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Not yet recruitingNCT07449247PROTECTUpdated Mar 4, 2026

PROTECT-Study: Prospective Research on Optimizing Atropine Concentration Escalation for Children's Myopia Prevention

A Phase 1/2 interventional study of 0.01% Atropine in Pre-myopia, sponsored by Tianjin Medical University Eye Hospital. Not yet recruiting. Open to participants aged 6 Years to 9 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-04.

Sponsored by Tianjin Medical University Eye Hospital · Phase 1/2, Interventional, and Prevention

Phase
Phase 1/2
Study type
Interventional
Enrollment
233
Allocation
Not applicable
Ages
6 Years to 9 Years
Sex
All
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Study summary

A prospective multicenter study design was adopted. Children aged 6-9 years with premyopia who met the criteria were screened and administered after completion of baseline assessment. Phase I: 0-24 weeks (0-6M). 0.01% atropine eye drops, once daily, at point in both eyes. Phase II: 24-48 weeks (6-12M). According to the rate of myopia progression at 0-24 weeks (6M), the atropine concentration was increased in steps; once daily, at point in both eyes. Group A: ( SE ≤ 0.25D), continued to maintain 0.01% atropine. Group B: (0.25D \< SE ≤ 0.375D), converted to 0.02% atropine. Group C: ( SE > 0.375D), converted to 0.04% atropine. Followed up 5 times (0, 3, 6, 9, 12 months), collected refractive, ocular axis, intraocular pressure and other data, and recorded adverse events and cost information synchronously. Statistical analysis was carried out by covariance analysis and multivariate model, and pharmacoeconomic evaluation and drug proportion analysis were carried out.

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Conditions studied

  • Pre-myopia

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In context

Myopia

1,159 studies on the registry are indexed under Myopia; 225 are open to participants now.

This study's planned enrollment of 233 is above the median of 78 across 923 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Tianjin Medical University Eye Hospital is the lead sponsor of 18 studies on the registry; 7 are open to participants now.

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

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Who can participate

Ages eligible
6 Years to 9 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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. A written form signed by the child and their legal guardian has been obtained.
  2. Children aged 6 to 9 years (inclusive).
  3. Equivalent spherical diopter of computerized refraction after bilateral ciliary muscle paralysis: 0D\<SE. The upper limit standards for SE are set as follows for different age groups: 6 years old: P25 = +1.13D,7 years old: P25 = +1.00D,8 years old: P25 = +0.88D,9 years old: P25 = +0.63D.
  4. After bilateral ciliary muscle paralysis, the astigmatism detected by computerized refraction is ≤1.00D.
  5. Anisometropia ≤1.5D.
  6. No other organic lesions affecting visual acuity in both eyes.
  7. Unaided visual acuity ≥0.8.
  8. Ocular intraocular pressure (IOP) ≤21 mmHg.

Exclusion criteria

Exclusion criteria:

  1. Subjects who may have ocular diseases affecting vision or refractive errors (such as lens damage diseases like cataract, glaucoma, macular degeneration, corneal lesions, uveitis, retinal detachment, severe vitreous opacity, etc.).
  2. Systemic diseases: Immune system disorders, central nervous system diseases, Down syndrome, asthma, severe cardiopulmonary dysfunction, and a history of severe hepatic or renal dysfunction.
  3. Bilateral or unilateral ocular involvement with dominant strabismus or any other pathological ocular changes or acute inflammatory eye diseases.
  4. Patients who have undergone myopia control treatments, including pharmacological therapy (e.g., atropine or piperazine), orthokeratology, multifocal soft lenses, multifocal hard lenses, functional eyeglass frames, or red light therapy.
  5. Exclude patients who have used drugs affecting efficacy evaluation (e.g., anticholinergic agents: atropine, piperazine; cholinergic agents: pilocarpine) for systemic or local use within the preceding 3 months.
  6. Patients with to atropine, cipretosil, or other drugs used in this study.
  7. Exclude participants who have participated in other drug clinical trials within the past 3 months.
  8. Other circumstances deemed unsuitable by the investigator.
  9. Individuals with chronic mental disorders or psychiatric abnormalities.
  10. Those with an adjustment range below 8D.
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
233 participants (estimated)

Study arms

  • Experimental
    0.01% atropine

    0.01% atropine eye drops nightly both eyes

    Drug: 0.01% Atropine

Interventions

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What researchers measure

Primary outcomes

  1. Change in SER at 12 months compared to baseline

    Change in SER at 12 months compared to baseline

    Time frame: 12 month

Secondary outcomes

  1. Change in AL at 12 months compared to baseline

    Change in AL at 12 months compared to baseline

    Time frame: 12 month

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Study locations

No study locations are listed for this record.

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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 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
NCT07449247
Lead sponsor
Tianjin Medical University Eye Hospital
Responsible party
Ruihua Wei (Chief Physician, Tianjin Medical University Eye Hospital) — Principal investigator
First posted
Mar 4, 2026
Start date
Mar 30, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Mar 4, 2026

Study contacts

Meinan He
Contact
hmn509@tmu.edu.cn
02286428750

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 Feb 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Atropine

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