CClinicalTrials.gg
CompletedNCT03913377Updated Feb 4, 2021Results posted

Ocular Characteristics in Contact Lens and Spectacle Wear

An interventional study of Spectacles and ACUVUE OASYS®1-Day with HydraLuxe™ Technology in Visual Acuity, sponsored by Johnson & Johnson Vision Care, Inc.. Completed at 3 sites in United States. Open to participants aged 18 Years to 42 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-04.

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

Phase
Not applicable
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
18 Years to 42 Years
Sex
All
01

Study summary

This clinical study will investigate the difference in ocular characteristics between contact lens wear and spectacle wear among habitual contact lens wearers, using a 2-treatment by 2-period cross-over design. There will be a 1-week washout between the two study periods to eliminate any potential carryover effect.

02

Conditions studied

  • Visual Acuity
03

In context

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
18 Years to 42 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Potential subjects must satisfy all of the following criteria to be enrolled in the study:

    1. The subject will have completed the pre-screening Classification questionnaire.
    2. Subject must have a working cell phone capable of sending and receiving text messages.
    3. The subject must read, understand, and sign the STATEMENT OF INFORMED CONSENT and receive a fully executed copy of the form.
    4. Appear able and willing to adhere to the instructions set forth in this clinical protocol.
    5. Between 18 and 42 (inclusive) years of age at the time of screening
    6. Be a current soft contact lens wearer in both eyes with a minimum of 5 days/week wear time over the last 1 month by self-report OR be a full-time spectacle wearer (7 days/ week) without contact lens wear over the last 6 months.
    7. Subjects must be willing to adhere to spectacle-only refractive correction for approximately 1 week.
    8. Subjects must possess a functional / usable pair of spectacles with which they can achieve 20/20 Snellen visual acuity or better at distance and near, and bring them to the visit
    9. The subject's vertex corrected spherical distance refraction must be in the range (+/-0.25 D) of -2.00 D to -6.00 D (inclusive) in each eye.
    10. The subject's vertex corrected refractive cylinder must be equal or less than -0.75 diopters in each eye.
    11. Contact lens wearers must have spherical best corrected visual acuity of 20/25 or better in each eye.
    12. Snellen visual acuity at distance and near must be within 1 line between subject's own spectacle and the manifest refraction, distance and near, OD \& OS.

Exclusion criteria

Exclusion Criteria:

  • Potential subjects who meet any of the following criteria will be excluded from participating in the study:

    1. Currently pregnant or lactating, by self-report
    2. Any ocular or systemic allergies, disease or use of medication which may interfere with contact lens wear and/or participation in the study (at the discretion of the investigator).
    3. Any active ocular abnormalities/conditions that may interfere with contact lens wear and/or participation in the study (at the discretion of the investigator).
    4. Any corneal distortion resulting from previous hard or rigid gas permeable contact lens wear
    5. Habitual contact lens wear modality as extended wear (≥1 night per month of extended wear).
    6. Habitual contact lens is rigid gas permeable, toric, monovision or multi-focal
    7. Habitual spectacle contains an add power, photochromic or tint.
    8. Any previous, or planned (during the course of the study) ocular surgery (e.g., radial keratotomy, PRK, LASIK, etc.)
    9. Participation in any contact lens or lens care product clinical trial within 2 weeks prior to study enrollment.
    10. Employee or employee's immediate family member of clinical site (e.g., Investigator, Coordinator, Technician)
    11. Current habitual use of Restasis, Xiidra, ocular steroids, or any medication (RX or OTC) that may interfere with contact lens wear and/or participation in the study (at the discretion of the investigator)
    12. Any ocular allergies, infections or other ocular abnormalities that are known to interfere with contact lens wear and/or participation in the study. This may include, but not be limited to entropion, ectropion, extrusions, chalazia, recurrent styes, glaucoma, history of recurrent corneal erosions, aphakia, or corneal distortion.
    13. Any Grade 3 or greater biomicroscopy findings (this includes, corneal edema, corneal staining, corneal vascularization, conjunctival injection, tarsal abnormalities, bulbar injection) on the FDA classification scale (CTP-2018).
    14. Accommodative/binocular dysfunction, determined by study procedures.
05

Study design

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

Study arms

  • Experimental
    Observational

    Eligible subjects that are habitual spectacle wearers will use their habitual optical correction and undergo ocular evaluations and questionnaires at the baseline and 1-week visit.

