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A Study of B + L Ophthalmic Viscosurgical Device (OVD) CVisc50

Primary Purpose

Cataract

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
CVisc50 OVD
ProVisc OVD
Cataract Surgery
Sponsored by
Bausch & Lomb Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cataract

Eligibility Criteria

45 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The participant must be at least 45 years old and have a clinically documented diagnosis of age-related non-complicated cataract that is considered amenable to treatment with standard phacoemulsification cataract extraction and IOL implantation.
  • The participant must have the capability to provide written informed consent on the Institutional Review Board (IRB)/Ethics Committee (EC) approved Informed Consent Form (ICF) and provide authorization as appropriate for local privacy regulations.
  • The participant must be willing and able to undergo all pre-surgical and surgical procedures and to return for all scheduled follow-up examinations through 90 days following surgery.
  • The participant must have clear intraocular media other than the cataract in the operative eye.

Exclusion Criteria:

  • The participant has participated in any drug or device clinical investigation within 30 days prior to entry into this study and/or plans to do so during the period of study participation.
  • The participant has any corneal pathology (for example; significant scarring, guttata, inflammation, edema, dystrophy, etc.) in the operative eye.
  • The participant has anterior segment pathology likely to increase the risk of an adverse outcome for phacoemulsification cataract surgery (for example; pseudoexfoliation syndrome, synechiae, iris atrophy, inadequate dilation, shallow anterior chamber, traumatic cataract, lens subluxation) in the operative eye.
  • The participant has any condition which prevents reliable specular microscopy in the operative eye.
  • The participant has a congenital ocular anomaly (for example; aniridia, congenital cataract) in the operative eye.
  • The participant has a baseline ECD <1500 cells/square millimeter (mm^2) in the operative eye.
  • The participant has a grade 4+ nuclear cataract density in the planned operative eye.
  • The participant has glaucoma or ocular hypertension (IOP >24 mmHg) in the operative eye.
  • The participant has any abnormality which prevents reliable Goldmann applanation tonometry in the operative eye.
  • The participant has a known allergy to any of the components of the test or control OVDs.
  • The participant is using any topical or systemic medications known to interfere with visual performance or complicate cataract surgery within 30 days of enrollment or during the study.
  • The participant is scheduled to undergo other combined intraocular procedures during the cataract/intraocular lens (IOL) implantation surgery in the operative eye. NOTE: A relaxing keratotomy is allowed.
  • The participant has diabetic retinopathy, wet age-related macular degeneration or other retinal pathology which might limit postoperative visual acuity (VA) or predispose the participant to postoperative retinal complications in the operative eye.
  • The participant's fellow eye is already participating in this study.
  • The participant has a history of chronic or recurrent inflammatory eye disease (for example; iritis, scleritis, uveitis, iridocyclitis, rubeosis iridis) in the operative eye.
  • The participant has a best corrected distance visual acuity (BCDVA) of logarithm of minimum angle resolution (LogMAR) 1.0 (20/200, 6/60) or worse in the fellow eye.
  • The participant has had previous corneal surgery in the planned operative eye.
  • The participant has a previous retinal detachment in the operative eye.
  • Females of childbearing potential (those who are not surgically sterilized or not postmenopausal for at least 12 months) are excluded from participation in the study if they are currently pregnant; plan to become pregnant during the study; and/or are breast-feeding.

Sites / Locations

  • Bausch Site 017
  • Bausch Site 001
  • Bausch Site 008
  • Bausch Site 010
  • Bausch Site 007
  • Bausch Site 011
  • Bausch Site 012
  • Bausch Site 013
  • Bausch Site 004
  • Bausch Site 019
  • Bausch Site 020
  • Bausch Site 002
  • Bausch Site 015
  • Bausch Site 005
  • Bausch Site 021
  • Bausch Site 003
  • Bausch Site 014
  • Bausch 018
  • Bausch Site 009
  • Bausch Site 006
  • Bausch 022
  • Bausch Site 016

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

CVisc50 Ophthalmic Viscosurgical Device (OVD)

ProVisc OVD

Arm Description

CVisc50 OVD will be carefully injected into the anterior chamber using standard aseptic technique, during the surgical procedure. The duration of the treatment is anticipated to be approximately 15-20 minutes for the surgical procedure. The OVD may also be used to coat surgical instruments prior to Intraocular Lens (IOL) implantation (for example, the internal surfaces of an IOL inserter are typically filled and/or coated with the OVD to provide lubricity during IOL compression and delivery into the eye). Additional OVD of the same product, may be injected as needed throughout surgery to keep the anterior chamber fully formed and to re-inflate the capsular bag following cataract removal. At the end of the surgical procedure it is recommended that OVD be removed from the eye as completely as practical by thoroughly irrigating and aspirating with a sterile irrigating solution.

