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Clinical Comparison of a Monofocal eDOF IOL With a Monofocal IOL (MonoeDOF)

Primary Purpose

Cataract

Status
Active
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Cataract surgery
Sponsored by
Advanced Vision Science, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cataract

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults 22 years of age and older at the time of consent.
  2. Cataracts in both eyes.
  3. Expected post-operative refractive astigmatism of ≤ 1.0 D.
  4. Calculated lens power from 18 D to 30 D for both study IOLs.
  5. Willing and able to return for all scheduled treatment and post-operative visits for a minimum of 6 months.
  6. Planned removal of visually significant cataract (cortical, nuclear, posterior subcapsular, or a combination) by phacoemulsification cataract extraction in both eyes.
  7. Willing to discontinue contact lens wear, if applicable, and demonstrate corneal stability prior to biometry and surgery.
  8. Preoperative best corrected distance visual acuity (BCDVA) of 20/32 or worse, with or without a glare source, or preoperative BCDVA of 20/25 or worse with patient complaining of severe visual disturbances attributable to cataract.
  9. Post-operative BCVA projected to be 0.2 LogMAR or better (as determined by the medical judgment of the Investigator or measured by potential acuity meter / retinal acuity meter (PAM / RAM) if necessary).
  10. Pharmacologically dilated pupil size at least 6.0 mm.
  11. Must be able to understand and provide informed consent themselves or through a representative with a witness present on the IRB or EC approved Informed Consent Form (ICF).

Exclusion Criteria:

  1. Participation in any other drug or device clinical trial within 30 days prior to enrolling in this study and/or during study participation.
  2. Pregnancy or lactation.
  3. Subject who, in the clinical judgment of the Investigator, is not suitable for participation in the study for another clinical reason, as documented by the investigator (reason to be documented by the site on Case Report Forms - CRF's).
  4. Any type of cataract (e.g., traumatic, congenital, polar) other than those noted in inclusion criteria.
  5. History of any intraocular or corneal surgery in either eye (including LASIK, PRK, etc.).
  6. Ocular conditions which could affect the stability of the IOL (e.g., pseudoexfoliation, zonular dialysis, evident zonular weakness or dehiscence, etc.) in either eye.
  7. Any anterior segment pathology likely to increase the risk of complications from phacoemulsification cataract extraction (e.g., chronic uveitis, iritis, iridocyclitis, aniridia, rubeosis iridis, clinically significant corneal disease, Fuchs, or anterior membrane dystrophies, etc.) in either eye.
  8. Mature cataract that is likely to prolong phacoemulsification and/or lead to intraoperative complications prior to attempted IOL implantation.
  9. Any visually significant intraocular media opacity other than cataract in either eye.
  10. History of any clinically significant retinal pathology or ocular diagnosis (e.g., diabetic retinopathy, ischemic disease, macular degeneration, retinal detachment, amblyopia, optic neuropathy, microphthalmos, aniridia, etc.) in either eye that could alter or limit final postoperative visual prognosis.
  11. History of cystoid macular edema in either eye.
  12. Severe dry eye that, in the opinion of the investigator, would impair the ability to obtain reliable study measurements.
  13. Uncontrolled (e.g., non-medicated) glaucoma in either eye.
  14. Extremely shallow anterior chamber (< 2.0 mm).
  15. Subjects with large refractive errors (hyperopia/myopia) of axial or pathologic origin that, in the opinion of the investigator, could confound outcomes.
  16. Irregular astigmatism, corneal degeneration or dystrophy.
  17. Uncontrolled systemic disease (e.g., diabetes mellitus, active cancer treatment, mental illness, etc.) in the opinion of the Investigator, would put the subject's health at risk and/or prevent the subject from completing all study visits.
  18. Systemic medication that, in the opinion of the investigator, may confound the outcome or increase the intraoperative and post-operative risk to the subject (e.g., Tamsulosin Hydrochloride) or other medications including anticholinergics, alpha adrenergic blocking agents with similar side effects (e.g., small pupil/floppy iris syndrome).
  19. Subjects who may reasonably be expected to require any additional ophthalmic surgical intervention at any time during the study (other than YAG capsulotomy).
  20. Need for concomitant procedures (e.g., glaucoma surgery, RK, LASIK, etc.).

