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Clinical Investigation of a Monofocal Toric Intra Ocular Lens (IOL) in Cataractous Eyes (PHY2107)

Primary Purpose

Cataract, Lens Opacities, Astigmatism

Status
Completed
Phase
Not Applicable
Locations
Japan
Study Type
Interventional
Intervention
POD T 49P implantation experimental
Sponsored by
Beaver-Visitec International, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cataract focused on measuring Intraocular Lens, Monofocal, Toric Lens

Eligibility Criteria

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

The patient who meets all criteria specified in the following 1) through 8)

  1. Adults, 20 years of age or older at the time of informed consent, of either gender, diagnosed with cataract;
  2. Able to comprehend and sign a statement of informed consent;
  3. Willing and able to complete all required postoperative visits;
  4. Calculated lens power within the available range;
  5. Subject with corneal astigmatism or subjects who is judged by the investigator or investigator to correct of astigmatism as a result of considering the predicted surgical induced astigmatism.
  6. Planned cataract removal by phacoemulsification;
  7. Target postoperative refraction is emmetropia and potential postoperative Collected Distance Visual Acuity (CDVA) of 0.5 decimal or better in both eyes;
  8. Clear intraocular media other than cataract in both eyes;

[Justification for the inclusion criteria]

1 and 6: Cataract extraction is the indication of the clinical study. 2 and 3: One of GCP requirements 4 and 5: Essential condition for implant of the investigational lens. 7 and 8: Conditions to minimize the potential non-IOL factors which may affect the visual acuity data

(3) Exclusion Criteria [Exclusion Criteria Prior to Surgery] The patient who meets any criteria specified in the following 1) through 20).

  1. Subjects with diseases that affect postoperative visual acuity in the cornea (keratitis, corneal degeneration, corneal dilatation, corneal edema);
  2. Previous corneal transplant;
  3. Previous refractive surgery;
  4. Irregular corneal aberration
  5. Subjects with diseases that affect postoperative visual acuity in the retina (retinal degeneration, diabetic retinopathy, retinal detachment);
  6. Poor mydriasis;
  7. Glaucoma or ocular hypertension;
  8. Optic nerve atrophy;
  9. Extremely shallow anterior chamber;
  10. Aniridia;
  11. Iris neovascularization;
  12. Microphthalmos;
  13. Amblyopia;
  14. Rubella, atopic or traumatic cataract;
  15. Recurrent severe anterior or posterior segment inflammation of unknown etiology;
  16. Subjects who may be expected to require ocular surgery during this study;
  17. The axial length cannot be measured with an optical biometry;
  18. Pregnancy, lactating or possible pregnant;
  19. Participation in any clinical study (drug or device) within 3 months prior to participating this study, planned participation another clinical study during this study, or currently participating in another study.
  20. Disqualified by the investigator or the sub-investigator because of physical or ophthalmic diseases

[Exclusion Criteria During Surgery] The patient who meets any criteria specified in the following 1) through 8).

  1. Mechanical or surgical manipulation required to enlarge the pupil;
  2. Excessive iris mobility;
  3. Uncontrollable intraocular pressure;
  4. Continuous Curvilinear Capsulorrhexis (CCC) with incomplete circle or tear;
  5. Zonular or capsular rupture or tear;
  6. Significant anterior chamber hyphema;
  7. Significant vitreous loss;
  8. IOL could not be fixed in the lens capsule;

In the event of zonular damage, capsulorhexis tear, or decentered capsulorhexis during surgery, the surgeon should decide whether the stability of the Intra Ocular Lens (IOL) would be compromised by the complication. If the IOL stability would be compromised, the investigational IOL should not be implanted, the subject should be discontinued from the study, and the surgeon should make arrangements to implant an alternative non-investigational IOL.

