValue (NUMBER)
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingRash1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingEar ache1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFatigue/Sleepiness3 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFever1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingCold/Upper Respiratory Infection/Cough3 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingLoss of appetite2 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingDizziness/light-headedness3 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingNightmare1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFlu2 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingKnee injury1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingConjunctivitis0 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingSinus infection1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingHeadache6 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingWeight loss1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingMuscle pain0 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingConstipation1 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingNausea/Vomiting2 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFinger injury0 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingStomach ache0 events
Lower Dose 0.51 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingPulled muscle0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingStomach ache2 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingHeadache6 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingCold/Upper Respiratory Infection/Cough6 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingRash3 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFlu1 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingNausea/Vomiting1 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFatigue/Sleepiness1 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingDizziness/light-headedness0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingConjunctivitis2 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingMuscle pain2 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingPulled muscle1 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingEar ache0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFever0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingLoss of appetite0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingNightmare0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingKnee injury0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingSinus infection0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingWeight loss0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingConstipation0 events
Higher Dose 0.76 mg Levodopa/CarbidopaTolerability of Study Medication-Adverse Event ReportingFinger injury1 events
Secondary

Distribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).

Time frame: 10 weeks after stopping levodopa

ArmMeasureGroupValue (NUMBER)
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/80 (53 to 57)3 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/50 (63 to 67)2 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/100 (47 to 52 letters)0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/40 (68-72 letters)1 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/63 (58 to 62)4 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/32 (73 to 77 letters)3 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa<20/100 (<47 letters)2 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/32 (73 to 77 letters)0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa<20/100 (<47 letters)5 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/100 (47 to 52 letters)1 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/80 (53 to 57)2 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/63 (58 to 62)3 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/50 (63 to 67)6 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa20/40 (68-72 letters)0 participants
Secondary

Distribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).

Time frame: 4 weeks after enrollment

ArmMeasureGroupValue (NUMBER)
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/80 (53 to 57)1 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/50 (63 to 67)4 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/100 (47 to 52 letters)2 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/40 (68-72 letters)3 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/63 (58 to 62)4 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/32 (73 to 77 letters)0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment<20/100 (<47 letters)2 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/32 (73 to 77 letters)0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment<20/100 (<47 letters)4 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/100 (47 to 52 letters)1 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/80 (53 to 57)3 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/63 (58 to 62)5 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/50 (63 to 67)3 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment20/40 (68-72 letters)1 participants
Secondary

Distribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.

Time frame: baseline to 10 weeks after stopping levodopa

ArmMeasureGroupValue (NUMBER)
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa5 to 9 letters worse0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa5 to 9 letters better6 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa10 to 14 letters worse0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa10 to 14 letters better2 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping LevodopaWithin plus or minus 4 letters7 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa>=15 letters better0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa>=15 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa>=15 letters better0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa>=15 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa10 to 14 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa5 to 9 letters worse1 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping LevodopaWithin plus or minus 4 letters8 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa5 to 9 letters better7 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa10 to 14 letters better1 participants
Secondary

Distribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.

Time frame: enrollment to 4 weeks

ArmMeasureGroupValue (NUMBER)
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment5 to 9 letters worse0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment5 to 9 letters better5 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment10 to 14 letters worse0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment10 to 14 letters better0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post EnrollmentWithin plus or minus 4 letters11 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment>=15 letters better0 participants
Lower Dose 0.51 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment>=15 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment>=15 letters better0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment>=15 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment10 to 14 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment5 to 9 letters worse0 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post EnrollmentWithin plus or minus 4 letters9 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment5 to 9 letters better7 participants
Higher Dose 0.76 mg Levodopa/CarbidopaDistribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment10 to 14 letters better1 participants
Secondary

Mean Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.

Time frame: 10 weeks after stopping levodopa

ArmMeasureValue (MEAN)Dispersion
Lower Dose 0.51 mg Levodopa/CarbidopaMean Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa60.6 lettersStandard Deviation 11.1
Higher Dose 0.76 mg Levodopa/CarbidopaMean Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa53.9 lettersStandard Deviation 11.4
Secondary

Mean Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.

Time frame: 4 weeks after enrollment

ArmMeasureValue (MEAN)Dispersion
Lower Dose 0.51 mg Levodopa/CarbidopaMean Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment59.1 lettersStandard Deviation 9.2
Higher Dose 0.76 mg Levodopa/CarbidopaMean Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment54.3 lettersStandard Deviation 12.9
Secondary

Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.

Time frame: baseline to 10 weeks after stopping levodopa

ArmMeasureValue (MEAN)Dispersion
Lower Dose 0.51 mg Levodopa/CarbidopaMean Change in Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa4.9 lettersStandard Deviation 3.7
Higher Dose 0.76 mg Levodopa/CarbidopaMean Change in Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa3.5 lettersStandard Deviation 4.7
Secondary

Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment

Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.

Time frame: enrollment to 4 weeks

ArmMeasureValue (MEAN)Dispersion
Lower Dose 0.51 mg Levodopa/CarbidopaMean Change in Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment2.9 lettersStandard Deviation 2.8
Higher Dose 0.76 mg Levodopa/CarbidopaMean Change in Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment3.8 lettersStandard Deviation 3.6

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026