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CompletedNCT02223754Updated Jun 19, 2018Results posted

Evaluation of an Investigational Multifocal Lens

An interventional study of lotrafilcon B and etafilcon A in Presbyopia, sponsored by Johnson & Johnson Vision Care, Inc.. Completed at 20 sites in United States. Open to participants aged 40 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-06-19.

Sponsored by Johnson & Johnson Vision Care, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
371
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to test the performance of an investigational multifocal test soft contact lens.

02

Conditions studied

  • Presbyopia

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03

In context

Presbyopia

324 studies on the registry are indexed under Presbyopia; 33 are open to participants now.

This study's enrollment of 371 is above the median of 61 across 265 interventional studies indexed under Presbyopia.

Browse Presbyopia studies →

Lead sponsor

Johnson & Johnson Vision Care, Inc. is the lead sponsor of 220 studies on the registry; 2 are open to participants now.

Of its 110 completed or terminated interventional studies of FDA-regulated products, 101 (92%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. The subjects were required to have read, understand, and signed the Statement of Informed Consent and receive a fully executed copy of the form.
  2. The subject must appear able and willing to adhere to the instructions set forth in this clinical protocol.
  3. Between 40 and 70 years of age.
  4. Subjects must own a wearable pair of spectacles, if required for their distance vision.
  5. Be an adapted soft contact lens wearer in both eyes (i.e. worn lenses a minimum of 2 days per week for at least 8 hours per wear day, for 1 month of more duration)
  6. Already be wearing a presbyopic contact lens correction (e.g., reading spectacles over contact lenses, multifocal or monovision contact lenses, etc.) or if not respond positively to at least one symptom on the "Presbyopic Symptoms Questionnaire"*
  7. The subject's vertex corrected spherical equivalent distance refraction was required to be in the range +3.50 to -5.75 in each eye.
  8. Refractive cylinder ≤ -0.75 D in each eye.
  9. ADD power in the range +0.75 D to +2.50 D in each eye.
  10. Best corrected visual acuity of 20/20-3 or better in each eye.

Exclusion criteria

Exclusion Criteria:

  1. Currently pregnant or lactating (subjects who became pregnant during the study were discontinued).
  2. Any ocular or systemic allergies that may have contraindicated contact lens wear.
  3. Any ocular or systemic disease, autoimmune disease, or use of medication, that may have contraindicated contact lens wear.
  4. Any ocular abnormality that may have interfered with contact lens wear.
  5. Use of any ocular medication, with the exception of rewetting drops.
  6. Any previous intraocular surgery (e.g., radial keratotomy, PRK, LASIK, etc.).
  7. History of herpetic keratitis.
  8. History of binocular vision abnormality or strabismus.
  9. Any infectious disease (e.g., hepatitis, tuberculosis) or a contagious immunosuppressive disease (e.g., HIV).
  10. History of diabetes.
  11. Participation in any contact lens or lens care product clinical trial within 30 days prior to study enrollment.
  12. Any Grade 3 or greater slit lamp findings (e.g., edema, corneal neovascularization, corneal staining, tarsal abnormalities, conjunctival injection) which may contraindicate contact lens wear.
  13. Any ocular infection or inflammation.
  14. Any corneal distortion or irregular cornea.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
371 participants (actual)

Study arms

  • Active comparator
    lotrafilcon B / etafilcon A

    Subject randomized to this sequence will first be dispensed the lotrafilcon B contact lens and then the etafilcon A contact lens.

    Device: lotrafilcon B · Device: etafilcon A

  • Experimental
    etafilcon A / lotrafilcon B

    Subject randomized to this sequence will first be dispensed the etafilcon A contact lens and then the lotrafilcon B contact lens.

    Device: lotrafilcon B · Device: etafilcon A

Interventions

  • Devicelotrafilcon B

    Soft contact lens to be worn as daily wear, monthly replacement modality.

    Also known as: AirOptix Aqua Multifocal

  • Deviceetafilcon A

    Soft contact lens to be worn as daily wear, daily disposable modality.

