NCT06093516

Brief Summary

The goal of this double-masked randomised controlled trial (RCT) is to assess the symptoms of visual stress (VS), reading speed and changes in behaviour / academic performance, when wearing optimal Precision Tinted Lenses compared to sub-optimal Precision Tinted Lenses (PTLs). In participants ages 9-18 years. Participants, parents and researchers will be masked until the end of the trial. Participants will be randomised into two groups A and B. 50% of participants will receive the optimal PTL where the other 50% will receive the sub-optimal PTL. Participants will be asked to wear the PTLs for one month. Followed by one month of no wear. After which, participants will receive the second pair of PTLs to wear for one month. Participants will need to fill out a symptom dairy everyday from the day of recruitment until the end of the trial. A symptom questionnaire will need to be filled out as baseline at recruitment and the end of each month of wear. An academic behaviour survey will also need to be filled out at baseline by parents and teachers at recruitment and the end of each month of wear. At the end of the three months unmasking will occur and participants will be given the PTL that demonstrate the greatest reduction in VS.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 17, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 23, 2023

Completed
7 days until next milestone

Study Start

First participant enrolled

October 30, 2023

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2024

Completed
Last Updated

October 23, 2023

Status Verified

September 1, 2023

Enrollment Period

10 months

First QC Date

October 17, 2023

Last Update Submit

October 19, 2023

Conditions

Keywords

Visual stressIntuitive systemIntuitive colorimeterColorimetryPrecision Tinted LensesWilkins Rate of Reading test

Outcome Measures

Primary Outcomes (2)

  • Comparing symptom scores with symptom diaries reported under the two different treatment conditions

    Participants will be requiured to fill out a daily diary from day of recruitment to the end of the trial.

    3 months

  • Comparing symptom scores with questionnaires reported under the two different treatment conditions.

    Participants will be required to fill out symptom questionnaires at baseline and at the end of each month wear.

    3 months

Secondary Outcomes (2)

  • Identify the change in reading speed for participants (if any) when wearing PTLs, by analysing the results of the Wilkins Rate of Reading test (WRRT).

    3 months

  • Identify the academic/behavioural change (if any) in participants when wearing PTLs, by analysing a survey completed by parents/guardians and teachers.

    3 months

Study Arms (2)

Optimal Precision Tinted Lenses (PTL)

EXPERIMENTAL

1. The participant is asked to describe any perceptual distortion and discomfort of the text in the colorimeter. 2. At each of the 12 hues in turn the saturation of colour is increased from white to modest saturation (30) and after 5s returned to white. The participant is asked to compare the coloured text with the white and report any differences in the distortion/discomfort. 3. At the best of the 12 hues, the participant adjusts the saturation to optimise the clarity and comfort of the text (comfort is more important than clarity). 4. At this saturation, the hue is adjusted by small amounts and re-optimised. The saturation is then minimised. 5. At the re-optimised hue/saturation, the brightness is reduced to assess its effects on comfort. If the lower brightness is preferred the saturation is increased slightly to see if the high brightness is better tolerated.

Device: Tinted Lenses

Sub-Optimal Precision Tinted Lenses (PTL)

EXPERIMENTAL

The sub-optimal colour will be chosen as a colour of similar saturation to the optimal colour but differing in u'v' colour space by 0.07. Two colours of equal radial distance from the optimal colour will be considered. The colour that shares the name of the optimal colour or appears most similar will be chosen. After colorimetry, participants will choose a spectacle frame. Two pairs of PTLs will be made up by the manufacturing opticians, one to the optimal colour and the other to a slightly sub-optimal colour.

Device: Tinted Lenses

Interventions

Tinted coloured lenses with UV protection within spectacle frames with the intension to help reduce the symptoms of Visual stress.

Optimal Precision Tinted Lenses (PTL)Sub-Optimal Precision Tinted Lenses (PTL)

Eligibility Criteria

Age9 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Age 9-18y.
  • Meet diagnostic indicators for visual stress (see below)
  • Consent (parent and participant to attend for optometric testing and participate in research.
  • Do not anticipate moving from the area in the next 3 months
  • Diagnostic indicators for visual stress
  • At least three of the following six typical symptoms:
  • Words Move
  • Words Merge
  • Patterns or shadows in text (e.g., "rivers")
  • Text seems to stand out in 3-D above the page
  • Words or letters fade or darken
  • Discomfort with certain artificial lights and flicker
  • And "At least two of the following three signs from investigations:
  • Voluntary unprompted use of an overlay for 3 months or more
  • Overlay improves performance at the WWRT BY ≥15%
  • +1 more criteria

You may not qualify if:

  • History of wearing precision tinted lenses.
  • Ocular pathology, systemic pathology that is likely to worsen in the timescale of the study or cause transient blur (e.g., diabetes) or photosensitive epilepsy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Anglis Ruskin University

Cambridge, RM2 6DH, United Kingdom

RECRUITING

Central Study Contacts

Zahra Ramsahye

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Model Details: The ARUTIS study is a double-masked randomised controlled trial (RCT) having a double-masked crossover (AB/BA) design
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 17, 2023

First Posted

October 23, 2023

Study Start

October 30, 2023

Primary Completion

September 1, 2024

Study Completion

September 1, 2024

Last Updated

October 23, 2023

Record last verified: 2023-09

Data Sharing

IPD Sharing
Will share

The study will conform to the tenets of the Declaration of Helsinki and will be registered in a clinical trials registry. When the analysis is complete, anonymised data will be stored in a publicly accessible data repository. Full informed consent will be obtained from participants and parents/guardians. Ethical approval was granted from the Anglia Ruskin University Faculty Research Ethics Panel (FREP).

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
Data will be available after the trial has been completed. Which will be in approximately 12 months. Data will be available for as long as necessary.

Locations