Trial Outcomes & Findings for Macular Pigment and Visual Performance in Glaucoma Patients (NCT NCT03959592)

NCT ID: NCT03959592

Last Updated: 2023-01-03

Results Overview

Contrast sensitivity is the ability to detect subtle differences in shading and patterns. In temporal contrast sensitivity, a spatially homogeneous disc whose luminance varies sinusoidally over time is presented. Its temporal frequency is measured as the maximum number of cycles in a second (Hz) at which the flickering is perceived by the patient.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

8 participants

Primary outcome timeframe

Baseline to 6 months

Results posted on

2023-01-03

Participant Flow

Participant milestones

Participant milestones
Measure
Lutein, Zeaxanthin and Mesozeaxanthin
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain 22 mg total of the carotenoids lutein (10 mg), zeaxanthin (2 mg), and mesozeaxanthin (10 mg). Lutein, zeaxanthin and mesozeaxanthin: The intervention will involve supplementation with the macular carotenoids (1 pill daily with a meal containing lutein, zeaxanthin, mesozeaxanthin) for six months, to determine the effects on visual performance in glaucoma patients.
Placebo
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain only sunflower oil (placebo). Placebo: This intervention involves an inert pill (1 pill daily with a meal) that contains only sunflower oil, for six months.
Overall Study
STARTED
3
5
Overall Study
COMPLETED
3
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Macular Pigment and Visual Performance in Glaucoma Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lutein, Zeaxanthin and Mesozeaxanthin
n=3 Participants
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain 22 mg total of the carotenoids lutein (10 mg), zeaxanthin (2 mg), and mesozeaxanthin (10 mg). Lutein, zeaxanthin and mesozeaxanthin: The intervention will involve supplementation with the macular carotenoids (1 pill daily with a meal containing lutein, zeaxanthin, mesozeaxanthin) for six months, to determine the effects on visual performance in glaucoma patients.
Placebo
n=5 Participants
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain only sunflower oil (placebo). Placebo: This intervention involves an inert pill (1 pill daily with a meal) that contains only sunflower oil, for six months.
Total
n=8 Participants
Total of all reporting groups
Age, Continuous
75.9 years
STANDARD_DEVIATION 3.2 • n=99 Participants
61.8 years
STANDARD_DEVIATION 9.0 • n=107 Participants
67.1 years
STANDARD_DEVIATION 3.17 • n=206 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
4 Participants
n=107 Participants
5 Participants
n=206 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=99 Participants
5 Participants
n=107 Participants
8 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
White
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
3 Participants
n=99 Participants
5 Participants
n=107 Participants
8 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline to 6 months

Population: Eyes with low visual acuity were excluded from the analysis.

Contrast sensitivity is the ability to detect subtle differences in shading and patterns. In temporal contrast sensitivity, a spatially homogeneous disc whose luminance varies sinusoidally over time is presented. Its temporal frequency is measured as the maximum number of cycles in a second (Hz) at which the flickering is perceived by the patient.

Outcome measures

Outcome measures
Measure
Lutein, Zeaxanthin and Mesozeaxanthin
n=4 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain 22 mg total of the carotenoids lutein (10 mg), zeaxanthin (2 mg), and mesozeaxanthin (10 mg). Lutein, zeaxanthin and mesozeaxanthin: The intervention will involve supplementation with the macular carotenoids (1 pill daily with a meal containing lutein, zeaxanthin, mesozeaxanthin) for six months, to determine the effects on visual performance in glaucoma patients.
Placebo
n=7 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain only sunflower oil (placebo). Placebo: This intervention involves an inert pill (1 pill daily with a meal) that contains only sunflower oil, for six months.
Change in Contrast Sensitivity
3.44 Hz
Standard Deviation 4.83
-0.23 Hz
Standard Deviation 1.90

PRIMARY outcome

Timeframe: Baseline to 6 months

Population: Participants excluded from this analysis if presenting low signal quality due to media opacity.

Accumulation of the macular carotenoids (lutein, zeaxanthin, and mesozeaxanthin) occurs in the central retina, and is characterized by its optical density (the ability of the pigment to absorb light). Optical density equals the log to the base 10 of the reciprocal of the transmittance.

