ClinicalTrials.gg
CompletedNCT05274321Updated Sep 25, 2023Results posted

Efficacy of the Nanodropper Device on Pupillary Dilation

An interventional study of Nanodropper and Standard Eye Dropper in Dilation, sponsored by University of California, San Francisco. Completed at 1 site in United States. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2023-09-25.

Sponsored by University of California, San Francisco · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Jul 2021, registered Mar 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
2 Years to 17 Years
Sex
All
01

Study summary

Prescription eye drop bottles elute drops that exceed the capacity of the human eye by five times. This study describes performing in clinic dilation using a novel solution for combating medical waste with Nanodropper, an eye drop bottle adapter that creates smaller eye drops.

02

Conditions studied

  • Dilation
03

In context

Dilatation, Pathologic

120 studies on the registry are indexed under Dilatation, Pathologic; 18 are open to participants now.

This study's enrollment of 50 is below the median of 82 across 84 interventional studies indexed under Dilatation, Pathologic.

Browse Dilatation, Pathologic studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,169 studies on the registry; 372 are open to participants now.

Of its 267 completed or terminated interventional studies of FDA-regulated products, 202 (76%) have results posted.

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

04

Who can participate

Ages eligible
2 Years to 17 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

  • Participants under the age of 18 years old

Exclusion criteria

Exclusion Criteria:

  • Participants 18 years and older
  • Pupillary or anterior segment abnormality
  • Participants with pre-existing health conditions that would prevent pupillary dilation.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    Pediatric Participant's Eyes Using Standard Pupilary Dilation

    Consenting pediatric participants will undergo standard pupillary dilation in one eye.

    Device: Standard Eye Dropper

  • Experimental
    Pediatric Participant's Eyes using Nanodropper attachment

    Consenting pediatric participants will undergo pupillary dilation in the second eye using the Nanodropper attachment.

    Device: Nanodropper

Interventions

  • DeviceNanodropper

    Device used for administering eye drops

  • DeviceStandard Eye Dropper

    Standard Eye Dropper used for administering eye drops

06

What researchers measure

Primary outcomes

  1. Spherical Equivalent

    Cycloplegia is the paralysis of the ciliary muscle of the eye resulting in dilatation of the pupil and paralysis of accommodation. Cycloplegia is defined as the "change score." Change scores were calculated by subtracting the spherical equivalent value after dilation from the value before dilation for each eye.

    Time frame: Before dilation and 30 minutes after dilation

  2. Maximum Pupil Diameter

    The pupil is the opening in the center of the iris (the structure that gives our eyes their color). The diameter is a straight line passing from side to side through the center of the pupil, which is shaped like a circle.

    Time frame: Before dilation and 30 minutes after dilation

  3. Constriction Percentage

    Pupillary constriction percentage was calculated by the pupillometer in response to a 180-micro watt flash: (maximum - minimum) / maximum

    Time frame: Before and 30 minutes after dilation

Secondary outcomes

  1. Change in Intraocular Pressure

    Intraocular pressure is the pressure, or force, inside of your eyes. Specifically, it's a measurement of the fluid pressure in your aqueous humor.

    Time frame: Before and 30 minutes After Dilation

07

Results

Posted Sep 25, 2023
Limitations and caveats
We chose a noninferiority margin of a loss of 10% of the treatment effect, which is more conservative than the 50% margin that has been recommended for some industry trials by the United States Food and Drug Administration. Study staff and participants were not masked to the intervention. Additionally, this cohort comprised predominantly children with dark irides but could limit the generalizability of these results. We did not measure minimizing systemic side effects and local irritation.

Participant flow

Children 18 years of age or younger undergoing pupillary dilation as part of a routine eye examination at the University of California, San Francisco, at the Pediatric Ophthalmology Clinic between August 4, 2021, and November 19, 2021 were assessed for eligibility. Children who did not show up to appointments or did not meet inclusion criteria were not enrolled in the study.

Participant flow — Overall Study
MilestoneEyes Recieving Eye Drops From Standard of CareEyes Recieving Eye Drops Using Nanodropper Device
Started5050
Completed5050
Not completed00

Outcome measures

PrimarySpherical Equivalent

Cycloplegia is the paralysis of the ciliary muscle of the eye resulting in dilatation of the pupil and paralysis of accommodation. Cycloplegia is defined as the "change score." Change scores were calculated by subtracting the spherical equivalent value after dilation from the value before dilation for each eye.

Time frame:
Before dilation and 30 minutes after dilation
Reported as:
Mean · Diopters
Spherical Equivalent
DioptersEyes Recieving Eye Drops From Standard of CareEyes Recieving Eye Drops Using Nanodropper Device
Before Dilation-2.62 (-3.59 to -1.65)-2.28 (-3.17 to -1.39)
After Dilation-0.86 (-1.75 to 0.03)-0.55 (-1.43 to 0.34)
Change Score1.76 (1.11 to 2.41)1.73 (1.11 to 2.36)
Statistical analysis
  • Eyes Recieving Eye Drops From Standard of Care vs Eyes Recieving Eye Drops Using Nanodropper Device · Regression, Linear · p = 0.22 (Wald P values were calculated by testing whether the regression coefficient met or exceeded the noninferiority margin.)The threshold for significance is 0.0167.
PrimaryMaximum Pupil Diameter

The pupil is the opening in the center of the iris (the structure that gives our eyes their color). The diameter is a straight line passing from side to side through the center of the pupil, which is shaped like a circle.

