A Study Investigating Whether Low Dose Eyedrops for Pupil Dilation is as Effective and Safe as Standard Dose Eyedrops in Examination for Retinopathy of Prematurity.
- Disease/Condition
- Retinopathy of Prematurity
- Drug/Device/Intervention
- Microdrop Mydrin-P
- Study type
- Interventional
- Intervention type
- drug
- Primary sponsor
- The University of Hong Kong
- Location
- Hong Kong, China
- Phase
- Phase 1
- Start date
- Aug 10, 2022
- End date
- Mar 22, 2023
- Enrollment
- 18 participants
Successfulness of a ROP exam
A prospective, randomized controlled study was conducted from August, 2022 to March, 2023 in
 the neonatal intensive care unit in Queen Mary Hospital, Hong Kong. The aim of this study was
 to determine whether microdrops Mydrin-P demonstrates similar efficacy as standard Mydrin -P
 eyedrops applied to neonates undergoing retinopathy of prematurity (ROP) screening exams,
 also to ascertain the optimal time for eye examination after administration of mydriatics and
 assess whether the cardiovascular, respiratory and gastrointestinal adverse effects differ
 between microdrops and standard dose Mydrin-P.
 
 Preterm infants were randomized to receive either the standard Mydrin-P eyedrops or the
 mydriatic microdrops which contained around one-third of the standard Mydrin-P dosage. The
 primary outcome measured whether a successful ROP examination was conducted. Secondary
 outcomes included pupil diameters at baselines, 30 minutes, 60 minutes, 120 minutes after
 eyedrops instillation and at the time of ROP exam as well as adverse effects followed by the
 mydriatics administration.
 
 A total of 18 patients were enrolled in this study with total 46 episodes of ROP recorded.
 All episodes with microdrops instillation led to successful ROP exams. There was no
 statistically significant difference between standard eyedrops and microdrops in determining
 the success of ROP exam (p=0.233). Mean pupil diameter did not differ between the microdrops
 and standard eyedrops group. At the time of ROP exam, the mean pupil diameter was 5.47mm in
 the standard eyedrops group and 5.73mm in the microdrops group. The optimal time for ROP exam
 was 60 minutes to 120 minutes after first dose of mydriatic. Also there was no difference in
 the occurrence of systemic side effects when compared to standard Mydrin P drops.
 
 Hence the study concluded that microdrops have similar efficacy and safety profile compared
 to standard Mydrin-P eyedrops.
- Registry
- ClinicalTrials.gov
- Trial ID
- NCT06288321
- Type
- Non-Device Trial
Access comprehensive clinical trial information for NCT06288321 through Pure Global AI's free database. This Phase 1 trial is sponsored by The University of Hong Kong and is currently Completed. The study focuses on Retinopathy of Prematurity. Target enrollment is 18 participants.
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