Electrical Stimulation for Vision Neuroenhancement in Glaucoma
A Randomized, Sham Controlled, Masked Study to Evaluate the Efficacy of Alternating Current Stimulation Using the Eyetronic System for the Treatment of Glaucoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Study Team
- Phone Number: 650-497-5942
- Email: glaucomatrials@stanford.edu
Study Locations
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-
California
-
Palo Alto, California, United States, 94303
- Recruiting
- Byers Eye Institute at Stanford University
-
Contact:
- Study Team
- Phone Number: 650-497-5942
- Email: zacwenn@stanford.edu
-
Principal Investigator:
- Jeffrey Goldberg, MD PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant must be at least 18.
- Participant must has the ability to comply with the requirements of the study and complete the schedule of events (SOE).
- Participant's clinical diagnosis must be consistent with primary open angle glaucoma (including but not limited to normal tension, low tension or general open angle) characterized by the following features: Mean deviation (MD) worse than -6 but better than -20 on reliable Humphrey Visual Field 24-2 testing
- Participant's eye pressure must be clinically stable, with IOP < 18.
- If a participant has two eyes meeting study criteria, the worse eye as determined by visual field index (VFI) or patient preference, will be deemed includable. If both eyes qualify and have the same VFI, the patient may choose which eye they are willing to enter, or else a randomization procedure will assign one eye to the study.
- Participant must understand and sign the informed consent. If the participant's vision is impaired to the point where he/she cannot read the informed consent document, the document will be read to the participant in its entirety.
Exclusion Criteria:
- Participant is unable to comply with study procedures or follow-up visits.
- Participant has a history of ocular herpes zoster.
- Participant has a requirement of acyclovir and/or related products during study duration. To be eligible for this study, the participant must discontinue use of these products prior to enrollment and must not continue with the products until after they have completed the study.
- Participant has evidence of corneal opacification or lack of optical clarity.
- Participant has uveitis or other ocular inflammatory disease.
- Participant is receiving systemic steroids or other immunosuppressive medications.
- Participant is currently participating in or has within the last 3 months participated in any other clinical trial of a drug by ocular (if in the study eye) or systemic administration.
- Participant is pregnant or lactating.
- Participant has, in the opinion of the investigator, any physical or mental condition that would increase the risk of participation in the study or may interfere with the study procedures, evaluations and outcome assessments.
- Patients with opened skull, after trepanation or with heart and brain pacemaker.
- Patients with implanted intracranial metals such as clippings, coilings, ventriculo-peritoneal shunts, endoprosthesis etc.
- Patients with any skin damage in the area of electrode placement.
- Children and comatose patients.
- Patients with recent history of epileptic seizure.
- Patients with uncontrolled high levels of blood pressure (<160 mmHg) or uncontrolled high levels of intraocular pressure (<27 mmHg).
- Patients abusing drugs or alcohol.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: rtACS treatment
Participants will receive 10 days of rtACS treatment in office.
|
The repetitive, transorbital alternating current stimulation (rtACS) is a device for non-invasive Interventional Neurophysiology.
The electrical charge and current density applied during rtACS safe and able to modulate existing neuronal elements in the eye and brain.
|
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Placebo Comparator: Sham
Participants will be wearing device but no stimulation will occur for 10 treatments in office.
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Participants will wear the Eyetronic system but there will be no active stimulations applied.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual Field Index (VFI)
Time Frame: 3 Months
|
Measuring the change in the Visual Field Index (VFI) from baseline to month 3.
|
3 Months
|
|
Mean Deviation (MD)
Time Frame: 3 Months
|
Measuring the change in Mean Deviation on Visual Field from Baseline to Month 3.
|
3 Months
|
|
Pointwise Linear Regression (PLR)
Time Frame: 3 Months
|
Measuring the PLR of the visual field points from baseline to Month 3.
|
3 Months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ganglion Cell Layer
Time Frame: 3 Months
|
The change in ganglion cell layer as measured by optical coherence tomography (OCT) through 3 months
|
3 Months
|
|
Retinal Nerve Fiber Layer
Time Frame: 3 Months
|
The change in nerve fiber layer thickness as measured by OCT through 3 months
|
3 Months
|
|
Best Corrected Visual Acuity
Time Frame: 3 Months
|
The change in best corrected visual acuity (BCVA) through 3 months
|
3 Months
|
|
Stead-State Visually Evoked Potential
Time Frame: 3 Months
|
The change in visual evoked potential (VEP) through 3 months
|
3 Months
|
|
OCT-Angiography
Time Frame: 3 Months
|
The change in OCT angiography (OCT-A) through 3 months
|
3 Months
|
|
Retinal Metabolic Analysis
Time Frame: 3 Months
|
The change in retinal metabolic analysis (RMA)/OcuMet imaging through 3 months
|
3 Months
|
|
Visual Field indicies in Non-Study Eye
Time Frame: 3 Months
|
Change in visual field indices in non-study eye through 3 months.
|
3 Months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jeffrey L Goldberg, MD PhD, Stanford University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 76900
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Supporting Information Type
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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