ClinicalTrials.gg
CompletedNCT03733730Updated Nov 1, 2023Results posted

Post Approval Study of the AcrySof® IQ ReSTOR® Toric IOLs

An interventional study of ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL and ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL in Aphakia, Presbyopia and Astigmatism, sponsored by Alcon Research. Completed at 38 sites in 2 countries. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2023-11-01.

Sponsored by Alcon Research (part of Alcon) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
2,449
Allocation
Non-randomized
Ages
22 Years and older
Sex
All
01

Study summary

This is a prospective, multicenter, post-approval active surveillance study. The purpose of this study is to report the rate of post-surgical intraocular inflammation (based upon a specified case definition) reported within a 180-day post-surgical period following attempted implantation of an ACRYSOF IQ RESTOR Toric or ACRYSOF IQ RESTOR IOL in the US.

Read the detailed description

If a second eye will participate in the study, subjects will receive the second eye cataract surgery within 20 days of the first eye surgery. Four postoperative follow-up visits are planned to occur at 1-2 days, 7-14 days, 30-60 days, and 90-180 days, for each enrolled eye. Subject participation in this study is expected to last up to 7 months, including a total of 6 study visits for subjects implanted in one eye and up to 11 visits for subjects implanted in both eyes. Upon completion of the 180 days follow-up visit, subjects will be exited from the study.

02

Conditions studied

  • Aphakia
  • Presbyopia
  • Astigmatism

Keywords

  • cataract
03

In context

Aphakia

69 studies on the registry are indexed under Aphakia; 6 are open to participants now.

This study's enrollment of 2,449 is above the median of 103 across 52 interventional studies indexed under Aphakia.

Browse Aphakia studies →

Lead sponsor

Alcon Research is the lead sponsor of 624 studies on the registry; 9 are open to participants now.

Of its 112 completed or terminated interventional studies of FDA-regulated products, 102 (91%) have results posted.

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

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Preoperative cataract in the study eye(s)
  • Planned implantation in at least one eye with:

    • Cohort 1: An ACRYSOF IQ RESTOR +3.0 D Multifocal Toric IOL (Models SND1T3, SND1T4, SND1T5 or SND1T6) or an ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOLs (Models SV25T3, SV25T4, SV25T5, and SV25T6) in accordance with the product labeling from November 2018 to July 2020
    • Cohort 2: An ACRYSOF IQ RESTOR +3.0 D Multifocal Toric IOL (Models SND1T3, SND1T4, SND1T5 or SND1T6), or an ACRYSOF IQ RESTOR +2.5 D Multifocal IOL (Model SV25T0) in accordance with the product labeling after July 2020.
  • Able to comprehend and sign a statement of
  • Willing and able to complete all required postoperative visits
  • Other protocol-specified inclusion criteria may apply.

Exclusion criteria

Exclusion Criteria:

  • Eyes with ocular, including adnexa, or intraocular infection or inflammation (at the screening visit prior to surgery or on the day of surgery)
  • History of any intraocular inflammation within the past 12 months (ex: uveitis, choroiditis)
  • Combined procedures introducing an additional medical device during cataract surgery (ex: cataract surgery with implant of glaucoma stent)
  • Other protocol-specified exclusion criteria may apply.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,449 participants (actual)

Study arms

  • Experimental
    Cohort 1

    ACRYSOF IQ RESTOR Multifocal Toric IOL (+3.0 D or +2.5 D) implanted in at least one eye during cataract surgery, with implantation occurring from November 2018 through July 2020.

    Device: ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL · Device: ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL · Procedure: Cataract Surgery

  • Experimental
    Cohort 2

    ACRYSOF IQ RESTOR +3.0 D Multifocal Toric IOL or ACRYSOF IQ RESTOR +2.5 D Multifocal IOL implanted in at least one eye during cataract surgery, with implantation occurring after July 2020.

    Device: ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL · Device: ACRYSOF IQ RESTOR +2.5 D Multifocal IOL · Procedure: Cataract Surgery

Interventions

  • DeviceACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL

    Intraocular lens (IOL) intended for visual correction of aphakia in adult patients with and without presbyopia, who desire near, intermediate and distance vision, reduction of residual cylinder and increased spectacle independence. IOLs are implantable medical devices and are intended for long term use over the lifetime of the cataract subject.

