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RecruitingNCT07298824Updated Dec 23, 2025

Clinical Efficacy and Mechanism Exploration of MR-61 in Delaying the Progression of Myopia

A Phase 2 interventional study of Investigational Bifidobacterium Preparation MR-61 and Placebo for MR-61 in Myopia Progressing, sponsored by Second Affiliated Hospital of Nanchang University. Recruiting at 1 site in China. Open to participants aged 3 Years to 18 Years. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Second Affiliated Hospital of Nanchang University · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 2
Study type
Interventional
Enrollment
164
Allocation
Randomized
Ages
3 Years to 18 Years
Sex
All
01

Study summary

To investigate whether probiotic MR-61 can assist in slowing down the progression rate of myopia (a prospective randomized controlled study).

Read the detailed description

To investigate whether probiotic MR-61 can assist in slowing down the progression rate of myopia (a prospective randomized controlled study).

02

Conditions studied

  • Myopia Progressing

Browse trials for

Keywords

  • Myopia,Probiotics,Gut microbiota
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 164 is above the median of 80 across 783 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Second Affiliated Hospital of Nanchang University is the lead sponsor of 78 studies on the registry; 47 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Myopia is defined as spherical equivalent (SE) ≤ -0.5D.
  2. Aged between 3 and 18 years, with no restriction on gender.
  3. Cylinder power ≤ 1.50D; anisometropia of SE between both eyes ≤ 1.50D.
  4. The subject has sufficient compliance with the study follow-up; the subject or their guardian has the intention to receive treatment and has signed the informed consent form.

Exclusion criteria

Exclusion Criteria:

  1. Presence of other concomitant ocular diseases;
  2. Abnormal findings on clinical slit-lamp examination;
  3. Existence of amblyopia, manifest strabismus, esotropia, or other congenital ocular diseases;
  4. Individuals with abnormal intraocular pressure or abnormal axial length of the eye;
  5. Either or both parents having a spherical equivalent (SE) ≤ -6.00D;
  6. Other conditions inconsistent with this study.
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
164 participants (estimated)

Study arms

  • Active comparator
    Probiotic group

    Oral administration of the investigational probiotic powder MR-61. The primary component is Bifidobacterium. Dosage: one sachet, 2-3 times daily, for 3 months.

    Biological: Investigational Bifidobacterium Preparation MR-61

  • Placebo comparator
    Placebo group

    Oral administration of a matched placebo powder. Dosage: one sachet, 2-3 times daily, for 3 months.

    Other: Placebo for MR-61

Interventions

  • BiologicalInvestigational Bifidobacterium Preparation MR-61

    Oral administration of the investigational probiotic powder MR-61. The primary component is Bifidobacterium. Dosage: one sachet, 2-3 times daily, for 3 months.

  • OtherPlacebo for MR-61

    Oral administration of a matched placebo powder. Dosage: one sachet, 2-3 times daily, for 3 months.

06

What researchers measure

Primary outcomes

  1. Change in Spherical Equivalent Refraction

    The change in spherical equivalent refraction (SER) from baseline to each follow-up visit, measured in diopters (D). SER is calculated as the spherical power plus half of the cylindrical power. A negative change indicates an increase in myopia.

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

Secondary outcomes

  1. Change in Axial Length

    The growth value of ocular axial length, measured in millimeters (mm).

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  2. Change in Corneal Curvature

    The change in corneal curvature (keratometry), measured in diopters (D).

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  3. Change in Binocular Anisometropia

    The difference in spherical equivalent refraction between the two eyes, measured in diopters (D).

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  4. Change in Anterior Chamber Depth

    The change in depth of the anterior chamber of the eye, measured in millimeters (mm).

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  5. Change in Lens Thickness

    The change in thickness of the crystalline lens, measured in millimeters (mm).

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  6. Change in Vitreous Cavity Depth

    The change in depth of the vitreous cavity, measured in millimeters (mm)

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  7. Change in Far Phoria Degree

    The degree of heterophoria for distance vision, measured in prism diopters (PD).

