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An Evaluation of the Effectiveness of Dual Focus Soft Contact Lenses in Slowing Mypoia Progression

A Multicentre Dispensing Clinical Evaluation of MiSight® Lenses

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01729208
Enrollment
144
Registered
2012-11-20
Start date
2012-11-30
Completion date
2019-05-31
Last updated
2020-02-24

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

Conditions

Myopia

Keywords

myopia progression, myopia control

Brief summary

The purpose of this study is to determine whether a new type of soft contact lens with a unique optical design (dual focus) is effective at slowing the progression of myopia (near-sightedness) in children.

Detailed description

Subjects were randomized to wear test or control soft contact lens to determine whether a new type of soft contact lens with a unique optical design (dual focus) is effective at slowing the progression of myopia (near-sightedness) in children.

Interventions

Sponsors

Visioncare Research Ltd.
CollaboratorOTHER
CooperVision, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
8 Years to 12 Years
Healthy volunteers
No

Inclusion criteria

* Be between 8 and 12 years of age inclusive. * Best-corrected visual acuity by manifest refraction of +0.10 logMAR. * Spherical Equivalent Refractive Error between -0.75 and -4.00 D * inclusive astigmatism: \< -0.75 D and anisometropia: \< 1.00 D * Possess wearable and visually functional eyeglasses. * Agree to wear the assigned contact lenses for a minimum of 10 hours per day, - at least 6 days per week, for the duration of the 3 year study.

Exclusion criteria

* Subject has previously or currently wears contact lenses or rigid gas permeable contact lenses, including orthokeratology lenses. * Subject is currently or within 30 days prior to this study has been an active participant in another clinical study. * Current or prior use of bifocals, progressive addition lenses, atropine, pirenzepine or ANY other myopia control treatment. * Regular use of ocular medications (prescription or over-the-counter), artificial tears, or wetting agents. * Current use of systemic medications which may significantly affect contact lens wear, tear film production, pupil size, accommodation or refractive state. * A known allergy to fluorescein, benoxinate, proparacaine or tropicamide. * Strabismus by cover test at far (4 m) or near (40 cm) wearing distance correction. * Any ocular, systemic or neuro-developmental conditions that could influence refractive development.

Design outcomes

Primary

MeasureTime frameDescription
Change in Refractive Error Relative to Baseline12 monthsMean change in refractive error, measured with cycloplegic auto-refraction in Diopters at 12 months, relative to baseline.
Change in Axial Length Relative to Baseline12 monthsMean change in axial length measurement, in millimeters at 12 months, relative to baseline.

Secondary

MeasureTime frameDescription
Number of Participants With Biomicroscopic Findings Greater Than Grade 2BaselineCumulative incidence of biomicroscopic findings. Slit lamp severity greater than Grade 2 (based on a 0-4 scale, where 0=none and 4=severe).
Number of Participants With Biomicroscopic Findings24 monthsCumulative incidence of biomicroscopic findings. Slit lamp severity greater than Grade 2 (based on a 0-4 scale, where 0=none and 4=severe).
Number of Participants With Biomicroscopic Findings Greater Than Grade 2.36 monthsCumulative incidence of biomicroscopic findings. Slit lamp severity greater than Grade 2 (based on a 0-4 scale, where 0=none and 4=severe).
Incidence of Adverse Events12 monthsCumulative incidence of adverse events.

Countries

Canada, Portugal, Singapore, United Kingdom

Participant flow

Participants by arm

ArmCount
Dual Focus Soft Contact Lens
Dual Focus Soft Contact Lens Dual Focus Soft Contact Lens
70
Single Vision Soft Contact Lens
Single Vision Soft Contact Lens Single Vision Soft Contact Lens
74
Total144

Withdrawals & dropouts

PeriodReasonFG000FG001
12 Months Follow-upLost to Follow-up33
12 Months Follow-upWithdrawal by Subject47
24 Months Follow-upLost to Follow-up30
36 Months Follow-upPhysician Decision10
36 Months Follow-upWithdrawal by Subject24
BaselinePhysician Decision54

