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Status unknownNCT04722874Updated Aug 13, 2021

Repeated Low-Level Red-Light Therapy and Orthokeratology in Fast-progressing Myopia Control

An interventional study of Ortho-k lenses and RLRL in Myopia, Progressive, Refractive Errors and Eye Diseases, sponsored by Zhongshan Ophthalmic Center, Sun Yat-sen University. Status unknown at 3 sites in China. Open to participants aged 8 Years to 13 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-08-13.

Sponsored by Zhongshan Ophthalmic Center, Sun Yat-sen University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
8 Years to 13 Years
Sex
All
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Study summary

The purpose of this multicenter randomized clinical trial is to evaluate the adjunctive effect of repeated low-level red-light therapy (RLRL) and orthokeratology (ortho-k) on myopia control in ortho-k non-responders who have undergone ortho-k treatment but were still experiencing fast myopia progression.

Read the detailed description

Myopia constitutes a major threat to personal health globally for its increased prevalence. Moreover, its dose-related association with irreversible blindness complications such as myopic macular degeneration have been demonstrated. It is crucial to look for effective ways to control myopia in children to reduce risk of myopic pathologies in later life.

Orthokeratology (ortho-k) is the first-line optical method in myopia control, resulting in slowing axial elongation by 43-63%. However, results after ortho-k treatment vary among individuals. Methods with more accurate efficacy and wider application to slowing down myopia progression, especially for myopia with limited ortho-k response, are still urgently required.

Repeated low-level red-light (RLRL) therapy is an innovative and non-invasive therapeutic treatment for a variety of eye diseases. Our previous clinical study suggested RLRL could effectively retard myopia progression without clinically observable side effects.

The purpose of this study is to evaluate the adjunctive effect of RLRL and ortho-k on myopia control in ortho-k non-responders using a multicenter randomized controlled trial design. Ortho-k non-responders are defined as who have continuously undergone ortho-k treatment but were still experiencing fast myopia progression. The subjects will be randomly assigned to either experimental group (RLRL and ortho-k) or control group (ortho-k). Their axial length will be monitored over one year. Changes in axial length in the two groups will be compared.

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Conditions studied

  • Myopia, Progressive
  • Refractive Errors
  • Eye Diseases
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In context

Myopia

984 studies on the registry are indexed under Myopia; 210 are open to participants now.

This study's planned enrollment of 42 is below the median of 80 across 783 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Zhongshan Ophthalmic Center, Sun Yat-sen University is the lead sponsor of 159 studies on the registry; 77 are 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 13 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Start to receive ortho-k treatment one year ago.
  2. Age at enrolment: 8-13 years.
  3. Ortho-k non-responders: those who have continuously undergone ortho-k treatment but were still experiencing fast myopia progression (annual axial elongation equal to or more than 0.5 mm) in the past one year in at least one eye.
  4. Before wearing ortho-k lenses, spherical equivalent refractions (SERs) ranging from -1.00 to -5.00 Dioptres (D) and astigmatism less than -1.5 D in both eyes, anisometropia less than 1.5 D, and best corrected logMAR visual acuity (VA) equal to or better than 0 in both eyes.
  5. Parents' understanding and acceptance of random allocation of grouping

Exclusion criteria

Exclusion Criteria:

  1. Strabismus and binocular vision abnormalities.
  2. Ocular or systemic abnormalities.
  3. Prior treatment of myopia control in the past three months, e.g. drugs, progressive addition lenses, bifocal lenses, etc.
  4. Other contraindications.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
42 participants (estimated)

Study arms

  • Active comparator
    Ortho-k

    Participants will continue to use ortho-k lenses alone.

    Device: Ortho-k lenses

  • Experimental
    RLRL+Ortho-k

    Participants will be treated with RLRL twice a day in addition to ortho-k lenses.

    Device: Ortho-k lenses · Device: RLRL

Interventions

  • DeviceOrtho-k lenses

    Ortho-k lenses will be administered nightly.

    Also known as: Orthokeratology lens

  • DeviceRLRL

    RLRL will be performed twice a day with an interval of at least 4 hours, each treatment last 3 minutes. Nightly treatment should be performed at least 30 minutes before ortho-k lens insertion.

    Also known as: Repeated low-level red-light therapy

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What researchers measure

Primary outcomes

  1. Axial length change

    Axial length change (mm) is characterized as the difference between 12-month follow-up visit and baseline values. The Lenstar is used to measure axial length (mm).

    Time frame: 12 months

Secondary outcomes

  1. Changes in other ocular parameters

    The Lenstar is used to measure ocular parameters (e.g., cornea thickness, lens thickness). Change of each parameter is characterized as the difference between its 12-month follow-up visit and baseline values.

    Time frame: 12 months

  2. Incidence of treatment-emergent adverse events

    Incidence of treatment-emergent adverse events is the rate of treatment-emergent adverse events over the study period for subjects in both arms.

    Time frame: 12 months

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Study locations

3 of 3 sites recruiting
  • The Second People's Hospital of Foshan
    Foshan, Guangdong 528000, China
    • Xiangbin Kong, PhD · Contact
    • Fabiao Li, MBSS · Contact
    Recruiting
  • Zhongshan Ophthalmic Center, Sun Yat-sen University
    Guangzhou, Guangdong 510060, China
    • Xiao Yang, PhD · Contact · 1394392659@qq.com · +86-020-87330348
    • Xiao Yang, PhD · Principal investigator
    • Mingguang He, PhD · Principal investigator
    Recruiting
  • Tianjin Medical University Eye Center
    Tianjin, Tianjin 300384, China
    • Ruihua Wei, PhD · Contact
    Recruiting
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References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2021, 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
NCT04722874
Lead sponsor
Zhongshan Ophthalmic Center, Sun Yat-sen University
Collaborators
The Second People's Hospital of Foshan, Tianjin Medical University Eye Center
Responsible party
Sponsor
First posted
Jan 25, 2021
Start date
Mar 14, 2021
Primary completion
Jun 2022 (estimated)
Completion
Jun 2022 (estimated)
Last update
Aug 13, 2021

Study contacts

Xiao Yang, Professor
Contact
1394392659@qq.com
+86-020-87330348
Xiao Yang, Professor
principal investigator · Zhongshan Ophthalmic Center, Sun Yat-sen University

Oversight

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

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This study is status unknown, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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