Clinical Investigation of Expanded Designs of a Multifocal IOL
Primary Purpose
Cataract
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Tecnis Multifocal Intraocular Lens
Monofocal Intraocular Lens
Sponsored by
About this trial
This is an interventional treatment trial for Cataract focused on measuring cataract, IOL, intraocular lens
Eligibility Criteria
Inclusion Criteria:
- Minimum 18 years of age
- Bilateral cataracts for which phacoemulsification extraction and posterior IOL implantation have been planned for both eyes
- Preoperative best-corrected distance visual acuity (BCDVA) of 20/40 or worse (Snellen) with or without a glare source
- Potential for postoperative best-corrected visual acuity of 20/25 or better
- Preoperative corneal astigmatism of 1.0 D or less with normal corneal topography and no irregular corneal astigmatism
- Clear intraocular media, other than cataract
- Availability, willingness and sufficient cognitive awareness to comply with examination procedures
- Signed informed consent and HIPAA authorization or equivalent documentation necessary to comply with applicable privacy laws pertaining to medical treatment in the governing countries
- Ability to understand and respond to a questionnaire verbally administered in English
Exclusion Criteria:
- Requiring an intraocular lens power outside the available range of +16.0 to +28.0 D
- Pupil abnormalities (non-reactive, fixed pupils, or abnormally shaped pupils)
- Recent ocular trauma or ocular surgery that is not resolved/stable or may affect visual outcomes
- Prior refractive (LASIK, LASEK, RK, PRK, etc.) or intraocular surgery
- Corneal abnormalities such as stromal, epithelial or endothelial dystrophies that are predicted to cause visual acuity losses to a level of 20/30 or worse during the study
- Inability to achieve keratometric stability for contact lens wearers
- Subjects with diagnosed degenerative visual disorders (e.g., macular degeneration or other retinal disorders) that are predicted to cause visual acuity losses to a level of 20/30 or worse during the study
- Subjects with conditions associated with increased risk of zonular rupture, including capsular or zonular abnormalities that may lead to IOL decentration, including pseudoexfoliation, trauma, or posterior capsule defects
- Use of systemic or ocular medications that may affect vision
- Prior, current, or anticipated use during the course of the 12-month study of tamsulosin or silodosin (e.g., Flomax®, Flomaxtra®, Rapaflo®) likely, in the opinion of the investigator, to cause poor dilation or lack of adequate iris structure to perform standard cataract surgery
- Inability to focus, fixate or maintain binocular vision for prolonged periods of time (e.g., due to strabismus, nystagmus, etc.)
- Poorly-controlled diabetes
- Acute, chronic, or uncontrolled systemic or ocular disease or illness that, in the opinion of the investigator, would increase the operative risk or confound the outcomes of the study (e.g., immunocompromised, connective tissue disease, suspected glaucoma, glaucomatous changes in the fundus or visual field, ocular inflammation, etc.). Note: ocular hypertension without glaucomatous changes is acceptable.
- Known ocular disease or pathology that may affect visual acuity or that may be expected to require retinal laser treatment or other surgical intervention during the course of the study (macular degeneration, cystoid macular edema, diabetic retinopathy, etc.)
- Patient is pregnant, plans to become pregnant, is lactating or has another condition associated with the fluctuation of hormones that could lead to refractive changes
- Concurrent participation or participation within 30 days prior to preoperative visit in any other clinical trial
- Desire for monovision correction
Sites / Locations
- Fishkind, Bakewell & Maltzman Eye Care & Surgery Center
- Boozman-Hof Regional Eye Clinic
- Empire Eye & Laser Center
- Assil Eye Institute
- Cape Coral Eye Center (Argus Research Center)
- Virdi Eye Clinic & Laser Vision Center
- Eye Surgeons of Indiana
- Wallace Eye Surgery
- Pepose Vision Institute
- Ophthalmic Consultants of Long Island
- The Eye Center of Central PA
- Scott & Christie and Associates, PC
- Bucci Cataract & Laser Vision
- Loden Vision Center
- Whitsett Vision Group
- Lone Star Eye Care
- Clarus Eye Centre
- The Midline Eye Institute
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
Tecnis Multifocal Intraocular lens #1
Tecnis Multifocal Intraocular Lens #2
Monofocal Intraocular Lens
Arm Description
A low diopter add multifocal intraocular lens
A low diopter add multifocal intraocular lens
Commercially available monofocal intraocular lens (IOL)
Outcomes
Primary Outcome Measures
Mean Monocular Distance-corrected Near Visual Acuity (VA) at 40 cm
Mean (LogMAR) monocular distance-corrected near VA at 40 cm at six months postoperative
Secondary Outcome Measures
Mean Diopter Range With VA of 20/40 or Better
Mean diopter range in which VA of 20/40 or better was achieved at six months. Note: diopter range outcome measure was obtained from a substudy group that included the first 10 study sites to reach enrollment goals. Among these 10 sites, the first 60 subjects in each lens group (approximately*) to reach the 6-month visit were included in the substudy.