ProVisc OVD will be carefully injected into the anterior chamber using standard aseptic technique, during the surgical procedure. The duration of the treatment is anticipated to be approximately 15-20 minutes for the surgical procedure. The OVD may also be used to coat surgical instruments prior to IOL implantation (for example, the internal surfaces of an IOL inserter are typically filled and/or coated with the OVD to provide lubricity during IOL compression and delivery into the eye). Additional OVD of the same product, may be injected as needed throughout surgery to keep the anterior chamber fully formed and to re-inflate the capsular bag following cataract removal. At the end of the surgical procedure it is recommended that OVD be removed from the eye as completely as practical by thoroughly irrigating and aspirating with a sterile irrigating solution.

Outcomes

Primary Outcome Measures

Percentage of Participants who Experienced at Least one Intraocular Pressure (IOP) Measurement ≥30 Millimeters of Mercury (mmHg) at Any Post-Surgical Follow-up Visit
Change From Baseline in Corneal Endothelial Cell Density (ECD) in the Study Eye at Postoperative Visit 5 (90 Days ± 14 Days)

Secondary Outcome Measures

Mean Change From Baseline in IOP at the 6-Hour Post-Operative Visit
Mean Change From Baseline in IOP at the 24-Hour Post-Operative Visit
Percentage of Participants With Summed Score for Anterior Chamber Cells and Flare Greater Than Zero at the 6-Hour and 24-Hour Post-Operative Visits
Anterior chamber cells were graded on a 6-point scale, with 0 = <1 cell count; 0.5 = 1 to 5 cell count; 1 = 6 to 15 cell count; 2 = 16 to 25 cell count; 3 = 26 to 50 cell count; and 4 = >50 cell count. Anterior chamber flare (protein escaping from dilated vessels) was graded on a 5-point scale, with 0 = none; 1 = faint; 2 = moderate; 3 = marked; and 4 = intense.

Full Information

First Posted
December 6, 2019
Last Updated
December 13, 2022
Sponsor
Bausch & Lomb Incorporated
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1. Study Identification

Unique Protocol Identification Number
NCT04192630
Brief Title
A Study of B + L Ophthalmic Viscosurgical Device (OVD) CVisc50
Official Title
A Study to Document the Safety and Effectiveness of a New Cohesive OVD When Compared to a Control OVD
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
November 26, 2019 (Actual)
Primary Completion Date
January 31, 2022 (Actual)
Study Completion Date
January 31, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bausch & Lomb Incorporated

