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CataractNCT03280108

Clinical Investigation of AcrySof® IQ PanOptix™ IOL Model TFNT00

A study testing AcrySof IQ PanOptix Multifocal IOL and AcrySof Monofocal IOL in people with Cataract, run by Alcon Research at 12 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this clinical study is to compare the visual outcomes of the AcrySof IQ PanOptix Multifocal Intraocular Lens (IOL) Model TFNT00 against that of a monofocal lens, the AcrySof Monofocal IOL Model SN60AT, in order to demonstrate comparable distance vision and superior near and intermediate vision. Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Cataract
What is being tested?
AcrySof IQ PanOptix Multifocal IOL and AcrySof Monofocal IOL
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
250 participants
Where
12 sitesUnited States
Study dates
1 Nov 2017to 27 Sep 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 22 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with bilateral cataracts with planned cataract removal by phacoemulsification with a clear cornea incision
  • Able to comprehend and willing to sign informed consent and complete all required postoperative follow-up procedures
  • Clear intraocular media other than cataract in both eyes.
  • Preoperative keratometric astigmatism of less than 1.0 diopter (D) in both operative eyes.

Who cannot join

  • Clinically significant corneal abnormalities including corneal dystrophy, irregularity, inflammation or edema
  • Previous refractive surgery or refractive surgery procedures (including, but not limited to LASIK, astigmatic keratotomy, and limbal relaxing incisions)
  • Glaucoma (uncontrolled or controlled with medication)
  • Degenerative eye disorders (e.g. macular degeneration or other retinal disorders)
  • Pregnant or lactating
  • Expected to require a second surgical intervention or retinal laser treatment.

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

United States12 sites
  • Alcon Investigative Site

    Fresno, California, 93720

  • Alcon Investigative Site

    Houston, Texas, 77027

  • Alcon Investigative Site

    Hurst, Texas, 76054

  • Alcon Investigative Site

    Mt. Dora, Florida, 32757

  • Alcon Investigative Site

    Mt. Pleasant, South Carolina, 29464

  • Alcon Investigative Site

    Nacogdoches, Texas, 75965

  • Alcon Investigative Site

    Nashville, Tennessee, 37205

  • Alcon Investigative Site

    Norfolk, Virginia, 23502

  • Alcon Investigative Site

    Panama City, Florida, 32405

  • Alcon Investigative Site

    Poughkeepsie, New York, 12603

  • Alcon Investigative Site

    Salt Lake City, Utah, 84107

  • Alcon Investigative Site

    Sioux Falls, South Dakota, 57108

Other trials in United States

About this study

The purpose of this clinical study is to compare the visual outcomes of the AcrySof IQ PanOptix Multifocal Intraocular Lens (IOL) Model TFNT00 against that of a monofocal lens, the AcrySof Monofocal IOL Model SN60AT, in order to demonstrate comparable distance vision and superior near and intermediate vision.

Read the detailed description

Both eyes of a subject must require cataract surgery to qualify for enrollment into this study. Subjects participating in the trial will attend a total of 10 study visits over a 7-month period. Of these 10 visits, 1 is preoperative, 2 are operative, and the remaining 7 are postoperative visits. Primary endpoint data will be collected at the Month 6 (Day 120-180) post second eye implantation visit.

Conditions
Cataract
Being tested
AcrySof IQ PanOptix Multifocal IOL, AcrySof Monofocal IOL
Keywords
Intraocular lens, IOL
Medical subject headings
Cataract

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AcrySof IQ PanOptix Multifocal IOLDevice

    Also called Model TFNT00, AcrySof® IQ PanOptix®

    AcrySof IQ PanOptix Multifocal IOL Model TFNT00 for near, intermediate, and distance vision

