CClinicalTrials.gg
CompletedNCT03791619ANCORAUpdated Aug 29, 2023Results posted

Post-Approval Study of the TECNIS SYMFONY® Toric Lenses

An interventional study of Higher Cylinder Toric IOL and Lower Cylinder Toric IOL in Cataract and Corneal Astigmatism, sponsored by Johnson & Johnson Surgical Vision, Inc.. Completed at 23 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2023-08-29.

Sponsored by Johnson & Johnson Surgical Vision, Inc. · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
475
Allocation
Non-randomized
Ages
22 Years and older
Sex
All
01

Study summary

This study is a prospective, multicenter, bilateral, non-randomized, open-label, comparative, 6-month clinical study conducted at up to 50 sites in the USA.

02

Conditions studied

  • Cataract
  • Corneal Astigmatism
03

In context

Cataract

1,701 studies on the registry are indexed under Cataract; 230 are open to participants now.

This study's enrollment of 475 is above the median of 80 across 1,155 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

Johnson & Johnson Surgical Vision, Inc. is the lead sponsor of 36 studies on the registry; 1 is open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 13 (87%) 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

Inclusion criteria

  • be at least 22 years old
  • have cataracts in both eyes
  • have a certain degree of astigmatism in at least one eye
  • sign the written informed consent
  • be willing and able to comply with examination procedures
  • understand, read and write English to complete informed consent and questionnaires
  • be available for study follow-up visits

Both eyes must qualify to be eligible to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Currently participating in any other clinical study or have participated in a clinical study during the last 30 days
  • Have a certain disease/illness such as poorly-controlled diabetes
  • Have certain ocular conditions such as uncontrolled glaucoma
  • Taking medication that may affect subject vision
  • Have irregular corneal astigmatism
  • Pregnant, plan to become pregnant during the study, or is breastfeeding
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
475 participants (actual)

Study arms

  • Active comparator
    Higher Cylinder Toric IOL

    Consented subjects that are eligible will have both eyes implanted with a TECNIS Symfony IOL. Each eye may have a different TECNIS Symfony IOL implanted, as determined by the surgeon and the TECNIS Symfony Toric IOL calculator; however, at least one eye must be implanted with either a Symfony Toric IOL Model ZXT150 (lower-cylinder group) or a Model ZXT300 or ZXT375 (higher-cylinder group) and the fellow eye must have the same or a lower toric power. The eye with the highest toric power IOL will determine the model group.

    Device: Higher Cylinder Toric IOL

  • Active comparator
    Lower Cylinder Toric IOL

    Consented subjects that are eligible will have both eyes implanted with a TECNIS Symfony IOL. Each eye may have a different TECNIS Symfony IOL implanted, as determined by the surgeon and the TECNIS Symfony Toric IOL calculator; however, at least one eye must be implanted with either a Symfony Toric IOL Model ZXT150 (lower-cylinder group) or a Model ZXT300 or ZXT375 (higher-cylinder group) and the fellow eye must have the same or a lower toric power. The eye with the highest toric power IOL will determine the model group.

    Device: Lower Cylinder Toric IOL

Interventions

  • DeviceHigher Cylinder Toric IOL

    Symfony Toric models ZXT300 and ZXT375 IOL

  • DeviceLower Cylinder Toric IOL

    Symfony Toric model ZXT150 IOL

06

What researchers measure

Primary outcomes

  1. Rate of Bothersome Visual Symptoms

    The rate of subjects reporting one or more of these items as very or extremely bothersome and impacting daily life via questionnaire.

    Time frame: 6-month

  2. Rate of Difficulty With an Activity Due to the Visual Symptoms

    The rate of reported difficulty with an activity due to one or more of visual symptoms impacting daily life via questionnaire.

    Time frame: 6-month

07

Results

Posted Aug 29, 2023

Participant flow

Participant flow — Overall Study
MilestoneHigher Cylinder GroupLower Cylinder Group
Started260215
Completed256209
Not completed46

Outcome measures

PrimaryRate of Bothersome Visual Symptoms

The rate of subjects reporting one or more of these items as very or extremely bothersome and impacting daily life via questionnaire.

Time frame:
6-month
Reported as:
Count of participants · Participants
Rate of Bothersome Visual Symptoms
ParticipantsHigher Cylinder GroupLower Cylinder Group
Rate of Bothersome Visual Symptoms1919
PrimaryRate of Difficulty With an Activity Due to the Visual Symptoms

The rate of reported difficulty with an activity due to one or more of visual symptoms impacting daily life via questionnaire.

