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Effect of Branched-Chain Amino Acid Supplementation on Myopia Progression

2026년 5월 6일 업데이트: Weina Liu, Zhongda Hospital

A Randomized Controlled Trial of Branched-Chain Amino Acid Supplementation for Preventing Myopia Progression

This study is a randomized controlled trial designed to evaluate whether branched-chain amino acid (BCAA) supplementation can help slow the progression of myopia in young adults.

Eligible participants will be randomly assigned to receive either BCAA supplementation combined with standard spectacle correction or standard spectacle correction with a matching placebo. The intervention period will last approximately six months.

Participants will undergo regular follow-up examinations, including measurements of visual acuity, refractive error, axial length, intraocular pressure, and other ocular parameters. Additional assessments such as ocular imaging (including OCTA), physical examinations, and blood tests will also be performed to evaluate eye health and metabolic indicators.

The main purpose of this study is to investigate whether BCAA supplementation can provide a safe and effective nutritional strategy to slow myopia progression and improve understanding of the relationship between amino acid metabolism and ocular growth.

연구 개요

상태

모집하지 않고 적극적으로

연구 유형

중재적

등록 (추정된)

108

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • Jiangsu
      • Nanjing, Jiangsu, 중국, 210009
        • Zhongda Hospital, Southeast University No. 87 Dingjiaqiao Road, Gulou District, Nanjing, Jiangsu Province, China

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 성인

건강한 자원 봉사자를 받아들입니다

설명

Inclusion Criteria:

  • Age between 18 and 25 years
  • Currently enrolled university students
  • Cycloplegic spherical equivalent refractive error: -6.00 D < SE ≤ -0.50 D
  • Best corrected visual acuity ≥ 0.8
  • Corneal curvature between 40.0 and 46.0 D
  • Willing and able to comply with study procedures and follow-up visits
  • Signed written informed consent

Exclusion Criteria:

  • Strabismus, amblyopia, or other structural ocular abnormalities
  • Systemic diseases affecting refractive development (e.g., diabetes, metabolic syndrome, obesity)
  • Active ocular disease or history of ocular surgery
  • Use of orthokeratology lenses or other myopia control interventions within the past 6 months (washout ≥1 month for low-dose atropine users)
  • Use of BCAA supplementation within the past 6 months or abnormal serum BCAA levels
  • Known allergy or intolerance to protein/amino acid supplements
  • Significant liver or kidney dysfunction
  • Any condition deemed unsuitable for participation by the investigator

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 방지
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 삼루타

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: BCAA Supplementation Group
Participants receive daily oral branched-chain amino acid (BCAA) supplementation in addition to standard spectacle correction. The intervention is administered for approximately 6 months to evaluate its effect on myopia progression and ocular parameters.
Participants will receive oral branched-chain amino acids (BCAA), including leucine, isoleucine, and valine, as a dietary supplement in addition to standard spectacle correction. The intervention is administered daily for approximately 6 months. The supplement is a commercially available nutritional product obtained via cross-border e-commerce channels and is not intended as a therapeutic drug. The aim is to evaluate the effect of BCAA supplementation on myopia progression and ocular biometric parameters.
다른 이름들:
  • BCAA
  • Branched-chain amino acids
간섭 없음: Control Group
Participants in the control group will receive standard spectacle correction combined with a placebo identical in appearance to the BCAA supplement, without active BCAA ingredients. They will be followed for approximately 6 months to evaluate myopia progression and ocular outcomes.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Change in axial length
기간: Baseline to 6 months
Axial length (AL) will be measured in both eyes using optical biometry at baseline, 3 months, and 6 months. The primary outcome is the change in axial length from baseline to 6 months, comparing the BCAA supplementation plus spectacle correction group with the spectacle correction only group.
Baseline to 6 months
Change in spherical equivalent refractive error
기간: Baseline to 6 months
Cycloplegic spherical equivalent (SE) will be measured using autorefractometry under cycloplegia at baseline, 3 months, and 6 months. The primary outcome is the change in spherical equivalent refractive error from baseline to 6 months, comparing the BCAA supplementation group with the control group.
Baseline to 6 months

2차 결과 측정

결과 측정
측정값 설명
기간
Superficial retinal vessel density
기간: Baseline and 6 months
Superficial retinal vessel density will be measured in both eyes using OCTA in foveal, parafoveal, and perifoveal regions. Sectoral measurements (temporal, superior, nasal, and inferior) will be obtained, and the final value will be calculated as the mean of all regions, reported as a percentage (%).
Baseline and 6 months
Deep retinal vessel density
기간: Baseline and 6 months
Deep retinal vessel density will be measured in both eyes using OCTA across ETDRS regions. Sectoral measurements will be obtained, and the final value will be calculated as the mean of all regions, reported as a percentage (%).
Baseline and 6 months
Choriocapillaris perfusion density
기간: Baseline and 6 months
Choriocapillaris perfusion will be measured in both eyes using OCTA across foveal, parafoveal, and perifoveal regions. Sectoral measurements will be obtained, and the final value will be calculated as the mean of all regions, reported as a percentage (%).
Baseline and 6 months
Retinal perfusion density
기간: Baseline and 6 months
Retinal perfusion density will be measured in both eyes using OCTA across ETDRS regions, including full retinal perfusion and large-vessel-excluded perfusion. Sectoral measurements will be obtained, and the final value will be calculated as the mean of all regions, reported as a percentage (%).
Baseline and 6 months
Family Ocular History
기간: Baseline

