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CataractNCT04747834

Assessment of Low Energy Lens Fragmentation Cataract Extraction in Patients Undergoing Cataract Surgery

A study testing MICOR-304 in people with Cataract, run by Carl Zeiss Meditec, Inc. at 3 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 research study is to evaluate the clinical outcomes of the use of low-energy segment removal with a micro-interventional irrigation/aspiration port (MICOR-304) to evacuate the lens prior to intraocular lens insertion in subjects undergoing routine cataract surgery. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Cataract
What is being tested?
MICOR-304
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
3 sitesUnited States
Study dates
6 Jan 2021to 24 Jan 2022
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Able to understand study requirements, willing to follow study instructions and willing to return for required study follow-up visits
  • Willing and able to understand and complete the informed consent document
  • Subjects with a cataract grade of 1 to 3+ and are scheduled to undergo cataract surgery
  • Subjects ≥ 18 years of age
  • Clear intraocular media, other than cataract

Who cannot join

  • Polar cataracts
  • Zonular instability
  • History of dry eye treatments/devices and or dry eye medications other than artificial tears.
  • Concurrent participation or participation in any clinical trial up to 30 days prior to preoperative visit
  • Subjects that are pregnant, lactating or planning to become pregnant during the course of the study

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Chu Vision Institute

    Bloomington, Minnesota, 55420

  • Argus Research at Cape Coral Eye Center

    Cape Coral, Florida, 33904

  • Young H. Choi Eye Surgery Center

    Vestavia Hills, Alabama, 35243

Other trials in United States

About this study

Official title: A Prospective Multicenter Study to Assess The Clinical Outcomes of Low Energy Lens Fragmentation Cataract Extraction in Patients Undergoing Cataract Surgery

The purpose of this research study is to evaluate the clinical outcomes of the use of low-energy segment removal with a micro-interventional irrigation/aspiration port (MICOR-304) to evacuate the lens prior to intraocular lens insertion in subjects undergoing routine cataract surgery.

Read the detailed description

Up to 300 eyes at up to 5 investigational sites will be enrolled in one of the two cohorts of this clinical investigation - up to 50 eyes in Cohort 1 and up to 50 eyes in Cohort 2. Only one eye per subject will be enrolled into the study. This is multicenter, multi-cohort, prospective clinical study designed to provide longitudinal, observational, non-comparative clinical outcome data for mechanical non-phacoemulsification lens extraction using low-energy segment removal with a micro-interventional irrigation/aspiration port (MICOR-304) to evacuate the lens prior to intraocular lens insertion.

Participants who meet the inclusion and exclusion will be asked to enroll in the study. The investigator or designee will explain the study purpose, procedures and responsibilities to the potential participant and provide sufficient opportunity to ask questions, while allowing adequate time for consideration of the information provided. Upon participant confirmation of interest, written informed consent will be obtained and the subject will be enrolled in the study. One copy of the informed consent document (ICD) will be retained with the subject's medical records and one copy will be provided to the subject.

Study subjects will be stratified into two Cohorts. Cohort 1 is comprised of eyes with mild-to- moderate cataracts only (Grade 1 to 2). Cohort 2 is comprised of eyes with moderate to more dense cataracts only (Grade 2+ to 3+).

Subjects will be seen at the screening visit, intraoperative visit, and at post-operative days 1, 7, and 30.

Conditions
Cataract
Being tested
MICOR-304
Medical subject headings
Cataract

What participants receive

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

  • MICOR-304Device

    The MICOR-304 offers a mechanical approach to lens fragmentation and aspiration which provides an alternative to phacoemulsification with no cavitation, no thermogenic energy in the eye, which can eliminate generation of heat inside the eye while maintaining the same minimally invasive surgical approach through a small clear-cornea 2.5 mm incision.

