PRIMA US-Feasibility Study in Atrophic Dry AMD (PRIMA-FS-US)
Primary Purpose
Dry Age-related Macular Degeneration
Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
PRIMA
Sponsored by
About this trial
This is an interventional treatment trial for Dry Age-related Macular Degeneration focused on measuring atrophic macular degeneration, geographic atrophy, retina implant, retinal prosthesis, visual prosthesis, macular degeneration, dry macular degeneration, AMD
Eligibility Criteria
Inclusion Criteria:
- Is 60 years or older at the date of inclusion;
- Has a confirmed diagnosis of atrophic dry age related macular degeneration with an atrophy size of at least 3 optic disc diameters in the study eye;
- Has best corrected visual acuity of logMAR 1.3 (20/400) or worse in the study eye measured by ETDRS;
- Has a central scotoma in the study eye with no perception at 0 dB on MP-1 micro-perimetry scale in the visual field covering the central 7 degrees (+/-3.5 degrees) and maximum 20% perception in the remaining visual field covering the central 12 degrees (+/- 6 degrees);
Meets one of the following criteria in the non-study eye:
- Visual acuity of 20/200 (logMAR 1.0) or worse and an atrophy size <8mm2
- Visual acuity of 20/160 (logMAR 0.9) or worse and an atrophy size ≥8mm2 and ≤12.5 mm2
- Visual acuity of 20/100 (logMAR 0.7) or worse and an atrophy size >12.5 mm2
- Has a refraction of study eye between -3 and + 4 (limits included) for patients with IOL (there is no refraction criteria for phakic patients);
- Understands and accepts the obligation to present for all schedule follow-up visits;
- Patient signed informed consent.
Main Exclusion Criteria:
- Has cataract in the study ;
- Has an aphakic study eye;
- Has no light perception in the study eye;
- Has a history of choroidal neovascularization in either eye;
- Has any disease (other than study allowed diseases) or condition that affects retinal function of the study eye
- Has an implanted telescope in one eye;
- Has any disease or condition that prevents adequate examination of the study
- Has a corneal endothelial cell count of less than 1000 cells/mm² in the study eye
- Suffers from nystagmus or other ocular motility disorders;
- Has any disease or condition that precludes the understanding or communication of the informed consent, study requirements or test protocols
- Has a history of epileptic seizure;
- Has a history of chronic or recurrent infection or inflammation that would preclude participation in the study;
- Presents with hypotony or hypertony in the study eye;
- Has another active implanted device;
- Has active cancer or a history of intraocular, optic nerve or brain cancer and metastasis;
- Is an immune-suppressed subject;
- Is carrier of multi-resistant microorganisms;
- Is receiving anticoagulation therapy that cannot be adapted to allow eye surgery;
- Is participating in another investigational drug or device study that may interfere with the present study;
- Has recurrent or chronic inflammations or infections;
- Has a severe psychological disorder;
- Does not have the mental capacity to legally sign the informed consent;
- Has severe renal, cardiac, hepatic, etc. organ diseases;
- Has head dimensions that are incompatible with the Visual Interface;
- Has too high and unrealistic expectation;
Detailed patient criteria will be verified by the study doctor.
Sites / Locations
- Byers Eye Institute-Stanford University
- Bascom Palmer Eye Institute
- UPMC Eye Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
PRIMA
Arm Description
Implantation of PRIMA device
Outcomes
Primary Outcome Measures
Near Visual Acuity
Near Visual acuity measured by FrACT
Secondary Outcome Measures
Near Visual Acuity
Near Visual acuity measured by FrACT
Visual Acuity
Visual acuity measured by ETDRS
Reading Acuity Test
Reading acuity measured by Radner Charts
Quality of Life
The change in quality of life is measure by the Impact of Vision Impairment (IVI) Questionnaire
Full Information
NCT ID
NCT03392324
First Posted
December 29, 2017
Last Updated
March 15, 2023
Sponsor
Pixium Vision SA
Collaborators
Pixium Vision LLC acts as sponosor in the US on behalf of Pixium Vision SA
1. Study Identification
Unique Protocol Identification Number
NCT03392324
Brief Title
PRIMA US-Feasibility Study in Atrophic Dry AMD
Acronym
PRIMA-FS-US
Official Title
Feasibility Study of Compensation for Blindness With the PRIMA System in Patients With Atrophic Dry Age Related Macular Degeneration
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 26, 2018 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
December 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pixium Vision SA
Collaborators
Pixium Vision LLC acts as sponosor in the US on behalf of Pixium Vision SA
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
In this early feasibility trial the safety and performance of the new retinal prothesis PRIMA is tested in five subjects suffering from atrophic dry age related macular degeneration.