[Justifications for the exclusion criteria] {Exclusion Criteria Prior to Surgery} 1, 2, 3, 4, 5, 7, 8, 14, 15, 16 and 20: Factors potentially affecting effectiveness evaluability and criteria to secure safety of study subjects 6, 13 and17: Factors potentially affecting effectiveness evaluability 9, 10, 11, 12, 18 and 19: Criteria to secure safety of study subjects

{Exclusion Criteria During Surgery}

1, 2, 4, 5 and 8: Factors potentially affecting effectiveness evaluability 3, 6 and 7: Criteria to secure safety of study subjects

Sites / Locations

  • Chukyo Eye Clinic
  • Roppongi Shiba Eye Clinic
  • Miyata Eye Hospital
  • Fujita Eye Clinic

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PODEYE Toric Intra Ocular Lens Implantation experimental

Arm Description

Implantation of PODEYE toric intraocular lenses.

Outcomes

Primary Outcome Measures

Uncorrected visual acuity at Visit 4
Uncorrected visual acuity at 5 m will be measured. Convert decimal visual acuity to logMAR value using the following formula. logMAR value = log10 (1/decimal visual acuity)
Amount of astigmatism at Visit 4
Manifest cylindrical refraction for Best Collected Distance Visual Acuity will be measured at Visit 4.

Secondary Outcome Measures

Best Corrected Distance Visual Acuity
Best Corrected Distance Visual Acuity at 5 m will be measured. The objective is to compare CDVA above defined thresholds of the investigational product.
Manifest cylindrical refraction
Manifest cylindrical refraction for Best Collected Distance Visual Acuity will be measured.
IOL rotation
After mydriasis, a photograph of the anterior segment of the test lens is taken using an anterior segment analyzer, and the angle of the toric mark with respect to the horizon is measured as the axial angle. Calculate the number of the eye and the percentage of less than 5 degrees, more than 5 degrees to less than 10 degrees, more than 10 degrees to less than 20 degrees.

Full Information

First Posted
November 26, 2021
Last Updated
July 18, 2023
Sponsor
Beaver-Visitec International, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05255029
Brief Title
Clinical Investigation of a Monofocal Toric Intra Ocular Lens (IOL) in Cataractous Eyes
Acronym
PHY2107
Official Title
Clinical Investigation of the Monofocal Toric IOL POD T 49P in Cataractous Eyes
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
December 24, 2021 (Actual)
Primary Completion Date
February 28, 2023 (Actual)
Study Completion Date
February 28, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beaver-Visitec International, 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
This is a Multi-center, single-arm and non-masked study whereby patients undergoing routine cataract surgery be implanted with a hydrophobic acrylic monofocal toric intraocular lens PODEYE TORIC (model POD T 49P).
Detailed Description
This is a Multi-center, single-arm and non-masked study whereby patients undergoing routine cataract surgery will be implanted with a hydrophobic acrylic monofocal toric intraocular lens PODEYE TORIC. The device under investigation is a hydrophobic acrylic monofocal toric intraocular lens (IOL) manufactured by the sponsor of this study (BVI Medical). The refractive power of the lens has a spherical and a cylindrical component. The IOLs will be implanted in the course of routine cataract surgery and will benefit to patients suffering from cataract development and showing pre-existing corneal astigmatism. In total approx. 28 patients, 56 eyes will be recruited for this clinical study and undergo implantation of PODEYE TORIC intraocular lens. Subjects participating in the trial will attend a total of maximum 6 study visits over a period of 120-180 days (preoperative, operative, 1-2 days, 7-14 days, 30-60 days, 120-180 days, postoperative visits). Subjects would have the option for unscheduled visits if required medically.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract, Lens Opacities, Astigmatism
Keywords
Intraocular Lens, Monofocal, Toric Lens

