A Phase 2 interventional study of levodopa/carbidopa and patching in Amblyopia, sponsored by Jaeb Center for Health Research. Completed at 1 site in United States. Open to participants aged 8 Years to 17 Years. Per ClinicalTrials.gov, last updated 2016-07-13.
Sponsored by Jaeb Center for Health Research · Phase 2, Interventional, and Treatment
This pilot study is being conducted as a prelude to a randomized trial to compare levodopa/carbidopa plus patching versus patching alone. The purpose of the pilot study is to demonstrate recruitment potential, to provide prospective data on the tolerability of levodopa as a treatment for amblyopia, to provide limited data on its safety, to provide limited data on it's efficiency, and to provide data to assist in selecting a dose to use in a subsequent phase 3 randomized trial. In addition, this study will provide the opportunity for investigators to gain experience in using levodopa prior to a randomized trial.
Amblyopia is the most common cause of monocular visual impairment in both children and young and middle-aged adults. Both patching and atropine are accepted treatment modalities for the management of moderate amblyopia in children. Despite best efforts with conventional amblyopia treatment, many older children and teenagers with amblyopia fail to achieve normal visual acuity in the amblyopic eye. In a previous PEDIG study (ATS3) where children 7 to 13 years old were treated with atropine and patching, only 36% of the children with moderate amblyopia and only 23% of the children with severe amblyopia achieved 20/40 or better acuity.
183 studies on the registry are indexed under Amblyopia; 43 are open to participants now.
This study's enrollment of 33 is below the median of 60 across 133 interventional studies indexed under Amblyopia.
Browse Amblyopia studies →Jaeb Center for Health Research is the lead sponsor of 126 studies on the registry; 17 are open to participants now.
Of its 16 completed or terminated interventional studies of FDA-regulated products, 14 (88%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Ocular cause for reduced visual acuity
Females who are pregnant, lactating, or intending to become pregnant within the next 16 weeks.
Oral levodopa 0.51 mg/kg tid with carbidopa 0.17 mg/kg tid (3 to 1 formulation) combined with 2 hours of daily patching, with a rapid taper of medication before a primary outcome exam 9 weeks after starting medication.
Device: patching · Drug: levodopa/carbidopa
Oral levodopa 0.76 mg/kg tid with carbidopa 0.17 mg/kg tid (approximately 4.5 to 1 formulation) combined with 2 hours of daily patching, with a rapid taper of medication before a primary outcome exam 9 weeks after starting medication.
Drug: levodopa/carbidopa · Device: patching
Oral levodopa 0.76 mg/kg tid with carbidopa 0.17 mg/kg tid (approximately 4.5 to 1 formulation)
2 hours daily patching
Also known as: Coverlet, 3M Opticlude, Ortopad®
Oral levodopa 0.51mg/kg tid with carbidopa 0.17 mg/kg tid (3 to 1 formulation)
Distribution of Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
Time frame: 9 weeks after starting levodopa
Mean Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.
Time frame: 9 weeks after starting levodopa
Distribution of Change in Amblyopic Eye Visual Acuity Scores at 9 Weeks After Starting Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Time frame: baseline to 9 weeks
Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Time frame: baseline to 9 weeks
Tolerability of Study Medication-Adverse Event Reporting
Number of adverse events reported throughout entire study.
Time frame: 24 weeks
Distribution of Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks After Enrollment
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
Time frame: 4 weeks after enrollment
Mean Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.
Time frame: 4 weeks after enrollment
Distribution of Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
Time frame: 10 weeks after stopping levodopa
Mean Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.
Time frame: 10 weeks after stopping levodopa
Distribution of Change in Amblyopic Eye Visual Acuity Scores at 4 Weeks Post Enrollment
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Time frame: enrollment to 4 weeks
Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Time frame: enrollment to 4 weeks
Distribution of Change in Amblyopic Eye Visual Acuity Scores at 10 Weeks After Stopping Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Time frame: baseline to 10 weeks after stopping levodopa
Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
Time frame: baseline to 10 weeks after stopping levodopa
Eligibility criteria included age 8 to \<18 years, best-corrected visual acuity in the amblyopic eye between 67 and 18 letters inclusive measured with E-ETDRS, fellow eye best-corrected visual acuity of 78 letters or better, and the presence or history of strabismus and/or anisometropia.