06

What researchers measure

Primary outcomes

  1. Overall Quality of Vision Using the Contact Lens User Experience (CLUE) TM Questionnaire

    CLUE Overall Quality of Vision is assessed using the Contact Lens User Experience (CLUE)TM questionnaire. CLUE is a validated patient-reported outcomes questionnaire to assess patient experience attributes of soft, disposable contact lenses (comfort, vision, handling, and packaging) in a contact-lens wearing population in the US, ages 18-65. Scores follow a normal distribution with a population average score of 60 (SD 20), where higher scores indicate a more favorable/positive response. 97% of the scores fall within 0 and 120 (mean +/-3XSD).

    Time frame: 8 -12 days post wear

  2. Distance Binocular Visual Acuity (LogMAR)

    Distance time controlled LogMAR Visual Acuity was carried out binocularly with high luminance and high contrast.

    Time frame: 8- 12 Days post wear

  3. Intermediate Binocular Visual Acuity (LogMAR)

    Intermediate time controlled LogMAR Visual Acuity was carried out binocularly using High lumiance and High Contrast.

    Time frame: 8-12 days post wear

  4. Near Binocular Visual Acuity (LogMAR)

    Near time controlled LogMAR Visual Acuity was carried out binocularly using High lumiance and High Contrast.

    Time frame: 8-12 days post wear

  5. Corneal Staining

    Corneal staining is evaluated using Sodium Fluorescein strips. The Fluorescien strip was lightly placed on the subject's inferior palpebral conjunctiva. The corneal Staining was graded using the scale Grade 0: No Staining, Grade 1: Trace(Minimal superficial staining or stippling), Grade 2: Mild (Regional or diffuse punctate staining), Grade 3:Moderate(Significant dense coalesced staining, corneal abrasion or foreign body tracks.), Grade 4 Severe(Severe abrasions greater than 2 mm in diameter, ulcerations, epithelial loss, or full thickness abrasion.). The data was dichotomized into two group subjects with grade 3 or higher staining, and those subjects with less than Grade 3. Below the percentage of subject eyes with grade 3 or higher is reported for each lens.

    Time frame: 8 - 12 Days post wear

  6. Bulbar Conjunctival Injection

    The bulbar is the scelra. Bulbar Conjunctival Injection was assessed using an Efron Grading scale by 1 unit increments. Grade 0: Normal, Grade 1: Trace, Grade 2: Mild, Grade 3: Moderate, Grade 4:Severe. The data was dichotomized into two group subjects with grade 3 or higher Conjunctival injection, and those subjects with less than Grade 3. Below the percentage of subject eyes with grade 3 or higher is reported for each lens.

    Time frame: 8- 12 Days post wear

  7. Limbal Conjunctival Injection

    The Limbus is the 1 to 2mm wide zone of conjunctiva and underlying tissue adjacent to where the cornea joins the sclera. Limbal Conjunctival Injection was assesed using the Efron grading scale in 1 unit increments. Grade 0: Normal, Grade 1: Trace, Grade 2: Mild, Grade 3: Moderate, Grade 4:Severe. The data was dichotomized into two group subjects with grade 3 or higher Conjunctival injection, and those subjects with less than Grade 3. Below the percentage of subject eyes with grade 3 or higher is reported for each lens.

    Time frame: 8- 12 Days post wear

  8. Contact Lens Fitting

    Contact Lens fitting is reported as a binary response. Yes- acceptable lens fit, No- unacceptable lens fit. The percentage of subject eyes with acceptable fit is reported.

    Time frame: 8- 12 Days post wear

07

Results

Posted Aug 31, 2016

Participant flow

Period 1
Participant flow — Period 1
MilestoneEtafilcon A / Lotrafilcon BLotrafilcon B/ Etafilcon A
Started163159
Completed159144
Not completed415
Withdrew: Adverse event10
Withdrew: Lost to follow-up01
Withdrew: Protocol violation24
Withdrew: Withdrawal by subject04
Withdrew: Test article no longer available15
Withdrew: Unsatisfactory visual response01
Period 2
Participant flow — Period 2
MilestoneEtafilcon A / Lotrafilcon BLotrafilcon B/ Etafilcon A
Started159144
Completed156141
Not completed33
Withdrew: Adverse event01
Withdrew: Protocol violation10
Withdrew: Lens discomfort11
Withdrew: Lost to follow-up10
Withdrew: Test article no longer available01