Time frame:
6-month
Reported as:
Count of participants · Participants
Rate of Difficulty With an Activity Due to the Visual Symptoms
ParticipantsHigher Cylinder GroupLower Cylinder Group
Rate of Difficulty With an Activity Due to the Visual Symptoms2826

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Higher Cylinder Group0/260 (0%)34/260 (13.1%)12/260 (4.6%)
Lower Cylinder Group2/215 (0.9%)33/215 (15.3%)2/215 (0.9%)
Most frequent serious events
Showing 10 of 19
Most frequent serious events
EventHigher Cylinder GroupLower Cylinder Group
Cystoid Macular EdemaEye disorders7/2608/215
Elevated IOP requiring treatmentEye disorders7/2607/215
HospitalizationGeneral disorders6/2605/215
Lens Axis Misalignment requiring SSIEye disorders6/2600/215
IOP Elevated Without Need for TreatmentEye disorders3/2602/215
Undesirable Optical PhenomenaEye disorders1/2602/215
IOP Greater than 10mmHg from Screening and More than 25mmHgEye disorders0/2602/215
Visual Symptoms requiring SSIEye disorders2/2600/215
Vitreous HemorrhageEye disorders0/2601/215
Non-Ischemic Optic NeuropathyEye disorders0/2601/215
Most frequent other events
Most frequent other events
EventHigher Cylinder GroupLower Cylinder Group
Undesirable Optical PhenomenaEye disorders12/2602/215

Baseline characteristics

Higher cylinder group consists of all subjects implanted with a higher cylinder IOL (ZXT300 or ZXT375) in the primary eye. Lower cylinder group consists of all subjects implanted with a lower cylinder IOL (ZXT150) in the primary eye.

Age, Continuous
Age, Continuous(Years)Higher Cylinder GroupLower Cylinder GroupTotal
Mean69.2 ± 9.868.2 ± 7.968.7 ± 8.9
Sex: Female, Male
Sex: Female, Male(Participants)Higher Cylinder GroupLower Cylinder GroupTotal
Female151134285
Male10981190
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Higher Cylinder GroupLower Cylinder GroupTotal
American Indian or Alaska Native000
Asian81220
Native Hawaiian or Other Pacific Islander000
Black or African American12820
White237194431
More than one race314
Unknown or Not Reported000
08

Study locations

23 sites
  • Empire Eye & Laser Center
    Bakersfield, California 93309, United States
  • Southern California Eye Physicians & Associates
    Long Beach, California 90805, United States
  • Santa Monica Eye Medical Group
    Santa Monica, California 90404, United States
  • Wolstan & Goldberg Eye Associates
    Torrance, California 90505, United States
  • Florida Eye Microsurgical Institute, Inc.
    Boynton Beach, Florida 33426, United States
  • The Eye Associates of Manatee
    Bradenton, Florida 34209, United States
  • Levenson Eye Associates
    Jacksonville, Florida 32204, United States
  • North Florida Eye Surgeons, LLC dba Florida Eye Specialist
    Jacksonville, Florida 32256, United States
  • Center For Sight
    Sarasota, Florida 34239, United States
  • Virdi Eye Clinic & Laser Vision Care
    Rock Island, Illinois 61201, United States
  • Chesapeake Eye Care & Laser
    Annapolis, Maryland 21401, United States
  • Oakland Ophthalmic Surgery
    Birmingham, Michigan 48009, United States
  • Tekwani Vision Center
    Saint Louis, Missouri 63128, United States
  • Northern New Jersey Eye Institute PA
    South Orange, New Jersey 07079, United States
  • Ludwick Eye Center
    Chambersburg, Pennsylvania 17201, United States
  • Carolina Cataract & Laser Center
    Ladson, South Carolina 29456, United States
  • Vance Thompson Vision
    Sioux Falls, South Dakota 57108, United States
  • Memphis Eye & Cataract Associates, PLLC
    Memphis, Tennessee 38119, United States
  • Cornea Associates of Texas
    Dallas, Texas 75231, United States
  • Texas Eye & Laser Center
    Hurst, Texas 76054, United States
  • Focal Point Vision
    San Antonio, Texas 78209, United States
  • Parkhurst NuVision
    San Antonio, Texas 78229, United States
  • Clarus Eye Centre
    Lacey, Washington 98503, United States
09

References and documents

Study documents

  • Study protocol · Nov 15, 2018
  • Statistical analysis plan · Feb 26, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03791619
Lead sponsor
Johnson & Johnson Surgical Vision, Inc.
Responsible party
Sponsor
First posted
Jan 2, 2019
Start date
Dec 13, 2018
Primary completion
Aug 8, 2022
Completion
Aug 8, 2022
Results posted
Aug 29, 2023
Last update
Aug 29, 2023

Study contacts

Johnson & Johnson Surgical Vision Clinical Trials
study director · Johnson & Johnson Surgical Vision

Oversight

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

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

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