Sites / Locations

  • University Hospital Pellegrin
  • Hospital de Braga
  • Oxford Eye Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Santen xact Mono-EDoF ME4 Intraocular Lens (IOL)

J&J TECNIS ZCB00 Intraocular Lens (IOL)

Arm Description

The Monofocal Extended Depth of Focus (Mono-EDoF) posterior chamber foldable intraocular lens is ultraviolet and blue-light absorbing designed to be positioned in the lens capsule to replace the optical function of the natural crystalline lens. The diffractive technology of the IOL allows most of the light to converge in one focal point thereby providing high quality of distance vision and continuous focus to intermediate vision while minimizing the effects of unwanted visual disturbances. The visual quality is expected to be similar to monofocal IOLs. Surgery to implant the Mono-EDoF ME4 Intraocular Lens (IOL) will be performed on Day 0 of the study, using standard microsurgical techniques. All instruments and procedures used will be identical to those routinely used for small incision phacoemulsification.

The TECNIS 1-Piece Intraocular Lens (IOL), Model ZCB00, is a standard monofocal ultraviolet light absorbing posterior chamber IOL, which is designed to be positioned in the lens capsule to replace the optical function of the natural crystalline lens. Surgery to implant the TECNIS ZCB00 Intraocular Lens (IOL) will be performed on Day 0 of the study, using standard microsurgical techniques. All instruments and procedures used will be identical to those routinely used for small incision phacoemulsification.

Outcomes

Primary Outcome Measures

Monocular Uncorrected Distance VA at Visit 4 (Month 3)
Monocular uncorrected distance visual acuity measured using ETDRS visual acuity chart

Secondary Outcome Measures

Monocular Distance Corrected Intermediate VA at Visit 4 (Month 3)
Subject's vision is corrected for distance and then subject's intermediate vision is measured using a 66-cm ETDRS chart.
Monocular Uncorrected Intermediate VA at Visit 4 (Month 3)
Intermediate Visual Acuity is measured using a 66-cm ETDRS chart.

Full Information

First Posted
October 22, 2019
Last Updated
February 21, 2023
Sponsor
Advanced Vision Science, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04631068
Brief Title
Clinical Comparison of a Monofocal eDOF IOL With a Monofocal IOL
Acronym
MonoeDOF
Official Title
A Prospective, Randomized, Multicentric Clinical Evaluation Comparing a Monofocal Extended Depth of Focus IOL With a Monofocal IOL
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 21, 2020 (Actual)
Primary Completion Date
June 30, 2023 (Anticipated)
Study Completion Date
September 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Advanced Vision Science, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Post-market, prospective, randomized, single-masked, multi-center clinical study investigating the safety and effectiveness of the Monofocal Extended Depth of Focus Intraocular Lens (Mono-EDoF IOL) when compared to a Standard Monofocal Intraocular Lens. Primary Objectives: To evaluate the distance VA of the study IOLs To evaluate the intermediate VA of the study IOLs To explore the safety profile with regards to visual disturbances
Detailed Description
This study is aimed at patients who have a cloudy lens in both of their eyes, and are eligible for cataract surgery with implantation of an intraocular lens. Patients should be otherwise healthy with no other eye diseases. The study will take place in 3 centers in Europe, including Oxford Eye Hospital, a part of Oxford University Hospitals NHS Trust and will include 70 patients in total. The aim of the study is to investigate the safety and effectiveness of a new Intraocular Lens (IOL): the Monofocal Extended Depth of Focus (Mono-EDoF ME4) IOL and to compare it to a standard Monofocal IOL (TECNIS ZBC00). Patients participating will be randomised to either receive the Mono-EDoF ME4 IOL in both eyes or the TECNIS ZCB00 IOL in both eyes. Twice as many subjects will receive the Mono-EDoF ME4 IOL compared to the TECNIS ZCB00 IOL. Both IOLs have received the CE marked. The aim with both IOLs is to provide patients good vision at distance with no glasses. The Mono-eDoF ME4 might offer the additional benefit of achieving good vision at intermediate distance without glasses. Total duration of clinical investigation is 12 months and the total expected duration for each patient is 8 months. Patients will be screened for eligibility preoperatively obtaining a medical history and to establish a baseline ocular condition. Surgeries will be performed on different dates for both eyes but not more than one month apart. The patient will need to return to for seven follow-up visits after eye surgery where vision and health of the eye will be assessed.

