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Clinical Performance of a Phakic Intraocular Lens (IOL)

Primary Purpose

Presbyopia

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
EDOF ICL
Sponsored by
Staar Surgical Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Presbyopia

Eligibility Criteria

40 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Must be able to read, understand and provide written informed consent,
  2. Willing and able to comply with all treatment and follow-up study related procedures,
  3. 40 - 60 years of age at time of surgery if require spherical lens powers from -0.50 D to -18.00 D,
  4. 35 - 45 years of age at time of surgery if require a spherical lens power from 0.0 D to +3.00 D,
  5. Preoperative refraction fully correctable with available lens powers, with ≤ 0.75 D preoperative refractive and residual cylinder,
  6. < 0.75 D spherical equivalent difference between cycloplegic and manifest refractions,
  7. Stable correction (± 0.50 D) as determined by manifest refraction spherical equivalent (MRSE),
  8. Best Corrected Distance Visual Acuity 20/20 or better in both eyes,
  9. Requires +1.00 D to +2.50 D reading add,
  10. Anterior chamber depth (ACD) ≥ 2.8 mm if require spherical lens powers from -0.50 D to -18.00 D,
  11. ACD ≥ 3.0 mm if require spherical lens powers from 0.00 D to +3.00 D,
  12. Anterior chamber angle ≥ Grade III,
  13. Phakic in both eyes,
  14. Current contact lens wearers need to demonstrate a stable refraction, (± 0.5 D), expressed as MRSE, on two consecutive examination dates with refractive stability determined by the following criteria:

    1. contact lenses were not worn for at least 2 weeks (rigid and toric contact lenses) or 3 days (soft contact lenses) prior to the first refraction,
    2. two refractions were performed at least 7 days apart.

Exclusion Criteria:

  1. Participation in a clinical trial within 30 days prior to entry into this study and/or during the period of study participation,
  2. Previous intraocular or corneal surgery in either eye, including refractive surgery,
  3. Progressive sight threatening disease or other previous or current ocular conditions, other than myopia in either eye,
  4. Low/abnormal corneal endothelial cell density,
  5. Amblyopia,
  6. Presence of active or history of chronic inflammation in either eye,
  7. Clinically significant irregular astigmatism in either eye,
  8. Serious, acute, chronic or systemic, non-ophthalmic disease or illness that would increase the operative risk, confound the outcome(s) of the study or which may preclude study completion,
  9. Use of topical steroids at time of implantation,
  10. Systemic or topical medication, other than prescribed study medications that may confound the outcome or increase the risk to the subject,
  11. Allergy to anesthetics or other postoperative medications required in this study,
  12. Subject who is pregnant, plans to become pregnant, or is lactating during the course of the study, or has another condition associated with the fluctuation of hormones that could lead to refractive changes,
  13. Subjects who present any emotional, physiologic, or anatomical condition which may preclude study participation.

Sites / Locations

  • Mediopolis
  • Instituto Oftalmológico Fernández-Vega
  • Qvision-Hospital Vithas Virgen del Mar
  • IMO Instituto de Microcirugía Ocular
  • Innova Ocular Begitek
  • Clínica Oftalmológica Gasteiz

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Study population

Arm Description

EDOF ICL implanted into both eyes of eligible subjects.

Outcomes

Primary Outcome Measures

Number of Eyes With Monocular Uncorrected Near Visual Acuity of 20/40 or Better at 40 cm 6 Months After Implantation
Number of Eyes with Monocular Uncorrected Near Visual Acuity of 20/40 or better at 40 cm six months after implantation

