CataractNCT03751033
Influence of DisCoVisc Ophthalmic Viscosurgical Device (OVD) on Intraoperative Aberrometry Readings
A study testing BSS and DiscoVisc in people with Cataract, run by Clinical Research Consultants, Inc. at 3 sites in United States.
Trial summary
The purpose of the study is to develop a nomogram that correlates intraoperative, aphakic refraction measurements when the anterior chamber is pressurized with either balanced salt solution (BSS) or DisCoVisc; and to understand how suggested IOL power selection may differ. Read more about this study
- Who is it for?
- Ages 22 to 95 years
- Conditions the study is for
- Cataract
- What is being tested?
- BSS and DiscoVisc
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 3 sitesUnited States
- Study dates
- 7 Sep 2018to 6 Jan 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 to 95 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- In good general health
- Between 22 and 95 years of age and diagnosed with cataract(s)
- Able to comprehend and sign a written statement of informed consent for participation in the study, including HIPAA
- Undergoing cataract extraction surgery with an Alcon SN6 platform intraocular lens implantation into the posterior chamber
- Clear intraocular media, other than cataract
- Potential postoperative best-corrected visual acuity (BSCVA) of 20/30 or better
- Axial length of ≥ 22.00 and ≤ 28.00
Who cannot join
- Concurrent participation in another investigational drug or device study or participation in another study within the last 30 days prior to Screening
- Has had prior laser vision correction and/or corneal surgery
- Has a complication during surgery unrelated to ORA use
- 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
- History of infectious corneal disease (e.g., herpes simplex, herpes zoster, etc.) or other conditions which may result in corneal scarring
- Significant central opacity/scar
Show all 42Show fewer
- Irregular astigmatism based upon investigator judgment
- Inability to achieve keratometric stability
- Will require another procedure, such as iris hooks, use of a Malyugin ring or insertion of a capsular tension ring during surgery
- Will require significant sedation during surgery
- Subject who is unable to maintain adequate fixation for image capture with ORA
- Keratopathy/Kerectasia - any corneal abnormality, other than regular corneal astigmatism, including, but not limited to the following: corneal leukoma and pterygium
- Any inflammation or edema (swelling) of the cornea, including but not limited to the following: keratitis, keratoconjunctivitis, and keratouveitis
- May reasonably be expected to require a secondary surgical intervention at any time during the study (other than YAG capsulotomy)
- Amblyopia
- Corneal dystrophy (e.g., epithelial, stromal, or endothelial dystrophy)
- Endothelial disease that may potentially affect visual outcome
- Subjects with diagnosed degenerative visual disorders (e.g. macular degeneration or other retinal disorders) that are predicted (by subjective assessment of the retina) to cause future acuity losses to a level worse than 20/30 and/or that the investigator deems would interfere with acquiring images or determining a precise postoperative refraction
- Shallow anterior chamber, not due to swollen cataract
- History of retinal detachment or macular pucker
- Ocular conditions such as keratoconus, forme fruste keratoconus or recurrent erosion syndrome that may predispose the subject to complications
- Microphthalmos
- Previous corneal transplant
- Recurrent severe anterior or posterior segment inflammation of unknown etiology
- Rubella or traumatic cataract
- Iris neovascularization
- Uncontrolled glaucoma or glaucoma with visual field defects
- Poorly dilating pupil or other defect of the pupil that prevents the iris from adequate retraction peripherally
- Ectopic pupil
- Pupil abnormalities (nonreactive, fixed pupils; abnormally shaped pupils)
- Prior, current, or anticipated use during the course of the 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
- Aniridia
- Optic nerve atrophy
- Uncontrolled systemic disease or acute or chronic disease or illness that would increase the operative risk or confound the outcome(s) of the study (e.g., immunocompromised, connective tissue disease, clinically significant atopic disease, multiple sclerosis, lupus, hepatitis, rheumatoid arthritis, etc.)
- Uncontrolled/poorly controlled diabetes
- Uncontrolled ocular hypertension (≥ 22 mmHg)
- Active intraocular inflammation or recurrent ocular inflammatory \ condition (e.g., recurrent or persistent iritis, iridocyclitis, posterior uveitis, etc.)
- Use of systemic or ocular medications that may affect vision
- Recent ocular trauma that is not resolved/stable or may affect visual outcomes
- Previous ocular surgery such as pterygium removal, tear duct surgery, radial keratectomy, etc.
- Pregnant women, nursing women and subjects suspected of being pregnant
- Subjects who, in the judgment of the investigator or sub-investigator, are inadequate for the study
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Cleveland Eye Clinic
Brecksville, Ohio, 44141
Advanced Vision Care
Los Angeles, California, 90067
The Eye Institute of Utah
Salt Lake City, Utah, 84107
About this study
Official title: Influence of DisCoVisc OVD on Intraoperative Aberrometry Readings for Intraocular Lens (IOL) Calculations After Cataract Extraction
The purpose of the study is to develop a nomogram that correlates intraoperative, aphakic refraction measurements when the anterior chamber is pressurized with either balanced salt solution (BSS) or DisCoVisc; and to understand how suggested IOL power selection may differ.
