Clinical Investigation of Visual Function After Bilateral Implantation of Two Presbyopia-Correcting Trifocal Intraocular Lenses (IOL)
Primary Purpose
Cataracts
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
AcrySof® IQ PanOptix™ Presbyopia-Correcting IOL
AT LISA® tri IOL
Sponsored by
About this trial
This is an interventional treatment trial for Cataracts
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of bilateral cataracts with planned clear cornea cataract removal;
- Able to comprehend and willing to sign informed consent and complete all required postoperative follow-up procedures;
- Calculated lens power between 13.0 and 30.0 Diopters (D);
- Preoperative Best-corrected distance visual acuity (BCDVA) worse than 0.20 logMAR (ie, 0.22 logMAR or worse) in at least one eye;
- Potential postoperative BCDVA of 0.20 logMAR or better in both eyes. Note: Subjects with any pathology that could reduce visual potential should not be enrolled in this trial;
- Preoperative regular corneal astigmatism of < 1.00 D, in both eyes;
- Clear intraocular media other than cataract in both eyes;
- Other protocol-specified inclusion criteria may apply.
Exclusion Criteria:
- Reasonably expected to require an ocular surgical treatment at any time during the study (other than YAG capsulotomy);
- Previous refractive surgery or planned refractive surgery procedures throughout the entire duration of participation in the clinical study (including, but not limited to LASIK, astigmatic keratotomy and limbal relaxing incisions);
- Clinically significant corneal abnormalities including corneal dystrophy, inflammation or edema;
- Amblyopia;
- Previous corneal transplant;
- Any recurrent severe anterior or posterior segment inflammation of any etiology, and/or history of any disease producing an intraocular inflammatory reaction;
- Rubella, congenital, traumatic, or complicated cataracts;
- Glaucoma (uncontrolled or controlled with medication);
- Degenerative eye disorders;
- History of or current retinal conditions or predisposition to retinal conditions, previous history of, or a predisposition to, retinal detachment or presence of diabetic retinopathy;
- Optic nerve atrophy;
- Expected to require retinal laser treatment;
- Color vision deficiencies;
- Pregnant or lactating (current or planned during the course of the study);
- Other protocol-specified exclusion criteria may apply.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
TFNT00
839MP
Arm Description
AcrySof® IQ PanOptix™ Presbyopia-Correcting IOL, bilateral implantation
AT LISA® tri IOL, bilateral implantation
Outcomes
Primary Outcome Measures
Least Squares Mean Binocular Uncorrected Intermediate Visual Acuity (UCIVA) (60cm) at Day 120-180
VA was tested binocularly (both eyes together) with no refractive correction in place using an early treatment diabetic retinopathy study (ETDRS) chart set at 60 cm. VA was measured in "logarithm of the minimum angle of resolution" (logMAR), with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Secondary Outcome Measures
Least Squares Mean Binocular UCIVA (60cm) at Day 120-180
VA was tested binocularly with no refractive correction in place using an ETDRS chart set at 60 cm. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Least Squares Mean Binocular Uncorrected Distance VA (4m) at Day 120-180
VA was tested binocularly with no refractive correction in place using an ETDRS chart set at 4 meters. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Least Squares Mean Binocular Uncorrected Near VA (40cm) at Day 120-180
VA was tested binocularly with no refractive correction in place using an ETDRS chart set at 40 cm. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Mean Photopic Binocular Defocus Curve at Day 120-180
A defocus curve is created by multiple measurements of one's visual acuity (VA) at different spherical powers. VA was measured in logMAR. A lower logMAR value indicates better visual acuity. No statistical test was performed.
Mean Photopic Without Glare Binocular Distance Contrast Sensitivity at Day 120-180
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly in lighted conditions with distance manifest correction in place and uncorrected, with no glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 3, 6, 12, and 18 cycles per degree (CPD) and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Mean Photopic With Glare Binocular Distance Contrast Sensitivity at Day 120-180
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly in lighted conditions with distance manifest correction in place and uncorrected, with glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 3, 6, 12, and 18 CPDs and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Mean Mesopic Without Glare Binocular Distance Contrast Sensitivity at Day 120-180
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly in dim to dark conditions with distance manifest correction in place and uncorrected, with no glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 1.5, 3, 6, and 12 CPDs and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Mean Mesopic With Glare Binocular Distance Contrast Sensitivity at Day 120-180
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly with distance manifest correction in place and uncorrected, with glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 1.5, 3, 6, and 12 CPDs and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Subject Satisfaction Recorded at Day 120-180
At the Month 6 Visit, subjects responded to the question: "Given your current postoperative vision, if you had to do it all over would you have the same lens implanted again?". Responses were reported as a percentage of subjects. No statistical test was performed.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02691741
Brief Title
Clinical Investigation of Visual Function After Bilateral Implantation of Two Presbyopia-Correcting Trifocal Intraocular Lenses (IOL)
Official Title
Clinical Investigation of Visual Function After Bilateral Implantation of Two Presbyopia-Correcting Trifocal IOLs
Study Type
Interventional
2. Study Status
Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
April 29, 2016 (Actual)
Primary Completion Date
July 17, 2017 (Actual)
Study Completion Date
July 17, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alcon Research
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to clinically evaluate the visual performance of two commercially available presbyopia-correcting Trifocal IOLs.