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes

5. Study Description

Brief Summary
The objective of the study is to evaluate the safety and effectiveness of the Bausch & Lomb CVisc50 cohesive OVD compared to the Alcon ProVisc® cohesive OVD when used in cataract surgery.
Detailed Description
The objective of the study is to evaluate the safety and effectiveness of the Bausch & Lomb CVisc50 cohesive OVD compared to the Alcon ProVisc® cohesive OVD when used in cataract surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
390 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CVisc50 Ophthalmic Viscosurgical Device (OVD)
Arm Type
Experimental
Arm Description
CVisc50 OVD will be carefully injected into the anterior chamber using standard aseptic technique, during the surgical procedure. The duration of the treatment is anticipated to be approximately 15-20 minutes for the surgical procedure. The OVD may also be used to coat surgical instruments prior to Intraocular Lens (IOL) implantation (for example, the internal surfaces of an IOL inserter are typically filled and/or coated with the OVD to provide lubricity during IOL compression and delivery into the eye). Additional OVD of the same product, may be injected as needed throughout surgery to keep the anterior chamber fully formed and to re-inflate the capsular bag following cataract removal. At the end of the surgical procedure it is recommended that OVD be removed from the eye as completely as practical by thoroughly irrigating and aspirating with a sterile irrigating solution.
Arm Title
ProVisc OVD
Arm Type
Active Comparator
Arm Description
ProVisc OVD will be carefully injected into the anterior chamber using standard aseptic technique, during the surgical procedure. The duration of the treatment is anticipated to be approximately 15-20 minutes for the surgical procedure. The OVD may also be used to coat surgical instruments prior to IOL implantation (for example, the internal surfaces of an IOL inserter are typically filled and/or coated with the OVD to provide lubricity during IOL compression and delivery into the eye). Additional OVD of the same product, may be injected as needed throughout surgery to keep the anterior chamber fully formed and to re-inflate the capsular bag following cataract removal. At the end of the surgical procedure it is recommended that OVD be removed from the eye as completely as practical by thoroughly irrigating and aspirating with a sterile irrigating solution.
Intervention Type
Device
Intervention Name(s)
CVisc50 OVD
Other Intervention Name(s)
Bausch + Lomb CVisc50 Cohesive OVD
Intervention Description
Bausch + Lomb CVisc50 Cohesive OVD
Intervention Type
Device
Intervention Name(s)
ProVisc OVD
Other Intervention Name(s)
Alcon ProVisc® OVD
Intervention Description
ProVisc OVD
Intervention Type
Procedure
Intervention Name(s)
Cataract Surgery
Intervention Description
Cataract Surgery
Primary Outcome Measure Information:
Title
Percentage of Participants who Experienced at Least one Intraocular Pressure (IOP) Measurement ≥30 Millimeters of Mercury (mmHg) at Any Post-Surgical Follow-up Visit
Time Frame
Up to 90 Days ± 14 Days
Title
Change From Baseline in Corneal Endothelial Cell Density (ECD) in the Study Eye at Postoperative Visit 5 (90 Days ± 14 Days)
Time Frame
Baseline, 90 Days ± 14 Days
Secondary Outcome Measure Information:
Title
Mean Change From Baseline in IOP at the 6-Hour Post-Operative Visit
Time Frame
Baseline, 6-hour post-operative
Title
Mean Change From Baseline in IOP at the 24-Hour Post-Operative Visit
Time Frame
Baseline, 24-hour post-operative
Title
Percentage of Participants With Summed Score for Anterior Chamber Cells and Flare Greater Than Zero at the 6-Hour and 24-Hour Post-Operative Visits
Description
Anterior chamber cells were graded on a 6-point scale, with 0 = <1 cell count; 0.5 = 1 to 5 cell count; 1 = 6 to 15 cell count; 2 = 16 to 25 cell count; 3 = 26 to 50 cell count; and 4 = >50 cell count. Anterior chamber flare (protein escaping from dilated vessels) was graded on a 5-point scale, with 0 = none; 1 = faint; 2 = moderate; 3 = marked; and 4 = intense.
Time Frame
6-hour and 24-hour post-operative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The participant must be at least 45 years old and have a clinically documented diagnosis of age-related non-complicated cataract that is considered amenable to treatment with standard phacoemulsification cataract extraction and IOL implantation. The participant must have the capability to provide written informed consent on the Institutional Review Board (IRB)/Ethics Committee (EC) approved Informed Consent Form (ICF) and provide authorization as appropriate for local privacy regulations. The participant must be willing and able to undergo all pre-surgical and surgical procedures and to return for all scheduled follow-up examinations through 90 days following surgery. The participant must have clear intraocular media other than the cataract in the operative eye. Exclusion Criteria: The participant has participated in any drug or device clinical investigation within 30 days prior to entry into this study and/or plans to do so during the period of study participation. The