Eye drops face off to halt Kids' worsening nearsightedness
NCT ID NCT05667454
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Researchers compare two strengths of atropine eye drops, 0.05% and 0.5%, in Dutch children aged 6 to 11 with progressive nearsightedness. About 550 children use the drops for three years, then researchers follow them for two more years. The goal is to see which strength better slows the eye's growth, measured by axial length and glasses prescription, and to track side effects and adherence.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- atropine eye drops
- What this could lead to
- If one strength works better, doctors could have a clearer choice for slowing myopia in children and reducing the risk of severe nearsightedness later in life.
- What could go wrong
- Atropine eye drops can cause light sensitivity and blurry near vision, and children may still need glasses. Slowing eye growth in childhood does not guarantee a lifetime without vision problems.
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
-
About 550 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Dec 2022
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- 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
-
6 to 11 years
- Sex
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Anyone
- Healthy volunteers
-
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: * Children aged 6 to ≤ 11 years with bilateral myopia * Onset of myopia ≥ 4 years of age * History of progression * SER of at least -1.00D and no greater than -6.00D in each eye measured using cycloplegic auto refraction * Intraocular pressure \< 21 mm Hg in each eye * Distance vision correctable to at least 0.1 Log MAR (logarithm of the minimum angle of resolution) in each eye Exclusion Criteria: * Allergy to atropine or other excipients of the eye drops * History of amblyopia or strabismus * History of retinal dystrophy or systemic disorder * Abnormal ocular biometry aside from axial length * History of glaucoma * Chronic use of topical or systemic antimuscarinic/anticholinergic medications in the 21 days prior to screening, and/or anticipated need for chronic use over the duration of the study (i.e., more than 7 consecutive days in 1 month or more than a total of 30 days in 1 year). * Chronic use (more than 3 days a week) of topical ophthalmological medication (prescribed or over the counter) other than the assigned study medication. The use of artificial tears is allowed but not in the 1 hour before or after the administration of the study medication. * The anticipated need to use chronic ophthalmic or systemic oral corticosteroids during the study. (i.e., \< 2 weeks) * Prior myopia treatments. * Employees of the study center and their family members.
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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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Admiraal de Ruyter Ziekenhuis
Goes, Netherlands
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Albert Schweitzer ziekenhuis
Dordrecht, Netherlands
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Bergman Clinics - Ede
Ede, Netherlands
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Bergman Clinics - Lelystad
Lelystad, Netherlands
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Deventer Ziekenhuis
Deventer, Netherlands
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Elisabeth-TweeSteden Ziekenhuis
Tilburg, Netherlands
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Erasmus Medical Center
Rotterdam, Netherlands
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Flevoziekenhuis
Almere Stad, Netherlands
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Frisius MC
Heerenveen, Netherlands
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Haga Ziekenhuis
The Hague, Netherlands
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Leiden University Medical Center
Leiden, Netherlands
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Maastricht UMC+
Maastricht, Netherlands
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OLVG, locatie Oost
Amsterdam, Netherlands
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Oogcentrum Noordholland
Heerhugowaard, Netherlands
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Oogkliniek Den Haag
The Hague, Netherlands
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Ophthalmologistenpraktijk Delfland
Delft, Netherlands
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Radboudumc
Nijmegen, Netherlands
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Reinier de Graaf Gasthuis
Delft, Netherlands
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St. Antonius
Nieuwegein, Netherlands
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Ziekenhuis Rivierenland Tiel
Tiel, Netherlands
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