Non-dispensing Fitting Study Comparing the Clinical Performance Hydrogel Sphere Design Contact Lenses.

Not Applicable

Completed

Conditions: Myopia

Interventions: Device: filcon IV I (BC 8.6)
Device: filcon IV I (BC 8.7)
Device: methafilcon A (BC 8.7)
Device: methafilcon A (BC 8.6)
Device: ocufilcon D
Device: somofilcon A

Registration Number: NCT02727816

Lead Sponsor: Coopervision, Inc.

Brief Summary: The aim of this non-dispensing study is to evaluate the clinical performance of different hydrogel contact lens designs.

Detailed Description: This is a 35-subject, double masked, randomized, contra lateral, non-dispensing fitting trial comparing different hydrogel lens materials. For each study, this study will involve 2 visits: lens dispensing (baseline) and 1 hour post lens settling. Each subject will be randomized to wear the test and control lenses, in the right or left eye, in a series of four short fitting comparisons as follows:

Pair 1 (P1): filcon IV I (Base Curve (BC) 8.6) and ocufilcon D

Pair 2 (P2): filcon IV I (Base Curve (BC) 8.7) and ocufilcon D

Pair 3 (P3): methafilcon A (Base Curve (BC) 8.6) and ocufilcon D

Pair 4 (P4): methafilcon A (Base Curve (BC)8.7) and somofilcon A

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 35

Inclusion Criteria

A person is eligible for inclusion in the study if he/she:

Is between 18 and 40 years of age (inclusive).
Has had a self-reported visual exam in the last two years.
Is an adapted soft CL (Contact Lens) wearer.
Has a CL spherical prescription between - 1.00 and - 6.00 (inclusive)
Has a spectacle cylinder up to 0.75D (Diopters) in each eye.
Can achieve best corrected spectacle distance visual acuity of 20/25 (0.10 logMAR) or better in each eye.
Can achieve a distance visual acuity of 20/30 (0.18 logMAR) or better in each eye with the study contact lenses.
Has clear corneas and no active ocular disease.
Has read, understood and signed the information consent letter.
Patient contact lens refraction should fit within the available parameters of the study lenses.
Is willing to comply with the wear schedule.
Is willing to comply with the visit schedule.

Exclusion Criteria

A person will be excluded from the study if he/she:

Has never worn contact lenses before.
Currently wears rigid gas permeable contact lenses.
Has a history of not achieving comfortable CL wear (5 days per week; > 8 hours/day)
Has a CL prescription outside the range of - 1.00 to - 6.00D
Has a spectacle cylinder ≥1.00D of cylinder in either eye.
Has contact lens best corrected distance vision worse than 20/25 (0.10 logMAR) in either eye.
Presence of clinically significant (grade 2-4) anterior segment abnormalities.
Presence of ocular or systemic disease or need of medications which might interfere with contact lens wear.
Slit lamp findings that would contraindicate contact lens wear such as:
- Pathological dry eye or associated findings
- Pterygium, pinguecula, or corneal scars within the visual axis
- Neovascularization > 0.75 mm in from of the limbus
- Giant papillary conjunctivitis (GPC) worse than grade 1
- Anterior uveitis or iritis (past or present)
- Seborrheic eczema, Seborrheic conjunctivitis
- History of corneal ulcers or fungal infections
- Poor personal hygiene
Has a known history of corneal hypoesthesia (reduced corneal sensitivity)
Has aphakia, keratoconus or a highly irregular cornea.
Has Presbyopia or has dependence on spectacles for near work over the contact lenses.
Has undergone corneal refractive surgery.
Is participating in any other type of eye related clinical or research study.

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
methafilcon A (BC 8.6) / ocufilcon D (pair three)	methafilcon A (BC 8.6)	Participants were randomized to a test and control lens for each pair in a contralateral design.
filcon IV I (BC 8.6) / ocufilcon D (pair one)	filcon IV I (BC 8.6)	Participants were randomized to a test and control lens for each pair in a contralateral design.
filcon IV I (BC 8.6) / ocufilcon D (pair one)	ocufilcon D	Participants were randomized to a test and control lens for each pair in a contralateral design.
filcon IV I (BC 8.7) / ocufilcon D (pair two)	filcon IV I (BC 8.7)	Participants were randomized to a test and control lens for each pair in a contralateral design.
filcon IV I (BC 8.7) / ocufilcon D (pair two)	ocufilcon D	Participants were randomized to a test and control lens for each pair in a contralateral design.
methafilcon A (BC 8.7) / somofilcon A (pair four)	methafilcon A (BC 8.7)	Participants were randomized to a test and control lens for each pair in a contralateral design.
methafilcon A (BC 8.7) / somofilcon A (pair four)	somofilcon A	Participants were randomized to a test and control lens for each pair in a contralateral design.
methafilcon A (BC 8.6) / ocufilcon D (pair three)	ocufilcon D	Participants were randomized to a test and control lens for each pair in a contralateral design.