    Also known as: Models SND1T3, SND1T4, SND1T5, and SND1T6

  • DeviceACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL

    Intraocular lens (IOL) intended for visual correction of aphakia in adult patients with and without presbyopia, who desire near, intermediate and distance vision, reduction of residual cylinder and increased spectacle independence. IOLs are implantable medical devices and are intended for long term use over the lifetime of the cataract subject.

    Also known as: Models SV25T3, SV25T4, SV25T5, and SV25T6

  • DeviceACRYSOF IQ RESTOR +2.5 D Multifocal IOL

    Intraocular lens (IOL) intended for visual correction of aphakia in adult patients with and without presbyopia, who desire near, intermediate and distance vision with increased spectacle independence. IOLs are implantable medical devices and are intended for long term use over the lifetime of the cataract subject.

    Also known as: Model SV25T0

  • ProcedureCataract Surgery

    Routine small incision cataract surgery with IOL implantation

06

What researchers measure

Primary outcomes

  1. Rate of Eyes With Post-Surgical Intraocular Inflammation - By Eye - Cohort 2

    Post-surgical intraocular inflammation was defined as exacerbated intraocular inflammation within 180 days after IOL implantation, indicated by greater than or equal to 3+ aqueous cell within the first 14 days post-operative, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-operative, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.

  2. Rate of Eyes With Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2

    Post-surgical intraocular inflammation was defined as exacerbated intraocular inflammation within 180 days after IOL implantation, indicated by greater than or equal to 3+ aqueous cell within the first 14 days post-operative, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-operative, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.

Secondary outcomes

  1. Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - By Eye - Cohort 2

    TASS was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 3+ aqueous cell, non-infectious etiology, and rapid onset (up to and including 2 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.

  2. Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - Overall Eyes - Cohort 2

    TASS was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 3+ aqueous cell, non-infectious etiology, and rapid onset (up to and including 2 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  3. Rate of Eyes With Acute Postoperative Endophthalmitis - By Eye - Cohort 2

    Acute postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater or equal to 3+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous and/or vitreous abscess, and rapid onset (3 to 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  4. Rate of Eyes With Acute Postoperative Endophthalmitis - Overall Eyes - Cohort 2

    Acute postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater or equal to 3+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous and/or vitreous abscess, and rapid onset (3 to 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  5. Rate of Eyes With Chronic Postoperative Endophthalmitis - By Eye - Cohort 2

    Chronic postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 1+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous, and delayed onset (greater than 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  6. Rate of Eyes With Chronic Postoperative Endophthalmitis - Overall Eyes - Cohort 2

    Chronic postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 1+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous, and delayed onset (greater than 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  7. Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - By Eye - Cohort 2

    Uncategorized post-surgical intraocular inflammation was defined as signs of exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings that do not fall in the given category of TASS, Acute Postoperative Endophthalmitis, or Chronic Postoperative Endophthalmitis: Greater than or equal to 3+ aqueous cell within the first 14 days post-op, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-op, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  8. Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2

    Uncategorized post-surgical intraocular inflammation was defined as signs of exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings that do not fall in the given category of TASS, Acute Postoperative Endophthalmitis, or Chronic Postoperative Endophthalmitis: Greater than or equal to 3+ aqueous cell within the first 14 days post-op, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-op, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Time frame: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

07

Results

Posted Nov 1, 2023

Participant flow

Subjects were enrolled at 37 investigative sites located in the United States and 1 investigative site located in Puerto Rico.

