Testing the 2022 Optic Neuritis Criteria in suspected cases of optic neuritis
Official title: A Multicenter Prospective Diagnostic Accuracy Study of the 2022 International Criteria for Optic Neuritis and an Antibody-Stratified Adjunct in Acute or Subacute Visual Loss When Optic Neuritis Is Suspected in China
Run by First Affiliated Hospital of Guangxi Medical University · NCT07623252 · Data updated 2026-11-12
We’re trying to see if the 2022 criteria can correctly identify optic neuritis in patients with new or recent vision problems, including people with certain antibody types.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | First Affiliated Hospital of Guangxi Medical University Academic / other |
| Locations | 9 sites (Nanning, Guangxi and 8 other locations) |
| Status | Recruiting |
| Started | January 6, 2025 |
| Main results expected | December 2027 |
| Study ends | January 2028 |
| Registry record updated | September 25, 2026 |
| Trial ID | NCT07623252 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Individuals with a new or subacute visual loss where optic neuritis is a reasonable differential diagnosis, enrolled within 90 days of symptom onset.
✕Probably not a fit
Patients whose condition is clearly not optic neuritis or who do not meet the criteria may not see a benefit from the testing approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, prospective observational study enrolls patients with acute or subacute visual loss where optic neuritis is a possible diagnosis. Researchers compare how well the 2022 International Criteria for Optic Neuritis performs on its own versus when an antibody-stratified adjunct is added, using routine clinical data collected within 3 months of symptom onset. Data are gathered from imaging, laboratory tests, and clinical findings, with follow-up information used to support reference-standard adjudication. Participants are followed during their current episode, and eligibility is limited to those not previously enrolled. The study does not modify standard care; decisions about testing and treatment are left to the treating clinicians. The goal is to determine diagnostic accuracy in a Chinese clinical setting where Aquaporin-4 and MOG antibodies are more common.
Why it matters
Potential benefit: If successful, the criteria could improve diagnostic clarity for optic neuritis and help guide treatment decisions.
How similar studies have gone: Other studies have explored the utility of standardized criteria in optic neuritis, with mixed results depending on population and biomarkers.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Individuals presenting with a new acute or subacute episode of visual loss or visual dysfunction in one or both eyes, for whom optic neuritis is considered a reasonable differential diagnosis by the treating clinical team at the initial clinical assessment and before final diagnostic adjudication. 2. Symptom onset of the current episode within 90 days before enrollment. Exclusion Criteria: 1\. The participant has previously been enrolled in this study. Each participant may be enrolled only once. A history of optic neuritis or recurrent optic neuropathy before the current episode is not an exclusion criterion.
Where it's running
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Guangxi Minzu Hospital
Nanning, Guangxi, China Recruiting -
The Second Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
Guangxi Jingliang Eye Hospital
Nanning, Guangxi, China Recruiting -
Wuming Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
The Second People's Hospital of Qinzhou
Qinzhou, Guangxi, China Recruiting
Show 3 more locations
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Wuzhou Gongren Hospital
Wuzhou, Guangxi, China Recruiting -
The First People's Hospital of Yulin
Yulin, Guangxi, China Recruiting -
Lixiang Eye Hospital of Soochow University
Suzhou, Jiangsu, China Recruiting
Study contacts
- Principal investigator: Yi Du, MD, PhD — First Affiliated Hospital of Guangxi Medical University
- Study coordinator: Yi Du, MD, PhD
- Email: duyinapoleon@gmail.com
- Phone: +86 771 5356507
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Privosegtor for optic neuritis: a late-phase test with standard care
This trial tests whether privosegtor, added to the usual methylprednisolone treatment, helps people experiencing a first episode of optic neuritis.
-
Early versus rescue plasma exchange for severe optic neuritis and transverse myelitis
This trial will see if starting plasma exchange early versus using it only as a rescue after high-dose steroids improves vision for adults with severe optic neuritis and improves neurologic recovery for adults with severe transverse myelitis.
-
Home-based electrical stimulation for optic neuropathy
This study tests if a home treatment using electrical stimulation can help people with optic neuropathy improve their vision and daily activities.
-
Efgartigimod to speed vision recovery in acute optic neuritis
This pilot will test whether efgartigimod given with standard steroids helps adults having their first episode of optic neuritis regain vision faster and more fully than placebo.
-
Using light stimulation to enhance vision after optic neuritis in multiple sclerosis patients
This study is testing if light stimulation can help improve vision in people with multiple sclerosis who have had optic neuritis.
-
Using hyperbaric oxygen therapy to treat optic neuropathies
This study is testing if hyperbaric oxygen therapy can help improve vision and eye health for adults with optic neuropathy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.