Study groups in NCT04747834
Study groupRoleWhat they receive
Cohort 1Active comparatorSubjects with mild to moderate cataracts (Grade 1 to 2) scheduled to undergo mechanical non-phacoemulsification lens extraction using low-energy segment removal with a micro-interventional irrigation/aspiration port (MICOR-304) to evacuate the lens prior to intraocular lens insertion.
Receives: Device: MICOR-304
Cohort 2Active comparatorSubjects with moderate to dense cataracts (Grade 2+ to 3+) scheduled to undergo mechanical non-phacoemulsification lens extraction using low-energy segment removal with a micro-interventional irrigation/aspiration port (MICOR-304) to evacuate the lens prior to intraocular lens insertion..
Receives: Device: MICOR-304

What is being measured

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

  1. Total Lens Removal Time

    Total lens removal time is defined in two phases:

    • The beginning time starts when the surgeon enters the eye with the MICOR-304 to start the lens removal process and completing when the surgeon finishes the nucleus lens removal with the MICOR-304 before changing over to irrigation and aspiration.
    • The second phase of lens removal time is the irrigation and aspiration stage for cortex removal which starts when the irrigation and aspiration tip enters the eye and completion time is when the cortex is removed.

    The total lens removal time as defined above is recorded in minutes and seconds.

    Measured: Assessed during the surgical procedure, measured in seconds.

  2. Amount of Irrigation Solution Fluid Volume Used During the Surgical Procedure

    Total irrigation solution volume will be recorded using the indicators on the bag which will have labels that have pre-defined markers to indicate milliliters (ml) of volume of irrigation solution used for the surgical procedure.

    Measured: Assessed during the surgical procedure, approximately 8 - 10 minutes.

Secondary outcomes (37)
  1. Total Surgical Procedure Time

    Total Surgical Procedure Time time is defined as the beginning time when the surgeon makes the first incision in the eye and completion time is when the eye speculum is removed at the end of the procedure. Total surgical procedure time is recorded in minutes and seconds.

    Measured: Assessed during the surgical procedure.

  2. UCVA at 1-Day

    Assessment of subjects uncorrected visual acuity (UCVA) at day 1 postoperative. Visual acuity is assessed by the healthcare provider without the aid of glasses or spectacles.

    Measured: Postoperative 1 Day

  3. BCDVA at 1 Week

    Assessment of best-corrected distance visual acuity (BCDVA) at the 1-week postoperative visit. BCDVA is assessed by the healthcare provider and is a measurement of how well someone can see at 6m with corrective lenses, such as glasses or contact lenses.

    Measured: 1- week postoperative

  4. BCDVA at 1 Month

    Assessment of BCDVA at the 1 Month postoperative visit

    Measured: 1 month postoperative

  5. Change in Corneal Thickness

    Assessment in the mean change in corneal thickness from baseline exam through the end of the study. Corneal thickness is measured using pachymetry presented with unit of measure "μm".

    Measured: Measured at Baseline, 1 Day, 1 Week and 1 Month postoperative.

  6. Corneal Edema

    Corneal edema will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate and 3+=Severe

    Measured: Pre-operative

  7. Corneal Edema 1 Day Postoperative

    Corneal edema will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate, 3+=Severe

    Measured: 1 Day Postoperative

  8. Corneal Edema 1-Week Postoperative

    Corneal edema will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate, 3+=Severe

    Measured: 1-Week Postoperative

  9. Corneal Edema 1 Month Postoperative

    Corneal edema will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate and 3+=Severe

    Measured: 1 Month Postoperative

  10. Corneal Cells

    Corneal cells will be assessed as the following: 0=>1 cell, 0.5+=1-5 cells, 1+=6-15 cells, 2+=16-25 cells, 3+=26-50 cells and 4+=>50 cells.

    Measured: Pre-operative

  11. Corneal Cells

    Corneal cells will be assessed as the following: 0=>1 cell, 0.5+=1-5 cells, 1+=6-15 cells, 2+=16-25 cells, 3+=26-50 cells and 4+=>50 cells

    Measured: 1 Day Postoperative

  12. Corneal Cells

    Corneal cells will be assessed as the following: 0=>1 cell, 0.5+=1-5 cells, 1+=6-15 cells, 2+=16-25 cells, 3+=26-50 cells and 4+=>50 cells

    Measured: 1-Week Postoperative

  13. Corneal Cells

    Corneal cells will be assessed as the following: 0=>1 cell, 0.5+=1-5 cells, 1+=6-15 cells, 2+=16-25 cells, 3+=26-50 cells and 4+=>50 cells

    Measured: 1-Month Postoperative

  14. Anterior Chamber Flare

    Anterior chamber flare will be assessed as the following: 0-None, 1+=Faint, 2+=Moderate, (iris and lens details clear), 3+=Marked (iris and lens details hazy), 4+=Intense fibrin or plastic aqueous.