* The intent was to enroll 60 subjects per group, but group #1, group #2, and the monofocal group had 59, 63, and 61 subjects, respectively.
Spectacle Independence
Number of subjects never requiring spectacles at six months. This outcome measure was obtained via questionnaire. The questionnaire was administered by phone.
Full Information
NCT ID
NCT01714635
First Posted
October 24, 2012
Last Updated
February 26, 2015
Sponsor
Abbott Medical Optics
1. Study Identification
Unique Protocol Identification Number
NCT01714635
Brief Title
Clinical Investigation of Expanded Designs of a Multifocal IOL
Official Title
Clinical Investigation of Expanded Designs of the Tecnis® Multifocal 1-Piece IOL
Study Type
Interventional
2. Study Status
Record Verification Date
November 2014
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
July 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Medical Optics
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this clinical trial is to evaluate the safety and effectiveness of the TECNIS Multifocal 1-Piece Intraocular Lens (IOLs), Models ZKB00 and ZLB00 which will each provide statistically better distance-corrected near visual acuity compared to the monofocal control lens. Complication and adverse event rates associated with each Multifocal IOL will be within the ISO SPE rate for posterior chamber IOLs.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract
Keywords
cataract, IOL, intraocular lens
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Non-Randomized
Enrollment
445 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Tecnis Multifocal Intraocular lens #1
Arm Type
Experimental
Arm Description
A low diopter add multifocal intraocular lens
Arm Title
Tecnis Multifocal Intraocular Lens #2
Arm Type
Experimental
Arm Description
A low diopter add multifocal intraocular lens
Arm Title
Monofocal Intraocular Lens
Arm Type
Active Comparator
Arm Description
Commercially available monofocal intraocular lens (IOL)
Intervention Type
Device
Intervention Name(s)
Tecnis Multifocal Intraocular Lens
Intervention Type
Device
Intervention Name(s)
Monofocal Intraocular Lens
Primary Outcome Measure Information:
Title
Mean Monocular Distance-corrected Near Visual Acuity (VA) at 40 cm
Description
Mean (LogMAR) monocular distance-corrected near VA at 40 cm at six months postoperative
Time Frame
six months
Secondary Outcome Measure Information:
Title
Mean Diopter Range With VA of 20/40 or Better
Description
Mean diopter range in which VA of 20/40 or better was achieved at six months. Note: diopter range outcome measure was obtained from a substudy group that included the first 10 study sites to reach enrollment goals. Among these 10 sites, the first 60 subjects in each lens group (approximately*) to reach the 6-month visit were included in the substudy.
* The intent was to enroll 60 subjects per group, but group #1, group #2, and the monofocal group had 59, 63, and 61 subjects, respectively.
Time Frame
six months
Title
Spectacle Independence
Description
Number of subjects never requiring spectacles at six months. This outcome measure was obtained via questionnaire. The questionnaire was administered by phone.
