About this trial
Visual impairment in infancy is associated with significant risks for neurodevelopmental impairment. Early intervention based on enriched visual and multisensory experiences may promote neuroplasticity and improve developmental outcomes, but implementation of intensive interventions in routine clinical practice remains challenging. The VIPPSTAR-G1 study evaluates a caregiver-mediated digital intervention delivered through a dedicated platform designed to support visual and neurodevelopmental functions in infants at risk of or with visual impairment, within a framework that promotes and strengthens the parent-child/caregiver-child relationship.
This multicenter, multinational, single-blind randomized controlled trial will enroll 102 newborns at risk of visual impairment and an additional exploratory pilot subgroup of 48 infants and toddlers with established visual impairment. Participants will be randomized to receive either the VIPPSTAR digital intervention plus standard care or standard care alone. Outcomes include visual acuity, smooth pursuit, additional neuro-ophthalmological functions, neurodevelopmental measures, adaptive functioning, language development, parental stress, quality of life, and feasibility of the digital intervention.
Eligibility criteria
Qualifiers
Gestational age ≤32 weeks OR full-term/newborns>32 weeks of age with neonatal distress (Apgar ≤5 at 10 minutes)
NAVEG score ≥3
3 abnormal signs at ATNAT neurological examination OR Abnormal cranial ultrasound findings OR Abnormal MRI findings
Disqualifiers
Epileptic encephalopathy
Parents unable to understand local language
Age ≤42 months
Diagnosis of peripheral or cerebral visual impairment
Trial design
Treatments tested in this trial
- VIPPSTAR Digital Early Intervention
- Standard Clinical Care
Treatment groups
Sponsors and collaborators
Università degli Studi di Brescia
Lead sponsor
ASST Spedali Civili of Brescia, Brescia, Italy
Collaborator
Department of Development and Regeneration, KU Leuven, Leuven, Belgium
Collaborator
Centrul Republican de Reabilitare pentru Copii, Moldova
Collaborator
Vestibular and oculomotor laboratory, Department of Neuroscience, Erasmus MC, Rotterdam, The Netherlands
Collaborator
National Center for Rare Diseases, Istituto Superiore di Sanità, Rome, Italy
Collaborator
LIGHT Center, Brescia, Italy
Collaborator
EODYNE SYSTEMS SL, Barcelona, Spain
Collaborator
Department of Psychology and Cognitive Science, University of Trento, Rovereto, Italy
Collaborator
Department of Brain and Behavioral Sciences University of Pavia, Pavia, Italy
Collaborator
Child Neurology and Psychiatry Unit IRCCS Mondino Foundation, Pavia, Italy
Collaborator
VIPPSTAR Consortium
Collaborator