Primary Outcome Measures

Name	Time	Method
Centration - Pair One	Baseline and 1 hour	Centration for filcon IV I (Base Curve (BC) 8.6) / ocufilcon D (pair one) is assessed. (optimum, decentration acceptable, decentration unacceptable).
Centration - Pair Four	Baseline and 1 hour	Centration for methafilcon A (Base Curve (BC) 8.7) / somofilcon A (pair four) is assessed. (optimum, decentration acceptable, decentration unacceptable).
Post-blink Movement - Pair Two	1 hour	Post-blink movement for filcon IV I (BC 8.7) / ocufilcon D (pair two) is assessed. (0-5 Likert scale, 0=Insufficient, unacceptable movement, 4=Excessive, unacceptable movement).
Post-blink Movement - Pair Three	1 hour	Post-blink movement for methafilcon A (BC 8.6) / ocufilcon D (pair three) is assessed. (0-5 Likert scale, 0=Insufficient, unacceptable movement, 4=Excessive, unacceptable movement).
Post-blink Movement - Pair Four	1 hour	Post-blink movement for methafilcon A (BC 8.7) / somofilcon A (pair four) is assessed. (0-5 Likert scale, 0=Insufficient, unacceptable movement, 4=Excessive, unacceptable movement).
Post-blink Movement - Pair One	1 hour	Post-blink movement for filcon IV I (BC 8.6) / ocufilcon D (pair one) is assessed. (0-5 Likert scale, 0=Insufficient, unacceptable movement, 4=Excessive, unacceptable movement).
Lens Tightness - Pair Two	Baseline and 1 hour	Lens tightness on push on test for filcon IV I (BC 8.7) / ocufilcon D (pair two) is assessed. (0% - 100%, 100%=No movement, 50%=Optimum 0%=Falls from cornea without lid support)
Lens Tightness - Pair Three	Baseline and 1 hour	Lens tightness on push on test for methafilcon A (BC 8.6) / ocufilcon D (pair three) is assessed. (0% - 100%, 100%=No movement, 50%=Optimum 0%=Falls from cornea without lid support)
Lens Tightness - Pair One	Baseline and 1 hour	Lens tightness on push on test for filcon IV I (BC 8.6) / ocufilcon D (pair one) is assessed. (0% - 100%, 100%=No movement, 50%=Optimum 0%=Falls from cornea without lid support)
Lens Tightness - Pair Four	Baseline and 1 hour	Lens tightness on push on test for methafilcon A (BC 8.7) / somofilcon A (pair four) is assessed. (0% - 100%, 100%=No movement, 50%=Optimum 0%=Falls from cornea without lid support)
Overall Fit Acceptance - Pair Two	Baseline and 1 hour	Investigator's lens fit acceptance / acceptability for filcon IV I (BC 8.7) / ocufilcon D (pair two) is assessed. Three choices: filcon IV I (BC 8.7), ocufilcon D, or no preference.
Centration - Pair Two	Baseline and 1 hour	Centration for filcon IV I (Base Curve (BC) 8.7) / ocufilcon D (pair two) is assessed. (optimum, decentration acceptable, decentration unacceptable).
Centration - Pair Three	Baseline and 1 hour	Centration for methafilcon A (Base Curve (BC) 8.6) / ocufilcon D (pair three) is assessed. (optimum, decentration acceptable, decentration unacceptable).
Overall Fit Preference - Pair One	Baseline and 1 hour	Investigator's lens fit acceptance / acceptability for filcon IV I (BC 8.6) / ocufilcon D (pair one) is assessed. Three choices: filcon IV I (BC 8.6), ocufilcon D, or no preference.
Overall Fit Acceptance - Pair Three	Baseline and 1 hour	Investigator's lens fit acceptance / acceptability for methafilcon A (BC 8.6) / ocufilcon D (pair three) is assessed. Three choices: methafilcon A (BC 8.6), ocufilcon D, or no preference.
Overall Fit Acceptance - Pair Four	Baseline and 1 hour	Investigator's lens fit acceptance / acceptability for methafilcon A (BC 8.7) / somofilcon A (pair four) is assessed. Three choices: methafilcon A (BC 8.7), somofilcon A, or no preference.