  • AcrySof Monofocal IOLDevice

    Also called Model SN60AT, AcrySof®

    AcrySof Monofocal IOL Model SN60AT for single vision

Study groups in NCT03280108
Study groupRoleWhat they receive
Multifocal IOLExperimentalAcrySof IQ PanOptix Multifocal IOL Model TFNT00 implanted in the capsular bag in the posterior chamber following cataract removal and intended for long-term use over the lifetime of the cataract patient. Both eyes will be implanted (bilateral implantation).
Receives: Device: AcrySof IQ PanOptix Multifocal IOL
Monofocal IOLActive comparatorAcrySof Monofocal IOL Model SN60AT implanted in the capsular bag in the posterior chamber following cataract removal and intended for long-term use over the lifetime of the cataract patient. Both eyes will be implanted (bilateral implantation).
Receives: Device: AcrySof Monofocal IOL

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Photopic Monocular Best Corrected Distance Visual Acuity (4 m)

    Visual acuity (VA) was tested monocularly (each eye separately) under photopic (well-lit) conditions using the correction obtained from the manifest refraction and 100% contrast electronic Early Treatment Diabetic Retinopathy Study (ETDRS) charts at a distance of 4 meters (m) from the eye. VA was measured in logarithm of the minimum angle of resolution (logMAR), with 0.02 logMAR increment corresponding to a single letter on an ETDRS chart. A lower numeric value represents better visual acuity. This analysis was prespecified for the first operative eye.

    Measured: Month 6 (Day 120-180), post second eye implantation

  2. Mean Photopic Monocular Distance Corrected Visual Acuity at Near (40 cm)

    VA was tested monocularly under photopic conditions using the manifest refraction adjusted for optical infinity and 100% contrast electronic ETDRS charts at a distance of 40 centimeters (cm) from the eye. Distance corrected visual acuity at near was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter on an ETDRS chart. A lower numeric value represents better visual acuity. This analysis was prespecified for the first operative eye.

    Measured: Month 6 (Day 120-180), post second eye implantation

  3. Cumulative Rate of Secondary Surgical Interventions (SSI) Related to Optical Properties of the IOL, First Eye

    The number of SSI's related to the optical properties of the IOL was calculated from time of implantation up to Month 6. The percentage was calculated as (# of eyes with an SSI related to the optical properties of the IOL) divided by (# of eyes with attempted IOL implantation, successful or aborted after contact with the eye) times 100. SSI's could include, but were not limited to, IOL replacement, IOL explantation, IOL repositioning, refractive laser treatment, paracentesis, vitreous aspirations, iridectomy or laser iridotomy for pupillary block, wound leak repair, and retinal detachment repair. No hypothesis testing was planned for this outcome measure.

    Measured: Up to Month 6 (Day 120-180), post second eye implantation

  4. Mean Photopic Without Glare Binocular Distance Contrast Sensitivity

    Contrast sensitivity (ie, the ability to detect objects by distinguishing them from their background) was assessed binocularly (both eyes together) with the subject's best spectacle correction under photopic (well-lit) conditions at a distance of 8 feet from the eye at spatial frequencies of 3, 6, and 12, and 18 cycles per degree (cpd) using the Vector Vision CSV 1000-HGT without a glare source. Raw scores from contrast sensitivity testing were transformed to log units. Subjects who were unable to see a targeted spatial frequency at any available contrast, including that of the reference patch, were assigned the lowest measurable value. A higher numeric value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 6 (Day 120-180), post second eye implantation

  5. Mean Photopic With Glare Binocular Distance Contrast Sensitivity

    Contrast sensitivity was assessed binocularly with the subject's best spectacle correction under photopic conditions at a distance of 8 feet from the eye at spatial frequencies of 3, 6, and 12, and 18 cpd using the Vector Vision CSV 1000-HGT with a glare source. Raw scores from contrast sensitivity testing were transformed to log units. Subjects who were unable to see a targeted spatial frequency at any available contrast, including that of the reference patch, were assigned the lowest measurable value. A higher numeric value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 6 (Day 120-180), post second eye implantation