Detailed Description
PRIMA is a new photovoltaic sub-retinal wireless prosthesis for partial restoration of visual perception in patients with vision loss from atrophic dry Age-related Macular Degeneration. The implantable part of the device is placed under the retina. A mini camera mounted on a pair of glasses captures the visual scene in the environment. The visual scene is processed and simplified by the pocket computer connected to the glasses in order to extract useful information from the images. The simplified images are then sent back to the glasses where a miniaturized projector then projects the processed images wirelessly via pulses of near infrared light on the PRIMA implant at the back of the eye under the retina. The photovoltaic cells convert this optical information into electrical stimulation to excite the nerve cells of the retina and induce visual perception. In this early feasibility study five human subjects suffering from atrophic dry age related macular degeneration will receive the implant. The performance and the safety of the device will be monitored for up to 36 months.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Age-related Macular Degeneration
Keywords
atrophic macular degeneration, geographic atrophy, retina implant, retinal prosthesis, visual prosthesis, macular degeneration, dry macular degeneration, AMD
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PRIMA
Arm Type
Experimental
Arm Description
Implantation of PRIMA device
Intervention Type
Device
Intervention Name(s)
PRIMA
Intervention Description
Implantation of PRIMA device
Primary Outcome Measure Information:
Title
Near Visual Acuity
Description
Near Visual acuity measured by FrACT
Time Frame
12 months after implantation
Secondary Outcome Measure Information:
Title
Near Visual Acuity
Description
Near Visual acuity measured by FrACT
Time Frame
3, 6, 9, 18, 24, and 36 months after implantation
Title
Visual Acuity
Description
Visual acuity measured by ETDRS
Time Frame
3, 6, 9, 12, 18, 24 and 36 months after implantation
Title
Reading Acuity Test
Description
Reading acuity measured by Radner Charts
Time Frame
6, 12, 24, 36 months after implantation
Title
Quality of Life
Description
The change in quality of life is measure by the Impact of Vision Impairment (IVI) Questionnaire
Time Frame
12, 24, and 36 months after implantation
10. Eligibility
Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Is 60 years or older at the date of inclusion;
Has a confirmed diagnosis of atrophic dry age related macular degeneration with an atrophy size of at least 3 optic disc diameters in the study eye;
Has best corrected visual acuity of logMAR 1.3 (20/400) or worse in the study eye measured by ETDRS;
Has a central scotoma in the study eye with no perception at 0 dB on MP-1 micro-perimetry scale in the visual field covering the central 7 degrees (+/-3.5 degrees) and maximum 20% perception in the remaining visual field covering the central 12 degrees (+/- 6 degrees);
Meets one of the following criteria in the non-study eye:
Visual acuity of 20/200 (logMAR 1.0) or worse and an atrophy size <8mm2
Visual acuity of 20/160 (logMAR 0.9) or worse and an atrophy size ≥8mm2 and ≤12.5 mm2
Visual acuity of 20/100 (logMAR 0.7) or worse and an atrophy size >12.5 mm2
Has a refraction of study eye between -3 and + 4 (limits included) for patients with IOL (there is no refraction criteria for phakic patients);
Understands and accepts the obligation to present for all schedule follow-up visits;
Patient signed informed consent.
Main Exclusion Criteria:
Has cataract in the study ;
Has an aphakic study eye;
Has no light perception in the study eye;
Has a history of choroidal neovascularization in either eye;
Has any disease (other than study allowed diseases) or condition that affects retinal function of the study eye
Has an implanted telescope in one eye;
Has any disease or condition that prevents adequate examination of the study
Has a corneal endothelial cell count of less than 1000 cells/mm² in the study eye
Suffers from nystagmus or other ocular motility disorders;
Has any disease or condition that precludes the understanding or communication of the informed consent, study requirements or test protocols
Has a history of epileptic seizure;
Has a history of chronic or recurrent infection or inflammation that would preclude participation in the study;
Presents with hypotony or hypertony in the study eye;
Has another active implanted device;
Has active cancer or a history of intraocular, optic nerve or brain cancer and metastasis;
Is an immune-suppressed subject;
Is carrier of multi-resistant microorganisms;
Is receiving anticoagulation therapy that cannot be adapted to allow eye surgery;
Is participating in another investigational drug or device study that may interfere with the present study;
Has recurrent or chronic inflammations or infections;
Has a severe psychological disorder;
Does not have the mental capacity to legally sign the informed consent;
Has severe renal, cardiac, hepatic, etc. organ diseases;
Has head dimensions that are incompatible with the Visual Interface;
Has too high and unrealistic expectation;
Detailed patient criteria will be verified by the study doctor.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joseph Martel, MD
Organizational Affiliation
UPMC Pittsburgh
Official's Role
Principal Investigator
Facility Information:
Facility Name
Byers Eye Institute-Stanford University
City
Palo Alto
State/Province
California
ZIP/Postal Code
94303
Country
United States
Facility Name
Bascom Palmer Eye Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
UPMC Eye Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
12. IPD Sharing Statement
Links:
URL
http://www.pixium-vision.com
Description
Pixium Vision
Learn more about this trial
PRIMA US-Feasibility Study in Atrophic Dry AMD
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