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RecruitingNCT06974162Updated Jul 21, 2026

Metagenomics for Ocular Inflammation

An observational study in Uveitis, Aqueous Humor and Infection, sponsored by Moorfields Eye Hospital NHS Foundation Trust. Recruiting at 1 site in United Kingdom. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by Moorfields Eye Hospital NHS Foundation Trust · Observational

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 4 months later.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
36
Sex
All
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Study summary

The aim of this study is to apply a diagnostic test called 'metagenomic sequencing' to identify the involvement of potential infections in patients with ocular inflammation, where this hasn't been detected by currently available standard testing. For many people with ocular inflammation, no cause is ever found for their disease. In some cases, an infection or infectious trigger is suspected, but currently available tests are inadequate. Metagenomic sequencing can identify almost every globally known infection (bacteria, virus, fungi, parasites) in a sample. Therefore, it has the potential to identify an infection that has caused or triggered ocular inflammation, and as a consequence may help to identify specific treatments. It has the potential to improve our understanding of how to diagnose and treat people with this problem. This study will allow us to test the technique that has been previously optimised for brain infections, on ocular fluids. Participants will be 18 years of age or over and have active ocular inflammation which is suspected to be due to an infection, or an autoimmune process which has been triggered by an infection, but identification of this infection has not been possible using the investigations available as part of standard NHS care. Participants will be identified by the treating clinical team as requiring a sample of fluid from inside of the eye, and some of this fluid will be sent for metagenomic sequencing alongside standard testing. This study will be conducted at Moorfields Eye Hospital, London and will last for approximately a year. Participants will undergo additional non-invasive ocular imaging on the day of their clinic visit, but will not have to attend any additional research visits.

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Conditions studied

  • Uveitis
  • Aqueous Humor
  • Infection

Keywords

  • Metagenomics
  • Uveitis
  • Aqueous Humor
  • Ophthalmology
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In context

Uveitis

299 studies on the registry are indexed under Uveitis; 32 are open to participants now.

This study's planned enrollment of 36 is below the median of 107 across 104 observational studies indexed under Uveitis.

Browse Uveitis studies →

Lead sponsor

Moorfields Eye Hospital NHS Foundation Trust is the lead sponsor of 48 studies on the registry; 4 are open to participants now.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients in the UK attending Moorfields Eye Hospital, London.

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. 18 years of age or older with the capacity to consent
  2. Standard of care has not determined a clinical diagnosis
  3. Active ocular inflammation with risk of visual loss
  4. Clinically suspected infectious or para-infectious cause of ocular inflammation

Exclusion criteria

Exclusion Criteria:

  1. to ocular fluid sampling
  2. Where an urgent result within 5 days is clinically required
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
36 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Patients with ocular inflammation presumed to be infectious or para-infectious

    Patients with Ocular Inflammation undergoing Metagenomics on Aqueous Humour

    Diagnostic Test: Metagenomic sequencing of aqueous humor · Diagnostic Test: Ocular Imaging

Interventions

  • Diagnostic testMetagenomic sequencing of aqueous humor

    Metagenomic Sequencing on aqueous humor surplus to diagnostic requirements

  • Diagnostic testOcular Imaging

    Ocular imaging with anterior segment OCT, laser flare photometry, confocal microscopy and colour fundus photography.

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What researchers measure

Primary outcomes

  1. The percentage of participants who receive a clinically viable result from metagenomic sequencing

    Time frame: 12 months

Secondary outcomes

  1. The number of patients who receive a result that leads to a change in treatment and beneficial outcome from metagenomic sequencing

    Time frame: 12 months

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Atkinson L, Lee JC, Lennon A, Shah D, Storey N, Morfopoulou S, Harris KA, Breuer J, Brown JR. Untargeted metagenomics protocol for the diagnosis of infection from CSF and tissue from sterile sites. Heliyon. 2023 Sep 9;9(9):e19854. doi: 10.1016/j.heliyon.2023.e19854. eCollection 2023 Sep. PubMed 37809666 ↗
  • Penner J, Hassell J, Brown JR, Mankad K, Storey N, Atkinson L, Ranganathan N, Lennon A, Lee JCD, Champsas D, Kopec A, Shah D, Venturini C, Dixon G, De S, Hatcher J, Harris K, Aquilina K, Kusters MA, Moshal K, Shingadia D, Worth AJJ, Lucchini G, Merve A, Jacques TS, Bamford A, Kaliakatsos M, Breuer J, Morfopoulou S. Translating metagenomics into clinical practice for complex paediatric neurological presentations. J Infect. 2023 Nov;87(5):451-458. doi: 10.1016/j.jinf.2023.08.002. Epub 2023 Aug 7. No abstract available. PubMed 37557958 ↗
  • Doan T, Acharya NR, Pinsky BA, Sahoo MK, Chow ED, Banaei N, Budvytiene I, Cevallos V, Zhong L, Zhou Z, Lietman TM, DeRisi JL. Metagenomic DNA Sequencing for the Diagnosis of Intraocular Infections. Ophthalmology. 2017 Aug;124(8):1247-1248. doi: 10.1016/j.ophtha.2017.03.045. Epub 2017 May 16. No abstract available. PubMed 28526549 ↗

Related links

Individual participant data

Plan to share: Yes — Individual participant demographics and research findings will be shared in the peer-reviewed scientific publication.

Supporting information: Study protocol

Time frame: Within 12 months of study completion, for 5 years held in the Clinical Research Facility at Moorfields Eye Hospital.

Access criteria: On request to Moorfields Eye Hospital

Data sharing details ↗ · www.moorfields.nhs.uk

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2026, 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
NCT06974162
Lead sponsor
Moorfields Eye Hospital NHS Foundation Trust
Collaborators
Great Ormond Street Hospital for Children NHS Foundation Trust
Responsible party
Sponsor
First posted
May 15, 2025
Start date
Jun 12, 2025
Primary completion
Nov 27, 2026 (estimated)
Completion
Nov 27, 2027 (estimated)
Last update
Jul 21, 2026

Study contacts

Research Administration at Moorfields Eye Hospital R&D
Contact
moorfields.crfenquiries@nhs.net
+44 20 7253 2411

Oversight

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

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