Outcome measures

Outcome measures
Measure
Lutein, Zeaxanthin and Mesozeaxanthin
n=3 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain 22 mg total of the carotenoids lutein (10 mg), zeaxanthin (2 mg), and mesozeaxanthin (10 mg). Lutein, zeaxanthin and mesozeaxanthin: The intervention will involve supplementation with the macular carotenoids (1 pill daily with a meal containing lutein, zeaxanthin, mesozeaxanthin) for six months, to determine the effects on visual performance in glaucoma patients.
Placebo
n=2 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain only sunflower oil (placebo). Placebo: This intervention involves an inert pill (1 pill daily with a meal) that contains only sunflower oil, for six months.
Change in the Macular Pigment Optical Density
0.06 Optical density units
Standard Deviation 0.06
0.02 Optical density units
Standard Deviation 0.03

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: Data not collected.

After exposure to a relatively bright environment, visual adaptation to the dark (where one can reliably detect objects in dim light) takes some time.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: Patients excluded from this analysis if not able to see letter at 100% contrast with glare on in at least one of the visits.

Visual performance, especially contrast sensitivity, is greatly decreased by the presence of glare. Range 0% (white on white) to 100% (black on white) contrast.

Outcome measures

Outcome measures
Measure
Lutein, Zeaxanthin and Mesozeaxanthin
n=1 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain 22 mg total of the carotenoids lutein (10 mg), zeaxanthin (2 mg), and mesozeaxanthin (10 mg). Lutein, zeaxanthin and mesozeaxanthin: The intervention will involve supplementation with the macular carotenoids (1 pill daily with a meal containing lutein, zeaxanthin, mesozeaxanthin) for six months, to determine the effects on visual performance in glaucoma patients.
Placebo
n=1 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain only sunflower oil (placebo). Placebo: This intervention involves an inert pill (1 pill daily with a meal) that contains only sunflower oil, for six months.
Change in Vision in Glare as Measured by Percentage of Contrast
0 percentage of contrast
48 percentage of contrast

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: One subject in the placebo group did not respond to the NEI VFQ-25 at the 6 month visit.

The NEI VFQ-25 is a 25-question visual function quality questionnaire. Values are assigned from 0 to 100 according to the answers to 25 items. Higher values represent a better outcome.

Outcome measures

Outcome measures
Measure
Lutein, Zeaxanthin and Mesozeaxanthin
n=3 Participants
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain 22 mg total of the carotenoids lutein (10 mg), zeaxanthin (2 mg), and mesozeaxanthin (10 mg). Lutein, zeaxanthin and mesozeaxanthin: The intervention will involve supplementation with the macular carotenoids (1 pill daily with a meal containing lutein, zeaxanthin, mesozeaxanthin) for six months, to determine the effects on visual performance in glaucoma patients.
Placebo
n=4 Participants
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain only sunflower oil (placebo). Placebo: This intervention involves an inert pill (1 pill daily with a meal) that contains only sunflower oil, for six months.
Change in the Quality of Life by the National Eye Institute Visual Function Questionnaire (NEI VFQ-25)
11.2 score on a scale
Standard Deviation 10.8
11.0 score on a scale
Standard Deviation 14.2

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: Eyes with visual fields with low reliability score were excluded from the analysis.

A visual field assessment tests the sensitivity of regions across the retina that correspond to points in the visual field. Mean deviation (MD) reflects the overall depression (deviation from normal values) of the field in dB.

Outcome measures

Outcome measures
Measure
Lutein, Zeaxanthin and Mesozeaxanthin
n=4 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain 22 mg total of the carotenoids lutein (10 mg), zeaxanthin (2 mg), and mesozeaxanthin (10 mg). Lutein, zeaxanthin and mesozeaxanthin: The intervention will involve supplementation with the macular carotenoids (1 pill daily with a meal containing lutein, zeaxanthin, mesozeaxanthin) for six months, to determine the effects on visual performance in glaucoma patients.
Placebo
n=7 Eyes
Patients will be asked to consume 1 pill daily with a meal, for six months. The pills will contain only sunflower oil (placebo). Placebo: This intervention involves an inert pill (1 pill daily with a meal) that contains only sunflower oil, for six months.
Change in Visual Field Assessment
0.06 dB
Standard Deviation 0.59
-0.36 dB
Standard Deviation 1.65

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: Data not collected.

The point-spread function describes the optical quality of the eye.

Outcome measures

Outcome data not reported

Adverse Events

Lutein, Zeaxanthin and Mesozeaxanthin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Alessandro Jammal, M.D., Ph.D.

Duke University

Phone: 919-684-0202

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place