Pivotal Trial for a Synthetic Tissue Substitute for Concealment of Artificial Ocular Implants (EverPatch)
Primary Purpose
Glaucoma Eye, Tissue Breakdown
Status
Active
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
CorNeat EverPatch
Sponsored by
About this trial
This is an interventional prevention trial for Glaucoma Eye
Eligibility Criteria
Inclusion Criteria:
- Male or female
- Aged ≥ 18 and ≤ 80 years on screening day
- Concealment of glaucoma tube shunt or suture tags is indicated
- Patients with viable and intact conjunctiva
- Candidates must have the ability and willingness to provide a written informed consent, attend all scheduled visits and comply with study procedures
- Adequate tear film and lid function as indicated by Tear Film Breakup Time test - more than 5 seconds
- Visual acuity of light perception or better
- Female patients of childbearing age must agree to use an acceptable and effective method of contraception throughout the study, including the follow-up period, and have negative pregnancy test at screening.
Exclusion Criteria:
- Current retinal detachment
- Active ocular or orbital infection
- History or evidence of severe inflammatory eye diseases (i.e. uveitis, retinitis, scleritis) in one or both eyes within 6 months prior to planned implantation
- History of ocular or periocular malignancy
- History of extensive keloid formation
- Any known intolerance or hypersensitivity to topical anesthetics, mydriatics, or component of the device, specifically Oxybuprocaine hydrochloride, lidocaine, tropicamide, epinephrine, Iodine solution & aromatic polycarbonate urethane
- Signs of current infection, including fever and current treatment with antibiotics
- Severe generalized disease that results in a life expectancy shorter than a year
- Any clinical evidence that the investigator feels would place the subject at increased risk with the placement of the device
- Pregnant or breastfeeding female subjects
- Participation in any study involving an investigational drug or device within 30 days of the study or 5 half-lives of the drug (whichever longer) or ongoing participation in a study with an investigational drug or device
- Any traumatic perforation of the globe OR tissue gaps/weaknesses, resulting either from traumatic, disease- related or iatrogenic damage OR loss of scleral integrity where use of tissue or substitutes is indicated
- Vulnerable populations
- Active drug or alcohol abuse or dependence that, in the opinion of the principle investigator, would interfere with adherence to study requirements
- Subjects with other concurrent severe and/or uncontrolled medical condition which could compromise participation in the study (e.g. active infection, uncontrolled diabetes, uncontrolled hypertension, congestive heart failure, unstable angina, ventricular arrhythmias, active ischemic heart disease, myocardial infarction within six months, uncompensated cirrhosis, active upper GI tract ulceration, active inflammatory disease, malignancy under active treatment)
- Subjects who receive anti-coagulation treatment which cannot be interfered during the perioperative period
- Hemoglobin A1C (HbA1c) higher than 8% at screening indicating unbalanced diabetes and/or target organ damage associated with diabetes
- Subjects receiving chronic systemic immunosuppressants (e.g. steroids, cyclosporine etc.)
Sites / Locations
- EyeCare Miramichi Eye NB
- Prism Eye Institute
- University Health Network
- Hôpital Fondation Rothschild
- DaVinci Eye Care
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Corneat EverPatch - Synthetic Tissue Substitute for Covering Ophthalmic Implants
Arm Description
Outcomes
Primary Outcome Measures
Safety Assessment
The frequency of all Unanticipated Adverse Device-related Events (UADE) during and following implantation will be recorded
Secondary Outcome Measures
Performance Assessment
Tube or suture exposure will be detected by slit-lamp Biomicroscopy throughout the entire follow up period and incidence will be calculated. Prevention of tube or suture exposure associated with conjunctival erosion and graft melting should be demonstrated in at least 90% of the patients.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05469867
Brief Title
Pivotal Trial for a Synthetic Tissue Substitute for Concealment of Artificial Ocular Implants
Acronym
EverPatch
Official Title
A Single Arm, Pivotal, Open Label, Multi-centre Clinical Investigation to Evaluate the Clinical Safety and Performance of the CorNeat EverPatch, A Synthetic Tissue Substitute for Concealment of Artificial Ocular Implants
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 16, 2022 (Actual)
Primary Completion Date
March 1, 2024 (Anticipated)
Study Completion Date
March 1, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CorNeat Vision Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This clinical trial will assess the clinical safety and performance of the CorNeat EverPatch device used as a tissue substitute for concealment of artificial ocular implants.
Detailed Description
A single arm, pivotal, open label, multi-centre clinical investigation to evaluate the clinical safety and performance of the CorNeat EverPatch, a synthetic tissue substitute for concealment of artificial ocular implants.