    Device: Spectacles

  • Experimental
    Interventional

    Eligible subjects that are habitual contact lens wearers who own spectacles will be randomized into 1 of 2 sequences (Spectacle/ACUVUE OASYS 1-Day or ACUVUE OASYS 1-Day/Spectacle)

    Device: Spectacles · Device: ACUVUE OASYS®1-Day with HydraLuxe™ Technology

Interventions

  • DeviceSpectacles

    Subjects' own habitual spectacles

  • DeviceACUVUE OASYS®1-Day with HydraLuxe™ Technology

    Test 1

06

What researchers measure

Primary outcomes

  1. Non-Invasive Break Up Time (NIBUT) or Non-Invasive Keratograph Break Up Time (NIKBUT)

    NIBUT/NIKBUT was measured as the time interval in seconds after the final blink to the first appearance of distortion in the reflected rings; or to the time that the participant has to blink due to discomfort. NIBUT is measured by a topographer (e.g. Medmont) via observation by the investigator and a stopwatch. NIKBUTis measured by the Oculus Keratograph and reported by the instrument. Different instrumentation was used depending on site availability. Combined measurements of pre-lens data collected for the interventional arm are reported. Only the interventional arm was reported since the primary analysis was conducted among habitual contact lens users. The average NIKBUT was reported for each treatment. Higher values indicate better performance

    Time frame: 1-Week Follow-up

Secondary outcomes

  1. Total Scores of Meibomian Gland Expressibility (MGE)

    Meibomian gland expressiblity was assessed in three regions of the lower eyelid: temporal, central, and nasal. Each region is expressed and the overall grade of the region is evaluated using a four-grade scale: 0 = No Secretion, 1 = Inspissated, 2 = Colored/Cloudy Liquid, and 3 = Clear Liquid Oil. The total score was calculated as the sum of all grades across the three regions and ranged from 0 (no secretion) to 9, with higher scores indicating more MGE. Total scores were converted into a binary variable for the analysis purpose where Y=1 if the total score is greater than 6 and 0 otherwise. The percentage of participants with MGE total score greater than 6 was estimated. Only the interventional arm was reported since the secondary analysis was conducted among habitual contact lens users.

    Time frame: 1-Week Follow-up

  2. Conjunctival Staining

    Conjunctival staining was graded and recorded by quadrant (Superior, Inferior, Nasal, and Temporal) using the following grading scale: Grade 0 = None, Grade 1 = Trace, Grade 2 = Mild, Grade 3 = Moderate, and Grade 4 = Severe. Average grade was calculated based on grades of the four quadrants. Only the interventional arm was reported since the secondary analysis was conducted among habitual contact lens users.

    Time frame: 1-Week Follow-up

  3. Number of Eyes With Clinically Significant (Grade 3 or 4 of Overall Classification) Lid Wiper Epitheliopathy

    Horizontal lid margin staining and sagittal lid margin staining are graded for each eyelid (upper and lower) separately. The horizontal and sagittal grades are then averaged for each eyelid to obtain the upper lid average grade and lower lid average grade. The final grade is the average of the upper and lower lid average grades. Participants can be classified according to their final grades for each eye. The classification is defined as follows: "None" for final grades of 0, "Mild" for final grades between 0.25 and 1.00, "Moderate" for final grades between 1.25 and 2.00, and "Severe" for final graded between 2.25 and 3.00. Only the interventional arm was reported since the secondary analysis was planned to be conducted among habitual contact lens users only.

    Time frame: 1-Week Follow-up

  4. Meibomian Gland Expressibility (MGE) Grades

    Meibomian gland expressiblity was assessed in three regions of the lower eyelid: temporal, central, and nasal. Each region is expressed and the overall grade of the region is evaluated using a four-grade scale: 0 = No Secretion, 1 = Inspissated, 2 = Colored/Cloudy Liquid, and 3 = Clear Liquid Oil. Only the interventional arm was reported since the secondary analysis was conducted among habitual contact lens users.

    Time frame: 1-Week Follow-up

07

Results

Posted Aug 6, 2020
Limitations and caveats
No study limitations were reported for this study.

Participant flow

A total of 78 subjects were enrolled into this study. Of those enrolled, 65 subjects were assigned to either the observational arm (21) or the interventional arm (44), while 13 subjects failed to meet all eligibility criteria.

