Actively Recruiting

Phase 3
Age: 3Years - 13Years
All Genders
NCT04378790

A Randomized Trial to Evaluate Sequential vs Simultaneous Patching

Led by Jaeb Center for Health Research · Updated on 2026-02-11

544

Participants Needed

68

Research Sites

385 weeks

Total Duration

On this page

Sponsors

J

Jaeb Center for Health Research

Lead Sponsor

N

National Eye Institute (NEI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

A randomized trial to determine whether simultaneous treatment with spectacles and patching has an equivalent VA outcome compared with sequential treatment, first with spectacles alone followed by patching (if needed), for previously untreated amblyopia in children 3 to \<13 years of age.

CONDITIONS

Official Title

A Randomized Trial to Evaluate Sequential vs Simultaneous Patching

Who Can Participate

Age: 3Years - 13Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Children aged 3 to under 13 years at randomization
  • Amblyopia due to anisometropia, strabismus, or both
  • For strabismic amblyopia: presence of eye misalignment or past history possibly causing amblyopia
  • For anisometropia: 1.00 D difference in spherical equivalent or 1.50 D difference in astigmatism between eyes
  • For combined amblyopia: criteria for strabismus plus anisometropia criteria
  • No prior amblyopia treatment except no more than 24 hours of spectacle wear
  • Investigator plans to start full spectacle correction based on recent cycloplegic refraction
  • Visual acuity in amblyopic eye between 20/40 and 20/200 at enrollment
  • Age-normal vision in the fellow eye
  • Interocular visual acuity difference of at least 3 logMAR lines or 15 letters
  • Parent willing to accept randomization and understands the protocol
  • Parent has phone access and agrees to contact
  • No expected relocation outside study area during 56 weeks
Not Eligible

You will not qualify if you...

  • Myopia worse than -6.00 diopters in either eye
  • Previous intraocular or refractive surgery
  • Planned strabismus surgery within 56 weeks
  • Any previous amblyopia treatment including patching, atropine, filters, vision therapy, or binocular treatment
  • More than 24 hours of previous spectacle or contact lens wear
  • Willingness to avoid contact lens wear during study
  • Eye conditions that may reduce vision other than amblyopia
  • Severe developmental delay interfering with treatment or evaluation
  • Known allergy to adhesive patches or silicone
  • Nystagmus is allowed if vision criteria are met
  • Mild speech delay, learning disabilities, or ADHD are not excluded

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 68 locations

1

UAB Pediatric Eye Care; Birmingham Health Care

Birmingham, Alabama, United States, 35294

Actively Recruiting

2

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

Actively Recruiting

3

Midwestern University Eye Institute

Glendale, Arizona, United States, 85308

Actively Recruiting

4

Arizonia Pediatric Eye Specialists

Phoenix, Arizona, United States, 85006

Actively Recruiting

5

University of Arizona

Tucson, Arizona, United States, 85711

Actively Recruiting

6

Univ. of California- Berkeley

Berkeley, California, United States, 94720

Actively Recruiting

7

Marshall B. Ketchum University

Fullerton, California, United States, 92831

Actively Recruiting

8

Univ of California, Irvine- Gavin Herbert Eye Institute

Irvine, California, United States, 92697

Actively Recruiting

9

Loma Linda University Health Care, Dept. of Ophthalmology

Loma Linda, California, United States, 92354

Actively Recruiting

10

Children's Hospital of Los Angeles (CHLA)

Los Angeles, California, United States, 90027

Actively Recruiting

11

Stanford University

Palo Alto, California, United States, 94303

Actively Recruiting

12

Western University College of Optometry

Pomona, California, United States, 91766

Actively Recruiting

13

University of California, Davis

Sacramento, California, United States, 95817

Actively Recruiting

14

University of California San Francisco Department of Ophthalmology

San Francisco, California, United States, 94143

Actively Recruiting

15

Eye Physicians & Surgeons, PC

Milford, Connecticut, United States, 06460

Actively Recruiting

16

Nova Southeastern University College of Optometry, The Eye Institute

Fort Lauderdale, Florida, United States, 33382

Actively Recruiting

17

Nemours Children's Clinic

Jacksonville, Florida, United States, 32207

Actively Recruiting

18

University of South Florida (USF) Eye

Tampa, Florida, United States, 33620

Actively Recruiting

19

St Luke's Hospital

Boise, Idaho, United States, 83702

Actively Recruiting

20

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States, 60611

Actively Recruiting

21

Ticho Eye Associates

Chicago Ridge, Illinois, United States, 60415

Actively Recruiting

22

Midwestern U Chicago College of Optometry

Downers Grove, Illinois, United States, 60515

Actively Recruiting

23

Progressive Eye Care

Lisle, Illinois, United States, 60532

Actively Recruiting

24

Indiana School of Optometry

Bloomington, Indiana, United States, 47405

Actively Recruiting

25

Indiana University School of Optometry

Indianapolis, Indiana, United States, 47405

Actively Recruiting

26

Wolfe Eye Clinic

West Des Moines, Iowa, United States, 50266

Actively Recruiting

27

Wilmer Eye Institute

Baltimore, Maryland, United States, 21287-9028

Actively Recruiting

28

Boston Medical Center

Boston, Massachusetts, United States, 02118

Actively Recruiting

29

Boston Children's Hospital Waltham

Boston, Massachusetts, United States, 02453

Actively Recruiting

30

Corewell Health

Grand Rapids, Michigan, United States, 49503

Actively Recruiting

31

Pediatric Ophthalmology, P.C.

