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Additional Long-Term Follow-up for Subjects Implanted With a CyPass® Micro-Stent (COMPASS XXT)

Primary Purpose

Primary Open Angle Glaucoma, Cataract

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
CyPass Micro-Stent
Sponsored by
Alcon Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Primary Open Angle Glaucoma

Eligibility Criteria

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

Key Inclusion Criteria:

  • Implantation with a CyPass Micro-Stent as a participant in the COMPASS trial, NCT01085357 (Transcend Medical, Incorporated, Study Number TMI-09-01).
  • Able to understand the requirements of the study and willing to follow study instructions, provide written informed consent, and agree to comply with all study requirements, including the required study follow-up visits.

Key Exclusion Criteria:

- Inability to comply with the protocol or required follow-up visit/procedures.

Sites / Locations

  • Alcon Investigative Site
  • Alcon Investigative Site
  • Alcon Investigative Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CyPass Micro-Stent

Arm Description

CyPass Micro-Stent placed in the angle of the eye at the conclusion of cataract surgery (COMPASS trial)

Outcomes

Primary Outcome Measures

Rate of occurrence of sight-threatening adverse events (AEs)
This analysis will be performed using data from visits in the COMPASS XXT study. Sight-threatening adverse events as specified in the protocol will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval for each.
Rate of occurrence of ocular AEs
This analysis will be performed using data from visits in the COMPASS XXT study. Ocular adverse events will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval for each.
Central Endothelial Cell Density (ECD) reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS XXT study.
Central ECD reported by mean and 95 percent confidence interval
This analysis will be performed using data from visits in the COMPASS XXT study.
Central ECD reported by percentile
This analysis will be performed using data from visits in the COMPASS XXT study.
Peripheral ECD reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS XXT study.
Peripheral ECD reported by mean and 95 percent confidence interval
This analysis will be performed using data from visits in the COMPASS XXT study.
Peripheral ECD reported by percentile
This analysis will be performed using data from visits in the COMPASS XXT study.
Central Endothelial Cell Coefficient of Variation reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS XXT study.
Central Endothelial Cell Coefficient of Variation reported by percentile
This analysis will be performed using data from visits in the COMPASS XXT study.
Central Endothelial Hexagonality reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS XXT study.
Central Endothelial Hexagonality reported by percentile
This analysis will be performed using data from visits in the COMPASS XXT study.
Change in Central ECD from COMPASS Trial Baseline Visit reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Change in Central ECD from COMPASS Trial Baseline Visit reported by mean and confidence interval
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Change in Central ECD from COMPASS Trial Baseline Visit reported by percentile
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Percent change in central ECD from COMPASS Trial Baseline Visit reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Percent change in central ECD from COMPASS Trial Baseline Visit reported by mean and 95% confidence interval
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Percent change in central ECD from COMPASS Trial Baseline Visit reported by percentile
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Percentage of Eyes According to Central Endothelial Cell Density <1000 cells per millimeter squared
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Percentage of Eyes According to Central Endothelial Cell Density <500 cells per millimeter squared
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Percentage of Eyes According to Central Endothelial Percent Change from COMPASS Trial Baseline >30% Loss
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Percentage of Eyes According to Peripheral Endothelial Cell Density <1000 cells per millimeter squared
This analysis will be performed using data from visits in the COMPASS XXT study. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Percentage of Eyes According to Peripheral Endothelial Cell Density <500 cells per millimeter squared
This analysis will be performed using data from visits in the COMPASS XXT study. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Annualized rate of change in Central Endothelial Cell Density at each year of observation reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Annualized rate of change in Central Endothelial Cell Density at each year of observation reported by mean and 95 percent confidence interval
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Annualized percent rate of change in Central Endothelial Cell Density at each year of observation reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Annualized percent rate of change in Central Endothelial Cell Density at each year of observation reported by mean and 95 percent confidence interval
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Number of corneal sequelae events associated with Endothelial Cell Loss (ECL)
This analysis will be performed using data from visits in the COMPASS XXT study.
Central ECD Count by Number of Rings Observed at the Visit reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Only data for subjects with rings and ECD data will be presented.
Central ECD Count by Number of Rings Observed at the Visit reported by percentile
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Only data for subjects with rings and ECD data will be presented.
Peripheral ECD Count by Number of Rings Observed at the Visit reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS XXT study. Only data for subjects with rings and ECD data will be presented.
Peripheral ECD Count by Number of Rings Observed at the Visit reported by percentile
This analysis will be performed using data from visits in the COMPASS XXT study. Only data for subjects with rings and ECD data will be presented.
Number of Secondary Surgical Intervention (SSI) events to modify the device position (eg, repositioning, trimming, explantation)
This analysis will be performed using data from visits in the COMPASS XXT study.
CyPass Micro-Stent movement and/or malposition
This analysis will be performed using data from visits in the COMPASS XXT study. CyPass Micro-Stent movement and/or malposition will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval.
Number of corneal adverse events caused by CyPass MicroStent
This analysis will be performed using data from visits in the COMPASS XXT study.
Number of events of Best Corrected Visual Acuity (BCVA) loss of 10 letters or more
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Change in visual field mean deviation from COMPASS Trial Screening Visit reported by mean and standard deviation
This analysis will be performed using data from visits COMPASS XXT study.
Change in visual field mean deviation from COMPASS Trial Screening Visit reported categorically
This analysis will be performed using data from visits COMPASS XXT study.
Change in central corneal thickness from COMPASS Trial Screening Visit reported by mean and standard deviation
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Change in central corneal thickness from COMPASS Trial Screening Visit reported by mean and confidence interval
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

