Evidence map›Paper›PMID 40014233›Full record

Trial reportAdvances in therapy2025

Astaxanthin (AstaReal

Karen A Hecht, Megha Marwah, Vincent Wood, Yasuhiro Nishida, Austin E Bach, Jeffry Gerson, Milton M Hom, Joerg Schnackenberg, Sonal Raote, Shalini Srivastava and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05602402 (To Evaluate the Efficacy and Safety of CAEP-01 on Eye Strain in Children With Heavy Screen Use), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05602402 nacompletednot on this map

To Evaluate the Efficacy and Safety of CAEP-01 on Eye Strain in Children With Heavy Screen Use

TypeinterventionalSponsorVedic Lifesciences Pvt. Ltd.Ran2022 to 2023Enrolled64ConditionsVision DisordersArmsCAEP-01, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Karen A Hecht *AstaReal, Inc., 3 Terri Lane, Unit 12, Burlington, NJ, 08016, USA. khecht@astarealusa.com.
Megha Marwah *AstaReal India Pvt. Ltd., Sunteck Crest, 606/6th Floor, Andheri East, Mumbai, 400059, India.
Vincent WoodAstaReal Pte. Ltd., 79 Anson Road, Level 21, Singapore, 079906, Singapore.
Yasuhiro NishidaFuji Chemical Industries, Co., Ltd., 55 Yokohoonji, Kamiichi-machi, Nakaniikawa-gun, Toyama, 930-0355, Japan.
Austin E BachAbita Eye Group, 12750 NW 17th St Suite 201, Miami, FL, 33182, USA.
Jeffry GersonGrin Eye Care, 21020 W 151 St, Olathe, KS, 66061, USA.
Milton M HomCanyon City Eyecare, Azusa, CA, USA.
Joerg SchnackenbergFuji Chemical Industries, Co., Ltd., Shibakoen Ridge Building 2nd Floor, 1-8-21 Shiba Koen, Minato-ku, Tokyo, 105-0011, Japan.
Sonal RaoteVedic Lifesciences Pvt. Ltd., Thane, Mumbai, India.
Shalini SrivastavaVedic Lifesciences Pvt. Ltd., Thane, Mumbai, India.
Pankaj NegiAstaReal India Pvt. Ltd., Sunteck Crest, 606/6th Floor, Andheri East, Mumbai, 400059, India.
Eric CastonFuji Chemical Industries, Co., Ltd., Shibakoen Ridge Building 2nd Floor, 1-8-21 Shiba Koen, Minato-ku, Tokyo, 105-0011, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study assessed the effects of astaxanthin supplementation on chronic and acute digital eye strain in school-aged children (10-14 years) and evaluated its safety. While previous studies focused on adults, this study examined astaxanthin's effects on developing eyes.

methodsA randomized, double-blind, placebo-controlled trial was conducted over 84 days involving 64 children engaged in ≥ 4 h of screen time daily and experiencing mild to moderate computer vision syndrome (CVS) symptoms as indicated by a CVS-Questionnaire (CVS-Q) score ≥ 8 and < 19. Participants received a daily 4-mg astaxanthin soft capsule for 84 days. Primary outcomes were measured using CVS-Q, while secondary outcomes included visual fatigue Likert scale (VFLS), visual acuity, spherical equivalence, near point of accommodation, near exophoria, dry eye intensity, pupil size, stereopsis, blinking frequency, immunity, and safety variables.

resultsOf the 64 participants (mean age 11.5-11.7 years), 35 were male and 29 were female. Astaxanthin supplementation significantly improved CVS-Q scores after 84 days (- 4.00 ± 4.05 arbitrary units (A.U.) from baseline, p < 0.0001) compared to placebo (- 1.72 ± 3.61 A.U., p < 0.05), a 20% between group difference. The mean VFLS scores were significantly lower in the astaxanthin group (11.55 ± 5.78 A.U.) compared to placebo (15.78 ± 7.12 A.U., p = 0.01), showing a 27% improvement after 84 days. Stereopsis improved significantly after acute visual load at 28 and 84 days (p < 0.05, p < 0.0001 vs. placebo, respectively), and pupillary light reflex improved after 84 days (p < 0.05 vs. placebo). Tear production increased after 14, 56, and 84 days (p < 0.05, p < 0.001, and p < 0.001 vs. baseline, respectively) in the astaxanthin group, with no significant intergroup difference in the Schirmer I test, visual acuity, spherical equivalence, near point of accommodation, near exphoria, immune markers, or safety variables.

conclusionAstaxanthin supplementation effectively reduced chronic and acute digital eye strain, while enhancing objective measures of visual performance in school-aged children, underscoring the benefits of astaxanthin in pediatric visual health and performance.

trial registrationNIH ClinicalTrials.gov (Identifier: NCT05602402); Clinical Trials Registry India (Registration Number: CTRI/2022/10/046606).

Indexed as

AsthenopiaVideo GamesAdolescentChildDouble-Blind MethodFemaleHumansMaleTreatment OutcomeVisual AcuityXanthophyllsastaxanthineXanthophyllsAntioxidant supplementAstaxanthinAsthenopiaChildrenComputer vision syndromeDigital device usageDry eyesEye strainOcular nutrition

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.