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A Study With Technolas® TENEO 317 Model 2 Excimer Laser to Treat Participants With Myopia or Myopic Astigmatism

Primary Purpose

Myopia, Myopic Astigmatism

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Technolas® TENEO 317 Model 2
Sponsored by
Bausch & Lomb Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Myopia focused on measuring LASIK, Excimer Laser

Eligibility Criteria

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

Inclusion Criteria:

  • Are 22 years of age or older.
  • Have read, understood, and signed an informed consent form (ICF).
  • Have demonstrated stable refraction (for example, a change of ≤0.5 D in sphere and cylinder) for a minimum of 12 months prior to surgery, verified by consecutive refractions and/or medical records or prescription history.
  • Have myopic refractive error with or without astigmatism; sphere between -1.0 D and -10.00 D, cylinder between 0.0 D and -3.0 D; with a manifest refraction spherical equivalent (MRSE) between -1.0 D and -11.50 D.
  • Have uncorrected distance visual acuity (UDVA) of 20/40 or worse.
  • Have manifest distance best spectacle corrected visual acuity (BSCVA) of 20/25 (logarithm of the minimum angle of resolution [logMAR] 0.1) or better in an operative eye.
  • Have equal to or less than 0.50 D spherical equivalent (SE) difference between cycloplegic and manifest refractions at Visit 1 (pre-operative).
  • Have normal corneal topography as determined by the Investigator.
  • Have discontinued use of contact lenses for at least 2 weeks (for hard or toric lenses) or 3 days (for soft contact lenses) prior to the pre-operative examination, and through the day of surgery.
  • All contact lens wearers must demonstrate a stable refraction (within ±0.5 D), as determined by MRSE, on 2 consecutive examinations at least 1 week apart, in an eye to be treated and the axis of cylinder should not differ by more than 15 degrees from the baseline cycloplegic refraction.
  • Have the ability to lie flat without difficulty.
  • Are willing and able to comply with the schedule for all post-surgery follow-up visits.

Exclusion Criteria:

  • Participants for whom the combination of their baseline corneal thickness and the planned operative parameters for the LASIK procedure would result in treatment depth less than 250 microns from corneal endothelium.
  • Eyes for which the baseline manifest subjective refraction exhibits a difference greater than 0.50 D in sphere power, or a difference greater than 0.50 D in cylinder power, or a difference in cylinder axis of more than 15 degrees compared to the baseline cycloplegic subjective refraction. For manifest cylinder of less than 0.50 D, the difference in cylinder axis will not be taken into consideration.
  • Participants for whom the pre-operative assessment of the cornea indicates that one or both eyes are not suitable candidates for treatment based upon the Investigator's medical judgment.
  • Have evidence of retinal vascular disease.
  • Have a history of or have active corneal disease or infection (for example, recurrent corneal erosion syndrome, herpes simplex, or herpes zoster keratitis) in either eye.
  • Have a known sensitivity to any study medication.
  • Have central corneal scars affecting visual acuity or unstable keratometry with irregular mires in an eye considered for eligibility.
  • Have keratoconus, subclinical or forme fruste keratoconus, corneal dystrophy, or other corneal irregularity (for example, irregular astigmatism).
  • Have visually significant or progressive cataract in an eye considered for eligibility.
  • Had previous intraocular or corneal surgery in an eye considered for eligibility that might confound the outcome of the study or increase the risk to the participant.
  • Use chronic medications by any administration route that may increase risk to the participant or may confound the outcome of the study, including those known to affect wound healing (for example, corticosteroids, antimetabolites).
  • Are known to have acute or chronic disease or illness (for example, dry eye, cataract, glaucoma, immuno-compromised, rheumatoid arthritis, clinically significant atopic disease, acne rosacea) that would increase operative risk or may confound the results of the study.
  • Are taking medications contraindicated for LASIK such as isotretinoin (Accutane) or amiodarone hydrochloride (Cordarone).
  • Are known to be pregnant, lactating, or who plan to become pregnant during the course of the study.
  • Have known sensitivity to medications used for standard LASIK.
  • Have the presence of systemic disease likely to affect wound healing, for example, autoimmune disease, systemic connective tissue disease, diabetes, or severe atopic disease.
  • Are participating in any other ophthalmic clinical trial within 30 days of screening or during this clinical trial.
  • Have an ocular muscle disorder including a strabismus or nystagmus, or other disorder affecting fixation.
  • Have a history of or evidence of glaucoma or are a glaucoma suspect.
  • Have eyes with mesopic pupil size >7.0 millimeters (mm).
  • Have a Schirmer's pre-operative test without anesthesia <4 mm/5 minutes.