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
Model Description
Patients participating will be randomised to either receive the Mono-EDoF ME4 Intraocular Lens (IOL) in both eyes or the TECNIS ZCB00 IOL in both eyes. Twice as many subjects will receive the Mono-EDoF ME4 IOL compared to the TECNIS ZCB00 IOL. Both IOLs have received the CE marked. The aim with both IOLs is to provide patients good vision at distance with no glasses. The Mono-eDoF ME4 might offer the additional benefit of achieving good vision at intermediate distance without glasses.
Masking
Participant
Allocation
Randomized
Enrollment
70 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Santen xact Mono-EDoF ME4 Intraocular Lens (IOL)
Arm Type
Active Comparator
Arm Description
The Monofocal Extended Depth of Focus (Mono-EDoF) posterior chamber foldable intraocular lens is ultraviolet and blue-light absorbing designed to be positioned in the lens capsule to replace the optical function of the natural crystalline lens. The diffractive technology of the IOL allows most of the light to converge in one focal point thereby providing high quality of distance vision and continuous focus to intermediate vision while minimizing the effects of unwanted visual disturbances. The visual quality is expected to be similar to monofocal IOLs. Surgery to implant the Mono-EDoF ME4 Intraocular Lens (IOL) will be performed on Day 0 of the study, using standard microsurgical techniques. All instruments and procedures used will be identical to those routinely used for small incision phacoemulsification.
Arm Title
J&J TECNIS ZCB00 Intraocular Lens (IOL)
Arm Type
Placebo Comparator
Arm Description
The TECNIS 1-Piece Intraocular Lens (IOL), Model ZCB00, is a standard monofocal ultraviolet light absorbing posterior chamber IOL, which is designed to be positioned in the lens capsule to replace the optical function of the natural crystalline lens. Surgery to implant the TECNIS ZCB00 Intraocular Lens (IOL) will be performed on Day 0 of the study, using standard microsurgical techniques. All instruments and procedures used will be identical to those routinely used for small incision phacoemulsification.
Intervention Type
Procedure
Intervention Name(s)
Cataract surgery
Intervention Description
Small incision cataract surgery with implantation of an intraocular lens
Primary Outcome Measure Information:
Title
Monocular Uncorrected Distance VA at Visit 4 (Month 3)
Description
Monocular uncorrected distance visual acuity measured using ETDRS visual acuity chart
Time Frame
80-100 days after second eye surgery
Secondary Outcome Measure Information:
Title
Monocular Distance Corrected Intermediate VA at Visit 4 (Month 3)
Description
Subject's vision is corrected for distance and then subject's intermediate vision is measured using a 66-cm ETDRS chart.
Time Frame
80-100 days after second eye surgery
Title
Monocular Uncorrected Intermediate VA at Visit 4 (Month 3)
Description
Intermediate Visual Acuity is measured using a 66-cm ETDRS chart.
Time Frame
80-100 days after second eye surgery
Other Pre-specified Outcome Measures:
Title
Safety endpoints
Description
The primary safety endpoint is the overall safety profile of the study IOLs as reflected by rates of adverse events.
Time Frame
Baseline, Day 0 (Surgery), Visit 1 (Day 1), Visit 2 (Week 1), Visit 3 (Month 1), Visit 4 (Month 3), and Visit 5 (Month 6)
Title
Safety endpoints
Description
The primary safety endpoint is the overall safety profile of the study IOLs as reflected by loss of BCDVA.
Time Frame
Baseline, Visit 3 (Month 1), Visit 4 (Month 3), and Visit 5 (Month 6)
Title
Safety endpoints
Description
The primary safety endpoint is the overall safety profile of the study IOLs as reflected by slit lamp examination.
Time Frame
Baseline, Visit 1 (Day 1), Visit 2 (Week 1), Visit 3 (Month 1), Visit 4 (Month 3), and Visit 5 (Month 6)
Title
Safety endpoints
Description
The primary safety endpoint is the overall safety profile of the study IOLs as reflected by dilated fundus exam.
Time Frame
Baseline, Visit 5 (Month 6)
Title
Safety endpoints
Description
The primary safety endpoint is the overall safety profile of the study IOLs as reflected by intraocular pressure.
Time Frame
Baseline, Visit 1 (Day 1), Visit 2 (Week 1), Visit 3 (Month 1), Visit 4 (Month 3), and Visit 5 (Month 6)
Title
Safety endpoints
Description
The primary safety endpoint is the overall safety profile of the study IOLs as reflected by device deficiencies.
Time Frame
Day 0 (Surgery), Visit 1 (Day 1), Visit 2 (Week 1), Visit 3 (Month 1), Visit 4 (Month 3), and Visit 5 (Month 6)
Title
Safety endpoints
Description
The primary safety endpoint is the overall safety profile of the study IOLs as reflected by visual symptoms.
Time Frame