| Milestone | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Started | 16 | 17 |
| Completed | 16 | 17 |
| Not completed | 0 | 0 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
| participants | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| <20/100 (<47 letters) | 2 | 5 |
| 20/100 (47 to 52 letters) | 2 | 0 |
| 20/80 (53 to 57) | 1 | 1 |
| 20/63 (58 to 62) | 3 | 5 |
| 20/50 (63 to 67) | 4 | 3 |
| 20/40 (68-72 letters) | 3 | 2 |
| 20/32 (73 to 77 letters) | 1 | 1 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 being the best.
| letters | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Mean Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa | 59.9 ± 9.7 | 56.5 ± 12.7 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
| participants | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| >=15 letters worse | 0 | 0 |
| 10 to 14 letters worse | 0 | 0 |
| 5 to 9 letters worse | 0 | 1 |
| Within plus or minus 4 letters | 9 | 5 |
| 5 to 9 letters better | 5 | 6 |
| 10 to 14 letters better | 2 | 4 |
| >=15 letters better | 0 | 1 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
| participants | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| <20/100 (<47 letters) | 2 | 4 |
| 20/100 (47 to 52 letters) | 2 | 1 |
| 20/80 (53 to 57) | 1 | 3 |
| 20/63 (58 to 62) | 4 | 5 |
| 20/50 (63 to 67) | 4 | 3 |
| 20/40 (68-72 letters) | 3 | 1 |
| 20/32 (73 to 77 letters) | 0 | 0 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.
| letters | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Mean Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment | 59.1 ± 9.2 | 54.3 ± 12.9 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. Letter scores are presented as Snellen Equivalents for presentation (i.e. 20/20 includes those with letter scores between 83 and 87 letters, 20/25 includes those with letter scores between 78 to 82 letters, etc.).
| participants | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| <20/100 (<47 letters) | 2 | 5 |
| 20/100 (47 to 52 letters) | 0 | 1 |
| 20/80 (53 to 57) | 3 | 2 |
| 20/63 (58 to 62) | 4 | 3 |
| 20/50 (63 to 67) | 2 | 6 |
| 20/40 (68-72 letters) | 1 | 0 |
| 20/32 (73 to 77 letters) | 3 | 0 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best.
| letters | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Mean Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa | 60.6 ± 11.1 | 53.9 ± 11.4 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
| letters | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 9 Weeks After Starting Levodopa | 3.8 ± 3.5 | 6.1 ± 5.6 |
Number of adverse events reported throughout entire study.
| events | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Headache | 6 | 6 |
| Cold/Upper Respiratory Infection/Cough | 3 | 6 |
| Rash | 1 | 3 |
| Flu | 2 | 1 |
| Nausea/Vomiting | 2 | 1 |
| Fatigue/Sleepiness | 3 | 1 |
| Dizziness/light-headedness | 3 | 0 |
| Conjunctivitis | 0 | 2 |
| Muscle pain | 0 | 2 |
| Stomach ache | 0 | 2 |
| Ear ache | 1 | 0 |
| Fever | 1 | 0 |
| Loss of appetite | 2 | 0 |
| Nightmare | 1 | 0 |
| Knee injury | 1 | 0 |
| Sinus infection | 1 | 0 |
| Weight loss | 1 | 0 |
| Constipation | 1 | 0 |
| Finger injury | 0 | 1 |
| Pulled muscle | 0 | 1 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
| participants | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| >=15 letters worse | 0 | 0 |
| 10 to 14 letters worse | 0 | 0 |
| 5 to 9 letters worse | 0 | 0 |
| Within plus or minus 4 letters | 11 | 9 |
| 5 to 9 letters better | 5 | 7 |
| 10 to 14 letters better | 0 | 1 |
| >=15 letters better | 0 | 0 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
| letters | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 4 Weeks Post Enrollment | 2.9 ± 2.8 | 3.8 ± 3.6 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
| participants | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| >=15 letters worse | 0 | 0 |
| 10 to 14 letters worse | 0 | 0 |
| 5 to 9 letters worse | 0 | 1 |
| Within plus or minus 4 letters | 7 | 8 |
| 5 to 9 letters better | 6 | 7 |
| 10 to 14 letters better | 2 | 1 |
| >=15 letters better | 0 | 0 |
Visual acuity was measured with the electronic early treatment diabetic retinopathy study (E-ETDRS) method and resulted in a letter score that could range from 0 to 97 letters, with 0 being the worst and 97 the best. A difference was calculated as the difference in letters between baseline and outcome with positive difference indicating improvement in acuity.
