CClinicalTrials.gg
CompletedNCT06885242Updated Nov 4, 2025

Efficacy and Safety of Cyclopentolate Microdrops for Cycloplegic Refraction in Children

A Phase 4 interventional study of Microdrop instillation of cyclopentolate 1% and Standard drop instillation of cyclopentolate 1% in Cycloplegic Refraction, sponsored by Aristotle University Of Thessaloniki. Completed at 1 site in Greece. Open to participants aged 4 Years to 16 Years. Per ClinicalTrials.gov, last updated 2025-11-04.

Sponsored by Aristotle University Of Thessaloniki · Phase 4, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was Sep 2025, 1 year ago, and no results have been posted to the registry.
  • Registered 6 months after the study started (first participant enrolled Sep 2024, registered Mar 2025).
Phase
Phase 4
Study type
Interventional
Enrollment
63
Allocation
Randomized
Ages
4 Years to 16 Years
Sex
All
01

Study summary

The purpose is to test the hypothesis that microdrop instillation of cyclopentolate 1% is non-inferior to standard of care, i.e., standard drop instillation of cyclopentolate 1%. Comparison, also, will be made to the subsequent adverse events.

Read the detailed description

A non-inferiority, crossover, randomized controlled trial will be conducted for this purpose. Participants will be randomly assigned to receive either a) microdrops on their first and standard drops on their second screening examination a week later (M/S group), or b) standard drops first and microdrops a week later (S/M group). Microdrops will be instilled using the Nanodropper® device, while standard drops will be instilled directly through the commercially available plastic multidose mydriatic dropper bottle. For all participants, the eyedrop will be firstly instilled in the right eye and this will be the eye that will be used for the analyses. Written informed consent will be obtained from the parents/guardians for the children's enrollment.

02

Conditions studied

  • Cycloplegic Refraction

Keywords

  • microdrops
  • cycloplegia
  • refraction
  • cyclopentolate
  • children
03

In context

Lead sponsor

Aristotle University Of Thessaloniki is the lead sponsor of 274 studies on the registry; 56 are open to participants now.

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

04

Who can participate

Ages eligible
4 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Children aged 4-16 years old, who require cycloplegic refraction measurements in the context of regular ophthalmological examination as outpatients in the 2nd Department of Ophthalmology of AUTh at a tertiary center in Northern Greece.

Exclusion criteria

Exclusion Criteria:

  1. Inability for the child to cooperate with autorefractometer
  2. Difficulties for the family to attend the follow-up visit
  3. Known allergic reaction to cyclopentolate or to any of the other ingredients of this solution
  4. Presence of any contraindication for the child to receive cyclopentolate eyedrops (e.g. neurological disease of concern)
05

Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Investigator)
Enrollment
63 participants (actual)

Study arms

  • Experimental
    Study Group

    Cycloplegia with microdrops

    Device: Microdrop instillation of cyclopentolate 1%

  • Active comparator
    Control Group

    Cycloplegia with standard drops

    Device: Standard drop instillation of cyclopentolate 1%

Interventions

  • DeviceMicrodrop instillation of cyclopentolate 1%

    1 drop administered through the Nanodropper device adapted to the commercially available multi-dose dropper bottle

  • DeviceStandard drop instillation of cyclopentolate 1%

    1 drop administered directly through the commercially available multi-dose dropper bottle

06

What researchers measure

Primary outcomes

  1. Cycloplegic refraction: diopters of spherical equivalent

    The difference in spherical equivalent (SE) after microdrop and standard drop instillation (cycloplegic efficacy)

    Time frame: 40 minutes post-instillation

Secondary outcomes

  1. Heart rate: bpm

    The difference in heart rate after microdrop and standard drop instillation (safety outcome)

    Time frame: 40 minutes post-instillation

  2. Flushing: absent, minor, major

    The difference in the number of patients who experience flushing after microdrop and after standard drop instillation (safety outcome)

    Time frame: 40 minutes post-instillation

  3. Behavioral changes: yes or no

    The difference in the number of patients who experience behavioral changes after microdrop and after standard drop instillation (safety outcome)

    Time frame: 40 minutes post-instillation

  4. Sleepiness: yes or no

    The difference in the number of patients who experience sleepiness after microdrop and standard drop instillation (safety outcome)

    Time frame: 40 minutes post-instillation

07

Study locations

1 site
  • Papageorgiou General Hospital
    Thessaloniki, Greece
08

References and documents

Publications

  • Seliniotaki AK, Tziola T, Lithoxopoulou M, Tzamalis A, Ziakas N, Mataftsi A. Optimizing instilled drug delivery: a scoping review of microdrops in ophthalmology. Graefes Arch Clin Exp Ophthalmol. 2025 Jul;263(7):1765-1787. doi: 10.1007/s00417-025-06773-1. Epub 2025 Feb 26. PubMed 40011238 ↗
  • Hoppe CB, Yonamine S, Kao BW, Turner ML, Ou Y, Han Y, Keenan JD, Oatts JT. Randomized Trial to Evaluate the Efficacy of the Nanodropper Device for Pupillary Dilation and Cycloplegia in Children. Ophthalmology. 2023 Mar;130(3):324-330. doi: 10.1016/j.ophtha.2022.10.016. Epub 2022 Oct 22. PubMed 36280185 ↗
  • Noske W. Cycloplegic refraction using atropine minidrops. Strabismus. 1993;1(1):17-23. doi: 10.3109/09273979309033849. PubMed 21314515 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06885242
Lead sponsor
Aristotle University Of Thessaloniki
Collaborators
Nanodropper, Inc.
Responsible party
Asimina Mataftsi (Professor in Ophthalmology, Paediatric Ophthalmology and Strabismus, Aristotle University Of Thessaloniki) — Principal investigator
First posted
Mar 20, 2025
Start date
Sep 6, 2024
Primary completion
Sep 26, 2025
Completion
Oct 8, 2025
Last update
Nov 4, 2025

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2025. 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