Secondary Outcome Measures

Percentage of Implanted Eyes Achieving Monocular Uncorrected Near Visual Acuity of 20/40 or Better at 40 cm 1 Month After Implantation
Percentage of implanted eyes achieving Monocular Uncorrected Near Visual Acuity (UNVA) of 20/40 or better at 40 cm 1 month after implantation
Percentage of Implanted Eyes Achieving Monocular Uncorrected Near Visual Acuity of 20/40 or Better at 40 cm 3 Months After Implantation
Percentage of implanted eyes achieving Monocular Uncorrected Near Visual Acuity (UNVA) of 20/40 or better at 40 cm 3 months after implantation
Change From Baseline in Monocular Uncorrected Intermediate Visual Acuity at 80 cm 1 Month Post Implantation
Change from baseline in Monocular Uncorrected Intermediate Visual Acuity (UIVA) at 80 cm 1 month post implantation
Change From Baseline in Monocular Uncorrected Intermediate Visual Acuity at 80 cm 3 Months Post Implantation
Change from baseline in Monocular Uncorrected Intermediate Visual Acuity (UIVA) at 80 cm 3 months post implantation
Change From Baseline in Monocular Uncorrected Intermediate Visual Acuity at 80 cm 6 Months Post Implantation
Change from baseline in Monocular Uncorrected Intermediate Visual Acuity (UIVA) at 80 cm 6 months post implantation
Change From Baseline in Monocular Uncorrected Near Visual Acuity at 40 cm 1 Month Post Implantation
Change from baseline in Monocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 1 month post implantation
Change From Baseline in Monocular Uncorrected Near Visual Acuity at 40 cm 3 Months Post Implantation
Change from baseline in Monocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 3 months post implantation
Change From Baseline in Monocular Uncorrected Near Visual Acuity at 40 cm 6 Months Post Implantation
Change from baseline in Monocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 6 months post implantation
Change From Baseline in Monocular Distance Corrected Intermediate Visual Acuity at 80 cm 1 Month Post Implantation
Change from baseline in Monocular Distance Corrected Intermediate Visual Acuity (DCIVA) at 80 cm 1 month post implantation
Change From Baseline in Monocular Distance Corrected Intermediate Visual Acuity at 80 cm 3 Months Post Implantation
Change from baseline in Monocular Distance Corrected Intermediate Visual Acuity (DCIVA) at 80 cm 3 months post implantation
Change From Baseline in Monocular Distance Corrected Intermediate Visual Acuity at 80 cm 6 Months Post Implantation
Change from baseline in Monocular Distance corrected intermediate visual acuity (DCIVA) at 80 cm 6 months post implantation
Change From Baseline in Monocular Distance Corrected Near Visual Acuity at 40 cm 1 Month Post Implantation
Change from baseline in Monocular Distance Corrected Near Visual Acuity (DCNVA) at 40 cm 1 month post implantation
Change From Baseline in Monocular Distance Corrected Near Visual Acuity at 40 cm 3 Months Post Implantation
Change from baseline in Monocular Distance Corrected Near Visual Acuity (DCNVA) at 40 cm 3 months post implantation
Change From Baseline in Monocular Distance Corrected Near Visual Acuity at 40 cm 6 Months Post Implantation
Change from baseline in Monocular Distance Corrected Near Visual Acuity (DCNVA) at 40 cm 6 months post implantation
Change From Baseline in Binocular Uncorrected Near Visual Acuity at 40 cm 1 Month Post Implantation
Change from baseline in Binocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 1 month post implantation
Change From Baseline in Binocular Uncorrected Near Visual Acuity at 40 cm 3 Months Post Implantation
Change from baseline in Binocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 3 months post implantation
Change From Baseline in Binocular Uncorrected Near Visual Acuity at 40 cm 6 Months Post Implantation
Change from baseline in Binocular Uncorrected Near Visual Acuity (UCNVA) at 40 cm 6 months post implantation

Full Information

First Posted
April 9, 2018
Last Updated
March 1, 2023
Sponsor
Staar Surgical Company
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1. Study Identification

Unique Protocol Identification Number
NCT03499821
Brief Title
Clinical Performance of a Phakic Intraocular Lens (IOL)
Official Title
A Multicenter Clinical Evaluation of the Clinical Performance of a Phakic Intraocular Lens
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
March 20, 2018 (Actual)
Primary Completion Date
July 9, 2019 (Actual)
Study Completion Date
July 9, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Staar Surgical Company

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
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will evaluate the clinical performance of a phakic intraocular lens (IOL) for the improvement of Uncorrected Near Visual Acuity (UCNVA) in subjects who require between +1.00 and +2.50 Reading Add.
Detailed Description
This is a prospective, open-labeled, multi-site evaluation of clinical performance of the STAAR EVO+ Visian™ Implantable Collamer® Lens (VICL) with Aspheric (EDOF) Optic [EDOF ICL] for the improvement of UCNVA in subjects who require between +1.00 and +2.50 Reading Add. Approximately 48 subjects who meet all eligibility criteria will undergo EDOF ICL implantation in both eyes. All eyes will be followed for 6 months after surgery. The first eye implanted with the study lens and the appropriate time for fellow eye implantation will be determined by the medical judgement of the Investigator. All eyes will be analyzed for safety and performance. The primary performance endpoint is defined as achievement of monocular UCNVA of Snellen equivalent 20/40 or better at 40 cm at 6 months after implantation in equal to or greater than 75% of implanted eyes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Presbyopia

