Clinical trial Recruiting at 1 site Observational

Metagenomic testing for infections in people with eye inflammation

Official title: Metagenomic Sequencing of Ocular Fluids in Patients With Ocular Inflammation

Run by Moorfields Eye Hospital NHS Foundation Trust · NCT06974162 · Data updated 2026-11-12

This project will test metagenomic sequencing on eye fluid to find infections in adults with unexplained ocular inflammation who are at risk of vision loss.

Quick facts

Study typeObservational
SexAll
Enrollment36 (estimated)
SponsorMoorfields Eye Hospital NHS Foundation Trust
Academic / other
Locations1 site (London)
StatusRecruiting
StartedJune 12, 2025
Main results expectedNovember 27, 2026
Study endsNovember 27, 2027
Registry record updatedJuly 21, 2026
Trial IDNCT06974162 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with active ocular inflammation not diagnosed by standard tests, suspected to have an infectious or para-infectious cause, and able to undergo aqueous humor sampling are ideal candidates.

Probably not a fit

People who need an urgent diagnostic result within five days, who cannot have ocular fluid sampled, children under 18, or those with a confirmed non-infectious diagnosis are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational project applies metagenomic sequencing to aqueous humor samples and pairs results with ocular imaging to look for infectious causes when standard testing is inconclusive. Participants are adults (≥18) with active ocular inflammation at risk of vision loss and a clinical suspicion of an infectious or para-infectious trigger. Samples will be processed using methods previously optimized for central nervous system infections to detect bacteria, viruses, fungi, and parasites. Patients requiring an urgent result within five days or who cannot safely undergo ocular fluid sampling are excluded.

Why it matters

Potential benefit: If successful, it could identify infections that standard tests miss and allow targeted treatments that may prevent further vision loss.

How similar studies have gone: Metagenomic sequencing has shown promise for diagnosing infections in brain (CNS) samples, but its use on ocular fluids is novel and not yet widely validated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. 18 years of age or older with the capacity to consent
2. Standard of care has not determined a clinical diagnosis
3. Active ocular inflammation with risk of visual loss
4. Clinically suspected infectious or para-infectious cause of ocular inflammation

Exclusion Criteria:

1. Contraindication to ocular fluid sampling
2. Where an urgent result within 5 days is clinically required

Where it's running

  • Moorfields Eye Hospital NHS Foundation Trust
    London, United Kingdom
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.