Baseline characteristics

CharacteristicTotalDual Focus Soft Contact LensSingle Vision Soft Contact Lens
Age, Categorical
<=18 years
144 Participants70 Participants74 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants
Age, Continuous10.1 years
STANDARD_DEVIATION 1.3
10.1 years
STANDARD_DEVIATION 1.3
10.1 years
STANDARD_DEVIATION 1.4
Race/Ethnicity, Customized
Caucasian
79 Participants39 Participants40 Participants
Race/Ethnicity, Customized
East Asian
34 Participants16 Participants18 Participants
Race/Ethnicity, Customized
Indian/Pakistani/Sri Lankan
12 Participants5 Participants7 Participants
Race/Ethnicity, Customized
Mixed
13 Participants8 Participants5 Participants
Race/Ethnicity, Customized
Other
6 Participants2 Participants4 Participants
Region of Enrollment
Canada
64 Participants32 Participants32 Participants
Region of Enrollment
Portugal
21 Participants10 Participants11 Participants
Region of Enrollment
Singapore
31 Participants15 Participants16 Participants
Region of Enrollment
United Kingdom
28 Participants13 Participants15 Participants
Sex: Female, Male
Female
69 Participants32 Participants37 Participants
Sex: Female, Male
Male
75 Participants38 Participants37 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 700 / 74
other
Total, other adverse events
0 / 700 / 74
serious
Total, serious adverse events
0 / 700 / 74

Outcome results

Primary

Change in Axial Length Relative to Baseline

Mean change in axial length measurement, in millimeters at 12 months, relative to baseline.

Time frame: 12 months

ArmMeasureValue (MEAN)Dispersion
Dual Focus Soft Contact LensChange in Axial Length Relative to Baseline0.09 mmStandard Deviation 0.13
Single Vision Soft Contact LensChange in Axial Length Relative to Baseline0.24 mmStandard Deviation 0.15
Primary

Change in Axial Length Relative to Baseline

Mean change in axial length measurement, in millimeters at 24 months, relative to baseline.

Time frame: 24 months

ArmMeasureValue (MEAN)Dispersion
Dual Focus Soft Contact LensChange in Axial Length Relative to Baseline0.21 mmStandard Deviation 0.22
Single Vision Soft Contact LensChange in Axial Length Relative to Baseline0.45 mmStandard Deviation 0.23
Primary

Change in Axial Length Relative to Baseline

Mean change in axial length measurement, in millimeters at 36 months, relative to baseline.

Time frame: 36 months

ArmMeasureValue (MEAN)Dispersion
Dual Focus Soft Contact LensChange in Axial Length Relative to Baseline0.30 mmStandard Deviation 0.28
Single Vision Soft Contact LensChange in Axial Length Relative to Baseline0.62 mmStandard Deviation 0.3
Primary

Change in Refractive Error Relative to Baseline

Mean change in refractive error, measured with cycloplegic auto-refraction in Diopters at 12 months, relative to baseline.

Time frame: 12 months

ArmMeasureValue (MEAN)Dispersion
Dual Focus Soft Contact LensChange in Refractive Error Relative to Baseline-0.18 DioptersStandard Deviation 0.39
Single Vision Soft Contact LensChange in Refractive Error Relative to Baseline-0.58 DioptersStandard Deviation 0.41
Primary

Change in Refractive Error Relative to Baseline

Mean change in refractive error, measured with cycloplegic auto-refraction in Diopters at 24 months, relative to baseline.

Time frame: 24 months

ArmMeasureValue (MEAN)Dispersion
Dual Focus Soft Contact LensChange in Refractive Error Relative to Baseline-0.38 DioptersStandard Deviation 0.52
Single Vision Soft Contact LensChange in Refractive Error Relative to Baseline-0.92 DioptersStandard Deviation 0.53
Primary

Change in Refractive Error Relative to Baseline

Mean change in refractive error, measured with cycloplegic auto-refraction in Diopters at 36 months, relative to baseline.

Time frame: 36 months

ArmMeasureValue (MEAN)Dispersion
Dual Focus Soft Contact LensChange in Refractive Error Relative to Baseline-0.51 DioptersStandard Deviation 0.64
Single Vision Soft Contact LensChange in Refractive Error Relative to Baseline-1.24 DioptersStandard Deviation 0.61
Secondary

Incidence of Adverse Events

Cumulative incidence of adverse events.

Time frame: 36 months

ArmMeasureGroupValue (NUMBER)
Dual Focus Soft Contact LensIncidence of Adverse EventsConjuctivitis - Not device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant Other - Device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant Other - Not device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant infiltrative event-no device relat1 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsCorneal event- device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsSignificant Adverse Events0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsCorneal event- device related1 participants
Single Vision Soft Contact LensIncidence of Adverse EventsConjuctivitis - Not device related1 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant infiltrative event-no device relat0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant Other - Device related1 participants
Single Vision Soft Contact LensIncidence of Adverse EventsSignificant Adverse Events0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant Other - Not device related1 participants
Secondary

Incidence of Adverse Events

Cumulative incidence of adverse events.