Period 1
Participant flow — Period 1
MilestoneObservationalInterventional: Test (Senofilcon A)/Control (Spectacle)Interventional: Control (Spectacle)/Test (Senofilcon A)
Started212222
Completed212121
Not completed011
Withdrew: Test article no longer available010
Withdrew: No longer meets eligibility criteria001
Period 2
Participant flow — Period 2
MilestoneObservationalInterventional: Test (Senofilcon A)/Control (Spectacle)Interventional: Control (Spectacle)/Test (Senofilcon A)
Started02121
Completed02121
Not completed000

Outcome measures

PrimaryNon-Invasive Break Up Time (NIBUT) or Non-Invasive Keratograph Break Up Time (NIKBUT)

NIBUT/NIKBUT was measured as the time interval in seconds after the final blink to the first appearance of distortion in the reflected rings; or to the time that the participant has to blink due to discomfort. NIBUT is measured by a topographer (e.g. Medmont) via observation by the investigator and a stopwatch. NIKBUTis measured by the Oculus Keratograph and reported by the instrument. Different instrumentation was used depending on site availability. Combined measurements of pre-lens data collected for the interventional arm are reported. Only the interventional arm was reported since the primary analysis was conducted among habitual contact lens users. The average NIKBUT was reported for each treatment. Higher values indicate better performance

Time frame:
1-Week Follow-up
Reported as:
Mean · Seconds
Non-Invasive Break Up Time (NIBUT) or Non-Invasive Keratograph Break Up Time (NIKBUT)
SecondsTest (Senofilcon A)Control (Spectacle)
Non-Invasive Break Up Time (NIBUT) or Non-Invasive Keratograph Break Up Time (NIKBUT)8.28 ± 4.48211.10 ± 5.761
Statistical analysis
  • Test (Senofilcon A) vs Control (Spectacle) · Mixed Model Analysis · Ls mean difference: -2.79 · 95% CI -4.14 to -1.44LS Mean difference was calculated as Test minus Control
SecondaryTotal Scores of Meibomian Gland Expressibility (MGE)

Meibomian gland expressiblity was assessed in three regions of the lower eyelid: temporal, central, and nasal. Each region is expressed and the overall grade of the region is evaluated using a four-grade scale: 0 = No Secretion, 1 = Inspissated, 2 = Colored/Cloudy Liquid, and 3 = Clear Liquid Oil. The total score was calculated as the sum of all grades across the three regions and ranged from 0 (no secretion) to 9, with higher scores indicating more MGE. Total scores were converted into a binary variable for the analysis purpose where Y=1 if the total score is greater than 6 and 0 otherwise. The percentage of participants with MGE total score greater than 6 was estimated. Only the interventional arm was reported since the secondary analysis was conducted among habitual contact lens users.

Time frame:
1-Week Follow-up
Reported as:
Mean · Units on a scale
Total Scores of Meibomian Gland Expressibility (MGE)
Units on a scaleTest (Senofilcon A)Control (Spectacle)
Total Scores of Meibomian Gland Expressibility (MGE)8.5 ± 1.248.5 ± 1.28
Statistical analysis
  • Test (Senofilcon A) · Mixed Model Analysis · Mean proportion: 85.59 · 95% CI 43.2 to 97.89
  • Control (Spectacle) · Mixed Model Analysis · Mean proportion: 84.17 · 95% CI 48.67 to 96.75
SecondaryConjunctival Staining

Conjunctival staining was graded and recorded by quadrant (Superior, Inferior, Nasal, and Temporal) using the following grading scale: Grade 0 = None, Grade 1 = Trace, Grade 2 = Mild, Grade 3 = Moderate, and Grade 4 = Severe. Average grade was calculated based on grades of the four quadrants. Only the interventional arm was reported since the secondary analysis was conducted among habitual contact lens users.

Time frame:
1-Week Follow-up
Reported as:
Number · Number of Eyes
Conjunctival Staining
Number of EyesTest (Senofilcon A)Control (Spectacle)
Nasal: Grade 04159
Nasal: Grade 13423
Nasal: Grade 270
Nasal: Grade 300
Nasal: Grade 400
Temporal: Grade 05579
Temporal: Grade 1253
Temporal: Grade 220
Temporal: Grade 300
Temporal: Grade 400
Inferior: Grade 04075
Inferior: Grade 1346
Inferior: Grade 271
Inferior: Grade 310
Inferior: Grade 400
Superior: Grade 07182
Superior: Grade 190
Superior: Grade 220
Superior: Grade 300
Superior: Grade 400
Statistical analysis
  • Test (Senofilcon A) · Mixed Model Analysis · Mean: 0.52 · 95% CI 0.40 to 0.65Kenward and Rogers Metod was used for degrees of freedom
  • Control (Spectacle) · Mixed Model Analysis · Mean: 0.13 · 95% CI -0.19 to 0.44Kenward and Rogers Metod was used for degrees of freedom
SecondaryNumber of Eyes With Clinically Significant (Grade 3 or 4 of Overall Classification) Lid Wiper Epitheliopathy

Horizontal lid margin staining and sagittal lid margin staining are graded for each eyelid (upper and lower) separately. The horizontal and sagittal grades are then averaged for each eyelid to obtain the upper lid average grade and lower lid average grade. The final grade is the average of the upper and lower lid average grades. Participants can be classified according to their final grades for each eye. The classification is defined as follows: "None" for final grades of 0, "Mild" for final grades between 0.25 and 1.00, "Moderate" for final grades between 1.25 and 2.00, and "Severe" for final graded between 2.25 and 3.00. Only the interventional arm was reported since the secondary analysis was planned to be conducted among habitual contact lens users only.