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  8. Change in Near Phoria Degree

    The degree of heterophoria for near vision, measured in prism diopters (PD).

    Time frame: Measured at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  9. Score on the National Eye Institute Visual Function Questionnaire - 25 (NEI VFQ-25)

    Visual quality and vision-related quality of life is assessed using the National Eye Institute Visual Function Questionnaire - 25 (NEI VFQ-25). The overall composite score ranges from 0 to 100, where a higher score represents better visual function and quality of life.

    Time frame: Assessed at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  10. Score on the Montreal Cognitive Assessment (MoCA)

    Cognitive function is assessed using the Montreal Cognitive Assessment (MoCA), a widely used screening test for cognitive impairment. The total score ranges from 0 to 30, with a score of 26 or higher considered normal. As probiotic supplementation may influence cognitive function, this will be considered in the interpretation of results.

    Time frame: Assessed at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  11. Score on the Gastrointestinal Symptom Rating Scale (GSRS)

    Gastrointestinal symptoms are assessed using the Gastrointestinal Symptom Rating Scale (GSRS), a validated questionnaire covering reflux, abdominal pain, indigestion, diarrhea, and constipation. Each symptom is rated on a scale from 0 (no discomfort) to 6 (very severe discomfort). A higher total or subscale score indicates more severe gastrointestinal symptoms (worse outcome). As probiotic supplementation may influence gastrointestinal function, this will be considered in the interpretation of results.

    Time frame: Assessed at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  12. Score on the World Health Organization Quality of Life Brief Version (WHOQOL-BREF)

    Participant adaptation and overall quality of life are assessed using the World Health Organization Quality of Life Brief Version (WHOQOL-BREF), a validated generic quality of life instrument. It covers physical health, psychological health, social relationships, and environment domains. The total score is transformed to range from 0 to 100, where a higher score indicates a better quality of life and better adaptation. As probiotic supplementation may influence overall well-being, this will be considered in the interpretation of results.

    Time frame: Assessed at baseline, 1, 3, 6, 9, 12, 13, 14, 19, and 25 months post-intervention.

  13. Change in gut microbiota composition and diversity assessed by 16S rRNA gene sequencing

    Fecal samples collected before and after intervention are analyzed using full-length 16S rRNA gene sequencing. Key metrics include changes in alpha diversity indices (e.g., Shannon Index, observed species), beta diversity (e.g., weighted/unweighted UniFrac distance), and relative abundance of specific bacterial taxa (e.g., phylum Firmicutes/Bacteroidota ratio, genus Bifidobacterium).

    Time frame: Fecal samples collected at baseline, 3, 6, 12, and 25 months post-intervention for sequencing analysis.

  14. Change in concentrations of fecal and serum metabolites

    Targeted metabolomic analysis is performed on fecal and blood serum samples. Concentrations of specific metabolites (e.g., short-chain fatty acids, bile acids, or inflammatory cytokines) are measured and reported in nanomolar (nM) or picograms per milliliter (pg/mL) concentrations, as applicable.

    Time frame: Fecal and blood serum samples collected at baseline, 3, 6, 12, and 25 months post-intervention for metabolite analysis.

07

Study locations

1 of 1 sites recruiting
  • Yifeng Yu
    Nanchang, Jiangxi 330008, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

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 Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07298824
Lead sponsor
Second Affiliated Hospital of Nanchang University
Responsible party
Yifeng Yu (Associate Chief Physician, Ph.D., Second Affiliated Hospital of Nanchang University) — Principal investigator
First posted
Dec 23, 2025
Start date
Oct 1, 2025
Primary completion
Jul 1, 2027 (estimated)
Completion
Jul 1, 2027 (estimated)
Last update
Dec 23, 2025

Study contacts

Yifeng Yu, Ph.D
Contact
171018170@qq.com
13979180258

Oversight

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

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