Secondary Outcome Measures

Full Information

First Posted
November 10, 2020
Last Updated
June 6, 2023
Sponsor
Alcon Research
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1. Study Identification

Unique Protocol Identification Number
NCT04629521
Brief Title
Additional Long-Term Follow-up for Subjects Implanted With a CyPass® Micro-Stent
Acronym
COMPASS XXT
Official Title
An Observational Multicenter Clinical Study to Provide Additional Long-Term Follow-up Beyond 60 Months for Subjects Implanted With a CyPass Micro-Stent in the COMPASS Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
December 21, 2020 (Actual)
Primary Completion Date
April 5, 2023 (Actual)
Study Completion Date
April 5, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alcon Research

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
The purpose of this study is to assess long-term (10 years post-CyPass implantation) status of the corneal endothelium in subjects who were implanted with the CyPass Micro-Stent in the COMPASS trial.
Detailed Description
The COMPASS Trial (TMI-09-01/NCT01085357) was a prospective, randomized, comparative multicenter study to assess the safety and effectiveness of the CyPass Micro-Stent in subjects with primary open angle glaucoma who were undergoing cataract surgery. In the COMPASS Trial, 374 subjects undergoing cataract surgery were randomized to the CyPass group and received the CyPass Micro-Stent, whereas 131 subjects underwent cataract surgery alone. All subjects were to be followed for 2 years postoperatively. Four hundred eighty (480) subjects completed this study. The COMPASS XT Trial (TMI-09-01E/GLD122b-C001/NCT02700984) was designed to collect safety data beyond 24 months postoperatively for subjects who completed the COMPASS Trial. In COMPASS-XT, clinical data was collected at 36 months, 48 months, and 60 months postoperatively for a total of 5-year follow-up across the 2 studies. In this trial, COMPASS XXT, clinical data will be collected annually for the subjects who were implanted with the CyPass Micro-Stent in the COMPASS TRIAL until the subject reaches 10 years post-CyPass implantation. For some subjects, the first visit will be at or after 10 years post-CyPass implantation, and therefore the first visit may coincide with the Exit visit.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
CyPass Micro-Stent
Arm Type
Experimental
Arm Description
CyPass Micro-Stent placed in the angle of the eye at the conclusion of cataract surgery (COMPASS trial)
Intervention Type
Device
Intervention Name(s)
CyPass Micro-Stent
Intervention Description
The CyPass Micro-Stent is a small tube with a through-lumen designed to redirect aqueous fluid from the front into the back of the eye. The device is implanted after completion of cataract surgery.
Primary Outcome Measure Information:
Title
Rate of occurrence of sight-threatening adverse events (AEs)
Description
This analysis will be performed using data from visits in the COMPASS XXT study. Sight-threatening adverse events as specified in the protocol will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval for each.
Time Frame
Up to Year 10 postoperative
Title
Rate of occurrence of ocular AEs
Description
This analysis will be performed using data from visits in the COMPASS XXT study. Ocular adverse events will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval for each.
Time Frame
Up to Year 10 postoperative
Title
Central Endothelial Cell Density (ECD) reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Central ECD reported by mean and 95 percent confidence interval
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Central ECD reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Peripheral ECD reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Peripheral ECD reported by mean and 95 percent confidence interval
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Peripheral ECD reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Central Endothelial Cell Coefficient of Variation reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Central Endothelial Cell Coefficient of Variation reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Central Endothelial Hexagonality reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Central Endothelial Hexagonality reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Change in Central ECD from COMPASS Trial Baseline Visit reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Baseline Visit, up to Year 10 postoperative
Title
Change in Central ECD from COMPASS Trial Baseline Visit reported by mean and confidence interval
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Baseline Visit, up to Year 10 postoperative
Title
Change in Central ECD from COMPASS Trial Baseline Visit reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Baseline Visit, up to Year 10 postoperative
Title
Percent change in central ECD from COMPASS Trial Baseline Visit reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Baseline Visit, up to Year 10 postoperative
Title
Percent change in central ECD from COMPASS Trial Baseline Visit reported by mean and 95% confidence interval
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Baseline Visit, up to Year 10 postoperative
Title
Percent change in central ECD from COMPASS Trial Baseline Visit reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Baseline Visit, up to Year 10 postoperative
Title
Percentage of Eyes According to Central Endothelial Cell Density <1000 cells per millimeter squared
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Time Frame
Up to Year 10 postoperative
Title
Percentage of Eyes According to Central Endothelial Cell Density <500 cells per millimeter squared
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Time Frame
Up to Year 10 postoperative