Time frame:
1-Week Follow-up
Reported as:
Number · Number of eyes
Number of Eyes With Clinically Significant (Grade 3 or 4 of Overall Classification) Lid Wiper Epitheliopathy
Number of eyesTest (Senofilcon A)Control (Spectacle)
None3631
Mild1519
Moderate2930
Severe22
Statistical analysis
  • Test (Senofilcon A) · Mixed Model Analysis · Mean proportion: 30.7 · 95% CI 6.5 to 73.8Point estimates were calculated for Test
  • Control (Spectacle) · Mixed Model Analysis · Mean proportion: 27.9 · 95% CI 6.1 to 69.8Point estimates were calculated for Control.
SecondaryMeibomian Gland Expressibility (MGE) Grades

Meibomian gland expressiblity was assessed in three regions of the lower eyelid: temporal, central, and nasal. Each region is expressed and the overall grade of the region is evaluated using a four-grade scale: 0 = No Secretion, 1 = Inspissated, 2 = Colored/Cloudy Liquid, and 3 = Clear Liquid Oil. Only the interventional arm was reported since the secondary analysis was conducted among habitual contact lens users.

Time frame:
1-Week Follow-up
Reported as:
Number · Units on a scale
Meibomian Gland Expressibility (MGE) Grades
Units on a scaleTest (Senofilcon A)Control (Spectacle)
Central Lower Lid- Grade 000
Central Lower Lid- Grade 100
Central Lower Lid- Grade 2106
Central Lower Lid- Grade 37276
Nasal Lower Lid- Grade 001
Nasal Lower Lid- Grade 120
Nasal Lower Lid- Grade 297
Nasal Lower Lid- Grade 37174
Temporal Lower Lid- Grade 026
Temporal Lower Lid- Grade 142
Temporal Lower Lid- Grade 255
Temporal Lower Lid- Grade 37169

Adverse events

Collected over Throughout the duration of the study (about 3 weeks for subjects in the interventional arm and about 1 week for subjects in the observational arm).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Observational0/21 (0%)0/21 (0%)0/21 (0%)
Test (Senofilcon A)0/44 (0%)0/44 (0%)0/44 (0%)
Control (Spectacle)0/44 (0%)0/44 (0%)0/44 (0%)

Baseline characteristics

All subjects who were assigned either to the interventional arm or the observational arm based on their habitual vision corrections.

Age, Continuous
Age, Continuous(Years)Observational ArmInterventional ArmsTotal
Mean29.1 ± 6.4028.9 ± 7.0029.0 ± 6.76
Sex: Female, Male
Sex: Female, Male(Participants)Observational ArmInterventional ArmsTotal
Female162642
Male51823
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Observational ArmInterventional ArmsTotal
American Indian or Alaska Native000
Asian358
Native Hawaiian or Other Pacific Islander011
Black or African American437
White113243
More than one race000
Unknown or Not Reported336
Region of Enrollment
Region of Enrollment(Participants)Observational ArmInterventional ArmsTotal
United States214465
08

Study locations

3 sites
  • VRC-East
    Jacksonville, Florida 32256, United States
  • Sabal Eye Care
    Longwood, Florida 32779, United States
  • Manhattan Vision Associates
    New York, New York 10022, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Apr 16, 2019

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

Individual participant data

Plan to share: Yes — Johnson \& Johnson Medical Device Companies have an agreement with the Yale Open Data Access (YODA) to serve as the independent review panel for evaluation of requests for clinical study reports and participant level data from investigators and physicians for scientific research that will advance medical knowledge and public health. Requests for access to the study data can be submitted through the YODA Project site at http://yoda.yale.edu

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03913377
Lead sponsor
Johnson & Johnson Vision Care, Inc.
Responsible party
Sponsor
First posted
Apr 12, 2019
Start date
Apr 9, 2019
Primary completion
Jun 14, 2019
Completion
Jun 14, 2019
Results posted
Aug 6, 2020
Last update
Feb 4, 2021

Oversight

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

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