| letters | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| Mean Change in Amblyopic Eye Visual Acuity Letter Scores at 10 Weeks After Stopping Levodopa | 4.9 ± 3.7 | 3.5 ± 4.7 |
Collected over Up to 6 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lower Dose 0.51 mg Levodopa/Carbidopa | — | 0/16 (0%) | 8/16 (50%) |
| Higher Dose 0.76 mg Levodopa/Carbidopa | — | 0/17 (0%) | 11/17 (64.7%) |
| Event | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa |
|---|---|---|
| HeadacheGeneral disorders | 3/16 | 3/17 |
| Cold/Upper Respiratory Infection/CoughRespiratory, thoracic and mediastinal disorders | 3/16 | 3/17 |
| RashSkin and subcutaneous tissue disorders | 1/16 | 3/17 |
| FluGeneral disorders | 2/16 | 1/17 |
| Nausea/VomitingGastrointestinal disorders | 2/16 | 1/17 |
| Fatique/SleepinessGeneral disorders | 2/16 | 1/17 |
| Stomache AcheGastrointestinal disorders | 0/16 | 2/17 |
| Dizziness/Light-headednessGeneral disorders | 1/16 | 0/17 |
| Ear AcheEar and labyrinth disorders | 1/16 | 0/17 |
| FeverGeneral disorders | 1/16 | 0/17 |
| Age, Continuous(years) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| Mean | 11.3 ± 2.2 | 11.0 ± 2.2 | 11.1 ± 2.2 |
| Age, Customized(participants) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| 8 to <9 | 3 | 3 | 6 |
| 9 to <10 | 2 | 3 | 5 |
| 10 to <11 | 3 | 4 | 7 |
| 11 to <12 | 3 | 1 | 4 |
| 12 to <13 | 0 | 3 | 3 |
| 13 to <14 | 3 | 1 | 4 |
| 14 to <15 | 2 | 0 | 2 |
| 15 to <16 | 0 | 2 | 2 |
| 16 to <17 | 0 | 0 | 0 |
| 17 to <18 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| Female | 10 | 9 | 19 |
| Male | 6 | 8 | 14 |
| Region of Enrollment(participants) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| United States | 16 | 17 | 33 |
| Cause of Amblyopia(participants) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| Strabismus | 2 | 5 | 7 |
| Anisometropia | 6 | 5 | 11 |
| Strabismus and anisometropia | 8 | 7 | 15 |
| Distance Visual Acuity in Amblyopic Eye(participants) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| 20/400 (18 to 22 letters) | 0 | 1 | 1 |
| 20/320 (23 to 27 letters) | 0 | 0 | 0 |
| 20/250 (28 to 32 letters) | 0 | 1 | 1 |
| 20/200 (33 to 37 letters) | 1 | 1 | 2 |
| 20/160 (38 to 42 letters) | 1 | 1 | 2 |
| 20/125 (43 to 47 letters) | 0 | 1 | 1 |
| 20/100 (48 to 52 letters) | 2 | 0 | 2 |
| 20/80 (53 to 57 letters) | 4 | 6 | 10 |
| 20/63 (58 to 62 letters) | 4 | 5 | 9 |
| 20/50 (63 to 67 letters) | 4 | 1 | 5 |
| Distance Visual Acuity in Fellow Eye(participants) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| 20/25 (78 to 82 letters) | 4 | 4 | 8 |
| 20/20 (83 to 87 letters) | 6 | 8 | 14 |
| 20/16 (88 to 92 letters) | 5 | 5 | 10 |
| 20/12 (93 to 97 letters) | 1 | 0 | 1 |
| Race/Ethnicity(participants) | Lower Dose 0.51 mg Levodopa/Carbidopa | Higher Dose 0.76 mg Levodopa/Carbidopa | Total |
|---|---|---|---|
| White | 14 | 17 | 31 |
| African-American | 1 | 0 | 1 |
| Hispanic or Latino | 1 | 0 | 1 |
| Asian | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown/Not reported | 0 | 0 | 0 |
8 further baseline measures are reported on the registry.
This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.
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Jaeb Center for Health Research