Outcome measures

PrimaryOverall Quality of Vision Using the Contact Lens User Experience (CLUE) TM Questionnaire

CLUE Overall Quality of Vision is assessed using the Contact Lens User Experience (CLUE)TM questionnaire. CLUE is a validated patient-reported outcomes questionnaire to assess patient experience attributes of soft, disposable contact lenses (comfort, vision, handling, and packaging) in a contact-lens wearing population in the US, ages 18-65. Scores follow a normal distribution with a population average score of 60 (SD 20), where higher scores indicate a more favorable/positive response. 97% of the scores fall within 0 and 120 (mean +/-3XSD).

Time frame:
8 -12 days post wear
Reported as:
Mean · units on a scale
Overall Quality of Vision Using the Contact Lens User Experience (CLUE) TM Questionnaire
units on a scaleEtafilcon ALotrafilcon B
Hyperopes, N=94, N=9451.15 ± 21.64754.28 ± 20.749
Myopes, N=181, N=18153.55 ± 18.64451.84 ± 19.319
PrimaryDistance Binocular Visual Acuity (LogMAR)

Distance time controlled LogMAR Visual Acuity was carried out binocularly with high luminance and high contrast.

Time frame:
8- 12 Days post wear
Reported as:
Mean · LogMAR
Distance Binocular Visual Acuity (LogMAR)
LogMAREtafilcon ALotrafilcon B
Hyperopes, N=94, N=94-0.069 ± 0.0908-0.066 ± 0.0982
Myopes, N=180, N=181-0.100 ± 0.0991-0.093 ± 0.0981
PrimaryIntermediate Binocular Visual Acuity (LogMAR)

Intermediate time controlled LogMAR Visual Acuity was carried out binocularly using High lumiance and High Contrast.

Time frame:
8-12 days post wear
Reported as:
Mean · LogMAR
Intermediate Binocular Visual Acuity (LogMAR)
LogMAREtafilcon ALotrafilcon B
Hyperopes, N=94, N=94-0.061 ± 0.0829-0.050 ± 0.0897
Myopes, N=180, N=181-0.081 ± 0.0803-0.063 ± 0.0894
PrimaryNear Binocular Visual Acuity (LogMAR)

Near time controlled LogMAR Visual Acuity was carried out binocularly using High lumiance and High Contrast.

Time frame:
8-12 days post wear
Reported as:
Mean · LogMAR
Near Binocular Visual Acuity (LogMAR)
LogMAREtafilcon ALotrafilcon B
Hyperopes, N=94, N=940.050 ± 0.09700.074 ± 0.1035
Myopes, N=180, N=1810.034 ± 0.10390.049 ± 0.1176
PrimaryCorneal Staining

Corneal staining is evaluated using Sodium Fluorescein strips. The Fluorescien strip was lightly placed on the subject's inferior palpebral conjunctiva. The corneal Staining was graded using the scale Grade 0: No Staining, Grade 1: Trace(Minimal superficial staining or stippling), Grade 2: Mild (Regional or diffuse punctate staining), Grade 3:Moderate(Significant dense coalesced staining, corneal abrasion or foreign body tracks.), Grade 4 Severe(Severe abrasions greater than 2 mm in diameter, ulcerations, epithelial loss, or full thickness abrasion.). The data was dichotomized into two group subjects with grade 3 or higher staining, and those subjects with less than Grade 3. Below the percentage of subject eyes with grade 3 or higher is reported for each lens.

Time frame:
8 - 12 Days post wear
Reported as:
Number · percentage of Subject Eyes
Corneal Staining
percentage of Subject EyesEtafilcon ALotrafilcon B
Hyperopes, N=188, N=1880.00.0
Myopes, N=362, N=3620.00.0
PrimaryBulbar Conjunctival Injection

The bulbar is the scelra. Bulbar Conjunctival Injection was assessed using an Efron Grading scale by 1 unit increments. Grade 0: Normal, Grade 1: Trace, Grade 2: Mild, Grade 3: Moderate, Grade 4:Severe. The data was dichotomized into two group subjects with grade 3 or higher Conjunctival injection, and those subjects with less than Grade 3. Below the percentage of subject eyes with grade 3 or higher is reported for each lens.