Baseline, Day 0 (Surgery), Visit 1 (Day 1), Visit 2 (Week 1), Visit 3 (Month 1), Visit 4 (Month 3), and Visit 5 (Month 6)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults 22 years of age and older at the time of consent. Cataracts in both eyes. Expected post-operative refractive astigmatism of ≤ 1.0 D. Calculated lens power from 18 D to 30 D for both study IOLs. Willing and able to return for all scheduled treatment and post-operative visits for a minimum of 6 months. Planned removal of visually significant cataract (cortical, nuclear, posterior subcapsular, or a combination) by phacoemulsification cataract extraction in both eyes. Willing to discontinue contact lens wear, if applicable, and demonstrate corneal stability prior to biometry and surgery. Preoperative best corrected distance visual acuity (BCDVA) of 20/32 or worse, with or without a glare source, or preoperative BCDVA of 20/25 or worse with patient complaining of severe visual disturbances attributable to cataract. Post-operative BCVA projected to be 0.2 LogMAR or better (as determined by the medical judgment of the Investigator or measured by potential acuity meter / retinal acuity meter (PAM / RAM) if necessary). Pharmacologically dilated pupil size at least 6.0 mm. Must be able to understand and provide informed consent themselves or through a representative with a witness present on the IRB or EC approved Informed Consent Form (ICF). Exclusion Criteria: Participation in any other drug or device clinical trial within 30 days prior to enrolling in this study and/or during study participation. Pregnancy or lactation. Subject who, in the clinical judgment of the Investigator, is not suitable for participation in the study for another clinical reason, as documented by the investigator (reason to be documented by the site on Case Report Forms - CRF's). Any type of cataract (e.g., traumatic, congenital, polar) other than those noted in inclusion criteria. History of any intraocular or corneal surgery in either eye (including LASIK, PRK, etc.). Ocular conditions which could affect the stability of the IOL (e.g., pseudoexfoliation, zonular dialysis, evident zonular weakness or dehiscence, etc.) in either eye. Any anterior segment pathology likely to increase the risk of complications from phacoemulsification cataract extraction (e.g., chronic uveitis, iritis, iridocyclitis, aniridia, rubeosis iridis, clinically significant corneal disease, Fuchs, or anterior membrane dystrophies, etc.) in either eye. Mature cataract that is likely to prolong phacoemulsification and/or lead to intraoperative complications prior to attempted IOL implantation. Any visually significant intraocular media opacity other than cataract in either eye. History of any clinically significant retinal pathology or ocular diagnosis (e.g., diabetic retinopathy, ischemic disease, macular degeneration, retinal detachment, amblyopia, optic neuropathy, microphthalmos, aniridia, etc.) in either eye that could alter or limit final postoperative visual prognosis. History of cystoid macular edema in either eye. Severe dry eye that, in the opinion of the investigator, would impair the ability to obtain reliable study measurements. Uncontrolled (e.g., non-medicated) glaucoma in either eye. Extremely shallow anterior chamber (< 2.0 mm). Subjects with large refractive errors (hyperopia/myopia) of axial or pathologic origin that, in the opinion of the investigator, could confound outcomes. Irregular astigmatism, corneal degeneration or dystrophy. Uncontrolled systemic disease (e.g., diabetes mellitus, active cancer treatment, mental illness, etc.) in the opinion of the Investigator, would put the subject's health at risk and/or prevent the subject from completing all study visits. Systemic medication that, in the opinion of the investigator, may confound the outcome or increase the intraoperative and post-operative risk to the subject (e.g., Tamsulosin Hydrochloride) or other medications including anticholinergics, alpha adrenergic blocking agents with similar side effects (e.g., small pupil/floppy iris syndrome). Subjects who may reasonably be expected to require any additional ophthalmic surgical intervention at any time during the study (other than YAG capsulotomy). Need for concomitant procedures (e.g., glaucoma surgery, RK, LASIK, etc.).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark Packer, MD
Organizational Affiliation
Medical Monitor
Official's Role
Study Chair
Facility Information:
Facility Name
University Hospital Pellegrin
City
Bordeaux
State/Province
Cedex
ZIP/Postal Code
33076
Country
France
Facility Name
Hospital de Braga
City
Braga
ZIP/Postal Code
4710-243
Country
Portugal
Facility Name
Oxford Eye Hospital
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
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Clinical Comparison of a Monofocal eDOF IOL With a Monofocal IOL

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