Sites / Locations

  • Bausch Site 101
  • Bausch Site 110
  • Bausch Site 107
  • Bausch Site 108
  • Bausch Site 106
  • Bausch Site 102
  • Bausch Site 104
  • Bausch Site 103
  • Bausch Site 109
  • Bausch Site 105

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Technolas TENEO 317 Model 2

Arm Description

One or both eyes of participants will undergo LASIK surgery with the Technolas® TENEO 317 Model 2 (version 1.28 US software) Excimer Laser on Day 0.

Outcomes

Primary Outcome Measures

Percentage of Eyes that Achieve MRSE Predictability within ±0.50 Diopter (D) and ±1.00 D
Predictability is defined as the difference between the attempted and achieved manifest refraction spherical equivalent (MRSE) at the time of refractive stability.
Percentage of Eyes Targeted for Emmetropia that Achieve Uncorrected Distance Visual Acuity (UDVA) of 20/40 or Better
Percentage of eyes targeted for emmetropia that achieve UDVA of 20/40 or better at the point at which refractive stability is reached.

Secondary Outcome Measures

Full Information

First Posted
September 30, 2019
Last Updated
May 4, 2022
Sponsor
Bausch & Lomb Incorporated
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1. Study Identification

Unique Protocol Identification Number
NCT04111757
Brief Title
A Study With Technolas® TENEO 317 Model 2 Excimer Laser to Treat Participants With Myopia or Myopic Astigmatism
Official Title
A Study to Investigate the Safety and Effectiveness of the Technolas® TENEO 317 Model 2 Excimer Laser for Laser In Situ Keratomileusis (LASIK) Surgery to Treat Myopia or Myopic Astigmatism
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
July 25, 2019 (Actual)
Primary Completion Date
August 6, 2021 (Actual)
Study Completion Date
August 6, 2021 (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 primary objective of this study is to collect safety and effectiveness data for the Technolas Teneo 317 Model 2 excimer laser for LASIK correction in participants with myopia and myopic astigmatism.
Detailed Description
Technolas TENEO 317 Model 2 excimer laser is a scanning excimer laser that operates at 193 nm ultraviolet wavelength to photoablate corneal tissue in order to achieve a refractive change. It is planned to enroll and treat up to 334 participant eyes, with an expectation that 300 study eyes will complete post-surgical follow-up for 6 months or until the point of achieved refractive stability. When a cohort of at least 300 eyes has achieved refractive stability at 6 months post-surgery, all other treated eyes that have not reached the 6-month examination may be discontinued at the Sponsor's request. Or, if 300 eyes achieve refractive stability at 9 months post-surgery, all other treated eyes that have not reached the 9-month examination may be discontinued

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myopia, Myopic Astigmatism
Keywords
LASIK, Excimer Laser

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
336 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Technolas TENEO 317 Model 2
Arm Type
Experimental
Arm Description
One or both eyes of participants will undergo LASIK surgery with the Technolas® TENEO 317 Model 2 (version 1.28 US software) Excimer Laser on Day 0.
Intervention Type
Device
Intervention Name(s)
Technolas® TENEO 317 Model 2
Intervention Description
LASIK eye surgery
Primary Outcome Measure Information:
Title
Percentage of Eyes that Achieve MRSE Predictability within ±0.50 Diopter (D) and ±1.00 D
Description
Predictability is defined as the difference between the attempted and achieved manifest refraction spherical equivalent (MRSE) at the time of refractive stability.
Time Frame
Month 3 up to Month 9
Title
Percentage of Eyes Targeted for Emmetropia that Achieve Uncorrected Distance Visual Acuity (UDVA) of 20/40 or Better
Description
Percentage of eyes targeted for emmetropia that achieve UDVA of 20/40 or better at the point at which refractive stability is reached.
Time Frame
Month 3 up to Month 9

