Daily eyedrops may curb worsening nearsightedness in kids
NCT ID NCT03334253
First seen Jul 09, 2026 · Last updated Jul 31, 2026 · Updated 2 times
Summary
This study tests whether daily low-dose atropine eyedrops (0.01%) can slow the progression of myopia (nearsightedness) in children aged 5 to 12. Participants receive either atropine or placebo drops for two years, followed by six months off treatment to see if any benefit lasts. The goal is to find a safe, easy way to reduce how quickly children's eyesight worsens.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Atropine (0.01% eyedrops)
- What this could lead to
- If effective, this could provide a simple, daily eyedrop treatment to slow worsening nearsightedness in children, potentially reducing the need for stronger glasses or future eye problems.
- What could go wrong
- This is a Phase 3 trial, but results may show only a modest effect or no benefit over placebo. Side effects from atropine, such as light sensitivity or blurry near vision, are possible. The treatment requires daily adherence for years.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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200 people
The number who actually took part.
- Started
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Jun 2018
- Finished
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Sep 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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5 to 12 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 5 years to \<13 years at time of enrollment. Children within 4 weeks of their 13th birthday are not eligible. * Refractive error meeting the following by cycloplegic autorefraction: * Myopia -1.00D to -6.00D spherical equivalent (SE) in both eyes * Astigmatism \<=1.50D in both eyes * Anisometropia \<1.00D SE * Gestational age ≥ 32 weeks. * Birth weight \>1500g. * Parent understands the protocol and is willing to accept randomization to atropine or placebo. * Is willing to participate in a 2 to 4 week run-in phase using daily artificial tear eyedrops. * Able to return in 2 to 4 weeks for possible randomization. * Parent has a phone (or access to phone) and is willing to be contacted by Investigator's site staff. * Relocation outside of the area of an active PEDIG site within next 32 months is not anticipated. Exclusion Criteria: * Current or previous myopia treatment with atropine, pirenzepine or other anti-muscarinic agent. * Current or previous use of bifocals, progressive-addition lenses, or multi-focal contact lenses. * Current or previous use of orthoK, rigid gas permeable, or other contact lenses being used to reduce myopia progression. * Known atropine allergy. * Abnormality of the cornea, lens, central retina, iris or ciliary body. * Current or prior history of manifest strabismus, amblyopia, or nystagmus. * Prior eyelid, strabismus, intraocular, or refractive surgery. * Down syndrome or cerebral palsy. * Females who are pregnant, lactating, or intending to become pregnant within the next 30 months. * A negative urine pregnancy test will be required for all females who have experienced menarche.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Boston Children's Hospital Waltham
Boston, Massachusetts, 02453, United States
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Casey Eye Institute
Portland, Oregon, 97239, United States
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Dean A. McGee Eye Institute, University of Oklahoma
Oklahoma City, Oklahoma, 73104, United States
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Eye Care Associates, Inc.
Poland, Ohio, 44514, United States
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Illinois College of Optometry
Chicago, Illinois, 60616, United States
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Pediatric Ophthalmology Associates, Inc.
Columbus, Ohio, 43205, United States
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Rocky Mountain Eye Care Associates
Salt Lake City, Utah, 84107, United States
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St Luke's Hospital
Boise, Idaho, 83702, United States
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The Emory Eye Center Dept of Ophthalmology
Atlanta, Georgia, 30322, United States
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Ticho Eye Associates
Chicago Ridge, Illinois, 60415, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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University of Houston College of Optometry
Houston, Texas, 77204, United States
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Vanderbilt University Medical Center - Vanderbilt Eye Institute
Nashville, Tennessee, 37232, United States
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