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Not yet recruitingNCT07047924SEMOAUpdated Jul 2, 2025

A Clinical Trial Assessing the Safety and Effectiveness of Orthokeratology Lenses in Patients With Myopia and Myopic Astigmatism

An interventional study of MCOK-01 in Myopia and Myopic Astigmatism, sponsored by Menicon Co., Ltd.. Not yet recruiting at 4 sites in Australia. Open to participants aged 6 Years to 40 Years. Per ClinicalTrials.gov, last updated 2025-07-02.

Sponsored by Menicon Co., Ltd. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
220
Allocation
Not applicable
Ages
6 Years to 40 Years
Sex
All
01

Study summary

This is a prospective, multi-centre, single-arm clinical trial to evaluate the effectiveness and safety of MCOK-01 lenses in patients with myopia and myopic astigmatism who need dioptric correction.

A maximum number of 220 participants are planned to be enrolled , with a minimum of 150 planned to complete the trial (30% dropout). All participants will be enrolled in Australia.

Enrolled participants will wear the lenses every night for up to 12 months, removing them upon waking. 8 follow up visits will be completed during treatment, after: 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, 9 months and 12 months of wearing the lenses.

02

Conditions studied

  • Myopia
  • Myopic Astigmatism

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Keywords

  • Myopia
  • Myopic Astigmatism
  • Orthokeratology Lenses
  • Orthokeratology
03

In context

Myopia

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

This study's planned enrollment of 220 is above the median of 80 across 783 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Menicon Co., Ltd. is the lead sponsor of 8 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Participant diagnosed with myopia and myopic astigmatism, documented by an eye care practitioner.
  2. Participant is between 6-40 years old inclusive.
  3. Participant is not motivated to wear glasses in daily life.
  4. Participants are of Caucasian ethnicity (must be >50% of study population) or other non-east Asian ethnic groups (Indian, Sri-Lankan, Pakistani, etc). Neither parent of participant can be east-asian.
  5. Provision of written informed consent.
  6. Participants understand and agree to all requirements of the clinical trial; visit schedule, investigator guidance, follow-lens instructions, etc

Exclusion criteria

Exclusion Criteria:

  1. Best corrected distance vision acuity of less than 0.8 with spectacles.
  2. Subjective refraction test shows spherical power greater than -6.00D,less than -0.50D or astigmatism greater than 1.5D.
  3. Participants of East-Asian ethnicity (Chinese, Japanese, Korean, etc).
  4. Participants requiring treatment for eye disease other than refractive error (excluding those receiving artificial tears eye drops due to the wearing of corneal contact lenses).
  5. Medical history of intraocular surgery that may affect the effect of wearing the lens for this clinical trial (those with corneal transplantation, Retinal detachment, etc)..
  6. Medical history of refractive corneal surgery.
  7. Slit lamp findings that are more serious than grade 1
  8. Participants requiring lens parameters outside of the scope of lens for this clinical trial.
  9. Known eye allergies or conditions that are contraindicated, including sensitivity to any lens care maintenance or packaging solution additives being used in this study
  10. Corneal abnormalities including keratoconus, corneal dystrophy and/or previous history of ocular herpes infections.
  11. Currently using Atropine, or have used Atropine eye drops 14 days prior to enrolment.
  12. For female participants, pregnancy, planned pregnancy during the trial or breastfeeding (pregnancy status provided by verbal confirmation).
  13. Participation in other clinical trials or participation within the past 30 days.
  14. Use of orthokeratology lenses within the prior 90 days, extended wear, rigid gas permeable corneal and scleral lenses within the prior 30 days, daily disposable and daily wear within the prior 15 days.
  15. Mental incapacity.
  16. Other Participants deemed not suitable for the trial at the investigator's discretion
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
220 participants (estimated)

Study arms

  • Experimental
    Investigational

    All participants will be enrolled in the Investigational arm, and treated with the investigational product.

    Device: MCOK-01

Interventions

  • DeviceMCOK-01

    The investigational device is a Rigid Gas Permeable contact lenses for orthokeratology. MCOK-01 applied the reverse geometry design and adopted the lens material which possesses the highest oxygen permeability among all the materials for orthokeratology lens.

06

What researchers measure

Primary outcomes

  1. Lines of improvement of monocular uncorrected distance visual acuity

    Reading of a logMAR chart. Each line difference represents 0.1 logMAR acuity. The improvement in acuity is represented by a numerical reduction in the logMAR value.

    Time frame: 12-months following enrolment

  2. Proportion of eyes achieved uncorrected distance visual acuity of ≤0.30 logMAR, ≤0.20 logMAR, ≤0.10 logMAR, and ≤0.00 logMAR

    Measured using a logMAR chart. Each line difference represents 0.1 logMAR acuity. The improvement in acuity is represented by a numerical reduction in the logMAR value.