Time Frame
six months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Minimum 18 years of age
Bilateral cataracts for which phacoemulsification extraction and posterior IOL implantation have been planned for both eyes
Preoperative best-corrected distance visual acuity (BCDVA) of 20/40 or worse (Snellen) with or without a glare source
Potential for postoperative best-corrected visual acuity of 20/25 or better
Preoperative corneal astigmatism of 1.0 D or less with normal corneal topography and no irregular corneal astigmatism
Clear intraocular media, other than cataract
Availability, willingness and sufficient cognitive awareness to comply with examination procedures
Signed informed consent and HIPAA authorization or equivalent documentation necessary to comply with applicable privacy laws pertaining to medical treatment in the governing countries
Ability to understand and respond to a questionnaire verbally administered in English
Exclusion Criteria:
Requiring an intraocular lens power outside the available range of +16.0 to +28.0 D
Pupil abnormalities (non-reactive, fixed pupils, or abnormally shaped pupils)
Recent ocular trauma or ocular surgery that is not resolved/stable or may affect visual outcomes
Prior refractive (LASIK, LASEK, RK, PRK, etc.) or intraocular surgery
Corneal abnormalities such as stromal, epithelial or endothelial dystrophies that are predicted to cause visual acuity losses to a level of 20/30 or worse during the study
Inability to achieve keratometric stability for contact lens wearers
Subjects with diagnosed degenerative visual disorders (e.g., macular degeneration or other retinal disorders) that are predicted to cause visual acuity losses to a level of 20/30 or worse during the study
Subjects with conditions associated with increased risk of zonular rupture, including capsular or zonular abnormalities that may lead to IOL decentration, including pseudoexfoliation, trauma, or posterior capsule defects
Use of systemic or ocular medications that may affect vision
Prior, current, or anticipated use during the course of the 12-month study of tamsulosin or silodosin (e.g., Flomax®, Flomaxtra®, Rapaflo®) likely, in the opinion of the investigator, to cause poor dilation or lack of adequate iris structure to perform standard cataract surgery
Inability to focus, fixate or maintain binocular vision for prolonged periods of time (e.g., due to strabismus, nystagmus, etc.)
Poorly-controlled diabetes
Acute, chronic, or uncontrolled systemic or ocular disease or illness that, in the opinion of the investigator, would increase the operative risk or confound the outcomes of the study (e.g., immunocompromised, connective tissue disease, suspected glaucoma, glaucomatous changes in the fundus or visual field, ocular inflammation, etc.). Note: ocular hypertension without glaucomatous changes is acceptable.
Known ocular disease or pathology that may affect visual acuity or that may be expected to require retinal laser treatment or other surgical intervention during the course of the study (macular degeneration, cystoid macular edema, diabetic retinopathy, etc.)
Patient is pregnant, plans to become pregnant, is lactating or has another condition associated with the fluctuation of hormones that could lead to refractive changes
Concurrent participation or participation within 30 days prior to preoperative visit in any other clinical trial
Desire for monovision correction
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kendra Hileman, PhD
Organizational Affiliation
Abbott Medical Optics
Official's Role
Study Director
Facility Information:
Facility Name
Fishkind, Bakewell & Maltzman Eye Care & Surgery Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Facility Name
Boozman-Hof Regional Eye Clinic
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72757
Country
United States
Facility Name
Empire Eye & Laser Center
City
Bakersfield
State/Province
California
ZIP/Postal Code
93309
Country
United States
Facility Name
Assil Eye Institute
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90210
Country
United States
Facility Name
Cape Coral Eye Center (Argus Research Center)
City
Cape Coral
State/Province
Florida
ZIP/Postal Code
33904
Country
United States
Facility Name
Virdi Eye Clinic & Laser Vision Center
City
Rock Island
State/Province
Illinois
ZIP/Postal Code
61201
Country
United States
Facility Name
Eye Surgeons of Indiana
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
Wallace Eye Surgery
City
Alexandria
State/Province
Louisiana
ZIP/Postal Code
71303
Country
United States
Facility Name
Pepose Vision Institute
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63017
Country
United States
Facility Name
Ophthalmic Consultants of Long Island
City
Rockville Center
State/Province
New York
ZIP/Postal Code
11570
Country
United States
Facility Name
The Eye Center of Central PA
City
Allenwood
State/Province
Pennsylvania
ZIP/Postal Code
17810
Country
United States
Facility Name
Scott & Christie and Associates, PC
City
Cranberry Township
State/Province
Pennsylvania
ZIP/Postal Code
16066
Country
United States
Facility Name
Bucci Cataract & Laser Vision
City
Wilkes Barre
State/Province
Pennsylvania
ZIP/Postal Code
18702
Country
United States
Facility Name
Loden Vision Center
City
Goodlettsville
State/Province
Tennessee
ZIP/Postal Code
37072
Country
United States
Facility Name
Whitsett Vision Group
City
Houston
State/Province
Texas
ZIP/Postal Code
77055
Country
United States
Facility Name
Lone Star Eye Care
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77479
Country
United States
Facility Name
Clarus Eye Centre
City
Lacey
State/Province
Washington
ZIP/Postal Code
98503
Country
United States
Facility Name
The Midline Eye Institute
City
Solihull
ZIP/Postal Code
B91 2AW
Country
United Kingdom
12. IPD Sharing Statement
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Clinical Investigation of Expanded Designs of a Multifocal IOL
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