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Are 22 years of age or older. Have read, understood, and signed an informed consent form (ICF). Have demonstrated stable refraction (for example, a change of ≤0.5 D in sphere and cylinder) for a minimum of 12 months prior to surgery, verified by consecutive refractions and/or medical records or prescription history. Have myopic refractive error with or without astigmatism; sphere between -1.0 D and -10.00 D, cylinder between 0.0 D and -3.0 D; with a manifest refraction spherical equivalent (MRSE) between -1.0 D and -11.50 D. Have uncorrected distance visual acuity (UDVA) of 20/40 or worse. Have manifest distance best spectacle corrected visual acuity (BSCVA) of 20/25 (logarithm of the minimum angle of resolution [logMAR] 0.1) or better in an operative eye. Have equal to or less than 0.50 D spherical equivalent (SE) difference between cycloplegic and manifest refractions at Visit 1 (pre-operative). Have normal corneal topography as determined by the Investigator. Have discontinued use of contact lenses for at least 2 weeks (for hard or toric lenses) or 3 days (for soft contact lenses) prior to the pre-operative examination, and through the day of surgery. All contact lens wearers must demonstrate a stable refraction (within ±0.5 D), as determined by MRSE, on 2 consecutive examinations at least 1 week apart, in an eye to be treated and the axis of cylinder should not differ by more than 15 degrees from the baseline cycloplegic refraction. Have the ability to lie flat without difficulty. Are willing and able to comply with the schedule for all post-surgery follow-up visits. Exclusion Criteria: Participants for whom the combination of their baseline corneal thickness and the planned operative parameters for the LASIK procedure would result in treatment depth less than 250 microns from corneal endothelium. Eyes for which the baseline manifest subjective refraction exhibits a difference greater than 0.50 D in sphere power, or a difference greater than 0.50 D in cylinder power, or a difference in cylinder axis of more than 15 degrees compared to the baseline cycloplegic subjective refraction. For manifest cylinder of less than 0.50 D, the difference in cylinder axis will not be taken into consideration. Participants for whom the pre-operative assessment of the cornea indicates that one or both eyes are not suitable candidates for treatment based upon the Investigator's medical judgment. Have evidence of retinal vascular disease. Have a history of or have active corneal disease or infection (for example, recurrent corneal erosion syndrome, herpes simplex, or herpes zoster keratitis) in either eye. Have a known sensitivity to any study medication. Have central corneal scars affecting visual acuity or unstable keratometry with irregular mires in an eye considered for eligibility. Have keratoconus, subclinical or forme fruste keratoconus, corneal dystrophy, or other corneal irregularity (for example, irregular astigmatism). Have visually significant or progressive cataract in an eye considered for eligibility. Had previous intraocular or corneal surgery in an eye considered for eligibility that might confound the outcome of the study or increase the risk to the participant. Use chronic medications by any administration route that may increase risk to the participant or may confound the outcome of the study, including those known to affect wound healing (for example, corticosteroids, antimetabolites). Are known to have acute or chronic disease or illness (for example, dry eye, cataract, glaucoma, immuno-compromised, rheumatoid arthritis, clinically significant atopic disease, acne rosacea) that would increase operative risk or may confound the results of the study. Are taking medications contraindicated for LASIK such as isotretinoin (Accutane) or amiodarone hydrochloride (Cordarone). Are known to be pregnant, lactating, or who plan to become pregnant during the course of the study. Have known sensitivity to medications used for standard LASIK. Have the presence of systemic disease likely to affect wound healing, for example, autoimmune disease, systemic connective tissue disease, diabetes, or severe atopic disease. Are participating in any other ophthalmic clinical trial within 30 days of screening or during this clinical trial. Have an ocular muscle disorder including a strabismus or nystagmus, or other disorder affecting fixation. Have a history of or evidence of glaucoma or are a glaucoma suspect. Have eyes with mesopic pupil size >7.0 millimeters (mm). Have a Schirmer's pre-operative test without anesthesia <4 mm/5 minutes.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anya Loncaric
Organizational Affiliation
Bausch & Lomb Incorporated
Official's Role
Study Director
Facility Information:
Facility Name
Bausch Site 101
City
Newport Beach
State/Province
California
ZIP/Postal Code
92663
Country
United States
Facility Name
Bausch Site 110
City
Blaine
State/Province
Minnesota
ZIP/Postal Code
55434
Country
United States
Facility Name
Bausch Site 107
City
Bloomington
State/Province
Minnesota
ZIP/Postal Code
55420
Country
United States
Facility Name
Bausch Site 108
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68105
Country
United States
Facility Name
Bausch Site 106
City
Portsmouth
State/Province
New Hampshire
ZIP/Postal Code
03801
Country
United States
Facility Name
Bausch Site 102
City
Amherst
State/Province
New York
ZIP/Postal Code
14228
Country
United States
Facility Name
Bausch Site 104
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27401
Country
United States
Facility Name
Bausch Site 103
City
Mount Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
Facility Name
Bausch Site 109
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57108
Country
United States
Facility Name
Bausch Site 105
City
Cedar Park
State/Province
Texas
ZIP/Postal Code
78613
Country
United States

12. IPD Sharing Statement

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A Study With Technolas® TENEO 317 Model 2 Excimer Laser to Treat Participants With Myopia or Myopic Astigmatism

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