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Active, not recruitingNCT06927388Updated Dec 8, 2025

Myopia Progression With Freeform Myopia Control Spectacles

An interventional study of freeform myopia control spectacles and Commercial myopia control spectacle lens (CML) in Myopia, Progressive, sponsored by Shanghai Eye Disease Prevention and Treatment Center. Active, not recruiting at 1 site in China. Open to participants aged 6 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-08.

Sponsored by Shanghai Eye Disease Prevention and Treatment Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
6 Years to 12 Years
Sex
All
01

Study summary

This is a prospective, randomized clinical trial. There will be a total of 180 participants randomized into three groups, Group 1 - 60 participants will wear the commercial peripheral plus myopia control lens (CML).

Group 2 - 60 participants will wear the Open Ring 1 (OR1) lens design. Group 3 - 60 participants will wear the Open Ring 2 (OR2) lens design. For each group, an equal balance of gender will be recruited and 50% of children will be aged between 6- 9 years old and 50% aged 10-12 years old.

All groups will be required to wear spectacles for all waking hours for 12 months. After 12 months, the control group participants wearing CML will be randomised to wear either OR1 or OR2 lens designs; the Group 2 participants will continue wearing the OR1 lens for a further 12 months. The Group 3 participants will wear OR2 or OR3 (a modified design of OR2) based on their risk of myopia progression for a further 12 months.

02

Conditions studied

  • Myopia, Progressive

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Keywords

  • Myopia progression
  • open ring myopia control spectacle lens
03

In context

Myopia, Degenerative

70 studies on the registry are indexed under Myopia, Degenerative; 19 are open to participants now.

This study's planned enrollment of 180 is above the median of 121 across 56 interventional studies indexed under Myopia, Degenerative.

Browse Myopia, Degenerative studies →

Lead sponsor

Shanghai Eye Disease Prevention and Treatment Center is the lead sponsor of 64 studies on the registry; 30 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

Participants enrolled in the trial must:

  • be aged between 6 to 12 completed years (6 and 12 years inclusive), irrespective of gender.
  • For each group, an equal balance of gender will be recruited and 50% of children will be aged between 6- 9 years old and 50% aged 10-12 years old.
  • be cycloplegic autorefraction spherical component -0.50 D to -4.00D, cylinder no more than -1.50D
  • be accompanied by parents/guardians who can read and comprehend Chinese and give informed consent as demonstrated by signing a record of informed consent.
  • be willing to comply with the wearing and clinical trial visit schedule as directed by the Investigator.
  • have ocular health findings considered to be "normal".
  • be correctable to at least 6/9.5 (20/30) or better in each eye with spectacles.
  • be willing to wear the spectacles provided by the investigators for all waking hours.

Exclusion criteria

Exclusion Criteria:

Participants enrolled in the trial must NOT have:

  • a known allergy to, or a history of intolerance to tropicamide or topical anaesthetics.
  • had strabismus and/or amblyopia.
  • Anisometropia greater than 1.50D spherical equivalent
  • had previous eye surgery (including strabismus surgery).
  • any ocular, systemic or other condition or disease with possible associations with myopia or affecting refractive development e.g. Marfan syndrome, retinopathy of prematurity, diabetes.
  • had any ocular injury or condition (including keratoconus and herpes keratitis) of the cornea, conjunctiva or eyelids.
  • current orthoptic treatment or vision training.
  • any anatomical, skin or other condition that would impact on the wearing of spectacles.
  • Use of or a need for concurrent category S3 and above ocular medication at enrolment and/or during the clinical trial.
  • Currently enrolled in another clinical trial.
  • No previous myopia management intervention or treatment within 3 months of enrolment
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
180 participants (estimated)

Study arms

  • Active comparator
    Group 1:wear the commercial peripheral plus myopia control lens (CML).

    60 participants will wear the commercial peripheral plus myopia control lens (CML) in the first year. CML will be randomised to wear either OR1 or OR2 lens designs at the second year.

    Device: Commercial myopia control spectacle lens (CML)

  • Experimental
    Group 2 wear the Open Ring 1 (OR1) lens

    60 participants will wear the OR1 lens design for two years.

    Device: freeform myopia control spectacles

  • Experimental
    Group 3 wear the Open Ring 2 (OR2) lens

    60 participants will wear the OR2 lens design in the first year and wear OR2 or OR3 (a modified design of OR2) based on their risk of myopia progression for a further 12 months.

    Device: freeform myopia control spectacles

Interventions

  • Devicefreeform myopia control spectacles

    The open ring freeform myopia control spectacle lens designs incorporate positively powered cylindrical annular refractive elements (CARE) on the back surface with a superiorly positioned opening in each CARE. The CARE provides an effective optical myopic defocus signal for myopia control and the ring opening facilitates a defocus free zone to aid a smoother visual free transition from downgaze through to upgaze (far) vision for the wearer. The OR designs provide a difference in area and strength of myopia defocus by altering design parameters i.e. zone widths and zone powers. The OR2 and OR3 designs have wider zones and/or higher zone powers than OR1.

  • DeviceCommercial myopia control spectacle lens (CML)

    Myoless freeform peripheral plus myopia control spectacle lens by IOT

06

What researchers measure

Primary outcomes

  1. myopic progression in one year

    The primary outcome measure of this study is myopic progression in one year. This is expressed as the change in spherical equivalent refractive state from baseline levels. Spherical equivalent refraction will be taken as the mean of the spherical equivalent refraction of five, reliable, cycloplegic autorefraction measurements on each eye. Myopia progression is also expressed as the change in axial length from baseline levels. Myopia progression is characterised by ocular anatomical changes, the most notable being increased axial length. This will be measured at 6 monthly intervals.

    Time frame: 12 months.

Secondary outcomes

  1. myopia progression within myopia risk categories

    A secondary endpoint is myopia progression within myopia risk categories. Participants risk of progression will be assessed at baseline using variables such as axial length, central refraction, age, parental myopia, gender. Age, axial length percentiles and expected progression, based on published online calculators, will be converted to risk scores and categorised as low medium and high risk.

    Time frame: 12 months.

  2. the wearer subjective experience

    Another secondary endpoint is the wearer subjective experience which is evaluated using a subjective quality of vision scale for various activities. Both a 1-10 scale (where 1 is poor and 10 is excellent) and a Likert scale will be used and data collected at each study visit.

    Time frame: 12 months.

07

Study locations

1 site
  • Xiangui He
    Shanghai, 200040, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06927388
Lead sponsor
Shanghai Eye Disease Prevention and Treatment Center
Responsible party
Sponsor
First posted
Apr 15, 2025
Start date
May 17, 2025
Primary completion
Sep 30, 2027 (estimated)
Completion
Sep 30, 2027 (estimated)
Last update
Dec 8, 2025

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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