Definition: Baseline refractive status of parents based on self-reported highest degree of myopia in either eye.

Variable type: Categorical Measurement: Self-reported parental myopia status categorized as none, low (≤300°), moderate (300-600°), and high (≥600°).

Baseline
Nutritional Supplement Use
기간: Baseline

Definition: Baseline information on participants' use of any nutritional or dietary supplements.

Variable type: Binary (Yes/No) Measurement: Self-reported use of dietary or nutritional supplements (Yes/No).

Baseline
Protein Allergy History
기간: Baseline

Definition: Baseline assessment of whether participants have a documented or self-reported history of protein allergy.

Variable type: Binary (Yes/No) Measurement: Self-reported history of protein allergy (Yes/No).

Baseline
Parental Education Level
기간: Baseline
Parental education level at baseline, self-reported via structured questionnaire. Education levels are categorized as: primary school or below, junior/high school, university, and master's degree or above.Variable Type:Categorical
Baseline
Daily Screen Time
기간: Baseline
Average daily time spent using electronic devices (including television, mobile phone, computer, and projection screen) over the past week, assessed by questionnaire. Variable type: Categorical.
Baseline
Eye Rest and Break Behavior
기간: Baseline
Definition: Frequency of eye breaks during near work activities. Variable type: Categorical Measurement: Self-reported duration of continuous near work before rest (≤30 min, 30-60 min, 1-2 h, 2-3 h, ≥3 h).
Baseline
Sleep Duration
기간: Baseline
Definition: Average daily sleep duration over the past week. Variable type: Continuous Measurement: Self-reported average sleep time (hours and minutes per day).
Baseline
Staple food intake frequency
기간: Baseline
Frequency and quantity of staple food intake, including rice, wheat-based products, corn products, mixed beans, tubers, and fried flour-based foods, assessed using a semi-quantitative food frequency questionnaire.
Baseline
Protein-rich food intake frequency
기간: Baseline
Frequency and quantity of protein-rich food consumption, including soybeans and soy products, meat (pork, beef, lamb, poultry), aquatic products (fish, shrimp, shellfish), eggs, and dairy products, assessed using a semi-quantitative food frequency questionnaire.
Baseline
Vegetable intake frequency
기간: Baseline
Frequency and quantity of vegetable intake, including dark green vegetables, red/orange vegetables, purple vegetables, and light-colored vegetables, assessed using a semi-quantitative food frequency questionnaire.
Baseline
Fruit intake frequency
기간: Baseline
Frequency and quantity of fruit intake, including pome fruits, citrus fruits, stone fruits, berries, melons, and tropical fruits, assessed using a semi-quantitative food frequency questionnaire.
Baseline
Dairy product intake frequency
기간: Baseline
Frequency and quantity of dairy product consumption, including liquid milk, milk powder, and yogurt, assessed using a semi-quantitative food frequency questionnaire.
Baseline
Snack and sugary food intake frequency
기간: Baseline
Frequency and quantity of intake of snacks and sugary foods, including baked goods, nuts, processed snacks, sweets, and sugar-sweetened beverages, assessed using a semi-quantitative food frequency questionnaire.
Baseline
Temporal Superior RNFL Thickness
기간: Baseline and 6 months
Peripapillary retinal nerve fiber layer (RNFL) thickness in the temporal superior (TU) sector measured by optical coherence tomography angiography (OCTA), reported in micrometers (µm).
Baseline and 6 months
Superior Temporal RNFL Thickness
기간: Baseline and 6 months
Peripapillary RNFL thickness in the superior temporal (ST) sector measured by OCTA, reported in micrometers (µm).
Baseline and 6 months
Superior Nasal RNFL Thickness
기간: Baseline and 6 months
Peripapillary RNFL thickness in the superior nasal (SN) sector measured by OCTA, reported in micrometers (µm).
Baseline and 6 months
Nasal Superior RNFL Thickness
기간: Baseline and 6 months
Peripapillary RNFL thickness in the nasal superior (NU) sector measured by OCTA, reported in micrometers (µm).
Baseline and 6 months
Nasal Inferior RNFL Thickness
기간: Baseline and 6 months
Peripapillary RNFL thickness in the nasal inferior (NL) sector measured by OCTA, reported in micrometers (µm).
Baseline and 6 months
Inferior Nasal RNFL Thickness
기간: Baseline and 6 months
Peripapillary RNFL thickness in the inferior nasal (IN) sector measured by OCTA, reported in micrometers (µm).
Baseline and 6 months
Inferior Temporal RNFL Thickness
기간: Baseline and 6 months
