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NCT05458323: CLEVER

Cognitive Level Enhancement Through Vision Exams and Refraction

Recruiting now NA Last updated 6 March 2026
What this trial tests

NA trial testing Free near and Distance Vision glasses in Refractive Errors in 820 participants. Currently enrolling.

Timeline
18 January 2024
Primary endpoint
30 November 2027
31 December 2028

Quick facts

Lead sponsorQueen's University, Belfast
PhaseNA
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment820
Start date18 January 2024
Primary completion30 November 2027
Estimated completion31 December 2028
Sites1 location across India

Drugs / interventions tested

Conditions studied

Sponsor

Queen's University, Belfast

Who can join

60 and older, any sex, with Refractive Errors. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The investigators aim to conduct a mixed-method study in which a randomised controlled trial (RCT) and a descriptive qualitative study will be conducted. The RCT aims to determine whether free near and distance glasses provided to residents in Hyderabad, India, aged ≥ 60 years, with under- or un- corrected refractive error and normal baseline hearing and cognition (HMSE \> 18), can improve quality of life, reduce falls, reduce depression, improve social interaction and physical activity cost-effectively over 36 months. The primary qualitative research aim is to a) contextualize the RCT with information on the milieu and culture in which the trial will be conducted; b) provide data on the lived experiences of older adults with reduced vision in the study area, and c) conduct a process evaluation of the trial. The primary outcome measure is the three-year change in cognition measured by LASI- DAD (Longitudinal Aging Study in India(LASI)- Diagnostic Assessment of Dementia(DAD) global cognitive score. Secondary Outcome Measures: Three year change in Quality of Life score measured by WHO QOL-BREF; Visual functioning from the RASCH-scaled version of INDVFQ(Indian Visual Functioning(INDVFQ);self-reported physical activity score measured using IPAQ questionnaire; PHQ9 score; domain specific cognitive score (orientation, executive function, language/fluency, memory) measured by HMSE; Total cost of care including direct and indirect costs; Quality adjusted life years; Incremental Cost Effectiveness Ratio; Number of falls measured by Quick Screen score over the three years; Social network density at 3 years (SNI 1-3 represents a "limited" social network, 4-5 is a "medium" social network, and SNI ≥6 is a "diverse" social network) measured by the SNI score; An additional secondary outcome will be LASI-DAD global cognitive score analysed by excluding any tests determined pre-hoc to depend on visual acuity.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Cognitive Level Enhancement through Vision Exams and Refraction (CLEVER): study protocol for a randomised controlled trial.
    Marmamula S, Alladi S, Umapathy K, Chan VF, et al · · 2025 · cited 1× · PMID 40156032 · DOI 10.1186/s13063-025-08813-x

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Other recruiting trials for Refractive Errors

Currently open trials in the same condition.

Other Queen's University, Belfast trials

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