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TerminatedNCT02466659CIAOUpdated Nov 30, 2017Results posted

Controlled Intermittent Alternate Occlusion (CIAO) Therapy for Intermittent Exotropia

An interventional study of CIAO therapy Amblyz glasses in Intermittent Exotropia, sponsored by Indiana University School of Medicine. Terminated at 1 site in United States. Open to participants aged 3 Years to 11 Years. Per ClinicalTrials.gov, last updated 2017-11-30.

Sponsored by Indiana University School of Medicine · Not applicable, Interventional, and Treatment

Why this study was terminated
no fund
Phase
Not applicable
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
3 Years to 11 Years
Sex
All
01

Study summary

To determine the effectiveness of alternate occlusion therapy for the treatment of IXT among patients aged 3 to \< 11 years old.

Read the detailed description

Intermittent exotropia (IXT) is the most common form of childhood-onset exotropia with an incidence of 32.1 per 100,000 in children. Before surgery, many cases of IXT are treated using non-surgical interventions, such as part-time alternate occlusion. However, the "alternating" occlusion with traditional patches is usually out of control. The investigators are uncertain about the amount of "alternating" in patching treatment.

Here, the investigators introduce controlled intermittent alternating occlusion (CIAO) therapy, which is provided by a new electronic device, -liquid crystal glasses. This study is to determine the effectiveness of alternate occlusion therapy for the treatment of IXT among patients aged 3 to \< 11 years old. Children with IXT will be randomized into either an observation group or a CIAO therapy group.

02

Conditions studied

  • Intermittent Exotropia

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Keywords

  • IXT
03

In context

Exotropia

58 studies on the registry are indexed under Exotropia; 13 are open to participants now.

This study's enrollment of 8 is below the median of 50 across 49 interventional studies indexed under Exotropia.

Browse Exotropia studies →

Lead sponsor

Indiana University School of Medicine is the lead sponsor of 89 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 11 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

  • Intermittent exotropia (manifest deviation) meeting all of the following criteria:

    • Intermittent exotropia at distance OR constant exotropia at distance and either intermittent exotropia or exophoria at near
    • Exodeviation at least 15PD at distance OR near measured by prism and alternate cover test (PACT)
    • Exodeviation at least 10PD at distance measured by PACT
  • No previous surgical or non-surgical treatment for IXT (other than refractive correction)
  • Visual acuity in the worse eye 0.3 logMAR or better (20/40 on ATS HOTV or 70 letters on E-ETDRS) for children ≥ 3 years of age
  • No interocular difference of visual acuity more than 0.2 logMAR (2 lines on ATS HOTV or 10 letters on E-ETDRS) for children ≥ 7 years of age
  • Investigator not planning to initiate amblyopia treatment
  • No hyperopia greater than +3.50 D spherical equivalent in either eye
  • No myopia greater than -6.00 D spherical equivalent in either eye
  • No prior strabismus, intraocular, or refractive surgery
  • No abnormality of the cornea, lens, or central retina
  • Investigator willing to observe the IXT untreated for 3 years unless specific criteria for deterioration are met.

Exclusion criteria

Exclusion Criteria:

  • N/A
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    CIAO Therapy

    Intervention with wearing 3-hour daily CIAO therapy glasses

    Device: CIAO therapy Amblyz glasses

  • No intervention
    Observation

    To observe as one kind of standard care for IXT.

Interventions

  • DeviceCIAO therapy Amblyz glasses

    3-hour CIAO Therapy Amblyz glasses

06

What researchers measure

Primary outcomes

  1. Change in Composite Measure of IXT Control Score

    IXT control score: referring to the Pediatric eye disease investigator group (PEDIG). PEDIG scale of control for IXT 1-5 is defined as the following: 5 = Constant exotropia 4 = exotropia \> 50% of the 30-sec period before dissociation 3 = exotropia \< 50% of the 30-sec period before dissociation 2 = No exotropia unless dissociated, recovers in \> 5 sec 1 = No exotropia unless dissociated, recovers in 1-5 sec 0 = No exotropia unless dissociated, recovers in \< 1 sec (phoria) Not Applicable = No exotropia present

    Time frame: 12 weeks; 24 weeks

Other outcomes

  1. Amblyopia

    It is defined when visual acuity between two eyes equal or over 2 logMAR lines.

    Time frame: 3 Months

07

Results

Posted Nov 30, 2017

Participant flow

Participant flow — Overall Study
MilestoneCIAO TherapyObservation
Started53
Completed01
Not completed52
Withdrew: Lost to follow-up52

Outcome measures

PrimaryChange in Composite Measure of IXT Control Score

IXT control score: referring to the Pediatric eye disease investigator group (PEDIG). PEDIG scale of control for IXT 1-5 is defined as the following: 5 = Constant exotropia 4 = exotropia \> 50% of the 30-sec period before dissociation 3 = exotropia \< 50% of the 30-sec period before dissociation 2 = No exotropia unless dissociated, recovers in \> 5 sec 1 = No exotropia unless dissociated, recovers in 1-5 sec 0 = No exotropia unless dissociated, recovers in \< 1 sec (phoria) Not Applicable = No exotropia present

Time frame:
12 weeks; 24 weeks
Reported as:
Mean · units on a scale
Change in Composite Measure of IXT Control Score
units on a scaleCIAO TherapyObservation
Change in Composite Measure of IXT Control Score—5
Other pre-specifiedAmblyopia

It is defined when visual acuity between two eyes equal or over 2 logMAR lines.

Time frame:
3 Months
Reported as:
Count of participants · Participants
Amblyopia
ParticipantsCIAO TherapyObservation
Amblyopia00

Adverse events

Collected over 3MO. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CIAO Therapy0/5 (0%)0/5 (0%)0/5 (0%)
Observation0/3 (0%)0/3 (0%)0/3 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(Year)CIAO TherapyObservationTotal
Mean5.7 ± 1.946.24 ± 4.175.91 ± 2.68
Sex: Female, Male
Sex: Female, Male(Participants)CIAO TherapyObservationTotal
Female325
Male213
Race (NIH/OMB)
Race (NIH/OMB)(Participants)CIAO TherapyObservationTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White538
More than one race000
Unknown or Not Reported000
IXT Control Score at distance
IXT Control Score at distance(units on a scale)CIAO TherapyObservationTotal
Mean4 ± .712.67 ± .573.5 ± .92
08

Study locations

1 site
  • Glick Eye Institute, Indiana University School of Medicine
    Indianapolis, Indiana 46202, United States
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2015 to primary completion in Dec 2016, 22 months.

Results were first posted in Nov 2017, 11 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 14, 2015
First posted
Jun 9, 2015
StartActual
Feb 1, 2015
Primary completionActual
Dec 1, 2016
CompletionActual
Dec 1, 2016
Results first posted
Nov 30, 2017
Last update
Nov 30, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 30, 2017, 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
NCT02466659
Lead sponsor
Indiana University School of Medicine
Responsible party
Daniel E. Neely (Professor of Ophthalmology, Indiana University) — Principal investigator
First posted
Jun 9, 2015
Start date
Feb 1, 2015
Primary completion
Dec 1, 2016
Completion
Dec 1, 2016
Results posted
Nov 30, 2017
Last update
Nov 30, 2017

Study contacts

Daniel E Neely, MD
principal investigator · Glick Eye Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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