Peripapillary RNFL thickness in the inferior temporal (IT) sector measured by OCTA, reported in micrometers (µm).
Baseline and 6 months
Temporal Inferior RNFL Thickness
기간: Baseline and 6 months
Peripapillary RNFL thickness in the temporal inferior (TL) sector measured by OCTA, reported in micrometers (µm).
Baseline and 6 months
Global Average Peripapillary RNFL Thickness
기간: Baseline and 6 months
Global average peripapillary retinal nerve fiber layer (RNFL) thickness measured by optical coherence tomography angiography (OCTA), calculated as the mean thickness across all peripapillary regions, and reported in micrometers (µm).
Baseline and 6 months
Optic Disc Area
기간: Baseline and 6 months
Optic disc area measured in both eyes using optical coherence tomography angiography (OCTA), reported in square millimeters (mm²).
Baseline and 6 months
Neuroretinal Rim Area
기간: Baseline and 6 months
Neuroretinal rim area measured in both eyes using OCTA, reported in square millimeters (mm²).
Baseline and 6 months
Optic Cup Volume
기간: Baseline and 6 months
Optic cup volume measured in both eyes using OCTA, reported in cubic millimeters (mm³).
Baseline and 6 months
Cup-to-Disc Ratio
기간: Baseline and 6 months
Cup-to-disc ratio measured in both eyes using OCTA, defined as the ratio of optic cup diameter to optic disc diameter (unitless).
Baseline and 6 months
Vertical Cup-to-Disc Ratio
기간: Baseline and 6 months
Vertical cup-to-disc ratio measured in both eyes using OCTA (unitless).
Baseline and 6 months
Horizontal Cup-to-Disc Ratio
기간: Baseline and 6 months
Horizontal cup-to-disc ratio measured in both eyes using OCTA (unitless).
Baseline and 6 months
Peripapillary Temporal Superior Sector Vessel Density
기간: Baseline and 6 months
Peripapillary microvascular vessel density in the temporal superior (TU) sector measured in both eyes using optical coherence tomography angiography (OCTA), reported as vessel density percentage (%).
Baseline and 6 months
Peripapillary Superior Temporal Sector Vessel Density
기간: Baseline and 6 months
OCTA-derived vessel density in the superior temporal (ST) peripapillary sector in both eyes,reported as vessel density percentage (%).
Baseline and 6 months
Peripapillary Superior Nasal Sector Vessel Density
기간: Baseline and 6 months
OCTA-derived vessel density in the superior nasal (SN) peripapillary sector in both eyes,reported as vessel density percentage (%).
Baseline and 6 months
Peripapillary Nasal Superior Sector Vessel Density
기간: Baseline and 6 months
OCTA-derived vessel density in the nasal superior (NU) peripapillary sector in both eyes,reported as vessel density percentage (%).
Baseline and 6 months
Peripapillary Nasal Inferior Sector Vessel Density
기간: Baseline and 6 months
OCTA-derived vessel density in the nasal inferior (NL) peripapillary sector in both eyes,
Baseline and 6 months
Peripapillary Inferior Nasal Sector Vessel Density
기간: Baseline and 6 months
OCTA-derived vessel density in the inferior nasal (IN) peripapillary sector in both eyes,reported as vessel density percentage (%).
Baseline and 6 months
Peripapillary Inferior Temporal Sector Vessel Density
기간: Baseline and 6 months
OCTA-derived vessel density in the inferior temporal (IT) peripapillary sector in both eyes,reported as vessel density percentage (%).
Baseline and 6 months
Peripapillary Temporal Inferior Sector Vessel Density
기간: Baseline and 6 months
OCTA-derived vessel density in the temporal inferior (TL) peripapillary sector in both eyes,reported as vessel density percentage (%).
Baseline and 6 months
Global Peripapillary Vessel Density
기간: Baseline and 6 months
Mean peripapillary microvascular vessel density calculated across all peripapillary sectors in both eyes using OCTA,reported as vessel density percentage (%).
Baseline and 6 months
Full Macular Retinal Thickness
기간: Baseline and 6 months
Full retinal thickness in the macular region measured in both eyes using optical coherence tomography angiography (OCTA), including foveal, parafoveal, and perifoveal regions across temporal, superior, nasal, and inferior sectors.
Baseline and 6 months
Macular Inner Retinal Layer Thickness
기간: Baseline and 6 months
Inner retinal layer thickness in the macular region measured in both eyes using OCTA, assessed at foveal, parafoveal, and perifoveal regions across four quadrants (temporal, superior, nasal, inferior).
Baseline and 6 months
Macular Outer Retinal Layer Thickness
기간: Baseline and 6 months
Outer retinal layer thickness in the macular region measured in both eyes using OCTA, including foveal, parafoveal, and perifoveal regions across temporal, superior, nasal, and inferior sectors.