participant has any corneal pathology (for example; significant scarring, guttata, inflammation, edema, dystrophy, etc.) in the operative eye. The participant has anterior segment pathology likely to increase the risk of an adverse outcome for phacoemulsification cataract surgery (for example; pseudoexfoliation syndrome, synechiae, iris atrophy, inadequate dilation, shallow anterior chamber, traumatic cataract, lens subluxation) in the operative eye. The participant has any condition which prevents reliable specular microscopy in the operative eye. The participant has a congenital ocular anomaly (for example; aniridia, congenital cataract) in the operative eye. The participant has a baseline ECD <1500 cells/square millimeter (mm^2) in the operative eye. The participant has a grade 4+ nuclear cataract density in the planned operative eye. The participant has glaucoma or ocular hypertension (IOP >24 mmHg) in the operative eye. The participant has any abnormality which prevents reliable Goldmann applanation tonometry in the operative eye. The participant has a known allergy to any of the components of the test or control OVDs. The participant is using any topical or systemic medications known to interfere with visual performance or complicate cataract surgery within 30 days of enrollment or during the study. The participant is scheduled to undergo other combined intraocular procedures during the cataract/intraocular lens (IOL) implantation surgery in the operative eye. NOTE: A relaxing keratotomy is allowed. The participant has diabetic retinopathy, wet age-related macular degeneration or other retinal pathology which might limit postoperative visual acuity (VA) or predispose the participant to postoperative retinal complications in the operative eye. The participant's fellow eye is already participating in this study. The participant has a history of chronic or recurrent inflammatory eye disease (for example; iritis, scleritis, uveitis, iridocyclitis, rubeosis iridis) in the operative eye. The participant has a best corrected distance visual acuity (BCDVA) of logarithm of minimum angle resolution (LogMAR) 1.0 (20/200, 6/60) or worse in the fellow eye. The participant has had previous corneal surgery in the planned operative eye. The participant has a previous retinal detachment in the operative eye. Females of childbearing potential (those who are not surgically sterilized or not postmenopausal for at least 12 months) are excluded from participation in the study if they are currently pregnant; plan to become pregnant during the study; and/or are breast-feeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anya Loncaric
Organizational Affiliation
B+L
Official's Role
Study Director
Facility Information:
Facility Name
Bausch Site 017
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
Facility Name
Bausch Site 001
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
Bausch Site 008
City
Fayetteville
State/Province
Arkansas
ZIP/Postal Code
72704
Country
United States
Facility Name
Bausch Site 010
City
Burlingame
State/Province
California
ZIP/Postal Code
94010
Country
United States
Facility Name
Bausch Site 007
City
Garden Grove
State/Province
California
ZIP/Postal Code
92843
Country
United States
Facility Name
Bausch Site 011
City
Newport Beach
State/Province
California
ZIP/Postal Code
92662
Country
United States
Facility Name
Bausch Site 012
City
Northridge
State/Province
California
ZIP/Postal Code
91325
Country
United States
Facility Name
Bausch Site 013
City
Rancho Cordova
State/Province
California
ZIP/Postal Code
95670
Country
United States
Facility Name
Bausch Site 004
City
Torrance
State/Province
California
ZIP/Postal Code
90505
Country
United States
Facility Name
Bausch Site 019
City
Bloomington
State/Province
Minnesota
ZIP/Postal Code
55420
Country
United States
Facility Name
Bausch Site 020
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64154
Country
United States
Facility Name
Bausch Site 002
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63131
Country
United States
Facility Name
Bausch Site 015
City
Washington
State/Province
Missouri
ZIP/Postal Code
63090
Country
United States
Facility Name
Bausch Site 005
City
New York
State/Province
New York
ZIP/Postal Code
10013
Country
United States
Facility Name
Bausch Site 021
City
Mason
State/Province
Ohio
ZIP/Postal Code
45040
Country
United States
Facility Name
Bausch Site 003
City
Reading
State/Province
Pennsylvania
ZIP/Postal Code
96002
Country
United States
Facility Name
Bausch Site 014
City
Goodlettsville
State/Province
Tennessee
ZIP/Postal Code
37073
Country
United States
Facility Name
Bausch 018
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Bausch Site 009
City
Cedar Park
State/Province
Texas
ZIP/Postal Code
78613
Country
United States
Facility Name
Bausch Site 006
City
Houston
State/Province
Texas
ZIP/Postal Code
77008
Country
United States
Facility Name
Bausch 022
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Facility Name
Bausch Site 016
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

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A Study of B + L Ophthalmic Viscosurgical Device (OVD) CVisc50

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