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Device: Open label, all subjects receive same treatment
Masking
None (Open Label)
Allocation
N/A
Enrollment
41 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Study population
Arm Type
Experimental
Arm Description
EDOF ICL implanted into both eyes of eligible subjects.
Intervention Type
Device
Intervention Name(s)
EDOF ICL
Other Intervention Name(s)
EVO+ Visian ICL with Aspheric (EDOF) Optic
Intervention Description
The Visian ICL is intended to be implanted within the posterior chamber, directly behind the iris, and in front of the anterior capsule of the human crystalline lens. It offers an intraocular alternative for the correction of refractive error in those who currently utilize spectacle and/or contact lenses correction.
Primary Outcome Measure Information:
Title
Number of Eyes With Monocular Uncorrected Near Visual Acuity of 20/40 or Better at 40 cm 6 Months After Implantation
Description
Number of Eyes with Monocular Uncorrected Near Visual Acuity of 20/40 or better at 40 cm six months after implantation
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Percentage of Implanted Eyes Achieving Monocular Uncorrected Near Visual Acuity of 20/40 or Better at 40 cm 1 Month After Implantation
Description
Percentage of implanted eyes achieving Monocular Uncorrected Near Visual Acuity (UNVA) of 20/40 or better at 40 cm 1 month after implantation
Time Frame
1 month
Title
Percentage of Implanted Eyes Achieving Monocular Uncorrected Near Visual Acuity of 20/40 or Better at 40 cm 3 Months After Implantation
Description
Percentage of implanted eyes achieving Monocular Uncorrected Near Visual Acuity (UNVA) of 20/40 or better at 40 cm 3 months after implantation
Time Frame
3 months
Title
Change From Baseline in Monocular Uncorrected Intermediate Visual Acuity at 80 cm 1 Month Post Implantation
Description
Change from baseline in Monocular Uncorrected Intermediate Visual Acuity (UIVA) at 80 cm 1 month post implantation
Time Frame
Baseline and 1 month
Title
Change From Baseline in Monocular Uncorrected Intermediate Visual Acuity at 80 cm 3 Months Post Implantation
Description
Change from baseline in Monocular Uncorrected Intermediate Visual Acuity (UIVA) at 80 cm 3 months post implantation
Time Frame
Baseline and 3 months
Title
Change From Baseline in Monocular Uncorrected Intermediate Visual Acuity at 80 cm 6 Months Post Implantation
Description
Change from baseline in Monocular Uncorrected Intermediate Visual Acuity (UIVA) at 80 cm 6 months post implantation
Time Frame
Baseline and 6 months
Title
Change From Baseline in Monocular Uncorrected Near Visual Acuity at 40 cm 1 Month Post Implantation
Description
Change from baseline in Monocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 1 month post implantation
Time Frame
Baseline and 1 month
Title
Change From Baseline in Monocular Uncorrected Near Visual Acuity at 40 cm 3 Months Post Implantation
Description
Change from baseline in Monocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 3 months post implantation
Time Frame
Baseline and 3 months
Title
Change From Baseline in Monocular Uncorrected Near Visual Acuity at 40 cm 6 Months Post Implantation
Description
Change from baseline in Monocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 6 months post implantation
Time Frame
Baseline and 6 months
Title
Change From Baseline in Monocular Distance Corrected Intermediate Visual Acuity at 80 cm 1 Month Post Implantation
Description
Change from baseline in Monocular Distance Corrected Intermediate Visual Acuity (DCIVA) at 80 cm 1 month post implantation
Time Frame
Baseline and 1 month
Title
Change From Baseline in Monocular Distance Corrected Intermediate Visual Acuity at 80 cm 3 Months Post Implantation
Description
Change from baseline in Monocular Distance Corrected Intermediate Visual Acuity (DCIVA) at 80 cm 3 months post implantation
Time Frame
Baseline and 3 months
Title
Change From Baseline in Monocular Distance Corrected Intermediate Visual Acuity at 80 cm 6 Months Post Implantation
Description
Change from baseline in Monocular Distance corrected intermediate visual acuity (DCIVA) at 80 cm 6 months post implantation
Time Frame
Baseline and 6 months
Title
Change From Baseline in Monocular Distance Corrected Near Visual Acuity at 40 cm 1 Month Post Implantation
Description
Change from baseline in Monocular Distance Corrected Near Visual Acuity (DCNVA) at 40 cm 1 month post implantation
Time Frame
Baseline and 1 month
Title
Change From Baseline in Monocular Distance Corrected Near Visual Acuity at 40 cm 3 Months Post Implantation
Description
Change from baseline in Monocular Distance Corrected Near Visual Acuity (DCNVA) at 40 cm 3 months post implantation
Time Frame
Baseline and 3 months
Title
Change From Baseline in Monocular Distance Corrected Near Visual Acuity at 40 cm 6 Months Post Implantation
Description
Change from baseline in Monocular Distance Corrected Near Visual Acuity (DCNVA) at 40 cm 6 months post implantation
