Clinical Evaluation of a 1-Piece Intraocular Lens
Primary Purpose
Cataract
Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Tecnis ZCB00 IOL (control)
Toric Intraocular lens
Sponsored by

About this trial
This is an interventional treatment trial for Cataract focused on measuring Cataract, Intraocular lens
Eligibility Criteria
Inclusion Criteria:
- Minimum 18 years of age
- Cataract for which phacoemulsification extraction and posterior chamber IOL implantation has been planned for both eyes
- Preoperative best corrected distance visual acuity (BCDVA)of 20/40 or worse (Snellen), with or without glare, for each eye
- BCDVA projected to be better than 20/30 following cataract removal and IOL implantation for each eye
- Preoperative keratometric cylinder of 0.75 diopters to 3.62 diopters for each eye (with exception of second eyes with 0.0-0.75 diopters planned to receive non-toric IOL)
- Clear intraocular media other than cataract in both eyes
- Availability, willingness, ability and sufficient cognitive awareness to comply with examination procedures and study visits
- Signed informed consent and HIPAA authorization
Exclusion Criteria:
- Requiring IOLs outside spherical power range of +15.0 to +28.0 diopters
- Dilated pupil size less than 5.5 mm or the presence of any pupil abnormalities (non-reactive, fixed pupils, or abnormally shaped pupils)in either eye
- Previous corneal or intraocular surgery in either eye
- Irregular corneal astigmatism in either eye
- Corneal pathology/abnormality potentially affecting topography in either eye
- Corneal abnormalities such as stromal, epithelial or endothelial dystrophies in either eye
- Inability to achieve keratometric stability in either eye for contact lens wearers
- Subjects with diagnosed degenerative visual disorders in either eye(eg., macular degeneration or other retinal disorders) that are predicted to cause future acuity losses to a level of 20/30 or worse
- Subjects with conditions associated with increased risk of zonular rupture, including capsular or zonular abnormalities that may lead to IOL decentration, including pseudoexfoliation, trauma, or posterior capsule defects
- An eccentric anterior capsulorhexis, zonular damage/rupture or capsular tear/rupture during the cataract extraction procedure
- Use of systemic or ocular medications that may affect vision
- Prior, current, or anticipated use during the course of the nine month study of tamsulosin or silodosin (e.g., Flomax, Flomaxtra, Rapaflo)likely to affect dilation or iris structure
- Poorly-controlled diabetes
- Acute, chronic, or uncontrolled systemic disease or illness that would, in the opinion of the investigator, increase the operative risk or confound the outcome(s) of the study (e.g., immunocompromised, connective tissue disease, etc.)
- Uncontrolled ocular hypertension or glaucomatous changes in the retina or visual field in either eye
- Known ocular disease or pathology that may affect visual acuity or that may require surgical intervention during the course of the study (macular degeneration, cystoid macular edema, diabetic retinopathy, etc.)
- Patient is pregnant, plans to become pregnant, is lactating or has another condition associated with the fluctuation of hormones that could lead to refractive changes
- Concurrent participation or participation during 30 days prior to preoperative visit in any other clinical trial
Sites / Locations
- AMO Clinical Research Call Center for Trial Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Experimental
Experimental
Arm Label
Control IOL
Toric IOL
Higher Cylinder Toric IOL
Arm Description
Approved Intraocular control lens
Investigational Toric IOL
Investigational Toric IOLs with higher cylinder powers.
Outcomes
Primary Outcome Measures
Mean Percent Reduction in Cylinder
Reduction in cylinder postoperatively vs. preoperatively (baseline) as measured by keratometry and manifest refraction. Mean percent reduction in cylinder = (postoperative refractive cylinder minus preoperative keratometric cylinder)/(target refractive cylinder minus preoperative keratometric cylinder). Reduction in cylinder was assessed in the first eye (per participant) for contribution to the mean.
Secondary Outcome Measures
Uncorrected Distance Visual Acuity (UCDVA)
Postoperative uncorrected distance visual acuity as measured by LogMAR acuity. For comparison: LogMAR value of 0.0 = Snellen 20/20; LogMar 0.10 = Snellen 20/25; LogMAR 0.20 = Snellen 20/32; LogMAR 0.30 = Snellen 20/40. Uncorrected distance visual acuity as measured by LogMAR acuity was assessed in the first eye (per participant) for contribution to the mean.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01098812
Brief Title
Clinical Evaluation of a 1-Piece Intraocular Lens
Official Title
Clinical Evaluation of the TECNIS® Toric 1-Piece Intraocular Lens
Study Type
Interventional
2. Study Status
Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
October 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Medical Optics
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aims of this study are to:
Demonstrate a reduction in postoperative cylinder compared to results from the control lens
Demonstrate better uncorrected distance visual acuity compared to the control lens
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract
Keywords
Cataract, Intraocular lens
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
269 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Control IOL
Arm Type
Active Comparator
Arm Description
Approved Intraocular control lens
Arm Title
Toric IOL
Arm Type
Experimental
Arm Description
Investigational Toric IOL
Arm Title
Higher Cylinder Toric IOL
Arm Type
Experimental
Arm Description
Investigational Toric IOLs with higher cylinder powers.