Baseline and 6 months
Foveal Avascular Zone Area
기간: Baseline and 6 months
Foveal avascular zone (FAZ) area measured in both eyes using optical coherence tomography angiography (OCTA).
Baseline and 6 months
FAZ-300 Superficial Capillary Plexus Perfusion Density
기간: Baseline and 6 months
Perfusion density in a 300 μm annular region surrounding the FAZ in the superficial capillary plexus measured using OCTA.
Baseline and 6 months
FAZ-300 Deep Capillary Plexus Perfusion Density
기간: Baseline and 6 months
Perfusion density in a 300 μm annular region surrounding the FAZ in the deep capillary plexus measured using OCTA.
Baseline and 6 months
FAZ-300 Full Retinal Perfusion Density
기간: Baseline and 6 months
Perfusion density in a 300 μm annular region surrounding the FAZ across full retinal layers measured using OCTA.
Baseline and 6 months
Alanine Aminotransferase (ALT)
기간: Baseline and 6 months
Serum alanine aminotransferase (ALT) measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Aspartate Aminotransferase (AST)
기간: Baseline and 6 months
Serum AST measured using standard laboratory methods in fasting venous blood. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Total Bilirubin (TBil)
기간: Baseline and 6 months
Serum total bilirubin measured in fasting venous blood. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Serum Creatinine (Scr)
기간: Baseline and 6 months
Serum creatinine measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Blood Urea Nitrogen (BUN)
기간: Baseline and 6 months
BUN measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Uric Acid (UA)
기간: Baseline and 6 months
Serum uric acid measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Fasting Plasma Glucose (FPG)
기간: Baseline and 6 months
Fasting plasma glucose measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Total Cholesterol (TC)
기간: Baseline and 6 months
Serum total cholesterol measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Triglycerides (TG)
기간: Baseline and 6 months
Serum triglycerides measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
High-Density Lipoprotein Cholesterol (HDL-C)
기간: Baseline and 6 months
HDL cholesterol measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Low-Density Lipoprotein Cholesterol (LDL-C)
기간: Baseline and 6 months
LDL cholesterol measured in fasting venous blood using standard laboratory methods. Values will be analyzed as continuous variables and categorized as normal or abnormal based on clinical reference ranges.
Baseline and 6 months
Sex of Participants
기간: Baseline
Participant sex recorded at baseline using structured questionnaire.
Baseline
Age of Participants
기간: Baseline
Age calculated from date of birth at baseline using structured questionnaire.
Baseline
Ethnicity of Participants
기간: Baseline
Ethnicity recorded at baseline using structured questionnaire.
Baseline
Body Mass Index (BMI)
기간: Baseline
BMI calculated from weight and height measured at baseline.Units:kg/m², Type:Continuous
Baseline
Household Residence
기간: Baseline
Household residence (urban/rural) recorded at baseline using structured questionnaire.Type:Categorical
Baseline
Annual Household Income
기간: Baseline
Annual household income recorded at baseline using structured questionnaire.Type : categorical
Baseline
Study Pressure Level
기간: Baseline
Self-reported level of study pressure and workload, assessed by questionnaire with four levels ranging from low to high. Variable type: Categorical.
Baseline
Unhealthy Visual Habits
기간: Baseline
Presence of unhealthy visual habits (e.g., reading under strong sunlight, using screens in dark environments, improper posture during near work), assessed by multiple-choice questionnaire. Variable type: Categorical (multiple response).
Baseline
Lighting Conditions During Nighttime Near Work
기간: Baseline
Lighting conditions used during near-work activities after dark (e.g., desk lamp, ceiling light), assessed by questionnaire. Variable type: Categorical.
Baseline
Moderate-to-Vigorous Physical Activity Duration
기간: Baseline
Average daily duration of moderate-to-vigorous physical activity (e.g., brisk walking, running, jumping rope, cycling) over the past week, assessed by questionnaire. Variable type: Categorical.
Baseline

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2026년 1월 5일

기본 완료 (추정된)

2026년 12월 30일

연구 완료 (추정된)

2027년 1월 30일

연구 등록 날짜

최초 제출

2026년 4월 23일

QC 기준을 충족하는 최초 제출

2026년 5월 6일

처음 게시됨 (실제)

2026년 5월 14일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 5월 14일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 5월 6일

마지막으로 확인됨

2026년 4월 1일

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