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RecruitingNCT07567040DONUTUpdated Sep 21, 2026

Delaying the Onset of Nearsightedness Until Treatment (DONUT) Clinical Trial

A Phase 3 interventional study of Atropine Sulfate 0.05% Oph Soln and Placebo in Myopia, sponsored by Ohio State University. Recruiting at 13 sites in United States. Open to participants aged 6 Years to 11 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Ohio State University · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
664
Allocation
Randomized
Ages
6 Years to 11 Years
Sex
All
01

Study summary

The aims of this clinical trial will test whether or not the onset of nearsightedness is delayed in a group of children randomized to nightly drops in 0.05% atropine in both eyes, in comparison to children who receiving nightly placebo drops in both eyes. The primary outcome is the two-year cumulative incidence of nearsightedness. The second aim of this project will determine whether atropine is associated with slower eye growth in children receiving nightly drops of atropine versus placebo.

Read the detailed description

The "Delaying the Onset of Nearsightedness (DONUT) Study - Data Coordinating Center" is a randomized clinical trial designed to compare the effectiveness 0.05% atropine and a placebo in delaying the onset of nearsightedness. It is a multicenter (14 clinic centers) randomized clinical trial of 606 children (recruited over two years) ages 6 to 11 years who are determine to be at high risk of myopia onset, as measured by cycloplegic autorefraction and age. The primary outcome is the two-year cumulative incidence of myopia. The second aim of this project will determine whether atropine is associated with slower axial elongation in children receiving nightly drops of atropine versus placebo.

Participants will be seen every six months for at least two years to determine the onset of myopia.

02

Conditions studied

  • Myopia

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Keywords

  • prevention
03

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 664 is above the median of 78 across 923 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Ohio State University is the lead sponsor of 663 studies on the registry; 148 are open to participants now.

Of its 67 completed or terminated interventional studies of FDA-regulated products, 49 (73%) have results posted.

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

04

Who can participate

Ages eligible
6 Years to 11 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

  • Refractive Error (cycloplegic autorefraction, spherical equivalent, at least one eye, inclusive) 6 years: -0.74 D to +0.75 D 7 and 8 years: -0.74 D to +0.50 D 9 and 10 years: -0.74 D to +0.25 D 11 years: -0.74 D to plano
  • Neither eye has -0.75 D or more myopia, spherical component
  • Anisometropia: Less than 1.50 D difference between OD and OS, cycloplegic autorefraction, spherical equivalent
  • Astigmatism: Less than 1.50 DC in both eyes by cycloplegic autorefraction
  • Successfully complete run-in period: take at least 90% of unit dose artificial tears for 2 to 4 weeks (# of unit-dose vials used divided by # nights since baseline visit must equal 0.90 or greater)

Exclusion criteria

Exclusion Criteria:

  • If Visit 2 (randomization visit) is not completed within 4 weeks of the baseline, eligibility visit.
  • Presence of strabismus (intermittent or constant) based on unilateral cover test at distance and near
  • Known allergy to atropine
  • Systemic issues that may affect accommodation or convergence (e.g., multiple sclerosis, myasthenia gravis, Graves ophthalmopathy, diabetes mellitus, Parkinson's disease, Down syndrome, etc.)
  • Ocular disease (e.g., congenital glaucoma, retinal disease, nystagmus, amblyopia, etc.)
  • Ocular surgery (e.g., cataracts, strabismus)
  • Any previous myopia prevention/control therapy (e.g., atropine, soft contact lenses, orthokeratology, myopia control spectacles, etc.) for more than one month
  • Pregnancy by self-report
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
664 participants (estimated)

Study arms

  • Experimental
    0.05% Atropine

    0.05% atropine instilled in each eye nightly at bedtime

    Drug: Atropine Sulfate 0.05% Oph Soln

  • Placebo comparator
    Placebo

    Placebo drops instilled in each eye nightly at bedtime

    Drug: Placebo

Interventions

  • Atropine Sulfate 0.05% Oph Soln compounded at the pharmacy

  • DrugPlacebo

    Placebo drop with same formulation as treatment minus the atropine

06

What researchers measure

Primary outcomes

  1. Cumulative incidence of myopia (spherical equivalent by Myopia Master)

    Cumulative incidence of myopia as measured by cycloplegic autorefraction comparison between treatment and placebo

    Time frame: Two years

  2. Axial elongation (by Myopia Master)

    Axial elongation comparison between treatment and placebo

    Time frame: Two years

Secondary outcomes

  1. Time to event in incident myopes (measured by spherical equivalent by Myopia Master)

    A comparison of the time to myopia onset between the treatment and placebo groups

    Time frame: 2 years

  2. Progression of spherical equivalent (by Myopia Master)

    Spherical equivalent progression (change) comparison between treatment and placebo

    Time frame: 2 years

07

Study locations

12 of 13 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The final dataset to be shared will include self-reported demographic and participant activity and compliance to treatment data from interviews with participants' parent or guardian, eye examination data, and refraction data. The investigators will share de-identified individual-participant level (IPD) data. Appropriate measures such as providing only participant age and not providing clinical site of data collection will be used for data de-identification and sharing, and informed consent forms will reflect those plans. Calculated fields, rather than the component fields, will be available for a more accessible dataset.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Shared data generated from this project will be made available as soon as possible, and no later than the time of publication or the end of the funding period, whichever comes first. The duration of preservation and sharing of the data will be a minimum of 10 years after the contribution of the data to Vivli.

Access criteria: Data will be available for access on Vivli.

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 Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07567040
Responsible party
Sponsor
First posted
May 5, 2026
Start date
May 27, 2026
Primary completion
May 15, 2028 (estimated)
Completion
May 15, 2028 (estimated)
Last update
Sep 21, 2026

Study contacts

Lisa A Jordan, PhD
Contact
jordan.646@osu.edu
614-247-7321
David A Berntsen, OD PhD
study chair · University of Houston College of Optometry
Jeffrey J Walline, OD PhD
study chair · The Ohio State University College of Optometry

Oversight

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

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