  6. Mean Mesopic Without Glare Binocular Distance Contrast Sensitivity

    Contrast sensitivity was assessed binocularly with the subject's best spectacle correction under mesopic (dimly-lit) conditions at a distance of 8 feet from the eye at spatial frequencies of 1.5, 3, 6, and 12 cpd using the Vector Vision CSV 1000-HGT without a glare source. Raw scores from contrast sensitivity testing were transformed to log units. Subjects who were unable to see a targeted spatial frequency at any available contrast, including that of the reference patch, were assigned the lowest measurable value. A higher numeric value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 6 (Day 120-180), post second eye implantation

  7. Mean Mesopic With Glare Binocular Distance Contrast Sensitivity

    Contrast sensitivity was assessed binocularly with the subject's best spectacle correction under mesopic conditions at a distance of 8 feet from the eye at spatial frequencies of 1.5, 3, 6, and 12 cpd using the Vector Vision CSV 1000-HGT with a glare source. Raw scores from contrast sensitivity testing were transformed to log units. Subjects who were unable to see a targeted spatial frequency at any available contrast, including that of the reference patch, were assigned the lowest measurable value. A higher numeric value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 6 (Day 120-180), post second eye implantation

Secondary outcomes (4)
  1. Mean Photopic Monocular Distance Corrected Visual Acuity at Intermediate (66 cm)

    VA was tested monocularly under photopic conditions using the manifest refraction adjusted for optical infinity and 100% contrast electronic ETDRS charts at a distance of 66 cm m from the eye. Monocular distance corrected visual acuity at intermediate was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter on an ETDRS chart. A lower numeric value represents better visual acuity. This analysis was prespecified for the first operative eye.

    Measured: Month 6 (Day 120-180), post second eye implantation

  2. Proportion of Subjects Who Respond "Never" to Question 1 of the Intraocular Lens Satisfaction (IOLSAT) Questionnaire

    The IOLSAT is a patient-reported outcomes questionnaire. Subjects were asked, "Overall, in the past 7 days, how often did you need to wear eyeglasses to see?" The proportion of subjects who respond "Never" is reported as a percentage calculated as (# of subjects responding "Never") divided by (# of subjects with bilateral implantation and concordant, non-missing data) times 100.

    Measured: Month 6 (Day 120-180), post second eye implantation

  3. Rate of Severe Visual Disturbances as Reported by the Subject Using the Questionnaire for Visual Disturbances (QUVID)

    QUVID is a patient-reported outcomes questionnaire that collects responses about visual disturbance. Subjects were asked if they experienced any of the visual disturbances in the past 7 days from when the questionnaire was conducted and to answer about how severe their worst experience was on a scale from 0-4, where 0=none and 4=severe. The percentage of subjects responding "Severe" was calculated as (# of subjects responding "Severe") divided by (# of subjects with bilateral implantation and non-missing data in the specified category) times 100. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 6 (Day 120-180), post second eye implantation

  4. Rate of Most Bothersome Visual Disturbances as Reported by the Subject Using the QUVID

    Subjects were asked if they experienced any of the visual disturbances in the past 7 days from when the questionnaire was conducted and to answer how much the disturbance bothered them on a scale from 0-4, where 0=not bothered at all and 4=bothered very much. The percentage of subjects with most bothersome visual disturbances was calculated as (# of subjects responding "Bothered very much") divided by (# of subjects with bilateral implantation and non-missing data in the specified category) times 100. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 6 (Day 120-180), post second eye implantation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Sep 2017
  2. Study start1 Nov 2017
  3. Primary completion27 Sep 2018
  4. Study completion27 Sep 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
250 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03280108
Sponsor's protocol ID
ILH297-C001
Status last verified
Oct 2019
First submitted
6 Sep 2017
Last updated
10 Oct 2019
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing AcrySof IQ PanOptix Multifocal IOL and AcrySof Monofocal IOL in people with Cataract, run by Alcon Research at 12 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean Photopic Monocular Best Corrected Distance Visual Acuity (4 m) (time frame: Month 6 (Day 120-180), post second eye implantation). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Oct 2019.

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