ClinicalTrials.gg
Status unknownNCT01616108Updated Sep 23, 2019

Bupivacaine Injection of Eye Muscles to Treat Strabismus

A Phase 2/3 interventional study of Bupivacaine in Strabismus, Esotropia and Exotropia, sponsored by Smith-Kettlewell Eye Research Institute. Status unknown at 1 site in United States. Open to participants aged 8 Years to 95 Years. Per ClinicalTrials.gov, last updated 2019-09-23.

Sponsored by Smith-Kettlewell Eye Research Institute · Phase 2/3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
120
Allocation
Not applicable
Ages
8 Years to 95 Years
Sex
All
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Study summary

This study seeks to determine if bupivacaine injection of eye muscles can make them stronger and stiffer, and thereby correct the position of eyes that are turned in or mis-aligned, a condition generally termed strabismus. It seeks further to find out the different effects of various concentrations or formulations of bupivacaine, and whether addition of Botox to other eye muscles can add to the effect of bupivacaine and enhance the correction of strabismus.

Read the detailed description

Patients eligible for inclusion in the study will be age 8 to 95 years and have an eye deviation (strabismus) that is potentially subject to surgical correction.

The eye alignment will be measured. The eye muscles may be measured by MRI. The eye will be anesthetized by eye drops. One or more eye muscles will be injected with bupivacaine. Botox® will be injected into the antagonist muscle in some cases to increase the effect of the bupivacaine.

Data on the strabismus deviation, any side effects of the drug injection, and the eye muscles as measured by MRI, will be recorded at intervals after injection. These data will be compared with the like measurements taken before injection.

The primary outcome will be the eye alignment change at 180 days. A secondary outcome will be the change in muscle size, strength, or stiffness.

For large strabismus deviations not fully corrected by a first injection, a second injection can be made. Follow-up alignment and muscle measurements will be as for the initial injection.

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Conditions studied

  • Strabismus
  • Esotropia
  • Exotropia
  • Graves Disease
  • Ptosis, Eyelid

Keywords

  • strabismus
  • diplopia
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In context

Strabismus

142 studies on the registry are indexed under Strabismus; 31 are open to participants now.

This study's planned enrollment of 120 is above the median of 60 across 82 interventional studies indexed under Strabismus.

Browse Strabismus studies →

Lead sponsor

Smith-Kettlewell Eye Research Institute is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
8 Years to 95 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Clinical pattern of strabismus of 5 prism diopters or more

Exclusion criteria

Exclusion Criteria:

  • Active eye infection
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Bupivacaine Injection

    Differences in concentration from 0.75% to 3.0% are compared. Differences in volume for 1.0 mL to 3.0 mL are compared. Differences in compounding with addition of epinephrine will be used and compared to plain bupivacaine.

    Drug: Bupivacaine

Interventions

  • Differences in concentration from 0.75% to 3.0% are compared. Differences in volume for 1.0 mL to 3.0 mL are compared. Differences in compounding with addition of epinephrine will be used and compared to plain bupivacaine.

    Also known as: Marcaine

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What researchers measure

Primary outcomes

  1. Eye alignment

    Alignment of the two eyes as measured by prism cover test or other applicable test

    Time frame: 6 months after injection

Secondary outcomes

  1. Percentage correction of the pre-treatment eye deviation

    Time frame: 6 months after injection treatment

07

Study locations

1 of 1 sites recruiting
  • Strabismus Research Foundation
    San Francisco, California 94109, United States
    Recruiting
    • ALAN B SCOTT, MD · Contactabs@srfsf.org · 415-509-2122
    • ALAN B SCOTT, MD · Principal investigator
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References and documents

Publications

  • Miller JM, Scott AB, Danh KK, Strasser D, Sane M. Bupivacaine injection remodels extraocular muscles and corrects comitant strabismus. Ophthalmology. 2013 Dec;120(12):2733-2740. doi: 10.1016/j.ophtha.2013.06.003. Epub 2013 Aug 2. PubMed 23916485 ↗
  • Scott AB, Miller JM, Shieh KR. Bupivacaine injection of the lateral rectus muscle to treat esotropia. J AAPOS. 2009 Apr;13(2):119-22. doi: 10.1016/j.jaapos.2008.10.016. PubMed 19393509 ↗
  • Scott AB, Alexander DE, Miller JM. Bupivacaine injection of eye muscles to treat strabismus. Br J Ophthalmol. 2007 Feb;91(2):146-8. doi: 10.1136/bjo.2006.110619. Epub 2006 Nov 29. PubMed 17135337 ↗
  • Debert I, Miller JM, Danh KK, Scott AB. Pharmacologic injection treatment of comitant strabismus. J AAPOS. 2016 Apr;20(2):106-111.e2. doi: 10.1016/j.jaapos.2015.11.011. PubMed 27079589 ↗
  • Scott AB, Miller JM, Shieh KR. Treating strabismus by injecting the agonist muscle with bupivacaine and the antagonist with botulinum toxin. Trans Am Ophthalmol Soc. 2009 Dec;107:104-9. PubMed 20126486 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01616108
Lead sponsor
Smith-Kettlewell Eye Research Institute
Collaborators
Eidactics, Sutter Health, Strabismus Research Foundation
Responsible party
Alan B. Scott (Senior Scientist, Smith-Kettlewell Eye Research Institute) — Principal investigator
First posted
Jun 11, 2012
Start date
Apr 2012
Primary completion
Sep 2019 (estimated)
Completion
Sep 2020 (estimated)
Last update
Sep 23, 2019

Study contacts

Alan B Scott, MD
Contact
abs@srfsf.org
415 923 3120
Joel M Miller, PhD
Contact
jmm@eidactics.com
415 672 0473
Alan B Scott, MD
principal investigator · Strabismus Research Foundation
Joel M Miller, PhD
principal investigator · Strabismus Research Foundation

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Bupivacaine

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