Time frame: 12 months

ArmMeasureGroupValue (NUMBER)
Dual Focus Soft Contact LensIncidence of Adverse EventsMeibomianitis - Not device related2 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsSignificant adverse events0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant infiltrative event- device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsBlepharitis - not device related2 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsLocalized allergic reaction - device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsLocalized allergic reaction-not device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant-Other-Device related2 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant-Other- Not device related3 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsForeign Body -Device related1 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsCorneal event -Device related3 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsCorneal event- Not device related1 participants
Single Vision Soft Contact LensIncidence of Adverse EventsCorneal event- Not device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant-Other-Device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsSignificant adverse events0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsCorneal event -Device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant infiltrative event- device related2 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant-Other- Not device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsBlepharitis - not device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsMeibomianitis - Not device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsLocalized allergic reaction - device related1 participants
Single Vision Soft Contact LensIncidence of Adverse EventsForeign Body -Device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsLocalized allergic reaction-not device related1 participants
Secondary

Incidence of Adverse Events

Cumulative incidence of adverse events.

Time frame: 24 months

ArmMeasureGroupValue (NUMBER)
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant Other - Device related1 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant infiltrative event Device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsNon-significant Other - Not device related0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsSignificant Adverse Events0 participants
Dual Focus Soft Contact LensIncidence of Adverse EventsConjuctivitis - Not device related2 participants
Single Vision Soft Contact LensIncidence of Adverse EventsSignificant Adverse Events0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsConjuctivitis - Not device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant Other - Device related0 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant Other - Not device related3 participants
Single Vision Soft Contact LensIncidence of Adverse EventsNon-significant infiltrative event Device related1 participants
Secondary

Number of Participants With Biomicroscopic Findings

Cumulative incidence of biomicroscopic findings. Slit lamp severity greater than Grade 2 (based on a 0-4 scale, where 0=none and 4=severe).

Time frame: 24 months

ArmMeasureGroupValue (NUMBER)
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsCorneal Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsConjuctival Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsBulbar Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsLimbal Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsPalpebral Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsPalpebral Roughness0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsVascularization0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic FindingsOther Findings0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsOther Findings0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsCorneal Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsPalpebral Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsConjuctival Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsVascularization0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsBulbar Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsPalpebral Roughness0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic FindingsLimbal Hyperemia0 participants
Secondary

Number of Participants With Biomicroscopic Findings Greater Than Grade 2

Cumulative incidence of biomicroscopic findings. Slit lamp severity greater than Grade 2 (based on a 0-4 scale, where 0=none and 4=severe).

Time frame: Baseline

ArmMeasureGroupValue (NUMBER)
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Corneal Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Roughness0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Bulbar Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Vascularization0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Conjuctival Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Other Findings0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Limbal Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Other Findings0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Corneal Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Conjuctival Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Bulbar Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Roughness0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Vascularization0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Limbal Hyperemia0 participants
Secondary

Number of Participants With Biomicroscopic Findings Greater Than Grade 2

Cumulative incidence of biomicroscopic findings. Slit lamp severity greater than Grade 2 (based on a 0-4 scale, where 0=none and 4=severe).

Time frame: 12 months

ArmMeasureGroupValue (NUMBER)
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Corneal Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Conjuctival Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Bulbar Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Limbal Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Roughness1 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Vascularization0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Other Findings0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Other Findings0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Corneal Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Conjuctival Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Vascularization0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Bulbar Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Palpebral Roughness0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2Limbal Hyperemia0 participants
Secondary

Number of Participants With Biomicroscopic Findings Greater Than Grade 2.

Cumulative incidence of biomicroscopic findings. Slit lamp severity greater than Grade 2 (based on a 0-4 scale, where 0=none and 4=severe).

Time frame: 36 months

ArmMeasureGroupValue (NUMBER)
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Corneal Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Conjuctival Staining0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Bulbar Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Limbal Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Palpebral Hyperemia0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Palpebral Roughness0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Vascularization0 participants
Dual Focus Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Other Findings0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Other Findings0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Corneal Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Palpebral Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Conjuctival Staining0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Vascularization0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Bulbar Hyperemia0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Palpebral Roughness0 participants
Single Vision Soft Contact LensNumber of Participants With Biomicroscopic Findings Greater Than Grade 2.Limbal Hyperemia0 participants

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