Subjects will sign a consent form and will be assessed for eligibility based on clinical examinations and medical history. Upon eligibility verification, subjects will be implanted with the investigational device as part of an ophthalmic surgery in which a concealment of an artificial implant is required. Clinical examinations at follow up will include slit lamp biomicroscopy, assessment of visual acuity and intra ocular pressure, and recording of concomitant medications and any safety issues. Follow up visits will be performed at 1 week, 1-, 2-, 3-, 6-, 9- and 12-months post-op.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glaucoma Eye, Tissue Breakdown
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
60 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Corneat EverPatch - Synthetic Tissue Substitute for Covering Ophthalmic Implants
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
CorNeat EverPatch
Intervention Description
The CorNeat EverPatch will be implanted subconjunctivally over an ocular implant (e.g. glaucoma shunt, exposed suture tags) and fixed to the eye wall. The overlying conjunctiva will be closed over the patch.
Primary Outcome Measure Information:
Title
Safety Assessment
Description
The frequency of all Unanticipated Adverse Device-related Events (UADE) during and following implantation will be recorded
Time Frame
Up to 12 months
Secondary Outcome Measure Information:
Title
Performance Assessment
Description
Tube or suture exposure will be detected by slit-lamp Biomicroscopy throughout the entire follow up period and incidence will be calculated. Prevention of tube or suture exposure associated with conjunctival erosion and graft melting should be demonstrated in at least 90% of the patients.
Time Frame
6 & 12 months post-op.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female
Aged ≥ 18 and ≤ 80 years on screening day
Concealment of glaucoma tube shunt or suture tags is indicated
Patients with viable and intact conjunctiva
Candidates must have the ability and willingness to provide a written informed consent, attend all scheduled visits and comply with study procedures
Adequate tear film and lid function as indicated by Tear Film Breakup Time test - more than 5 seconds
Visual acuity of light perception or better
Female patients of childbearing age must agree to use an acceptable and effective method of contraception throughout the study, including the follow-up period, and have negative pregnancy test at screening.
Exclusion Criteria:
Current retinal detachment
Active ocular or orbital infection
History or evidence of severe inflammatory eye diseases (i.e. uveitis, retinitis, scleritis) in one or both eyes within 6 months prior to planned implantation
History of ocular or periocular malignancy
History of extensive keloid formation
Any known intolerance or hypersensitivity to topical anesthetics, mydriatics, or component of the device, specifically Oxybuprocaine hydrochloride, lidocaine, tropicamide, epinephrine, Iodine solution & aromatic polycarbonate urethane
Signs of current infection, including fever and current treatment with antibiotics
Severe generalized disease that results in a life expectancy shorter than a year
Any clinical evidence that the investigator feels would place the subject at increased risk with the placement of the device
Pregnant or breastfeeding female subjects
Participation in any study involving an investigational drug or device within 30 days of the study or 5 half-lives of the drug (whichever longer) or ongoing participation in a study with an investigational drug or device
Any traumatic perforation of the globe OR tissue gaps/weaknesses, resulting either from traumatic, disease- related or iatrogenic damage OR loss of scleral integrity where use of tissue or substitutes is indicated
Vulnerable populations
Active drug or alcohol abuse or dependence that, in the opinion of the principle investigator, would interfere with adherence to study requirements
Subjects with other concurrent severe and/or uncontrolled medical condition which could compromise participation in the study (e.g. active infection, uncontrolled diabetes, uncontrolled hypertension, congestive heart failure, unstable angina, ventricular arrhythmias, active ischemic heart disease, myocardial infarction within six months, uncompensated cirrhosis, active upper GI tract ulceration, active inflammatory disease, malignancy under active treatment)
Subjects who receive anti-coagulation treatment which cannot be interfered during the perioperative period
Hemoglobin A1C (HbA1c) higher than 8% at screening indicating unbalanced diabetes and/or target organ damage associated with diabetes
Subjects receiving chronic systemic immunosuppressants (e.g. steroids, cyclosporine etc.)
Facility Information:
Facility Name
EyeCare Miramichi Eye NB
City
Miramichi
Country
Canada
Facility Name
Prism Eye Institute
City
Oakville
Country
Canada
Facility Name
University Health Network
City
Toronto
Country
Canada
Facility Name
Hôpital Fondation Rothschild
City
Paris
Country
France
Facility Name
DaVinci Eye Care
City
Tbilisi
Country
Georgia
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Pivotal Trial for a Synthetic Tissue Substitute for Concealment of Artificial Ocular Implants
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