Title
Percentage of Eyes According to Central Endothelial Percent Change from COMPASS Trial Baseline >30% Loss
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Baseline Visit, up to Year 10 postoperative
Title
Percentage of Eyes According to Peripheral Endothelial Cell Density <1000 cells per millimeter squared
Description
This analysis will be performed using data from visits in the COMPASS XXT study. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Time Frame
Up to Year 10 postoperative
Title
Percentage of Eyes According to Peripheral Endothelial Cell Density <500 cells per millimeter squared
Description
This analysis will be performed using data from visits in the COMPASS XXT study. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.
Time Frame
Up to Year 10 postoperative
Title
Annualized rate of change in Central Endothelial Cell Density at each year of observation reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
Up to Year 10 postoperative
Title
Annualized rate of change in Central Endothelial Cell Density at each year of observation reported by mean and 95 percent confidence interval
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
Up to Year 10 postoperative
Title
Annualized percent rate of change in Central Endothelial Cell Density at each year of observation reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
Up to Year 10 postoperative
Title
Annualized percent rate of change in Central Endothelial Cell Density at each year of observation reported by mean and 95 percent confidence interval
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
Up to Year 10 postoperative
Title
Number of corneal sequelae events associated with Endothelial Cell Loss (ECL)
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Central ECD Count by Number of Rings Observed at the Visit reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Only data for subjects with rings and ECD data will be presented.
Time Frame
Up to Year 10 postoperative
Title
Central ECD Count by Number of Rings Observed at the Visit reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Only data for subjects with rings and ECD data will be presented.
Time Frame
Up to Year 10 postoperative
Title
Peripheral ECD Count by Number of Rings Observed at the Visit reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS XXT study. Only data for subjects with rings and ECD data will be presented.
Time Frame
Up to Year 10 postoperative
Title
Peripheral ECD Count by Number of Rings Observed at the Visit reported by percentile
Description
This analysis will be performed using data from visits in the COMPASS XXT study. Only data for subjects with rings and ECD data will be presented.
Time Frame
Up to Year 10 postoperative
Title
Number of Secondary Surgical Intervention (SSI) events to modify the device position (eg, repositioning, trimming, explantation)
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
CyPass Micro-Stent movement and/or malposition
Description
This analysis will be performed using data from visits in the COMPASS XXT study. CyPass Micro-Stent movement and/or malposition will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval.
Time Frame
Up to Year 10 postoperative
Title
Number of corneal adverse events caused by CyPass MicroStent
Description
This analysis will be performed using data from visits in the COMPASS XXT study.
Time Frame
Up to Year 10 postoperative
Title
Number of events of Best Corrected Visual Acuity (BCVA) loss of 10 letters or more
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Screening Visit, up to Year 10 postoperative
Title
Change in visual field mean deviation from COMPASS Trial Screening Visit reported by mean and standard deviation
Description
This analysis will be performed using data from visits COMPASS XXT study.
Time Frame
COMPASS Trial Screening Visit, up to Year 10 postoperative
Title
Change in visual field mean deviation from COMPASS Trial Screening Visit reported categorically
Description
This analysis will be performed using data from visits COMPASS XXT study.
Time Frame
COMPASS Trial Screening Visit, up to Year 10 postoperative
Title
Change in central corneal thickness from COMPASS Trial Screening Visit reported by mean and standard deviation
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Screening Visit, up to Year 10 postoperative
Title
Change in central corneal thickness from COMPASS Trial Screening Visit reported by mean and confidence interval
Description
This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.
Time Frame
COMPASS Trial Screening Visit, up to Year 10 postoperative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Implantation with a CyPass Micro-Stent as a participant in the COMPASS trial, NCT01085357 (Transcend Medical, Incorporated, Study Number TMI-09-01). Able to understand the requirements of the study and willing to follow study instructions, provide written informed consent, and agree to comply with all study requirements, including the required study follow-up visits. Key Exclusion Criteria: - Inability to comply with the protocol or required follow-up visit/procedures.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Operations Lead, Surgical
Organizational Affiliation
Alcon Research, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Alcon Investigative Site
City
Fort Collins
State/Province
Colorado
ZIP/Postal Code
80528
Country
United States
Facility Name
Alcon Investigative Site
City
Batavia
State/Province
Ohio
ZIP/Postal Code
45103
Country
United States
Facility Name
Alcon Investigative Site
City
Maryville
State/Province
Tennessee
ZIP/Postal Code
37803
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Additional Long-Term Follow-up for Subjects Implanted With a CyPass® Micro-Stent

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