ClinicalTrials.gg
TerminatedNCT03286426ICPUpdated Feb 15, 2022Results posted

Ocular Screening in Children and Young Adults at Risk for Increased Intracranial Pressure

An interventional study of Pictor in Intracranial Pressure Increase, sponsored by Duke University. Terminated at 1 site in United States. Open to participants aged Up to 21 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-02-15.

Sponsored by Duke University · Not applicable, Interventional, and Screening

Why this study was terminated
COVID

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
Up to 21 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 29 studies in Intracranial Hypertension with a site in United States — 3 open to participants now, 3 under way, none of them phase 3. Intracranial Hypertension · United States.

Enrollment
12th of 15
3 · median 16
Started
2017
with 3 others
No phase
12 of 29
2 open now
Registered
18th of 29
by date
Lead sponsor
3 of 29
Duke University

Among the 29 studies in Intracranial Hypertension with a site in United States, this one is the 12th largest by enrollment of the 15 interventional ones that give a count, is one of 4 that started in 2017, is one of 12 with no phase, and was the 18th registered.

Intracranial Hypertension

165 studies on the registry are indexed under Intracranial Hypertension; 36 are open to participants now.

Browse Intracranial Hypertension studies →

Open to participants now

3 of the 29 studies in Intracranial Hypertension with a site in United States are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 23 Intracranial Hypertension studies recruiting now, 11 (48%) set no upper age limit and 5 (22%) stop at 75 or younger; 3 take children under 18; 5 take healthy volunteers.

This study: Up to 21 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 29 studies in Intracranial Hypertension with a site in United States, or all of them as a file.
02

Study summary

The purpose of this study is to evaluate the vision and posterior segment of eyes in children and young adults less than 22 years of age with risk, suspicion, or past medical history significant for elevated intracranial pressure (ICP). Patients will have visual acuity and color vision tested. Assessment of the posterior segment will involve using a non-invasive (non-contact) imaging technique (i.e. a portable fundus camera in clinic and hospital settings).

Read the detailed description

The need for non-invasive evaluation of ICP is an active area of study. The current gold standard is intraventricular or intraparenchymal catheters but these are invasive, expensive, and require sedation; and thus the need for an effective non-invasive screening tool. The utility of funduscopy in identifying processes affecting ICP has long been recognized, i.e. papilledema, ocular venous engorgement, blurring of the optic disk. Studies have demonstrated that funduscopy may have a role in the qualitative assessment of increased ICP as a highly sensitive test. However, conventional bedside funduscopy does not allow for image capture and may necessitate pupillary dilation. Portable fundus cameras address these issues, allowing image capture and storage and the potential for non-mydriatic imaging, i.e. imaging without dilation of eyes. And as demonstrated in a recent study, portable fundus cameras are efficient (median exam time was 3 minutes and 24 seconds in a pediatric Emergency Department).

Additionally, ICP screening in asymptomatic patients remains limited. Patients being treated with medications for acne, specifically tetracyclines (e.g. minocycline and doxycycline), retinol, and isotretinol, are at particular risk for increased ICP but often are not identified until they are symptomatic (i.e. headaches, visual loss, papilledema). Symptom onset has been documented from 2 weeks up to 1 year from drug initiation. The percentage of patients with subclinical asymptomatic disease is unclear. This study would allow us to describe the presence of subclinical disease in our population and the role/utility of routine non-invasive screening methods.

03

Conditions studied

  • Intracranial Pressure Increase

Keywords

  • vision screening
  • portable fundus camera
  • acne medication
04

Who can participate

Ages eligible
Up to 21 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Capable and willing to provide consent
  • Less than 22 years of age
  • History of or suspicion for elevated ICP or starting/currently taking high-risk medications associated with increased risk for elevated ICP

Exclusion criteria

Exclusion Criteria:

  • Unable or unwilling to give consent
  • Over 21 years of age
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Vision/Eye Screening

    Image of back of each eye along with color vision and visual acuity assessment if able.

    Diagnostic Test: Pictor

Interventions

  • Diagnostic testPictor

    The back of each eye will be imaged with Pictor. Visual acuity and color vision will be checked if patient able to cooperate with exam.

    Also known as: portable fundus camera

06

What researchers measure

Primary outcomes

  1. Changes in Posterior Segment as Measured by Fundus Camera

    Time frame: Each visit (up to 1 hour/visit) every 3 months for 1 year from signed consent

  2. Changes in Visual Acuity

    Time frame: Each visit (up to 1 hour/visit) every 3 months for 1 year from signed consent

  3. Changes in Color Vision as Measured by Standard Clinical Exam (i.e. Ishihara Testing)

    Time frame: Each visit (up to 1 hour/visit) every 3 months for 1 year from signed consent

07

Results

Posted Feb 15, 2022

Participant flow

Participant flow — Overall Study
MilestoneVision/Eye Screening
Started3
Completed0
Not completed3
Withdrew: Physician decision3

Outcome measures

PrimaryChanges in Posterior Segment as Measured by Fundus Camera
Time frame:
Each visit (up to 1 hour/visit) every 3 months for 1 year from signed consent

No measurements were reported for this outcome.

