NCT07425717

Brief Summary

The goal of this clinical trial is to learn if transcranial magnetic stimulation (TMS) works to restore vision in adults with severe retinal degeneration. It will also learn about the safety of TMS treatment. The main questions it aims to answer are:

  1. 1.Does TMS treatment improve the visual function of participants?
  2. 2.What medical problems do participants have when receiving TMS treatment? Researchers will compare TMS treatment to a sham stimulation (identical procedures using a sham coil without effective magnetic field output) to see if TMS treatment works to restore their vision.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
136

participants targeted

Target at P50-P75 for not_applicable

Timeline
37mo left

Started Jun 2026

Typical duration for not_applicable

Geographic Reach
1 country

4 active sites

Status
not yet recruiting

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

Study Progress1%
Jun 2026May 2029

First Submitted

Initial submission to the registry

February 12, 2026

Completed
11 days until next milestone

First Posted

Study publicly available on registry

February 23, 2026

Completed
3 months until next milestone

Study Start

First participant enrolled

June 1, 2026

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2029

Last Updated

February 23, 2026

Status Verified

February 1, 2026

Enrollment Period

2 years

First QC Date

February 12, 2026

Last Update Submit

February 20, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Best-corrected visual acuity (BCVA) change

    the change of best-corrected visual acuity (BCVA, measured by internationally standard EDTRS chart) between 3 months after the end of treatment and baseline

    Baseline and 3 months

Secondary Outcomes (1)

  • Best-corrected visual acuity (BCVA) change

    Baseline and 12 months

Other Outcomes (7)

  • Visual field progression

    Baseline and 3 months

  • Contrast sensitivity function change

    baseline and 3 months

  • Retinal structural alteration by fundus optical coherence tomography

    Baseline and 3 months

  • +4 more other outcomes

Study Arms (2)

TMS

EXPERIMENTAL

The TMS group will receive theta burst stimulation targeting bilateral occipital visual cortex, with five consecutive daily sessions.

Procedure: Transcranial magnetic stimulation targeting occipital visual cortex

Control

SHAM COMPARATOR

The control group will undergo identical procedures using a sham coil without effective magnetic field output.

Procedure: Sham stimulation

Interventions

Transcranial magnetic stimulation targeting occipital visual cortex

TMS

identical procedure using a sham coil without effective magnetic field output

Control

Eligibility Criteria

Age45 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • between 45 and 70 years old
  • bilateral severe MMD (META-PM grades ≥ 3)
  • no prior TMS history or contraindications to TMS

You may not qualify if:

  • other significant ocular diseases, such as refractive media opacity, glaucoma, uveitis, ocular trauma, untreated retinal detachment, or lens dislocation
  • received anti-vascular endothelial growth factor treatment or other ocular surgeries within 3 months
  • history of epilepsy or family history of epilepsy, intracranial metal implants, or severe cerebrovascular diseases
  • mental illness, cognitive impairment (MMSE score \< 24), unable to communicate effectively
  • severe heart disease, liver or kidney dysfunction, or coagulation disorders
  • pregnant or lactating women
  • currently participating in other clinical trials.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Hong Kong Polytechnic University

Hong Kong, China

Location

Eye and Ear, Nose, Throat Hospital of Fudan University

Shanghai, 200031, China

Location

Huadong Hospital of Fudan University

Shanghai, China

Location

Shanghai Ninth People's Hospital

Shanghai, China

Location

MeSH Terms

Conditions

Retinal DegenerationVision DisordersBlindness

Condition Hierarchy (Ancestors)

Eye Diseases, HereditaryEye DiseasesRetinal DiseasesSensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Xiangjia Zhu, PhD, MD

    Eye and Ear, Nose, Throat Hospital of Fudan University

    PRINCIPAL INVESTIGATOR
  • Mingguang He

    The Hong Kong Polytechnic University

    PRINCIPAL INVESTIGATOR
  • Rong Wu

    Huadong Hospital of Fudan University

    PRINCIPAL INVESTIGATOR
  • Bo Ma

    Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Xiangjia Zhu, PhD, MD

CONTACT

Jiaqi Meng, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD, MD

Study Record Dates

First Submitted

February 12, 2026

First Posted

February 23, 2026

Study Start

June 1, 2026

Primary Completion (Estimated)

May 31, 2028

Study Completion (Estimated)

May 31, 2029

Last Updated

February 23, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

De-identified raw study data eligible for secondary analysis will be made available, including baseline characteristics, outcome measures, adverse events (AEs) and group allocation information.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
Beginning 1 year after publication and ending 3 years after the publication of results
Access Criteria
Investigators who need to use the data for secondary analysis must provide a proposal that describes planned analyses and sign data sharing agreement after the principal investigators approve the proposals.

Locations