    Measured: Pre-operative

  15. Anterior Chamber Flare

    Anterior chamber flare will be assessed as the following: 0-None, 1+=Faint, 2+=Moderate, (iris and lens details clear), 3+=Marked (iris and lens details hazy), 4+=Intense fibrin or plastic aqueous.

    Measured: 1-Day Postoperative

  16. Anterior Chamber Flare

    Anterior chamber flare will be assessed as the following: 0-None, 1+=Faint, 2+=Moderate, (iris and lens details clear), 3+=Marked (iris and lens details hazy), 4+=Intense fibrin or plastic aqueous.

    Measured: 1-Week Postoperative

  17. Anterior Chamber Flare

    Anterior chamber flare will be assessed as the following: 0-None, 1+=Faint, 2+=Moderate, (iris and lens details clear), 3+=Marked (iris and lens details hazy), 4+=Intense fibrin or plastic aqueous.

    Measured: 1-Month Postoperative

  18. Posterior Capsule Opacification

    Posterior capsule opacification will be assessed as the following: none, minimal, mild, moderate and severe.

    Measured: Pre-operative

  19. Posterior Capsule Opacification

    Posterior capsule opacification will be assessed as the following: none, minimal, mild, moderate and severe.

    Measured: 1-Day Postoperative

  20. Posterior Capsule Opacificaiton

    Posterior capsule opacification will be assessed as the following: none, minimal, mild, moderate and severe.

    Measured: 1-Week Postoperative

  21. Posterior Capsule Opacification

    Posterior capsule opacification will be assessed as the following: none, minimal, mild, moderate and severe.

    Measured: 1-Month Postoperative

  22. Corneal Staining Erosion

    Corneal staining erosion will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate and 3=Severe

    Measured: Pre-operative

  23. Corneal Staining Erosion

    Corneal staining erosion will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate and 3=Severe

    Measured: 1-Day Postoperative

  24. Corneal Staining Erosion

    Corneal staining erosion will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate and 3=Severe

    Measured: 1-Week Postoperative

  25. Corneal Staining Erosion

    Corneal staining erosion will be assessed as the following: 0=None, 1+=Mild, 2+=Moderate and 3=Severe

    Measured: 1-Month Postoperative

  26. Other Slit-Lamp Findings

    Assessment of other slit-lamp exam findings not listed on data collection form.

    Measured: Preoperative

  27. Other Slit-Lamp Findings

    Assessment of other slit-lamp exam findings not listed on data collection form.

    Measured: 1-Day Postoperative

  28. Other Slit-Lamp Findings

    Assessment of other slit-lamp exam findings not listed on data collection form.

    Measured: 1-Week Postoperative

  29. Other Slit-Lamp Findings

    Assessment of other slit-lamp exam findings not listed on data collection form.

    Measured: 1-Month Postoperative

  30. Macula

    Macula is assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: Pre-operative

  31. Macula

    Macula is assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: 1-Month Postoperative

  32. Disc Appearance

    Disc appearance is assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: Pre-operative

  33. Disc Appearance

    Disc appearance is assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: 1-Month Postoperative

  34. Vessels

    Vessels are assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: Pre-operative

  35. Vessels

    Vessels are assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: 1-Month Postoperative

  36. Periphery

    Periphery is assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: Pre-operative

  37. Periphery

    Periphery is assessed as normal and abnormal with free text to specify if abnormal, assessed via dilated fundus examination.

    Measured: 1-Month Postoperative

Timeline

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

  1. First posted10 Feb 2021
  2. Study start6 Jan 2021
  3. Primary completion24 Jan 2022
  4. Study completion24 Jan 2022

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
Model description
Subjects will be stratified into two Cohorts. Cohort 1 is comprised of eyes with mild-to- moderate cataracts only (Grade 1 to 2). Cohort 2 is comprised of eyes with moderate to more dense cataracts only (Grade 2+ to 3+).
Masking
None (open label)
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04747834
Sponsor's protocol ID
MICOR-304-101
Status last verified
Jun 2024
First submitted
2 Feb 2021
Last updated
6 Jun 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing MICOR-304 in people with Cataract, run by Carl Zeiss Meditec, 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 5 inclusion and 5 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 6 Jun 2024. 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?

Yes. Results are posted in the registry (first posted 6 Jun 2024). 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?

Total Lens Removal Time (time frame: Assessed during the surgical procedure, measured in seconds.). The study lists 2 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 6 Jun 2024.

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