- Conditions
- Cataract
- Being tested
- BSS, DiscoVisc
- Keywords
- Cataract Extraction
- Medical subject headings
- Cataract
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BSSDevice
Intraoperative aberrometry measurements for BSS will be performed.
DiscoViscDevice
Intraoperative aberrometry measurements for DiscoVisc will be performed.
| Study group | Role | What they receive |
|---|---|---|
| BSS and DisCoVisc | Experimental | Following lens removal and removal of all OVD from the anterior chamber during cataract surgery, the chamber will be filled with BSS and the main incision hydrated with BSS. Intraoperative aberrometry, using the Optiwave® Refractive Analysis with VerifEye+ (ORA), will be performed, and the results of aphakic refraction and suggested IOL power will be recorded in triplicate. Immediately following, the BSS will be replaced with DisCoVisc; and, triplicate readings will be measured under the same conditions. Receives: Device: BSS; Device: DiscoVisc |
What is being measured
The primary outcome is the main question the study is designed to answer.
Differences in aphakic refractive measurements with BSS versus DiscoVisc
The differences in spherical equivalents will be evaluated using a nonparametric approach (Friedman chi-square test).
Measured: 1 Day
Secondary outcomes (1)
Difference between suggested IOL power selections with BSS versus DiscoVisc
The differences in IOL power will be evaluated using a nonparametric approach (Friedman chi-square test).
Measured: 1 Day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2018
- Study start7 Sep 2018
- Primary completion6 Jan 2020
- Study completion6 Jan 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CataractStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 120 participants (actual)
Sponsor and investigators
- Lead sponsor
- Clinical Research Consultants, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Nicole Fram, MD, Principal investigator, Advanced Vision Care
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03751033
- Sponsor's protocol ID
- AVC-001
- Status last verified
- Apr 2020
- First submitted
- 24 Oct 2018
- Last updated
- 21 Apr 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Influence of DisCoVisc OVD on Intraoperative Aberrometry Readings for Intraocular Lens (IOL) Calculations After Cataract Extraction
- ClinicalTrials.gov ID
- NCT03751033
- Acronym / sponsor ID
- AVC-001
- Conditions
- Cataract
- Keywords
- Cataract Extraction
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 120 participants (actual)
- Lead sponsor
- Clinical Research Consultants, Inc.Industry (pharma, biotech, devices)
- Study start
- 7 Sep 2018 (actual)
- Primary completion
- 6 Jan 2020 (actual)
- Study completion
- 6 Jan 2020 (actual)
- First posted
- 23 Nov 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to develop a nomogram that correlates intraoperative, aphakic refraction measurements when the anterior chamber is pressurized with either balanced salt solution (BSS) or DisCoVisc; and to understand how suggested IOL power selection may differ.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| BSS and DisCoVisc | Experimental | Device: BSS, Device: DiscoViscFollowing lens removal and removal of all OVD from the anterior chamber during cataract surgery, the chamber will be filled with BSS and the main incision hydrated with BSS. Intraoperative aberrometry, using the Optiwave® Refractive Analysis with VerifEye+ (ORA), will be performed, and the results of aphakic refraction and suggested IOL power will be recorded in triplicate. Immediately following, the BSS will be replaced with DisCoVisc; and, triplicate readings will be measured under the same conditions. |
Who may qualify
- Ages
- 22 to 95 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- In good general health
- Between 22 and 95 years of age and diagnosed with cataract(s)
- Able to comprehend and sign a written statement of informed consent for participation in the study, including HIPAA
- Undergoing cataract extraction surgery with an Alcon SN6 platform intraocular lens implantation into the posterior chamber
- Clear intraocular media, other than cataract
Key exclusion criteria (42 listed)
- Concurrent participation in another investigational drug or device study or participation in another study within the last 30 days prior to Screening
- Has had prior laser vision correction and/or corneal surgery
- Has a complication during surgery unrelated to ORA use
- 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
- History of infectious corneal disease (e.g., herpes simplex, herpes zoster, etc.) or other conditions which may result in corneal scarring
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BSSIntraoperative aberrometry measurements for BSS will be performed. | Device | BSS and DisCoVisc |
| DiscoViscIntraoperative aberrometry measurements for DiscoVisc will be performed. | Device | BSS and DisCoVisc |
Primary outcome
Differences in aphakic refractive measurements with BSS versus DiscoVisc
Time frame: 1 Day
The differences in spherical equivalents will be evaluated using a nonparametric approach (Friedman chi-square test).
1 secondary outcome
Difference between suggested IOL power selections with BSS versus DiscoVisc
Time frame: 1 Day
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2020.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nicole Fram, MD principal investigator
Advanced Vision Care
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing BSS and DiscoVisc in people with Cataract, run by Clinical Research Consultants, Inc. at 3 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 7 inclusion and 42 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 21 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Differences in aphakic refractive measurements with BSS versus DiscoVisc (time frame: 1 Day). 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 21 Apr 2020.