Time frame:
8- 12 Days post wear
Reported as:
Number · Percentage of Subject Eyes
Bulbar Conjunctival Injection
Percentage of Subject EyesEtafilcon ALotrafilcon B
Hyperopes, N=188, N=1880.00.0
Myopes, N=362 , N=3620.00.0
PrimaryLimbal Conjunctival Injection

The Limbus is the 1 to 2mm wide zone of conjunctiva and underlying tissue adjacent to where the cornea joins the sclera. Limbal Conjunctival Injection was assesed using the Efron grading scale in 1 unit increments. Grade 0: Normal, Grade 1: Trace, Grade 2: Mild, Grade 3: Moderate, Grade 4:Severe. The data was dichotomized into two group subjects with grade 3 or higher Conjunctival injection, and those subjects with less than Grade 3. Below the percentage of subject eyes with grade 3 or higher is reported for each lens.

Time frame:
8- 12 Days post wear
Reported as:
Number · Percentage of Subject Eyes
Limbal Conjunctival Injection
Percentage of Subject EyesEtafilcon ALotrafilcon B
Hyperopes, N=188, N=1880.00.0
Myopes, N=362, N=3620.00.0
PrimaryContact Lens Fitting

Contact Lens fitting is reported as a binary response. Yes- acceptable lens fit, No- unacceptable lens fit. The percentage of subject eyes with acceptable fit is reported.

Time frame:
8- 12 Days post wear
Reported as:
Number · Percentage of Subject Eyes
Contact Lens Fitting
Percentage of Subject EyesEtafilcon ALotrafilcon B
Hyperopes, N=188, N=188100100
Myopes, N=362, N=36299.5100

Adverse events

Collected over Approximately 8-12 days per intervention.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Etafilcon A—0/307 (0%)0/307 (0%)
Lotrafilcon B—0/318 (0%)0/318 (0%)

Baseline characteristics

The analysis population consists of subjects that were dispensed a study lens.

Age, Continuous
Age, Continuous(years)Etafilcon A / Lotrafilcon BLotrafilcon B / Etafilcon ATotal
Hyperopes, N=59, N=53, N=11252.3 ± 6.5951.9 ± 7.0452.1 ± 6.78
Myopes, N=104, N=106, N=21049.3 ± 6.1049.5 ± 5.7749.4 ± 5.92
Sex: Female, Male
Sex: Female, Male(Participants)Etafilcon A / Lotrafilcon BLotrafilcon B / Etafilcon ATotal
Female128120248
Male353974
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Etafilcon A / Lotrafilcon BLotrafilcon B / Etafilcon ATotal
American Indian or Alaska Native011
Asian134
Black or African American151025
Native Hawaiian or Other Pacific Islander000
White147144291
Other011
Region of Enrollment
Region of Enrollment(participants)Etafilcon A / Lotrafilcon BLotrafilcon B / Etafilcon ATotal
United States163159322
08

Study locations

20 sites
  • Montgomery, Alabama 36109, United States
  • Mission Viejo, California 92691, United States
  • Jacksonville, Florida 32205, United States
  • Jacksonville, Florida 32250, United States
  • Orange Park, Florida 32065, United States
  • Saint Augustine, Florida 32092, United States
  • Tallahassee, Florida 32308, United States
  • Tampa, Florida 33625, United States
  • Winter Park, Florida 32792, United States
  • Roswell, Georgia 30076, United States
  • Pittsburg, Kansas 66762, United States
  • East Lansing, Michigan 48823, United States
  • Vestal, New York 13850, United States
  • Denver, North Carolina 28037, United States
  • Powell, Ohio 43065, United States
  • Springfield, Ohio 45503, United States
  • Warwick, Rhode Island 02888, United States
  • Memphis, Tennessee 38119, United States
  • Tyler, Texas 75701, United States
  • Salem, Virginia 24153, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 19, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02223754
Lead sponsor
Johnson & Johnson Vision Care, Inc.
Responsible party
Sponsor
First posted
Aug 22, 2014
Start date
Aug 2014
Primary completion
Nov 2014
Completion
Nov 2014
Results posted
Aug 31, 2016
Last update
Jun 19, 2018

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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