Detailed Description
Subjects will attend a total of 9 visits (6 postoperative) over a 7 month period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataracts
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
215 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TFNT00
Arm Type
Experimental
Arm Description
AcrySof® IQ PanOptix™ Presbyopia-Correcting IOL, bilateral implantation
Arm Title
839MP
Arm Type
Active Comparator
Arm Description
AT LISA® tri IOL, bilateral implantation
Intervention Type
Device
Intervention Name(s)
AcrySof® IQ PanOptix™ Presbyopia-Correcting IOL
Other Intervention Name(s)
Model TFNT00
Intervention Description
Trifocal IOL(near, intermediate, distance) implanted for long-term use over the lifetime of the cataract patient
Intervention Type
Device
Intervention Name(s)
AT LISA® tri IOL
Other Intervention Name(s)
Model 839MP
Intervention Description
Trifocal IOL(near, intermediate, distance) implanted for long-term use over the lifetime of the cataract patient
Primary Outcome Measure Information:
Title
Least Squares Mean Binocular Uncorrected Intermediate Visual Acuity (UCIVA) (60cm) at Day 120-180
Description
VA was tested binocularly (both eyes together) with no refractive correction in place using an early treatment diabetic retinopathy study (ETDRS) chart set at 60 cm. VA was measured in "logarithm of the minimum angle of resolution" (logMAR), with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Time Frame
Day 120-180 from second eye implantation
Secondary Outcome Measure Information:
Title
Least Squares Mean Binocular UCIVA (60cm) at Day 120-180
Description
VA was tested binocularly with no refractive correction in place using an ETDRS chart set at 60 cm. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Time Frame
Day 120-180 from second eye implantation
Title
Least Squares Mean Binocular Uncorrected Distance VA (4m) at Day 120-180
Description
VA was tested binocularly with no refractive correction in place using an ETDRS chart set at 4 meters. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Time Frame
Day 120-180 from second eye implantation
Title
Least Squares Mean Binocular Uncorrected Near VA (40cm) at Day 120-180
Description
VA was tested binocularly with no refractive correction in place using an ETDRS chart set at 40 cm. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity.
Time Frame
Day 120-180 from second eye implantation
Title
Mean Photopic Binocular Defocus Curve at Day 120-180
Description
A defocus curve is created by multiple measurements of one's visual acuity (VA) at different spherical powers. VA was measured in logMAR. A lower logMAR value indicates better visual acuity. No statistical test was performed.
Time Frame
Day 120-180 from second eye implantation
Title
Mean Photopic Without Glare Binocular Distance Contrast Sensitivity at Day 120-180
Description
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly in lighted conditions with distance manifest correction in place and uncorrected, with no glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 3, 6, 12, and 18 cycles per degree (CPD) and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Time Frame
Day 120-180 from second eye implantation
Title
Mean Photopic With Glare Binocular Distance Contrast Sensitivity at Day 120-180
Description
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly in lighted conditions with distance manifest correction in place and uncorrected, with glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 3, 6, 12, and 18 CPDs and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Time Frame
Day 120-180 from second eye implantation
Title
Mean Mesopic Without Glare Binocular Distance Contrast Sensitivity at Day 120-180
Description
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly in dim to dark conditions with distance manifest correction in place and uncorrected, with no glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 1.5, 3, 6, and 12 CPDs and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Time Frame
Day 120-180 from second eye implantation
Title
Mean Mesopic With Glare Binocular Distance Contrast Sensitivity at Day 120-180
Description
Contrast sensitivity (ie, the ability to detect slight changes in luminance before they become indistinguishable) was assessed binocularly with distance manifest correction in place and uncorrected, with glare source illumination. Contrast sensitivity was assessed at spatial frequencies of 1.5, 3, 6, and 12 CPDs and reported in log units. A higher numeric value represents better contrast sensitivity. No statistical test was performed.
Time Frame
Day 120-180 from second eye implantation
Title
Subject Satisfaction Recorded at Day 120-180
Description
At the Month 6 Visit, subjects responded to the question: "Given your current postoperative vision, if you had to do it all over would you have the same lens implanted again?". Responses were reported as a percentage of subjects. No statistical test was performed.
Time Frame
Day 120-180 from second eye implantation
10. Eligibility
Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of bilateral cataracts with planned clear cornea cataract removal;
Able to comprehend and willing to sign informed consent and complete all required postoperative follow-up procedures;
Calculated lens power between 13.0 and 30.0 Diopters (D);
Preoperative Best-corrected distance visual acuity (BCDVA) worse than 0.20 logMAR (ie, 0.22 logMAR or worse) in at least one eye;
Potential postoperative BCDVA of 0.20 logMAR or better in both eyes. Note: Subjects with any pathology that could reduce visual potential should not be enrolled in this trial;
Preoperative regular corneal astigmatism of < 1.00 D, in both eyes;
Clear intraocular media other than cataract in both eyes;
Other protocol-specified inclusion criteria may apply.
Exclusion Criteria:
Reasonably expected to require an ocular surgical treatment at any time during the study (other than YAG capsulotomy);
Previous refractive surgery or planned refractive surgery procedures throughout the entire duration of participation in the clinical study (including, but not limited to LASIK, astigmatic keratotomy and limbal relaxing incisions);
Clinically significant corneal abnormalities including corneal dystrophy, inflammation or edema;
Amblyopia;
Previous corneal transplant;
Any recurrent severe anterior or posterior segment inflammation of any etiology, and/or history of any disease producing an intraocular inflammatory reaction;
Rubella, congenital, traumatic, or complicated cataracts;
Glaucoma (uncontrolled or controlled with medication);
Degenerative eye disorders;
History of or current retinal conditions or predisposition to retinal conditions, previous history of, or a predisposition to, retinal detachment or presence of diabetic retinopathy;
Optic nerve atrophy;
Expected to require retinal laser treatment;
Color vision deficiencies;
Pregnant or lactating (current or planned during the course of the study);
Other protocol-specified exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sr. Clinical Manager, GCRA
Organizational Affiliation
Alcon, a Novartis Company
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Clinical Investigation of Visual Function After Bilateral Implantation of Two Presbyopia-Correcting Trifocal Intraocular Lenses (IOL)
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