Participant flow — Overall Study
MilestoneCohort 1Cohort 2
Started4531827
First eye attempted implantation4531827
First eye successful implantation4531827
Second eye attempted implantation4531827
Second eye successful implantation4531827
Safety analysis set4531827
Completed4511778
Not completed249
Withdrew: Lost to follow-up132
Withdrew: Other10
Withdrew: Adverse event04
Withdrew: Death05
Withdrew: Withdrawal by subject08

Outcome measures

PrimaryRate of Eyes With Post-Surgical Intraocular Inflammation - By Eye - Cohort 2

Post-surgical intraocular inflammation was defined as exacerbated intraocular inflammation within 180 days after IOL implantation, indicated by greater than or equal to 3+ aqueous cell within the first 14 days post-operative, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-operative, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Post-Surgical Intraocular Inflammation - By Eye - Cohort 2
event rate per 1000 implantsFirst EyeSecond Eye
Rate of Eyes With Post-Surgical Intraocular Inflammation - By Eye - Cohort 25.64.5
PrimaryRate of Eyes With Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2

Post-surgical intraocular inflammation was defined as exacerbated intraocular inflammation within 180 days after IOL implantation, indicated by greater than or equal to 3+ aqueous cell within the first 14 days post-operative, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-operative, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2
event rate per 1000 implantsOverall Eyes
Rate of Eyes With Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 25.1 (2.95 to 8.10)
SecondaryRate of Eyes With Toxic Anterior Segment Syndrome (TASS) - By Eye - Cohort 2

TASS was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 3+ aqueous cell, non-infectious etiology, and rapid onset (up to and including 2 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - By Eye - Cohort 2
event rate per 1000 implantsFirst EyeSecond Eye
Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - By Eye - Cohort 21.10.0
SecondaryRate of Eyes With Toxic Anterior Segment Syndrome (TASS) - Overall Eyes - Cohort 2

TASS was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 3+ aqueous cell, non-infectious etiology, and rapid onset (up to and including 2 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - Overall Eyes - Cohort 2
event rate per 1000 implantsOverall Eyes
Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - Overall Eyes - Cohort 20.6 (0.07 to 2.15)
SecondaryRate of Eyes With Acute Postoperative Endophthalmitis - By Eye - Cohort 2

Acute postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater or equal to 3+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous and/or vitreous abscess, and rapid onset (3 to 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Acute Postoperative Endophthalmitis - By Eye - Cohort 2
event rate per 1000 implantsFirst EyeSecond Eye
Rate of Eyes With Acute Postoperative Endophthalmitis - By Eye - Cohort 20.00.6
SecondaryRate of Eyes With Acute Postoperative Endophthalmitis - Overall Eyes - Cohort 2

Acute postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater or equal to 3+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous and/or vitreous abscess, and rapid onset (3 to 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Acute Postoperative Endophthalmitis - Overall Eyes - Cohort 2
event rate per 1000 implantsOverall Eyes
Rate of Eyes With Acute Postoperative Endophthalmitis - Overall Eyes - Cohort 20.3 (0.01 to 1.66)
SecondaryRate of Eyes With Chronic Postoperative Endophthalmitis - By Eye - Cohort 2

Chronic postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 1+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous, and delayed onset (greater than 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Chronic Postoperative Endophthalmitis - By Eye - Cohort 2
event rate per 1000 implantsFirst EyeSecond Eye
Rate of Eyes With Chronic Postoperative Endophthalmitis - By Eye - Cohort 20.00.0
SecondaryRate of Eyes With Chronic Postoperative Endophthalmitis - Overall Eyes - Cohort 2

Chronic postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 1+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous, and delayed onset (greater than 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Chronic Postoperative Endophthalmitis - Overall Eyes - Cohort 2
event rate per 1000 implantsOverall Eyes
Rate of Eyes With Chronic Postoperative Endophthalmitis - Overall Eyes - Cohort 20.0 (0.00 to 1.10)
SecondaryRate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - By Eye - Cohort 2

Uncategorized post-surgical intraocular inflammation was defined as signs of exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings that do not fall in the given category of TASS, Acute Postoperative Endophthalmitis, or Chronic Postoperative Endophthalmitis: Greater than or equal to 3+ aqueous cell within the first 14 days post-op, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-op, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - By Eye - Cohort 2
event rate per 1000 implantsFirst EyeSecond Eye
Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - By Eye - Cohort 24.53.8
SecondaryRate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2