    Time frame: 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  3. A level of attempted versus achieved reduction in manifest refractive error

    Using a Phoropter/Refractor. Proportion of eyes with manifest sphere within ±0.50 D, ±1.00 D, and ±2.00 D of the target (plano)

    Time frame: 12 months following enrolment

  4. Number and rates (by type of event and relation to device) of serious and significant adverse events

    Adverse events will be self-reported by participants to investigative team

    Time frame: Any time within the 12-months enrolment window

  5. Number and rates (by type of event) of all types of adverse events that were not classified as serious or significant adverse events.

    Adverse events will be self-reported by participants to investigative team

    Time frame: Any time within the 12-months enrolment window

  6. Number of slit lamp results above grade 2

    Assessed using a slit lamp

    Time frame: 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  7. Number and rate of cases of loss of; monocular best spectacle corrected visual acuity (BSCVA) of 2 or more lines (≥ 0.2 logMar), and 1 or more lines (≥ 0.1 logMar).

    Assessed with a logMAR chart

    Time frame: 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

Secondary outcomes

  1. Improvement of monocular uncorrected distance visual acuity

    Assessed with a logMAR chart. Endpoint will be measured by a set of descriptive statistics.

    Time frame: 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  2. Change in best corrected spectacle visual acuity

    Assessed using a logMAR chart

    Time frame: 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  3. Changes in manifest sphere

    Measured with a subjective refraction test

    Time frame: 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  4. A level of attempted versus achieved reduction in manifest refractive error

    Measured with a subjective refraction test. Proportion of eyes with manifest sphere within ±0.50 D, ±1.00 D, and ±2.00 D of the target (plano)

    Time frame: 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  5. Corneal topography changes

    Measured with a corneal topographer

    Time frame: 12 months following enrolment

  6. Change in absolute corneal astigmatism

    Measured with a corneal topographer

    Time frame: 12 months following enrolment

  7. Number of discontinued participants and the reasons for discontinuation

    Ongoing participation rates will be continuously monitored

    Time frame: Any time within the 12-months enrolment window

  8. Number and rates of average wear time per day

    Patient reported at scheduled study visits

    Time frame: 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  9. Increase in corneal or refractive astigmatism of 2D or more and 1D or more post-treatment

    Measured with a subjective refraction test

    Time frame: 12 months following enrolment

  10. Signs/symptoms and complications from subjective questionnaires

    Assessed by the subjective questionnaires completed by participants

    Time frame: 1 month, 6 months, and 12 months following enrolment

  11. Descriptive statistics of intraocular pressure (IOP) and for percent change from baseline

    Measured using a tonometer

    Time frame: 6 months and 12 months following enrolment

  12. Descriptive statistics of specular microscopy measurements

    Measured using a specular microscope. Specific parameters include Endothelial Cell Morphology (Cell density (cells/mm2), Polymegethism (CV) and Pleomorphism (percentage of hexagonal cells))

    Time frame: 12 months following enrolment

  13. Descriptive statistics of central corneal thickness

    Measured using a specular microscope.

    Time frame: 6 months, and 12 months following enrolment

  14. Frequency and reasons for lens replacement

    Patient reported at scheduled study visits

    Time frame: Any time within the 12-months enrolment window

  15. Damage or scratches on the lenses

    Time frame: 1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, 9 months, and 12 months following enrolment

  16. Stability in manifest refractive error

    Measured with a subjective refraction test. Proportion of eyes with manifest sphere change within ±0.50 D between 1-month and 3-month visit.

    Time frame: 1 month and 3 months following enrolment

  17. Stability in unaided visual acuity

    Measured using a logMAR chart. Proportion of eyes with unaided visual acuity change within 1 line (0.1 logMAR) between 1-month and 3-month visit.

    Time frame: 1 month and 3 months following enrolment

07

Study locations

4 sites
  • Eyecare Kids
    Hillsdale, New South Wales 2036, Australia
  • UNSW School of Optometry and Vision Science
    Sydney, New South Wales 2052, Australia
    • Jackie Tan-Showyin, PhD, BOptom (Hons) · Contact · jacqueline.tan@unsw.edu.au · 9385 6551
    • Fiona Stapleton, PhD · Principal investigator
  • Queensland University of Technology Optometry and Vision Science
    Kelvin Grove, Queensland 4059, Australia
    • Catherine Foster · Contact · c.foster@qut.edu.au · 313 85731
    • Michael Collins, PhD · Principal investigator
  • The University of Melbourne Department of Optometry and Vision Sciences
    Carlton, Victoria 3053, Australia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07047924
Lead sponsor
Menicon Co., Ltd.
Responsible party
Sponsor
First posted
Jul 2, 2025
Start date
Jul 1, 2025 (estimated)
Primary completion
Dec 1, 2026 (estimated)
Completion
Dec 1, 2026 (estimated)
Last update
Jul 2, 2025

Oversight

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

Not currently enrolling

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

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