UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000049234
Receipt number R000056070
Scientific Title Development of a general-purpose smartphone opthalmoscope
Date of disclosure of the study information 2022/10/17
Last modified on 2022/10/16 20:36:45

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Basic information

Public title

Development of a general-purpose smartphone opthalmoscope

Acronym

Development of a general-purpose smartphone opthalmoscope

Scientific Title

Development of a general-purpose smartphone opthalmoscope

Scientific Title:Acronym

Development of a general-purpose smartphone opthalmoscope

Region

Japan


Condition

Condition

normal retina, papillary edema, branch retinal vein occlusion

Classification by specialty

Pediatrics Ophthalmology Emergency medicine
Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Recently, a smartphone opthalmoscope (SO) has been developed as a fundoscope that can be used by non-ophthalmologists. For non-ophthalmologists, SO has been shown to be easier to use than conventional indirect opthalmoscopes and to evaluate the retina more quickly and more accurately. Furthermore, the SO allows retinal findings to be stored as images. On the other hand, the potential use of SO in children, who have smaller pupil diameters than adults, has not been fully evaluated. In general, the smaller the pupil diameter, the greater the likelihood that the misalignment between the optical and visual axes of the smartphone video will make retinal viewing difficult. Hence, there is a need to minimize the misalignment of the optical and visual axes, increase the refractive index of the lens used, and improve fixation of the device. Another problem is that SOs currently available on the market are limited to specific smartphones.
In this study, we have developed an SO to accommodate pupil diameters smaller than those of adults. To validate the feasibility of using this SO in medical practice, we plan to conduct a study to evaluate retinal images in an ocular model, retinas in healthy volunteers, and retinas in critically ill patients in a step-by-step manner. In the present study, we examine a hypothesis that this SO will allow non-ophthalmologists to obtain videos from adult and pediatric eye models that can withstand ophthalmologist diagnosis.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

For each of the adult and pediatric eye models, two ophthalmologists independently evaluated whether the stored videos by study participants were of diagnostic value or not.

Key secondary outcomes

(A) For each of the adult and pediatric eye models, two ophthalmologists independently evaluate the stored video quality (i) and (ii).

(i) Overall image quality (3-point scale: excellent, fair, and poor)
Excellent: the entire posterior pole is in focus. The posterior pole includes the retina between the optic nerve papilla and the arcade vessels, the macula and the optic nerve papilla.
Acceptable: too bright, too dark, or out of focus but sufficient to determine the presence or absence of a lesion
Impossible: out of focus or obscured by reflections or artifacts.

(ii) Accuracy of depiction of each anatomic merkmal (optic nerve papilla, macula, upper arcade vessels, lower arcade vessels) (3-point scale: not visible, visible but image quality is poor, visible and image quality is adequate)

(iii) Percentage of correct diagnosis by the study participants

(iv) Inter-rater agreement rate between the two opthalmologists

(B) Comparison between adult and pediatric eye models for all the above items


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The following medical students and physicians whose consent was obtained during the period:
Medical students and junior residents training in pediatrics
Senior residents training in pediatrics, pediatricians, emergency and intensive care physicians

All affiliated with the University of Tokyo Faculty of Medicine or the University of Tokyo Hospitals.

Key exclusion criteria

The medical students or physicians who do not consent

Target sample size

105


Research contact person

Name of lead principal investigator

1st name Kenichiro
Middle name
Last name Hayashi

Organization

The University of Tokyo Hospital

Division name

The Department of Pediatrics

Zip code

113-8655

Address

7 Chome-3-1 Hongo, Bunkyo City, Tokyo

TEL

03-3815-5411

Email

hayashik-ped@h.u-tokyo.ac.jp


Public contact

Name of contact person

1st name Kenichiro
Middle name
Last name Hayashi

Organization

The University of Tokyo Hospital

Division name

The Department of Pediatrics

Zip code

113-8655

Address

7 Chome-3-1 Hongo, Bunkyo City, Tokyo

TEL

03-4815-5411

Homepage URL


Email

hayashik-ped@h.u-tokyo.ac.jp


Sponsor or person

Institute

The University of Tokyo Hospital

Institute

Department

Personal name



Funding Source

Organization

NIPRO

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee of the Faculty of Medicine of the University of Tokyo

Address

7 Chome-3-1 Hongo, Bunkyo City, Tokyo

Tel

03-5841-0818

Email

ethics@m.u-tokyo.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

2022171NI

Org. issuing International ID_1

Research Ethics Committee of the Faculty of Medicine of the University of Tokyo

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 10 Month 17 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2022 Year 10 Month 13 Day

Date of IRB

2022 Year 10 Month 13 Day

Anticipated trial start date

2022 Year 10 Month 17 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is an exploratory cross-sectional study and no observations will be made after the study date for each study paticipant.


Management information

Registered date

2022 Year 10 Month 17 Day

Last modified on

2022 Year 10 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000056070


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name