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
1) Summary of investigational lens Model: POD T 49P General name: PODEYE Toric Construction Single-piece construction lens consisting of the optic and the haptic made of the same material, optic diameter: 6.0 mm, overall length: 11.4 mm (Fig.1). Cylinder power is added on the posterior optics.
Masking
None (Open Label)
Allocation
N/A
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PODEYE Toric Intra Ocular Lens Implantation experimental
Arm Type
Experimental
Arm Description
Implantation of PODEYE toric intraocular lenses.
Intervention Type
Device
Intervention Name(s)
POD T 49P implantation experimental
Intervention Description
The investigational lens will be implanted within the capsular bag after removal of the natural crystalline lens following phacoemulsification and alignment the toric axis of investigational lens to the intend axis which was calculated by the Toric calculator software. When enroll the test lenses into both eyes, the lens is implanted first to the eye with more advanced cataract. If both eyes have a similar degree of cataract, perform the surgery first for the right eye. The timing of surgery the investigational lens into the fellow eye will be determined after the investigator and the investigator (hereinafter referred to as the investigator) have confirmed the safety of the previously operated eye.
Primary Outcome Measure Information:
Title
Uncorrected visual acuity at Visit 4
Description
Uncorrected visual acuity at 5 m will be measured. Convert decimal visual acuity to logMAR value using the following formula. logMAR value = log10 (1/decimal visual acuity)
Time Frame
Postoperative Day 120-180
Title
Amount of astigmatism at Visit 4
Description
Manifest cylindrical refraction for Best Collected Distance Visual Acuity will be measured at Visit 4.
Time Frame
Postoperative Day 120-180
Secondary Outcome Measure Information:
Title
Best Corrected Distance Visual Acuity
Description
Best Corrected Distance Visual Acuity at 5 m will be measured. The objective is to compare CDVA above defined thresholds of the investigational product.
Time Frame
Pre-Op, 1 week postoperative, 1 month postoperative, 6 months postoperative.
Title
Manifest cylindrical refraction
Description
Manifest cylindrical refraction for Best Collected Distance Visual Acuity will be measured.
Time Frame
Pre-Op, 1 month postoperative, 6 months postoperative
Title
IOL rotation
Description
After mydriasis, a photograph of the anterior segment of the test lens is taken using an anterior segment analyzer, and the angle of the toric mark with respect to the horizon is measured as the axial angle. Calculate the number of the eye and the percentage of less than 5 degrees, more than 5 degrees to less than 10 degrees, more than 10 degrees to less than 20 degrees.
Time Frame
Pre-Op, 1 month postoperative, 6 months postoperative
Other Pre-specified Outcome Measures:
Title
Intraocular pressure (IOP) measurement
Description
The IOP will be measured with non-contact tonometer as part of the routine follow up examinations. The examination is performed and documented according to the guidelines in ISO 11979-7:2018.
Time Frame
Pre-Op, 1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative
Title
Slitlamp examination - Corneal Status
Description
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Corneal Status
Time Frame
Pre-Op, 1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative
Title
Fundus examination with dilated pupil
Description
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Fundus
Time Frame
Pre-Op, 1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative
Title
Slitlamp examination
Description
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: Signs of inflammation Anterior chamber cells, Anterior chamber flare, Cystoid macular oedema, Hypopyon, and Endophthalmitis
Time Frame
Pre-Op, 1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative
Title
Slitlamp examination - Retinal detachment
Description
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Retinal detachment
Time Frame
Pre-Op, 1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative, 12 months postoperative, 24 months postoperative
Title
Slitlamp examination - IOL decentration
Description
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • IOL decentration
Time Frame
1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative, 12 months postoperative, 24 months postoperative
Title
Slitlamp examination - IOL tilt
Description
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • IOL tilt
Time Frame
1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative
Title
Adverse events
Description
Record the presence or absence of AE after Informed Consent.
Time Frame
Pre-Op, during surgery, 1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative
Title
Device deficiencies
Description
Record the presence or absence of device deficiencies after Informed Consent.
Time Frame
Pre-Op, during surgery, 1 day postoperative, 1 week postoperative, 1 month postoperative, 6 months postoperative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
The patient who meets all criteria specified in the following 1) through 8) Adults, 20 years of age or older at the time of informed consent, of either gender, diagnosed with cataract; Able to comprehend and sign a statement of informed consent; Willing and able to complete all required postoperative visits; Calculated lens power within the available range; Subject with corneal astigmatism or subjects who is judged by the investigator or investigator to correct of astigmatism as a result of considering the predicted surgical induced astigmatism. Planned cataract removal by phacoemulsification; Target postoperative refraction is emmetropia and potential postoperative Collected Distance Visual Acuity (CDVA) of 0.5 decimal or better in both eyes; Clear intraocular media other than cataract in both eyes; [Justification for the inclusion criteria] 1 and 6: Cataract extraction is the indication of the clinical study. 2 and 3: One of GCP requirements 4 and 5: Essential condition for implant of the investigational lens. 7 and 8: Conditions to minimize the potential non-IOL factors which may affect the visual acuity data (3) Exclusion Criteria [Exclusion Criteria Prior to Surgery] The patient who meets any criteria specified in the following 1) through 20). Subjects with diseases that affect postoperative visual acuity in the cornea (keratitis, corneal degeneration, corneal dilatation, corneal edema); Previous corneal transplant; Previous refractive surgery; Irregular corneal aberration Subjects with diseases that affect postoperative visual acuity in the retina (retinal degeneration, diabetic retinopathy, retinal detachment); Poor mydriasis; Glaucoma or ocular hypertension; Optic nerve atrophy; Extremely shallow anterior chamber; Aniridia; Iris neovascularization; Microphthalmos; Amblyopia; Rubella, atopic or traumatic cataract; Recurrent severe anterior or posterior segment inflammation of unknown etiology; Subjects who may be expected to require ocular surgery during this study; The axial length cannot be measured with an optical biometry; Pregnancy, lactating or possible pregnant; Participation in any clinical study (drug or device) within 3 months prior to participating this study, planned participation another clinical study during this study, or currently participating in another study. Disqualified by the investigator or the sub-investigator because of physical or ophthalmic diseases [Exclusion Criteria During Surgery] The patient who meets any criteria specified in the following 1) through 8). Mechanical or surgical manipulation required to enlarge the pupil; Excessive iris mobility; Uncontrollable intraocular pressure; Continuous Curvilinear Capsulorrhexis (CCC) with incomplete circle or tear; Zonular or capsular rupture or tear; Significant anterior chamber hyphema; Significant vitreous loss; IOL could not be fixed in the lens capsule; In the event of zonular damage, capsulorhexis tear, or decentered capsulorhexis during surgery, the surgeon should decide whether the stability of the Intra Ocular Lens (IOL) would be compromised by the complication. If the IOL stability would be compromised, the investigational IOL should not be implanted, the subject should be discontinued from the study, and the surgeon should make arrangements to implant an alternative non-investigational IOL. [Justifications for the exclusion criteria] {Exclusion Criteria Prior to Surgery} 1, 2, 3, 4, 5, 7, 8, 14, 15, 16 and 20: Factors potentially affecting effectiveness evaluability and criteria to secure safety of study subjects 6, 13 and17: Factors potentially affecting effectiveness evaluability 9, 10, 11, 12, 18 and 19: Criteria to secure safety of study subjects {Exclusion Criteria During Surgery} 1, 2, 4, 5 and 8: Factors potentially affecting effectiveness evaluability 3, 6 and 7: Criteria to secure safety of study subjects
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MIYATA Kazunori, MD
Organizational Affiliation
Miyata Eye Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chukyo Eye Clinic
City
Nagoya
State/Province
Aichi
Country
Japan
Facility Name
Roppongi Shiba Eye Clinic
City
Minato-Ku
State/Province
Tokyo
Country
Japan
Facility Name
Miyata Eye Hospital
City
Miyazaki
Country
Japan
Facility Name
Fujita Eye Clinic
City
Tokushima
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No

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Clinical Investigation of a Monofocal Toric Intra Ocular Lens (IOL) in Cataractous Eyes

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