Time frame:
Before dilation and 30 minutes after dilation
Reported as:
Mean · mm
Maximum Pupil Diameter
mmEyes Recieving Eye Drops From Standard of CareEyes Recieving Eye Drops Using Nanodropper Device
Before Dilation5.95 (5.76 to 6.14)6.01 (5.80 to 6.22)
After Dilation7.91 (7.72 to 8.10)7.81 (7.61 to 8.01)
Change Score1.95 (1.77 to 2.13)1.77 (1.58 to 1.96)
Statistical analysis
  • Eyes Recieving Eye Drops From Standard of Care vs Eyes Recieving Eye Drops Using Nanodropper Device · Regression, Linear · p = 0.02 (Wald P values were calculated by testing whether the regression coefficient met or exceeded the noninferiority margin.)The threshold for significance is 0.0167.
PrimaryConstriction Percentage

Pupillary constriction percentage was calculated by the pupillometer in response to a 180-micro watt flash: (maximum - minimum) / maximum

Time frame:
Before and 30 minutes after dilation
Reported as:
Mean · percent change
Constriction Percentage
percent changeEyes Recieving Eye Drops From Standard of CareEyes Recieving Eye Drops Using Nanodropper Device
Before Dilation30.44 (28.95 to 31.93)31.07 (29.53 to 32.61)
After Dilation5.67 (3.21 to 8.14)6.26 (4.35 to 8.17)
Change Score-24.76 (-27.53 to -22.00)-24.81 (-26.72 to -22.49)
Statistical analysis
  • Eyes Recieving Eye Drops From Standard of Care vs Eyes Recieving Eye Drops Using Nanodropper Device · Regression, Linear · p = 0.03 (Wald P values were calculated by testing whether the regression coefficient met or exceeded the noninferiority margin.)The threshold for significance is 0.0167.
SecondaryChange in Intraocular Pressure

Intraocular pressure is the pressure, or force, inside of your eyes. Specifically, it's a measurement of the fluid pressure in your aqueous humor.

Time frame:
Before and 30 minutes After Dilation
Reported as:
Mean · mmHg
Change in Intraocular Pressure
mmHgEyes Recieving Eye Drops From Standard of CareEyes Recieving Eye Drops Using Nanodropper Device
Before Dilation17.36 (16.24 to 18.48)18.13 (17.11 to 19.16)
After Dilation18.42 (17.31 to 19.53)17.96 (16.84 to 19.08)
Change Score1.06 (-0.08 to 2.20)-0.17 (-1.28 to 0.93)
Statistical analysis
  • Eyes Recieving Eye Drops From Standard of Care vs Eyes Recieving Eye Drops Using Nanodropper Device · Regression, Linear · p = 0.25 (Wald P values were calculated by testing whether the regression coefficient met or exceeded the noninferiority margin.)The threshold for significance is 0.0167.

Adverse events

Collected over Adverse event data were collected during the time of the participant visit. Each participant visit lasted on average 1 hour.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Eyes Recieving Eye Drops From Standard of Care0/50 (0%)0/50 (0%)0/50 (0%)
Eyes Recieving Eye Drops Using Nanodropper Device0/50 (0%)0/50 (0%)0/50 (0%)

Baseline characteristics

Baseline characteristics were determined for participants who enrolled in the study and cooperated with all measurements.

Age, Categorical
Age, Categorical(Participants)Pediatric Participants
<=18 years50
Between 18 and 65 years0
>=65 years0
Age, Continuous
Age, Continuous(years)Pediatric Participants
Mean9 ± 3
Sex: Female, Male
Sex: Female, Male(Participants)Pediatric Participants
Female21
Male29
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Pediatric Participants
Region of Enrollment
Region of Enrollment(Participants)Pediatric Participants
United States50
08

Study locations

1 site
  • University of California, San Francisco
    San Francisco, California 94143, United States
09

References and documents

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 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 Jul 2021 to primary completion in Nov 2021, 3 months.

Results were first posted in Sep 2023, 1 year 10 months after primary completion.

Of 27 interventional studies with no phase under Dilatation, Pathologic, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 37. This study's 3 months is below that.

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

Registered
Mar 1, 2022
First posted
Mar 10, 2022
StartActual
Jul 29, 2021
Primary completionActual
Nov 19, 2021
CompletionActual
Nov 19, 2021
Results first posted
Sep 25, 2023
Last update
Sep 25, 2023
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 Sep 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05274321
Collaborators
Nanodropper, Inc.
Responsible party
Sponsor
First posted
Mar 10, 2022
Start date
Jul 29, 2021
Primary completion
Nov 19, 2021
Completion
Nov 19, 2021
Results posted
Sep 25, 2023
Last update
Sep 25, 2023

Study contacts

Julius Oatts, MD
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
No
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 Sep 2023. You cannot join it, but the record below documents what was studied.

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