ClinicalTrials.gg
CompletedNCT03350919Updated Dec 24, 2020Results posted

Visual Restoration for Hemianopia

An interventional study of Training in the blind field and Training in the intact field in Stroke Induced Vision Loss, Hemianopia and Quadrantanopia, sponsored by University of Rochester. Completed at 3 sites in United States. Open to participants aged 21 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-12-24.

Sponsored by University of Rochester · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
21 Years to 75 Years
Sex
All
01

Study summary

The purpose of this research is to assess the efficacy of a visual training task on reducing the size of a visual field deficit caused by brain damage in adults, and its ability to improve visual functions in this patient population.

02

Conditions studied

  • Stroke Induced Vision Loss
  • Hemianopia
  • Quadrantanopia

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03

In context

Hemianopsia

63 studies on the registry are indexed under Hemianopsia; 24 are open to participants now.

This study's enrollment of 48 is above the median of 32 across 53 interventional studies indexed under Hemianopsia.

Browse Hemianopsia studies →

Lead sponsor

University of Rochester is the lead sponsor of 729 studies on the registry; 116 are open to participants now.

Of its 56 completed or terminated interventional studies of FDA-regulated products, 44 (79%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 75 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

  • Ages 21-75 years old
  • Ability and willingness to sign
  • Willingness to participate in both the training and evaluation sessions
  • MRI or CT scan demonstrating lesion in the occipital lobe of the brain and/or affecting white matter tracts that provide visual input to the occipital lobe of the brain
  • Brain injury due to ischemic or hemorrhagic causes that occurs after age 18 and at least 90 days prior to screening visit
  • At least two reliable HVF's demonstrating good fixation and a stable homonymous incomplete (e.g., quadrantanopia or relative defect) or complete hemianopia
  • Reliable HVFs with repeat HVFs if randomization takes place more than 4 weeks after screening visit
  • A homonymous, contiguous visual deficit measured by the 24-2 HVF to be a minimum of two testing locations high and two testing locations wide, where impaired locations are any that measure a threshold of less than 15 dB.
  • Demonstration of good fixation on visual training task - able to fixate the small targets presented as fixation letters reliably for 1000ms with jitter over less than 1 degree of visual angle in any direction away from target edge

Exclusion criteria

Exclusion Criteria:

  • Physical, neurological or mental disability that would interfere with study intervention
  • Concurrent participation in "vision therapy" other than standard occupational or physical therapy
  • Unreliable visual fields on prior testing, indicated by greater than 20% fixation losses, false positives, or false negatives.
  • Inability to discontinue medications judged to affect training and/or assessment (e.g., Ritalin, amphetamines, dopamines, or chemotherapeutic agents)
  • Physical condition likely to preclude completion of the clinical trial (e.g. end-stage or uncontrolled cancer, uncontrolled epilepsy, or end-stage heart disease)
  • Ocular or neurological condition that would interfere with training or assessment (e.g. damage to the optic nerves or lateral geniculate nucleus, any degenerative ocular condition)
  • Best corrected vision worse than 20/40
  • Impaired foveal Humphrey sensitivity as indicated by the HVF tests.
  • Presence of vision loss resulting from ocular disease or disorder
  • Presence of bilateral visual acuity loss from any source
  • Inability to demonstrate fixation stability on eye movement monitored testing
  • Inability to follow training instructions
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Training in the blind field

    Training in the blind field using software

    Device: Training in the blind field

  • Experimental
    Training in the intact field

    Training in the intact field using software

    Device: Training in the intact field

Interventions

  • DeviceTraining in the blind field

    A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the blind field. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks.

  • DeviceTraining in the intact field

    A computer software and chin-rest necessary to perform visual training will be loaned to each patient to use at home. They will perform one to two daily training sessions in their home, consisting of 200-300 trials each. The visual task performed repetitively will involve discriminating the direction of motion of a small cloud of dots located at a pre-determined location in the intact field of vision. The computer program will automatically create a record of patient performance during each home training session. They will train daily (about 40-60 minutes total), 5 to 7 days per week, for at least 24 weeks.

