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Post-Market Clinical Study of the PanOptix Intraocular Lens (IOL) in a Chinese Population

Not Applicable
Completed
Conditions
Presbyopia
Aphakia
Interventions
Device: AcrySof IQ PanOptix Presbyopia Correcting IOL
Procedure: Cataract surgery
Registration Number
NCT04755231
Lead Sponsor
Alcon Research
Brief Summary

The primary objective of this clinical study is to assess the clinical performance of the PanOptix IOL in a Chinese population.

Detailed Description

In this clinical study, subjects will be implanted with the PanOptix IOL in both eyes. The second eye surgery will occur 7-28 days after the first eye. A total of 11 scheduled visits are planned, including a screening visit, two operative visits, and 8 postoperative visits. The total expected duration of the subject's participation will be about 14 months. This study will be conducted in China.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
181
Inclusion Criteria
  • Able to comprehend and sign an informed consent form;
  • Able to complete all study visits required in the protocol;
  • Chinese; diagnosed with cataracts in both eyes;
  • Planned bilateral cataract removal by routine phacoemulsification;
  • Pre-operative regular corneal astigmatism of less than 1.0 diopter (D);
  • Pre-operative best corrected distance visual acuity (BCDVA) worse than or equal to 0.3 LogMAR in each eye;
  • Potential postoperative best corrected distance visual acuity (BCDVA) of 0.3 logMAR or better in both eyes based on the investigator expert medical opinion.
  • Other protocol-specified inclusion criteria may apply.

Key

Exclusion Criteria
  • Glaucoma, diabetic retinopathy, retinitis pigmentosa and any pathologic changes associated with the optic nerve;
  • Clinically significant corneal diseases;
  • Clinically significant/severe dry eye that would affect study measurements based on the investigator's expert medical opinion;
  • Previous intraocular or corneal surgery;
  • Pregnancy or lactation during study or planning to be pregnant/lactating;
  • Systemic medications that, in the opinion of the Investigator, may confound the outcome or increase the risk to the subject;
  • Other planned ocular surgical procedures;
  • Patients who desire monovision correction.
  • Other protocol-specified exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
PanOptix IOLAcrySof IQ PanOptix Presbyopia Correcting IOLAcrySof IQ PanOptix Presbyopia Correcting IOL implanted in the capsular bag in the posterior chamber of the eye during cataract surgery
PanOptix IOLCataract surgeryAcrySof IQ PanOptix Presbyopia Correcting IOL implanted in the capsular bag in the posterior chamber of the eye during cataract surgery
Primary Outcome Measures
NameTimeMethod
Mean Best Corrected Distance Visual Acuity (BCDVA) - MonocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

Visual acuity (VA) was assessed monocularly (eyes individually) with best refractive correction in place under photopic (well-lit) conditions at a distance of 5 meters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Mean Distance Corrected Intermediate Visual Acuity (DCIVA) - BinocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

VA was assessed binocularly (eyes together) with distance correction in place (plus or minus power) under photopic conditions at a distance of 60 centimeters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Mean Distance Corrected Near Visual Acuity (DCNVA) - MonocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

VA was assessed monocularly (eyes individually) with distance correction in place (plus or minus power) under photopic conditions at a distance of 40 centimeters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Percentage of Eyes With Best Corrected Distance Visual Acuity (BCDVA) Equal to or Better Than 0.3 LogMAR - BinocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

VA was assessed binocularly (eyes together) with best refractive correction in place under photopic conditions at a distance of 5 meters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Number of Non-Ocular Treatment Emergent Adverse EventsMonth 12 (360-390 days post second eye surgery, 367-418 days post first eye surgery)

An adverse event was defined as any adverse medical event that occurred during the clinical trial whether or not it was related to the investigational medical device or test procedure. No hypothesis testing was pre-specified for this endpoint.

