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CompletedNCT04005651Updated Apr 19, 2023

Safety and Efficacy of a Trifocal Intraocular Lens (IOL) POD L GF in Comparison With a Multifocal and a Monofocal IOL

An interventional study of POD L GF IOL and Symfony® IOL in Aphakia, Postcataract and Cataract; Eye Disease, sponsored by Beaver-Visitec International, Inc.. Completed at 5 sites in 3 countries. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2023-04-19.

Sponsored by Beaver-Visitec International, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
45 Years and older
Sex
All
01

Study summary

The objectives of the Post-Market Follow-up (PMCF) clinical investigation are to determine the safety and performance of a hydrophobic trifocal intraocular lens POD L GF in comparison with two comparator lenses: another multifocal intraocular lens (Johnson \& Johnson TECNIS Symfony® Extended Range of Vision IOL); and a monofocal intraocular lens (Alcon AcrySof® IQ Monofocal IOL) through one year of post-operative assessments.

Read the detailed description

This is a prospective, multicenter, randomized, active controlled comparative binocular Post Market Follow-up (PMCF) clinical study to demonstrate safety and efficacy between the trifocal intraocular lens POD L GF and the Johnson \& Johnson TECNIS Symfony® Extended Range of Vision IOL and the Alcon AcrySof® IQ Monofocal IOL.

Patients who are scheduled to undergo cataract extraction in one or both eyes and posterior chamber intraocular lens implants may be screened for eligibility in the study and, if eligible, complete a pre-operative screening visit. Both eyes of subjects who are eligible to receive the POD L GF IOL or the Johnson \& Johnson TECNIS Symfony® Extended Range of Vision IOL must be eligible to receive bilateral multifocal IOL implants. Both eyes of subjects who are eligible to receive the Alcon AcrySof® IQ Monofocal IOL must be eligible to receive bilateral monofocal IOL implants.

At the time of the first eye surgery, the subjects to be implanted with either the POD L GF (test) IOL or the Johnson \& Johnson TECNIS Symfony® Extended Range of Vision (comparator) IOL will be randomized to receive either the test or comparator IOL in a 1:1 ratio. In addition, 50 subjects will be implanted with the Alcon AcrySof® IQ Monofocal IOL. All subjects will undergo bilateral IOL implantation and will receive the same brand of lenses in each eye. Second eye implantations will be delayed until 1 to 30 days after the first eye implantation.

02

Conditions studied

  • Aphakia, Postcataract
  • Cataract; Eye Disease
03

Who can participate

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

Inclusion criteria

  • Male or female adults ages 45 or older on the day of screening who have cataract(s) in one or both eyes
  • Capability to understand and sign an Ethics Committee (EC) approved informed consent form and privacy authorization
  • Corrected visual acuity projected by potential acuity meter (PAM) testing or other potential visual acuity test procedure to be better than 20/32 after intraocular lens implantation
  • Clear intraocular media other than cataract
  • Calculated IOL power is within the range of the study IOLs
  • Dilated pupil size large enough to visualize IOL axis markings postoperatively
  • Willing and able to conform to the study requirements

Exclusion criteria

Exclusion Criteria:

  • Subjects with diagnosed degenerative visual disoerders (e.g., macular degeneration or other retinal or optic disorders) that are predicted to cause future acuity losses to a level of 20/30 or worse
  • Subjects with age-related macular degeneration (AMD) suspicious eyes as determined by optical coherence tomography (OCT) examination
  • Subjects who may be expected to require retinal laser treatment during the course of the study or at a greater risk of developing cystoid macular edema
  • Greater than 1 diopter of pre-operative corneal astigmatism or any irregular astigmatism
  • Previous intraocular or corneal surgery
  • Traumatic cataract
  • History or presence of macular edema
  • Pregnant,lactating or, if able to bear children, unwilling to use medically acceptable birth control over the course of the study
  • Concurrent or previous (within 30 days) participation in another drug or device investigation
  • Instability of keratometry or biometry measurements
  • Ocular hypertension or glaucoma
  • Significant dry eye
  • Unsuitable for study participation for any other reason, as determined by Investigator's clinical judgement (reason to be documented on eCRF)
04

Study design

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

Study arms

  • Experimental
    POD L GF

    Approximately 50 subjects who are scheduled for multifocal IOL implantation and enrolled in the study will be randomized into the POD L GF arm. Subjects will be implanted bilaterally with the European Conformity (CE) marked POD L GF trifocal IOL and assessed according to the study visit schedule.