06

What researchers measure

Primary outcomes

  1. 24-2 Humphrey PMD Change From Baseline to 6-month Post-training Timepoint

    Change in the perimetric mean deviation (PMD) generated by standard Humphrey automated perimetry using a 24-2 testing pattern between baseline and post-training after a 6-month training interval.

    Time frame: 6 months

07

Results

Posted Dec 24, 2020

Participant flow

Participant flow — Overall Study
MilestoneTraining in the Blind FieldTraining in the Intact Field
Started2523
Completed2323
Not completed20

Outcome measures

Primary24-2 Humphrey PMD Change From Baseline to 6-month Post-training Timepoint

Change in the perimetric mean deviation (PMD) generated by standard Humphrey automated perimetry using a 24-2 testing pattern between baseline and post-training after a 6-month training interval.

Time frame:
6 months
Reported as:
Mean · decibels
24-2 Humphrey PMD Change From Baseline to 6-month Post-training Timepoint
decibelsTraining in the Blind Field (Left Eye)Training in the Intact Field (Left Eye)Training in the Blind Field (Right Eye)Training in the Intact Field (Right Eye)
24-2 Humphrey PMD Change From Baseline to 6-month Post-training Timepoint0.84 (0.22 to 1.47)0.10 (-0.52 to 0.72)0.58 (0.07 to 1.08)0.12 (-0.38 to 0.62)

Adverse events

Collected over Adverse event data were collected between initial enrollment and the conclusion of final assessment. For a given subject this period covered approximately 6 months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Training in the Blind Field0/25 (0%)0/25 (0%)0/25 (0%)
Training in the Intact Field0/23 (0%)0/23 (0%)0/23 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Training in the Blind FieldTraining in the Intact FieldTotal
Mean57.4 ± 10.861.5 ± 9.459.3 ± 10.5
Sex: Female, Male
Sex: Female, Male(Participants)Training in the Blind FieldTraining in the Intact FieldTotal
Female6511
Male191837
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Training in the Blind FieldTraining in the Intact FieldTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported252348
Region of Enrollment
Region of Enrollment(participants)Training in the Blind FieldTraining in the Intact FieldTotal
United States252348
Preliminary deficit size
Preliminary deficit size(square degrees of visual angle)Training in the Blind FieldTraining in the Intact FieldTotal
Mean819.7 ± 190.6755.2 ± 167.6788.8 ± 181.0
Patients with right sided deficits
Patients with right sided deficits(Participants)Training in the Blind FieldTraining in the Intact FieldTotal
Count of participants101020
Time since lesion
Time since lesion(months)Training in the Blind FieldTraining in the Intact FieldTotal
Median15.0 (5.7 to 47.3)15.5 (6.2 to 57.6)15.28 (6.1 to 47.3)
08

Study locations

3 sites
  • Bascom Palmer Eye Institute, University of Miami Health Services
    Miami, Florida 33136, United States
  • Flaum Eye Institute, University of Rochester Medical Center
    Rochester, New York 14642, United States
  • Scheie Eye Institute
    Philadelphia, Pennsylvania 19104, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Dec 2019, 20 months.

Results were first posted in Dec 2020, 1 year after primary completion.

Of 36 interventional studies with no phase under Hemianopsia, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 95. This study's 20 months is below that.

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

Registered
Nov 18, 2017
First posted
Nov 22, 2017
StartActual
Mar 15, 2018
Primary completionActual
Dec 3, 2019
CompletionActual
Dec 3, 2019
Results first posted
Dec 24, 2020
Last update
Dec 24, 2020
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 Dec 24, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03350919
Collaborators
Envision Solutions, LLC
Responsible party
Steven Feldon (Professor and Chair of Ophthalmology, University of Rochester) — Principal investigator
First posted
Nov 22, 2017
Start date
Mar 15, 2018
Primary completion
Dec 3, 2019
Completion
Dec 3, 2019
Results posted
Dec 24, 2020
Last update
Dec 24, 2020

Oversight

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

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This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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