Study of OT-101 in Treating Myopia
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ClinicalTrials.gov Identifier: NCT04770610 |
Recruitment Status :
Recruiting
First Posted : February 25, 2021
Last Update Posted : November 2, 2022
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Condition or disease | Intervention/treatment | Phase |
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Myopia, Progressive | Drug: OT-101 Ophthalmic Solution Drug: Vehicle | Phase 3 |
This is a phase III, randomized, double-masked, placebo-controlled, parallel-group, multi-center study to evaluate the safety tolerability and efficacy of OT-101 (Atropine 0.01%) Ophthalmic Solution in treating the progression of myopia in pediatric subjects that will enroll approximately 678 pediatric subjects with myopia in total. Subjects will be stratified by age and refractive error.
This study consists of 11 visits over the course of approximately 4 years and can be broken down in the 3 stages: Screening (Days -14 to -1), Stage 1 (Day 1 to Year 3), and Stage 2 (Year 3 to Year 4). In stage 1, subjects will be randomized in a 2:1 manner to OT-101 Ophthalmic Solution: Placebo. Subjects will be dosed with one drop of study treatment per eye once daily at bedtime for 3 years. In stage 2, subjects will be re-randomization 1:1 will occur at Visit 9 (Month 36). At re-randomization, subjects who had been assigned to OT-101 Ophthalmic Solution will be randomized in a 1:1 ratio to continue on OT-101 Ophthalmic Solution or switch to placebo. Subjects who had been assigned to placebo will continue with placebo.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 678 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Double (Participant, Investigator) |
Primary Purpose: | Treatment |
Official Title: | A Phase III, Randomized, Double-masked, Placebo-controlled, Parallel-group, Multicenter Study of the Safety and Efficacy of OT-101 (Atropine Sulfate 0.01%) in Treating the Progression of Myopia in Pediatric Subjects |
Actual Study Start Date : | April 1, 2021 |
Estimated Primary Completion Date : | March 2027 |
Estimated Study Completion Date : | April 2027 |

Arm | Intervention/treatment |
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Experimental: OT-101 alone
Atropine Sulfate 0.01% Ophthalmic Solution through year 4
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Drug: OT-101 Ophthalmic Solution
Atropine 0.01%
Other Name: Investigational Product |
Experimental: OT-101 plus vehicle
Atropine Sulfate 0.01% Ophthalmic Solution through year 3 followed by vehicle for 1 year
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Drug: OT-101 Ophthalmic Solution
Atropine 0.01%
Other Name: Investigational Product Drug: Vehicle Investigational Product minus active ingredient
Other Name: Placebo |
Placebo Comparator: Vehicle
Vehicle (Investigational Product minus active ingredient) through year 4
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Drug: Vehicle
Investigational Product minus active ingredient
Other Name: Placebo |
- Percentage of study eyes with a -0.75D of progressive myopia defined as an increase in spherical equivalent of -0.75D or greater as assessed by cycloplegic autorefraction. [ Time Frame: At month 36 ]Efficacy of OT-101 Ophthalmic Solution
- Change in spherical equivalent (D) in the study eye as assessed by cycloplegic autorefraction [ Time Frame: Baseline to Month 36 ]Efficacy of OT-101 Ophthalmic Solution
- Change in study eye axial length as measured by cycloplegic biometry (a standardized device will be selected for this study) [ Time Frame: Baseline to Month 36 ]Efficacy of OT-101 Ophthalmic Solution

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Ages Eligible for Study: | 3 Years to 15 Years (Child) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
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Have refractive error by cycloplegic autorefraction at baseline (Visit 1) in the study eye of:
- myopia greater or equal to -1.00D of spherical equivalent
- astigmatism less than or equal to 1.50DC
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progression of at least -0.50D of spherical equivalent in the last 12 months;
Exclusion Criteria:
- Have active or a history of chronic or recurrent episodes of ocular inflammation (e.g. moderate to severe blepharitis, allergic conjunctivitis, peripheral ulcerative keratitis, scleritis) in either eye;
- Have undergone any myopia control treatment including orthokeratology, rigid gas-permeable contact lenses, bifocal contact lenses, progressive addition spectacle lenses, or other lenses to reduce myopia progression in the previous 6 months. Myopic correction in the form of single-vision eyeglasses and/or single-vision soft contact lenses are allowed;
- Have undergone any form of refractive eye surgery including incisional keratotomy, photorefractive keratectomy [PRK], laser in situ keratomileusis [LASIK], laser-assisted sub- epithelial keratectomy [LASEK]), corneal inlay procedures, conductive keratoplasty, small incision lenticule extraction (SMILE), cataract extraction, or any form of intraocular lens implantation;

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04770610
Contact: Prateek Gajwani | 1-443-813-6590 | pgajwani@oraclinical.com |

Study Director: | Keith Lane | ORA, Inc. |
Responsible Party: | Ocumension (Hong Kong) Limited |
ClinicalTrials.gov Identifier: | NCT04770610 |
Other Study ID Numbers: |
OT_101_001 |
First Posted: | February 25, 2021 Key Record Dates |
Last Update Posted: | November 2, 2022 |
Last Verified: | November 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Myopia Myopia, Degenerative Refractive Errors |
Eye Diseases Ophthalmic Solutions Pharmaceutical Solutions |