PrimaryChanges in Visual Acuity
Time frame:
Each visit (up to 1 hour/visit) every 3 months for 1 year from signed consent

No measurements were reported for this outcome.

PrimaryChanges in Color Vision as Measured by Standard Clinical Exam (i.e. Ishihara Testing)
Time frame:
Each visit (up to 1 hour/visit) every 3 months for 1 year from signed consent

No measurements were reported for this outcome.

Adverse events

Collected over At baseline visit as only one visit occurred for each subject.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vision/Eye Screening———

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Vision/Eye Screening
<=18 years3
Between 18 and 65 years0
>=65 years0
Age, Continuous
Age, Continuous(months)Vision/Eye Screening
Mean59 ± 75
Sex: Female, Male
Sex: Female, Male(Participants)Vision/Eye Screening
Female1
Male2
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Vision/Eye Screening
Hispanic or Latino0
Not Hispanic or Latino3
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Vision/Eye Screening
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White2
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Vision/Eye Screening
United States3
08

Study locations

1 site
  • Duke UMC
    Durham, North Carolina 27710, United States
09

References and documents

Publications

  • Xu W, Gerety P, Aleman T, Swanson J, Taylor J. Noninvasive methods of detecting increased intracranial pressure. Childs Nerv Syst. 2016 Aug;32(8):1371-86. doi: 10.1007/s00381-016-3143-x. Epub 2016 Jun 28. PubMed 27351182 ↗
  • Roberts E, Morgan R, King D, Clerkin L. Funduscopy: a forgotten art? Postgrad Med J. 1999 May;75(883):282-4. doi: 10.1136/pgmj.75.883.282. PubMed 10533632 ↗
  • Sit M, Levin AV. Direct ophthalmoscopy in pediatric emergency care. Pediatr Emerg Care. 2001 Jun;17(3):199-204; quiz 205-7. doi: 10.1097/00006565-200106000-00013. PubMed 11437148 ↗
  • Petrushkin H, Barsam A, Mavrakakis M, Parfitt A, Jaye P. Optic disc assessment in the emergency department: a comparative study between the PanOptic and direct ophthalmoscopes. Emerg Med J. 2012 Dec;29(12):1007-8. doi: 10.1136/emermed-2011-200038. Epub 2011 Oct 13. PubMed 21998469 ↗
  • Golshani K, Ebrahim Zadeh M, Farajzadegan Z, Khorvash F. Diagnostic Accuracy of Optic Nerve Ultrasonography and Ophthalmoscopy in Prediction of Elevated Intracranial Pressure. Emerg (Tehran). 2015 Spring;3(2):54-8. PubMed 26495382 ↗
  • Day LM, Wang SX, Huang CJ. Nonmydriatic Fundoscopic Imaging Using the Pan Optic iExaminer System in the Pediatric Emergency Department. Acad Emerg Med. 2017 May;24(5):587-594. doi: 10.1111/acem.13128. Epub 2017 Mar 24. PubMed 27801997 ↗
  • Friedman DI. Medication-induced intracranial hypertension in dermatology. Am J Clin Dermatol. 2005;6(1):29-37. doi: 10.2165/00128071-200506010-00004. PubMed 15675888 ↗
  • Chiu AM, Chuenkongkaew WL, Cornblath WT, Trobe JD, Digre KB, Dotan SA, Musson KH, Eggenberger ER. Minocycline treatment and pseudotumor cerebri syndrome. Am J Ophthalmol. 1998 Jul;126(1):116-21. doi: 10.1016/s0002-9394(98)00063-4. PubMed 9683157 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2017 to primary completion in Dec 2018, 13 months.

Results were first posted in Feb 2022, 3 years 2 months after primary completion. A results delay was requested in Nov 2021.

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

Registered
Sep 14, 2017
First posted
Sep 18, 2017
StartActual
Oct 26, 2017
Primary completionActual
Dec 8, 2018
CompletionActual
Dec 8, 2018
Results delay requested
Nov 2, 2021
Results first posted
Feb 15, 2022
Last update
Feb 15, 2022
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 Feb 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03286426
Lead sponsor
Duke University
Responsible party
Sponsor
First posted
Sep 18, 2017
Start date
Oct 26, 2017
Primary completion
Dec 8, 2018
Completion
Dec 8, 2018
Results posted
Feb 15, 2022
Last update
Feb 15, 2022

Study contacts

Sarah K Jones
study director · Duke University

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion