ClinicalTrials.gg
RecruitingNCT03848663Updated Jul 8, 2026

Visual Remapping to Aid Reading With Field Loss

An interventional study of Traditional Remapping and Personalized Remapping in Age-related Macular Degeneration, sponsored by University of Minnesota. Recruiting at 1 site in United States. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-08.

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

From the registry’s dates

  • Started Feb 2022; still recruiting 4 years 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Non-randomized
Ages
16 Years and older
Sex
All
01

Study summary

Reading performance in patients with Central Vision Loss and age matched controls with artificial scotomas will be measured with and without different kinds of remapping of missing text to different parts of the visual field.

Read the detailed description

Following initial characterization of their visual field loss, the participant's performance in reading tasks will be measured with and without remapping. Tasks will include reading groups of random letters, words, simple sentences, and "natural" text from the environment (taken from phone apps, signage, etc). Different kinds of remappings will be used by participants, including traditional and personalized remapping. For control observers, differently shaped artificial scotomas will be used.

Participants interested in the study will be brought in for an initial visit. All participants will be administered the MMSE. Observers who pass the criteria for the study will then have the remainder of the procedures described to them verbally prior to undergoing the remainder of the consent process (see below). Participants will then undergo a standard exam at the UMN eye clinic, if they have not had one within the last month.

Participants will then have their scotomas mapped using a microperimeter housed in the psychology department to give size and shape information. Additional perimetry may also be conducted using either of the two displays (either HMD or desk mounted computer monitor) we have developed. Here, patients will be asked to fixate at a spot on screen and identify visual stimuli presented at different regions of the screen. The size and locations of visual stimuli patients were unable to identify will provide the size and location of the scotoma. Another additional manual perimetry protocol may be conducted as well. This would involve asking subjects to fixate at the center of a tangent screen, and asking them to identify dots temporarily presented on the screen by the researcher using a laser pointer. The locations of dots that patients are unable to identify will provide the size and location of the scotoma. The location and extent of each eye's scotoma and PRL will be used as software inputs on either device. Perimetry using one or all of the methods above will be performed until acceptable information about the scotoma extent and location is obtained.

In a second visit, participants will perform the visual tasks that are used as the basis of their personalized remapping, letter perimetry. Participants will first view and report three randomly selected horizontally arranged letters placed at different locations in the visual field. This letter perimetry task will take about 40 min and will cover a large part of the visual field.

Participants will then read single words whose letters have been displaced from horizontal in various ways that comprise candidate remappings generated on the basis of the letter perimetry results. This personalization test will take about 40 minutes, and will find a good remapping strategy for the individual. Subjects will then be introduced to the reading tasks that comprise the remainder of the study

In 6 additional sessions, participants will perform various reading tasks using different remappings. In all of these, text will be displayed on the screen, and the task is simply to read aloud what was presented. Two sessions will involve reading single words, one session will involve reading strings of 3 letters that are not arranged horizontally, two sessions will involve reading short sentences, and one session will involve reading naturalistic text (from phone apps, signage, menus, etc). In all sessions, some reading will be with remapping, some will be without. Both traditional and personalized remapping will be used.

In all these sessions, the eye tracker will be calibrated to participants' individual head and eye position. This will involve fixating at different points on the device screen (HMD or desk-mounted) as the eye is imaged by the eye trackers. This may take up to 45 minutes in the initial session, if various combinations of head and eye positions are required for the eye trackers to work well. But once completed, calibration is much faster in subsequent sessions. Quick perimetry validation may also be conducted in each session.

Throughout all testing, patients will be asked if they feel any discomfort, and will be able to take a break or quit testing at any point.

Including the initial visit, testing for any given patient is anticipated to last no more than eight sessions over eight weeks. Enrolling participants, testing, and data analysis for all participants is anticipated to take five years from the date of enrollment of the first participant.

02

Conditions studied

  • Age-related Macular Degeneration

Keywords

  • Scotoma
  • Remapping
  • Reading
  • Low vision
  • Visual aid
03

In context

Macular Degeneration

1,459 studies on the registry are indexed under Macular Degeneration; 238 are open to participants now.

This study's planned enrollment of 108 is above the median of 56 across 985 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,216 studies on the registry; 197 are open to participants now.

Of its 136 completed or terminated interventional studies of FDA-regulated products, 95 (70%) have results posted.

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

04

Who can participate

Ages eligible
16 Years and older
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

  1. 16 years or older
  2. Central vision loss of at least 5 deg diameter, including the fovea, from bilateral central scotomas
  3. Stable fixation (+/- 1 deg) using their PRL.
  4. No cognitive impairment as indicated by a (MMSE).
  5. Satisfactory calibration achievable using eye tracker

Exclusion criteria

Exclusion Criteria:

  1. Central vision loss of less than 5 deg diameter; scotomas that do not cover the fovea; unilateral scotomas
  2. Poor fixation (worse than+/- 1 deg) using their PRL.
  3. Cognitive impairment as indicated by a (MMSE).
  4. Satisfactory calibration not achievable using eye tracker
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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
108 participants (estimated)

Study arms

  • Experimental
    Patients with scotoma

    No remapping (control condition), traditional remapping, personalized remapping

    Behavioral: Traditional Remapping · Behavioral: Personalized Remapping

  • Active comparator
    Normally sighted with artificial scotoma

    No remapping (control condition), traditional remapping, personalized remapping

    Behavioral: Traditional Remapping · Behavioral: Personalized Remapping

Interventions

  • BehavioralTraditional Remapping

    Shifting text outside of scotoma

  • BehavioralPersonalized Remapping

    Shifting text based on individual letter-based perimetry

06

What researchers measure

Primary outcomes

  1. Reading Speed for Individual Words

    How quickly participants can correctly read displayed text

    Time frame: Measured during third visit- each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  2. Reading Speed for Sentences

    How quickly participants can correctly read displayed text

    Time frame: Measured during fourth visit- each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  3. Reading Speed for Natural Text Samples

    How quickly participants can correctly read displayed text

    Time frame: Measured during fifth visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  4. Reading error rate for Individual Words

    How many mistakes participants make

    Time frame: Measured during third visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  5. Reading error rate for Sentences

    How many mistakes participants make

    Time frame: Measured during fourth visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  6. Reading error rate for Natural Text Samples

    How many mistakes participants make

    Time frame: Measured during fifth visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

Secondary outcomes

  1. Eye fixation quality for words

    Variance of x and y eye position coordinates computed during fixation periods while reading

    Time frame: Measured during third visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  2. Eye fixation quality for sentences

    Variance of x and y eye position coordinates computed during fixation periods while reading

    Time frame: Measured during fourth visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  3. Eye movement quality for sentences

    Number off leftward (regressive) eye movements during sentence reading

    Time frame: Measured during fourth visit

  4. Eye fixation quality for natural text samples

    Variance of x and y eye position coordinates computed during fixation periods while reading

    Time frame: Measured during fifth visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

  5. Eye movement quality for natural text samples

    Number off leftward (regressive) eye movements during natural text reading

    Time frame: Measured during fifth visit; each visit is one day only and this measure refers to data gathered during a < 1 hr long reading session during that day

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Perimetry, psychophysical and eye-tracking data will be deidentified upon acquisition, and indexed using only a subject code. These data will be stored on a secure server for sharing upon request by a PI of a research team. We will offer psychophysical and eye tracking data along with appropriate metadata specifying details of the test (remapping used, stimulus protocol, etc) and data format.

Supporting information: Study protocol, Analytic code

Time frame: Once results are published.

Access criteria: Research group.

No publications or documents are linked to this record.

09

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

Started Feb 2022 (actual). Primary completion is estimated for Nov 2026, 57 months after the start.

Of 104 non-industry interventional studies with no phase under Macular Degeneration, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 56. This study's planned 57 months is above that.

Counting every sponsor, half of 132 studies reached it within 37 months; a quarter within 17 and three quarters within 60.

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

Registered
Jan 28, 2019
First posted
Feb 21, 2019
StartActual
Feb 1, 2022
Primary completionEst.
Nov 1, 2026
CompletionEst.
Nov 1, 2026
Last update
Jul 8, 2026
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 Jul 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03848663
Responsible party
Sponsor
First posted
Feb 21, 2019
Start date
Feb 1, 2022
Primary completion
Nov 1, 2026 (estimated)
Completion
Nov 1, 2026 (estimated)
Last update
Jul 8, 2026

Study contacts

Stephen Engel, Ph.D.
Contact
engel@umn.edu
612-625-5571
Gordon Legge, Ph.D.
Contact
legge@umn.edu
Stephen Engel, Ph.D.
principal investigator · University of Minnesota

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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