Uncategorized post-surgical intraocular inflammation was defined as signs of exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings that do not fall in the given category of TASS, Acute Postoperative Endophthalmitis, or Chronic Postoperative Endophthalmitis: Greater than or equal to 3+ aqueous cell within the first 14 days post-op, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-op, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

Time frame:
Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first
Reported as:
Number · event rate per 1000 implants
Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2
event rate per 1000 implantsOverall
Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 24.2 (2.28 to 6.99)

Adverse events

Collected over Cohort 1 and Cohort 2: Adverse events (AEs) were collected pre-treatment (Day -40 or less pre-surgery first eye) up to Day 90-180 post-surgery/study exit. AEs were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1 Pretreatment0/453 (0%)0/453 (0%)2/453 (0.4%)
Cohort 1 Ocular - First Eye0/453 (0%)4/453 (0.9%)71/453 (15.7%)
Cohort 1 Ocular - Second Eye0/253 (0%)6/253 (2.4%)31/253 (12.3%)
Cohort 1 Systemic0/453 (0%)8/453 (1.8%)0/453 (0%)
Cohort 2 Pretreatment0/1,827 (0%)5/1,827 (0.3%)0/1,827 (0%)
Cohort 2 Ocular - First Eye0/1,827 (0%)27/1,827 (1.5%)0/1,827 (0%)
Cohort 2 Ocular - Second Eye0/1,590 (0%)17/1,590 (1.1%)0/1,590 (0%)
Cohort 2 Systemic7/1,827 (0.4%)28/1,827 (1.5%)0/1,827 (0%)
Most frequent serious events
Showing 10 of 71
Most frequent serious events
EventCohort 1 PretreatmentCohort 1 Ocular - First EyeCohort 1 Ocular - Second EyeCohort 1 SystemicCohort 2 PretreatmentCohort 2 Ocular - First EyeCohort 2 Ocular - Second EyeCohort 2 Systemic
Punctate keratitisEye disorders0/4532/4531/2530/4530/18270/18270/15900/1827
Corneal operationSurgical and medical procedures0/4532/4531/2530/4530/18272/18270/15900/1827
VitrectomySurgical and medical procedures0/4530/4530/2530/4530/18278/18275/15900/1827
Cystoid macular oedemaEye disorders0/4531/4531/2530/4530/18273/18271/15900/1827
Retinal detachmentEye disorders0/4530/4531/2530/4530/18270/18275/15900/1827
Retinal tearEye disorders0/4530/4531/2530/4530/18271/18272/15900/1827
Vitreoretinal traction syndromeEye disorders0/4530/4531/2530/4530/18270/18270/15900/1827
Cataract operation complicationInjury, poisoning and procedural complications0/4530/4531/2530/4530/18276/18274/15900/1827
Visual field defectNervous system disorders0/4530/4531/2530/4530/18270/18270/15900/1827
Device dislocationProduct Issues0/4530/4531/2530/4530/18274/18272/15900/1827
Most frequent other events
Most frequent other events
EventCohort 1 PretreatmentCohort 1 Ocular - First EyeCohort 1 Ocular - Second EyeCohort 1 SystemicCohort 2 PretreatmentCohort 2 Ocular - First EyeCohort 2 Ocular - Second EyeCohort 2 Systemic
Posterior capsule opacificationEye disorders0/45331/45313/2530/4530/18270/18270/15900/1827
Intraocular pressure increasedInvestigations0/45327/45311/2530/4530/18270/18270/15900/1827
Dry eyeEye disorders2/45323/45311/2530/4530/18270/18270/15900/1827

Baseline characteristics

Safety Analysis Set. Cohort 2 excluded one site (35 subjects/60 eyes) due to noncompliance with GCP as previously communicated with the FDA.