Time Frame
Baseline and 6 months
Title
Change From Baseline in Binocular Uncorrected Near Visual Acuity at 40 cm 1 Month Post Implantation
Description
Change from baseline in Binocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 1 month post implantation
Time Frame
Baseline and 1 month
Title
Change From Baseline in Binocular Uncorrected Near Visual Acuity at 40 cm 3 Months Post Implantation
Description
Change from baseline in Binocular Uncorrected Near Visual Acuity (UNVA) at 40 cm 3 months post implantation
Time Frame
Baseline and 3 months
Title
Change From Baseline in Binocular Uncorrected Near Visual Acuity at 40 cm 6 Months Post Implantation
Description
Change from baseline in Binocular Uncorrected Near Visual Acuity (UCNVA) at 40 cm 6 months post implantation
Time Frame
Baseline and 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Must be able to read, understand and provide written informed consent, Willing and able to comply with all treatment and follow-up study related procedures, 40 - 60 years of age at time of surgery if require spherical lens powers from -0.50 D to -18.00 D, 35 - 45 years of age at time of surgery if require a spherical lens power from 0.0 D to +3.00 D, Preoperative refraction fully correctable with available lens powers, with ≤ 0.75 D preoperative refractive and residual cylinder, < 0.75 D spherical equivalent difference between cycloplegic and manifest refractions, Stable correction (± 0.50 D) as determined by manifest refraction spherical equivalent (MRSE), Best Corrected Distance Visual Acuity 20/20 or better in both eyes, Requires +1.00 D to +2.50 D reading add, Anterior chamber depth (ACD) ≥ 2.8 mm if require spherical lens powers from -0.50 D to -18.00 D, ACD ≥ 3.0 mm if require spherical lens powers from 0.00 D to +3.00 D, Anterior chamber angle ≥ Grade III, Phakic in both eyes, Current contact lens wearers need to demonstrate a stable refraction, (± 0.5 D), expressed as MRSE, on two consecutive examination dates with refractive stability determined by the following criteria: contact lenses were not worn for at least 2 weeks (rigid and toric contact lenses) or 3 days (soft contact lenses) prior to the first refraction, two refractions were performed at least 7 days apart. Exclusion Criteria: Participation in a clinical trial within 30 days prior to entry into this study and/or during the period of study participation, Previous intraocular or corneal surgery in either eye, including refractive surgery, Progressive sight threatening disease or other previous or current ocular conditions, other than myopia in either eye, Low/abnormal corneal endothelial cell density, Amblyopia, Presence of active or history of chronic inflammation in either eye, Clinically significant irregular astigmatism in either eye, Serious, acute, chronic or systemic, non-ophthalmic disease or illness that would increase the operative risk, confound the outcome(s) of the study or which may preclude study completion, Use of topical steroids at time of implantation, Systemic or topical medication, other than prescribed study medications that may confound the outcome or increase the risk to the subject, Allergy to anesthetics or other postoperative medications required in this study, Subject who is pregnant, plans to become pregnant, or is lactating during the course of the study, or has another condition associated with the fluctuation of hormones that could lead to refractive changes, Subjects who present any emotional, physiologic, or anatomical condition which may preclude study participation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joanne Egamino, PhD
Organizational Affiliation
Staar Surgical Company
Official's Role
Study Director
Facility Information:
Facility Name
Mediopolis
City
Antwerp
ZIP/Postal Code
B-2610
Country
Belgium
Facility Name
Instituto Oftalmológico Fernández-Vega
City
Oviedo
State/Province
Asturias
ZIP/Postal Code
33012
Country
Spain
Facility Name
Qvision-Hospital Vithas Virgen del Mar
City
Almería
ZIP/Postal Code
04120
Country
Spain
Facility Name
IMO Instituto de Microcirugía Ocular
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Innova Ocular Begitek
City
San Sebastián
ZIP/Postal Code
20012
Country
Spain
Facility Name
Clínica Oftalmológica Gasteiz
City
Vitoria-Gasteiz
ZIP/Postal Code
01005
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32982164
Citation
Packer M, Alfonso JF, Aramberri J, Elies D, Fernandez J, Mertens E. Performance and Safety of the Extended Depth of Focus Implantable Collamer(R) Lens (EDOF ICL) in Phakic Subjects with Presbyopia. Clin Ophthalmol. 2020 Sep 18;14:2717-2730. doi: 10.2147/OPTH.S271858. eCollection 2020. Erratum In: Clin Ophthalmol. 2020 Oct 09;14:3065.
Results Reference
result

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Clinical Performance of a Phakic Intraocular Lens (IOL)

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