Percentage of Eyes With Best Corrected Distance Visual Acuity (BCDVA) Equal to or Better Than 0.3 LogMAR - MonocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

Visual acuity (VA) was assessed monocularly (eyes individually) with best refractive correction in place under photopic (well-lit) conditions at a distance of 5 meters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Mean Distance Corrected Near Visual Acuity (DCNVA) - BinocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

VA was assessed binocularly (eyes together) with distance correction in place (plus or minus power) under photopic conditions at a distance of 40 centimeters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Mean Best Corrected Distance Visual Acuity (BCDVA) - BinocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

VA was assessed binocularly (eyes together) with best refractive correction in place under photopic conditions at a distance of 5 meters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Mean Distance Corrected Intermediate Visual Acuity (DCIVA) - MonocularMonth 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery)

VA was assessed monocularly (eyes individually) with distance correction in place (plus or minus power) under photopic conditions at a distance of 60 centimeters using Chinese Standard Logarithmic VA charts. LogMAR typically ranges from -0.3 (20/10 vision on the Snellen chart) to 1 (20/200 vision). Lower scores indicate better vision. No hypothesis testing was pre-specified for this endpoint.

Number of Participants Reporting a Severe Visual Disturbance (QUVID)Month 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery); Month 12 (360-390 days post second eye surgery, 367-418 days post first eye surgery)

The Questionnaire for Visual Disturbances (QUVID) is a patient-reported outcomes questionnaire that collects responses about 7 vision-related experiences. For each experience, the participant was asked, "In the Past 7 Days, How Severe Was Your Worst Experience" and responded on a 5-point scale, where 0-4 scale, where 0=none, 1=a little, 2=mild, 3=moderate, and 4=severe. No hypothesis testing was pre-specified for this endpoint.

Number of Ocular Treatment Emergent Adverse EventsMonth 12 (360-390 days post second eye surgery, 367-418 days post first eye surgery)

An adverse event was defined as any adverse medical event that occurred during the clinical trial whether or not it was related to the investigational medical device or test procedure. No hypothesis testing was pre-specified for this endpoint.

Number of Secondary Surgical InterventionsMonth 12 (360-390 days post second eye surgery, 367-418 days post first eye surgery)

A secondary surgical intervention (SSI) was defined as a surgical procedure occurring after primary implantation of the IOL. Posterior capsulotomies were excluded from the definition of secondary surgical interventions. No hypothesis testing was pre-specified for this endpoint.

Number of Participants Reporting a Most Bothersome Visual Disturbance (QUVID)Month 6 (180-210 days post second eye surgery, 187-238 days post first eye surgery); Month 12 (360-390 days post second eye surgery, 367-418 days post first eye surgery)

The Questionnaire for Visual Disturbances (QUVID) is a patient-reported outcomes questionnaire that collects responses about 7 vision-related experiences. For each experience, the participant was asked, "In the Past 7 Days, How Much Were You Bothered With" and responded on a 5-point scale, where 0=not bothered at all, 1=bothered a little, 2=bothered somewhat, 3=bothered quite a bit, and 4=bothered very much (most bothersome). No hypothesis testing was pre-specified for this endpoint.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (9)

Shanxi Eye Hospital

🇨🇳

Shanxi, China

Peking University People's Hospital

🇨🇳

Peking, China

West China Hospital of Sichuan University

🇨🇳

Sichuan, China

The Second Affiliated Hospital of Zhejiang University School of Medicine

🇨🇳

Hangzhou, China

Ophthalmic Hospital Affiliated to Shandong University of Traditional Chinese Medicine

🇨🇳

Shandong, China

Zhongshan Ophthalmic Center, Sun Yat-Sen University

🇨🇳

Guandong, China

Eye & ENT Hospital of Fudan University

🇨🇳

Shanghai, China

Tianjin Medical University Eye Hospital

🇨🇳

Tianjin, China

Beijing Tongren Hospital Capital Medical University

🇨🇳

Beijing, China

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