Grand Rapids, Michigan, United States, 49546

Actively Recruiting

32

Zenith Vision Development Center

Duluth, Minnesota, United States, 55811

Actively Recruiting

33

Mayo Clinic

Rochester, Minnesota, United States, 55905

Actively Recruiting

34

PineCone Vision Center

Sartell, Minnesota, United States, 56377

Actively Recruiting

35

Children's Mercy Hospitals and Clinics

Kansas City, Missouri, United States, 64108

Actively Recruiting

36

St. Louis Children's Hospital Eye Center

St Louis, Missouri, United States, 63110

Actively Recruiting

37

U of MO St. Louis College of Optometry

St Louis, Missouri, United States, 63121

Actively Recruiting

38

University of Nebraska Medical Center

Omaha, Nebraska, United States, 68114

Actively Recruiting

39

Ross Eye Institute, University of Buffalo, Med School Dept Ophthalmology

Buffalo, New York, United States, 14209

Actively Recruiting

40

NYU Langone Health

New York, New York, United States, 10017

Actively Recruiting

41

State University of New York, College of Optometry

New York, New York, United States, 10036

Actively Recruiting

42

University of North Carolina

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

43

Duke University Eye Center

Durham, North Carolina, United States, 27710

Actively Recruiting

44

Akron Children's Hospital

Akron, Ohio, United States, 44308

Actively Recruiting

45

Cincinnati Children's Hospital

Cincinnati, Ohio, United States, 45229

Actively Recruiting

46

Ohio State University College of Optometry

Columbus, Ohio, United States, 43210-1280

Actively Recruiting

47

Dean A. McGee Eye Institute

Oklahoma City, Oklahoma, United States, 73104

Actively Recruiting

48

River View Family Eyecare

Albany, Oregon, United States, 97321

Actively Recruiting

49

Casey Eye Institute

Portland, Oregon, United States, 97239

Actively Recruiting

50

Pediatric Ophthalmology of Erie

Erie, Pennsylvania, United States, 16501

Actively Recruiting

51

Conestoga Eye

Lancaster, Pennsylvania, United States, 17601

Actively Recruiting

52

Wills Eye Hospital

Philadelphia, Pennsylvania, United States, 19107

Actively Recruiting

53

Salus University/Pennsylvania College of Optometry

Philadelphia, Pennsylvania, United States, 19141

Actively Recruiting

54

UPMC Children's Eye Center of Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States, 15224

Actively Recruiting

55

Prisma Health

Columbia, South Carolina, United States, 29203

Actively Recruiting

56

Southern College of Optometry

Memphis, Tennessee, United States, 38104

Actively Recruiting

57

Vanderbilt University Medical Center - Vanderbilt Eye Institute

Nashville, Tennessee, United States, 37232

Actively Recruiting

58

Pediatric Eye Specialists, LLP

Fort Worth, Texas, United States, 76014

Actively Recruiting

59

Baylor College of Medicine

Houston, Texas, United States, 77030

Actively Recruiting

60

Texas Tech University Health Science Center

Lubbock, Texas, United States, 79430

Actively Recruiting

61

University of the Incarnate Word

San Antonio, Texas, United States, 78209

Actively Recruiting

62

San Antonio Eye Center

San Antonio, Texas, United States, 78215

Actively Recruiting

63

University of Incarnate Word Rosenberg School of Optometry

San Antonio, Texas, United States, 78229

Actively Recruiting

64

Rocky Mountain Eye Care Associates

Salt Lake City, Utah, United States, 84107

Actively Recruiting

65

Virginia Pediatric Eye Center

Norfolk, Virginia, United States, 23502

Actively Recruiting

66

Seattle Children's Hospital, University of Washington

Seattle, Washington, United States, 98105

Actively Recruiting

67

Spokane Eye Clinical Research

Spokane, Washington, United States, 99204

Actively Recruiting

68

Snowy Range Vision Center

Laramie, Wyoming, United States, 82070

Actively Recruiting

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Research Team

R

Raymond T Kraker, MSPH

CONTACT

B

Brooke P Fimbel

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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A Randomized Trial to Evaluate Sequential vs Simultaneous Patching | DecenTrialz