Age, Customized
Age, Customized(participants)Cohort 1Cohort 2Total
Less that 65 years148432580
Equal to or greater than 65 years30513601665
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1Cohort 2Total
Female27411501424
Male179642821
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Cohort 1Cohort 2Total
White33613871723
Black or African American28266294
American Indian or Alaska Native11415
Asian8388171
Native Hawaiian or Other Pacific Islander066
Multi-Racial224
Other32932
08

Study locations

38 sites
  • Trinity Research Group
    Dothan, Alabama 36301, United States
  • Eye Doctors of Arizona
    Phoenix, Arizona 85003, United States
  • InSight Vision Center
    Fresno, California 93720, United States
  • Harvard Eye Associates
    Laguna Hills, California 92653, United States
  • Wolstan Goldberg Eye Associates
    Torrance, California 90505, United States
  • Eye Center of Northern Colorado, PC
    Fort Collins, Colorado 80528, United States
  • Rand Eye Institute
    Deerfield Beach, Florida 33064, United States
  • Central Florida Eye Specialists
    DeLand, Florida 32720, United States
  • Mid Florida Eye Center
    Mount Dora, Florida 32757, United States
  • Newsom Eye and Laser Center
    Sebring, Florida 33870, United States
  • SightTrust Eye Institute
    Sunrise, Florida 33323, United States
  • Gainesville Eye Associates
    Gainesville, Georgia 30501, United States
  • Sabates Eye Center
    Leawood, Kansas 66211, United States
  • Durrie Vision
    Overland Park, Kansas 66210, United States
  • Senior Health Services
    Louisville, Kentucky 40220, United States
  • Willis-Knighton Eye Institute South
    Shreveport, Louisiana 71118, United States
  • Chu Vision Institute
    Bloomington, Minnesota 55421, United States
  • Associated Eye Care
    Stillwater, Minnesota 55082, United States
  • Moyes Eye Center
    Kansas City, Missouri 64154, United States
  • St. Louis Eye Institute
    Town And Country, Missouri 63017, United States
  • Raymond Fong Eye Care
    New York, New York 10013, United States
  • Seeta Eye Center
    Poughkeepsie, New York 12603, United States
  • Carolina Eye Associates
    Southern Pines, North Carolina 28387, United States
  • Bergstrom Eye Research
    Fargo, North Dakota 58103, United States
  • Cincinnati Eye Institute
    Cincinnati, Ohio 45242, United States
  • Vision for Life
    Nashville, Tennessee 37205, United States
  • Kleinman Evangelista Eye Center of Texas
    Arlington, Texas 76018, United States
  • Keystone Research
    Austin, Texas 78731, United States
  • El Paso Eye Surgeons
    El Paso, Texas 79902, United States
  • Chu Eye Institute
    Fort Worth, Texas 76107, United States
  • Houston Eye Associates
    Houston, Texas 77008, United States
  • Berkeley Eye Center
    Houston, Texas 77027, United States
  • Baylor College of Medicine Alkek Eye Center
    Houston, Texas 77030, United States
  • The Eye Institute of Utah
    Salt Lake City, Utah 84107, United States
  • Piedmont Eye Center
    Lynchburg, Virginia 24501, United States
  • Vistar Eye Center
    Roanoke, Virginia 24011, United States
  • Northwest Eye Surgeons
    Seattle, Washington 98133, United States
  • Centro Oftalmologico Metropolitano
    San Juan, 00921, Puerto Rico
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2018 to primary completion in Oct 2022, 46 months.

Results were first posted in Nov 2023, 1 year after primary completion.

Of 32 industry-sponsored interventional studies with no phase under Aphakia, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 23. This study's 46 months is above that.

Counting every sponsor, half of 37 studies reached it within 17 months; a quarter within 9 and three quarters within 26.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2018
First posted
Nov 7, 2018
StartActual
Nov 27, 2018
Primary completionActual
Oct 14, 2022
CompletionActual
Oct 14, 2022
Results first posted
Nov 1, 2023
Last update
Nov 1, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03733730
Lead sponsor
Alcon Research
Responsible party
Sponsor
First posted
Nov 7, 2018
Start date
Nov 27, 2018
Primary completion
Oct 14, 2022
Completion
Oct 14, 2022
Results posted
Nov 1, 2023
Last update
Nov 1, 2023

Study contacts

Sr. Clinical Trial Lead, CRD Surgical
study director · Alcon Research

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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