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A Comparison of Two Ab Interno Procedures in the Treatment of Glaucoma in Patients Undergoing Cataract Extraction

Primary Purpose

Open Angle Glaucoma

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Goniotomy
Trabecular Micro-Bypass Stent
Cataract Extraction
Sponsored by
New World Medical, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Open Angle Glaucoma focused on measuring Glaucoma, glaucoma surgery, ab interno

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of open angle glaucoma (including pseudoexfoliation and pigmentary glaucoma)
  • Diagnosis of mild to moderate glaucoma as defined by ICD-9 staging definitions 365.71 Mild/365.72 Moderate (including visual field defects and/or characteristic optic nerve abnormalities consistent with mild to moderate glaucoma)
  • Planned removal of a visually significant cataract as determined by the Investigator (cortical, nuclear, subcapsular, or a combination) by manual phacoemulsification cataract extraction

Exclusion Criteria:

  • Any glaucoma diagnosis other than those noted in inclusion criteria

Sites / Locations

  • Gundersen Health System

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Goniotomy

Trabecular Micro-Bypass Stent

Arm Description

Procedure: Goniotomy and trabecular excision in combination with planned cataract extraction via Phaco and PCIOL implant.

Procedure: Device implantation in combination with planned cataract extraction via Phaco and PCIOL implant.

Outcomes

Primary Outcome Measures

Percent reduction in mean IOP

Secondary Outcome Measures

Full Information

First Posted
May 24, 2016
Last Updated
July 13, 2021
Sponsor
New World Medical, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02784249
Brief Title
A Comparison of Two Ab Interno Procedures in the Treatment of Glaucoma in Patients Undergoing Cataract Extraction
Official Title
A Prospective, Randomized, Multi-Center, Open-Label Trial Comparing a Novel Goniotomy Procedure and an Ab Interno Trabecular Bypass Device in the Treatment of Mild to Moderate Glaucoma in Patients Undergoing Cataract Extraction
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
June 2016 (undefined)
Primary Completion Date
December 2017 (Actual)
Study Completion Date
December 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
New World Medical, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the safety and efficacy of goniotomy performed with a novel ophthalmic knife compared to trabecular bypass stent implantation in mild to moderate glaucoma subjects who are also undergoing cataract extraction with phacoemulsification (Phaco) and posterior chamber intraocular lens (PCIOL) implant.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Open Angle Glaucoma
Keywords
Glaucoma, glaucoma surgery, ab interno

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
166 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Goniotomy
Arm Type
Experimental
Arm Description
Procedure: Goniotomy and trabecular excision in combination with planned cataract extraction via Phaco and PCIOL implant.
Arm Title
Trabecular Micro-Bypass Stent
Arm Type
Active Comparator
Arm Description
Procedure: Device implantation in combination with planned cataract extraction via Phaco and PCIOL implant.
Intervention Type
Procedure
Intervention Name(s)
Goniotomy
Intervention Description
Procedure: Goniotomy and trabecular excision with a novel ophthalmic knife in combination with planned cataract extraction via Phaco and PCIOL implant.
Intervention Type
Device
Intervention Name(s)
Trabecular Micro-Bypass Stent
Intervention Description
Procedure: Trabecular Micro-Bypass stent implantation in combination with planned cataract extraction via Phaco and PCIOL implant.
Intervention Type
Procedure
Intervention Name(s)
Cataract Extraction
Intervention Description
Cataract extraction via Phaco and PCIOL implant.
Primary Outcome Measure Information:
Title
Percent reduction in mean IOP
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of open angle glaucoma (including pseudoexfoliation and pigmentary glaucoma) Diagnosis of mild to moderate glaucoma as defined by ICD-9 staging definitions 365.71 Mild/365.72 Moderate (including visual field defects and/or characteristic optic nerve abnormalities consistent with mild to moderate glaucoma) Planned removal of a visually significant cataract as determined by the Investigator (cortical, nuclear, subcapsular, or a combination) by manual phacoemulsification cataract extraction Exclusion Criteria: Any glaucoma diagnosis other than those noted in inclusion criteria
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Luana Wilbur, BS
Organizational Affiliation
Pilot to Pivotal Consulting, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Gundersen Health System
City
La Crosse
State/Province
Wisconsin
ZIP/Postal Code
54601
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Comparison of Two Ab Interno Procedures in the Treatment of Glaucoma in Patients Undergoing Cataract Extraction

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