Intervention Type
Device
Intervention Name(s)
Tecnis ZCB00 IOL (control)
Intervention Description
Tecnis 1-piece acrylic IOL
Intervention Type
Device
Intervention Name(s)
Toric Intraocular lens
Intervention Description
Toric acrylic intraocular lens with various cylinder powers
Primary Outcome Measure Information:
Title
Mean Percent Reduction in Cylinder
Description
Reduction in cylinder postoperatively vs. preoperatively (baseline) as measured by keratometry and manifest refraction. Mean percent reduction in cylinder = (postoperative refractive cylinder minus preoperative keratometric cylinder)/(target refractive cylinder minus preoperative keratometric cylinder). Reduction in cylinder was assessed in the first eye (per participant) for contribution to the mean.
Time Frame
6 months after second eye implant compared to baseline
Secondary Outcome Measure Information:
Title
Uncorrected Distance Visual Acuity (UCDVA)
Description
Postoperative uncorrected distance visual acuity as measured by LogMAR acuity. For comparison: LogMAR value of 0.0 = Snellen 20/20; LogMar 0.10 = Snellen 20/25; LogMAR 0.20 = Snellen 20/32; LogMAR 0.30 = Snellen 20/40. Uncorrected distance visual acuity as measured by LogMAR acuity was assessed in the first eye (per participant) for contribution to the mean.
Time Frame
6 months after second eye implant
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Minimum 18 years of age
Cataract for which phacoemulsification extraction and posterior chamber IOL implantation has been planned for both eyes
Preoperative best corrected distance visual acuity (BCDVA)of 20/40 or worse (Snellen), with or without glare, for each eye
BCDVA projected to be better than 20/30 following cataract removal and IOL implantation for each eye
Preoperative keratometric cylinder of 0.75 diopters to 3.62 diopters for each eye (with exception of second eyes with 0.0-0.75 diopters planned to receive non-toric IOL)
Clear intraocular media other than cataract in both eyes
Availability, willingness, ability and sufficient cognitive awareness to comply with examination procedures and study visits
Signed informed consent and HIPAA authorization
Exclusion Criteria:
Requiring IOLs outside spherical power range of +15.0 to +28.0 diopters
Dilated pupil size less than 5.5 mm or the presence of any pupil abnormalities (non-reactive, fixed pupils, or abnormally shaped pupils)in either eye
Previous corneal or intraocular surgery in either eye
Irregular corneal astigmatism in either eye
Corneal pathology/abnormality potentially affecting topography in either eye
Corneal abnormalities such as stromal, epithelial or endothelial dystrophies in either eye
Inability to achieve keratometric stability in either eye for contact lens wearers
Subjects with diagnosed degenerative visual disorders in either eye(eg., macular degeneration or other retinal disorders) that are predicted to cause future acuity losses to a level of 20/30 or worse
Subjects with conditions associated with increased risk of zonular rupture, including capsular or zonular abnormalities that may lead to IOL decentration, including pseudoexfoliation, trauma, or posterior capsule defects
An eccentric anterior capsulorhexis, zonular damage/rupture or capsular tear/rupture during the cataract extraction procedure
Use of systemic or ocular medications that may affect vision
Prior, current, or anticipated use during the course of the nine month study of tamsulosin or silodosin (e.g., Flomax, Flomaxtra, Rapaflo)likely to affect dilation or iris structure
Poorly-controlled diabetes
Acute, chronic, or uncontrolled systemic disease or illness that would, in the opinion of the investigator, increase the operative risk or confound the outcome(s) of the study (e.g., immunocompromised, connective tissue disease, etc.)
Uncontrolled ocular hypertension or glaucomatous changes in the retina or visual field in either eye
Known ocular disease or pathology that may affect visual acuity or that may require surgical intervention during the course of the study (macular degeneration, cystoid macular edema, diabetic retinopathy, etc.)
Patient is pregnant, plans to become pregnant, is lactating or has another condition associated with the fluctuation of hormones that could lead to refractive changes
Concurrent participation or participation during 30 days prior to preoperative visit in any other clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nicholas Tarantino, O.D.
Organizational Affiliation
Abbott Medical Optics
Official's Role
Study Director
Facility Information:
Facility Name
AMO Clinical Research Call Center for Trial Locations
City
Santa Ana
State/Province
California
ZIP/Postal Code
92705
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Clinical Evaluation of a 1-Piece Intraocular Lens
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