Light Stimulation to Improve Visual Function After Optic Neuritis in Persons with Multiple Sclerosis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorTechnical University of Munich

About this trial

The aim of this monocentric randomized controlled intervention study is to improve visual function in persons with multiple sclerosis following optic neuritis (neuritis nervi optici) by means of a light stimulation.

In the treatment arm, two 80-second light stimulations are to be administered daily for 12 days in 25 persons with multiple sclerosis following recent optic neuritis (1-3 months). For the standardized application of light stimulation in the sense of standardized training, the light stimulation is to be carried out by watching a generated flicker video on a mobile phone. In a sham-intervened control group (sample size 25), the spontaneous course after optic neuritis will be recorded in parallel. Intensive neuronal stimulation of the visual pathway will be used to stimulate regenerative processes, which will be recorded by means of changes in high-contrast visual acuity (primary endpoint). Secondary endpoints are changes in a colored-contrast test, in 2.5% low contrast visual acuity, the peak conduction latency of visual evoked potentials, and retinal layer thicknesses and vessel densities measured in optical coherence tomography and optical coherence tomorgraphic angiography. These physiological parameters should help to understand the underlying processes of a potentially altered visual performance.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Relapsing remitting multiple sclerosis or clinically isolated syndrome or no indication of chronic inflammatory central nervous system disease

Age 18-60 years

Optic neuritis within 1-3 months

Disqualifiers

Epilepsy

Light-triggered migraine

Insufficient vision correction

Retinal disease (glaucoma, macular edema, macula degeneration, ...)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Light stimulation

    Device

    see arm description

  • Sham light stimulation

    Device

    see arm description

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Light stimulationExperimental treatment 1 intervention
Group B: Sham light stimulationSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

High contrast visual sensitivity

Visual resolution with Sloan chart

Time frame
before intervention, directly after the first stimulation, after 12 days of training (stimulation) as 24 hour retention, and at 22 days post-intervention (retention)

Secondary outcomes

1

Low contrast visual sensitivity

Sloan chart at 2.5%

Time frame
before intervention, directly after the first stimulation, after 12 days of training (stimulation) as 24 hour retention, and at 22 days post-intervention (retention)
2

Visually evoked potentials

Visually evoked potential

Time frame
before intervention, directly after the first stimulation, after 12 days of training (stimulation) as 24 hour retention, and at 22 days post-intervention (retention)
3

Optical coherence tomography

Optical coherence tomography

Time frame
before intervention, directly after the first stimulation, after 12 days of training (stimulation) as 24 hour retention, and at 22 days post-intervention (retention)
4

Optical coherence tomographic angiography

Optical coherence tomographic angiography

Time frame
before intervention, directly after the first stimulation, after 12 days of training (stimulation) as 24 hour retention, and at 22 days post-intervention (retention)

Other outcomes

Sponsors and contacts

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