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Trial registered on ANZCTR
Registration number
ACTRN12617001586303
Ethics application status
Approved
Date submitted
1/11/2017
Date registered
28/11/2017
Date last updated
28/11/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Treatment of Adult Amblyopia with the Vivid Vision System
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Scientific title
Effect of treatment with the Vivid Vision System on visual acuity in Adult Amblyopia
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Secondary ID [1]
293259
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None
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Universal Trial Number (UTN)
U1111-1204-5811
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Amblyopia
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Condition category
Condition code
Eye
304612
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All patients will undergo weekly sessions with a trained ophthalmic technician, optometrist or orthoptist. Each session will involve a 30-60 minute period with the patient using a commercially available virtual reality headset (the Vivid Vision System) designed for the treatment of amblyopia. Sessions will be done weekly for 6 to 12 months. The sessions will take place at the Queensland eye Institute in Brisbane. Free parking will be made available.
The primary endpoint is 12 months. If a patients achieved in improvement in visual acuity up to "normal" normal 6 on 6 vision by 6 months then that patients may stop the study then as further testing would not achieve an improvement in vision.
The headset is an "Oculus Rift" commercially available Virtual reality headset that integrates with motion sensors. The movement of the patients hands and fingers are logged by the motion sensors and integrated into what the patients sees in the headset. The experience is very immersive, Patients can not see anything in the room they are in except for what is projected inside the VR headset. Sessions can be fatiguing as the patients need to concentrate on the tasks. Initially sessions will go for 30 minutes but as the patients becomes more used to the treatment they will be allowed to increase the length of the session up to 60 minutes. The increase in length will be controlled by the patient.
The adherence to the tasks is monitored by the software in the headset, Each task is scored and the system automatically determines if the patient has removed the headset. A session will be monitored by one of the study examiners. Patients can take a short break if and when required as the system will automatically pause.
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Intervention code [1]
299519
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Treatment: Devices
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The outcome being measured is the number (percentage) of participants with an improvement in best corrected visual acuity of at least 2 lines of vision on an EDTRS visual acuity chart.
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Assessment method [1]
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Timepoint [1]
303845
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the primary endpoint is 12 months where the primary outcome will be measured. These measurement will also be performed at 6 months to document any improvements over time.
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Secondary outcome [1]
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The number (percentage) of participants with an improvement in best corrected visual acuity of at least 2 lines of vision on objective electrophysiology visual acuity testing.
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Assessment method [1]
340264
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Timepoint [1]
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6 and 12 months
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Eligibility
Key inclusion criteria
Patients with refractive amblyopia and no strabismus
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Inability to use a virtual reality headset
Strabismus
Abnormalities in proprioception of the hands
Non-english speaking
Previous gaming addiction
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
not applicable
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
NA
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
na
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
The only assessment criteria is visual acuity measured with both subjective and objective methods. Analysis is very simple, does vision improve by 2 lines on a standardised visual acuity chart of not. A statistician is available in our research institute if we require one but we feel this is unlikely,.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
14/12/2017
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Actual
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Date of last participant enrolment
Anticipated
20/12/2017
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Actual
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Date of last data collection
Anticipated
20/12/2018
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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France Medical
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Address [1]
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16/35 Paringa Rd, Murarrie QLD 4172
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Queensland Eye Institute
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Address [2]
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140 Melbourne Street
South Brisbane Qld 4101
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Dr Brendan Cronin
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Address
Queensland Eye Institute
140 Melbourne Street
South Brisbane Qld 4101
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
297095
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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RANZCO
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Ethics committee address [1]
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94-98 Chalmers Street Surrey Hills NSW 2010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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26/07/2017
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Approval date [1]
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22/08/2017
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Ethics approval number [1]
298937
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75:17
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Summary
Brief summary
The Vivid Vision system is a commercially available device for the treatment of amblyopia. The system is a virtual reality headset connected to a PC with motion and hand detection software. The Vivid Vision software gives the user tasks where they must use their hands and fingers to point to or move objects that they see in the VR headset. The colour, size, contract and clarity of these objects are altered depending in the person’s performance in the tasks. The company claim that this immersive but controlled experience is extremely effective for treating amblyopia. Vivid Vision make claims that with regular use of the system there is a benefit for children with amblyopia. These claims are reasonable and within accepted ophthalmic standards. The company also claims that the system can benefit adults with amblyopia. Such claims are contrary to the generally accepted belief that there is no treatment for adult amblyopia. It is important to subject these claims because • If the Vivid Vision system does in fact help adults with amblyopia improve their amblyopic eye then this is a huge breakthrough. We must be able to offer adults this treatment if it is effective. • If the Vivid Vision system is not effective then it is important that the company’s claims are subjected to closer scientific scrutiny. The patients will be identified from the clinician's existing population of patients Physical examination • Patients will be examined by an ophthalmologist, Dr Brendan Cronin and an orthoptist to ensure that there is no strabismus and that none of the exclusion criteria are met. There will be a full dilated retinal examination, colour vision assessment, stereopsis testing and refraction. Electrodiagnostics • An objective visual acuity will be performed at the Queensland Electrodiagnostic and Imaging Clinic at 140 Melbourne Street South Brisbane. Vivid Vision Training • Participants will have 30-60 minutes of training on the Vivid Vision system once per week • The system is an Oculus Rift virtual reality headset exactly like those that are used in computer game systems. After 6 and 12 months participants will have the electrodiagnostic testing done again. At 6 and 12 months they will have an examination by Dr Cronin and an orthoptist as well for refraction and stereoacuity testing.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Brendan Cronin
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Address
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Queensland Eye Institute
140 Melbourne Street
South Brisbane Qld 4101
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Country
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Australia
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Phone
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+61 7 32395000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Brett Caldwell
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Address
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Queensland Eye Institute
140 Melbourne Street
South Brisbane Qld 4101
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Country
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Australia
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Phone
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+61 7 3239 5000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Brendan Cronin
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Address
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Queensland Eye Institute
140 Melbourne Street
South Brisbane Qld 4101
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Country
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Australia
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Phone
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+61 7 3239 5000
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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