    Device: POD L GF IOL

  • Active comparator
    Symfony®

    Approximately 50 subjects who are scheduled for multifocal IOL implantation and enrolled in the study will be randomized into the Symfony arm. Subjects will be implanted bilaterally with the CE marked TECNIS Symfony® IOL and assessed according to the study visit schedule.

    Device: Symfony® IOL

  • Active comparator
    AcrySof®

    Approximately 50 subjects who are scheduled for monofocal IOL implantation and enrolled in the study will be placed in the AcrySof® arm. Subjects will be implanted bilaterally with the CE marked AcrySof® IQ monofocal IOL and assessed according to the study visit schedule.

    Device: AcrySof® IOL

Interventions

  • DevicePOD L GF IOL

    Cataractous lens will be removed in the study eyes and the POD L GF IOL will be implanted in the capsular bag

  • DeviceSymfony® IOL

    Cataractous lens will be removed in the study eyes and the Symfony® IOL will be implanted in the capsular bag

  • DeviceAcrySof® IOL

    Cataractous lens will be removed in the study eyes and the AcrySof® IOL will be implanted in the capsular bag

05

What researchers measure

Primary outcomes

  1. CDVA in first implanted eyes

    Photopic monocular logMAR corrected distance visual acuity (CDVA) in first implanted eyes at Visit 4

    Time frame: Day 120-180 both eyes

  2. DCIVA in first implanted eyes

    Photopic monocular logMAR intermediate visual acuity with distance correction (DCIVA) in first implanted eyes at Visit 4

    Time frame: Day 120-180 both eyes

  3. DCNVA in first implanted eyes

    Photopic monocular logMAR near visual acuity with distance correction (DCNVA) in first implanted eyes at Visit 4

    Time frame: Day 120-180 both eyes

Secondary outcomes

  1. UDVA at Visits 3A, 3B, 4, and 5

    Photopic monocular logMAR uncorrected distance visual acuity (UDVA)

    Time frame: Day 30-60 post first eye (3A), day 30-60 post second eye (3B), day 120-180 both eyes (4), day 330-420 both eyes (5)

  2. UIVA at Visits 3A, 3B, 4, and 5

    Photopic monocular logMAR uncorrected intermediate visual acuity (UIVA)

    Time frame: Day 30-60 post first eye (3A), day 30-60 post second eye (3B), day 120-180 both eyes (4), day 330-420 both eyes (5)

  3. UNVA at Visits 3A, 3B, 4, and 5

    Photopic monocular logMAR uncorrected near visual acuity (UNVA)

    Time frame: Day 30-60 post first eye (3A), day 30-60 post second eye (3B), day 120-180 both eyes (4), day 330-420 both eyes (5)

  4. CDVA at Visits 3A, 3B, 4, and 5

    Photopic monocular logMAR corrected distance visual acuity (CDVA)

    Time frame: Day 30-60 post first eye (3A), day 30-60 post second eye (3B), day 120-180 both eyes (4), day 330-420 both eyes (5)

  5. DCIVA at Visits 3A, 3B, 4, and 5

    Photopic monocular logMAR intermediate visual acuity with distance correction (DCIVA)

    Time frame: Day 30-60 post first eye (3A), day 30-60 post second eye (3B), day 120-180 both eyes (4), day 330-420 both eyes (5)

  6. DCNVA at Visits 3A, 3B, 4, and 5

    Photopic monocular logMAR corrected near visual acuity with distance correction (DCNVA)

    Time frame: Day 30-60 post first eye (3A), day 30-60 post second eye (3B), day 120-180 both eyes (4), day 330-420 both eyes (5)

  7. Quality of Vision Questionnaire (QoV) quality of vision at Visit 4

    Quality of vision based on response to each question in the Quality of Vision (QoV) questionnaire at Visit 4. Answer is a choice of 4 options, the first being the least and the fourth being the most based on question type, i.e. "never" to "very often" or "not at all" to "severe".

    Time frame: Day 120-180 both eyes

  8. Near Activity Visual Questionnaire (NAVQ) quality of vision at Visit 4

    Quality of vision based on response (choice of 0-3 with 0 meaning no difficulty and 3 meaning extreme difficulty) to each question in the Near Activity Visual Questionnaire (NAVQ) at Visit 4.

    Time frame: Day 120-180 both eyes

Other outcomes

  1. Safety Endpoint: Rates of AEs (Adverse Events)

    Rates of posterior chamber IOL adverse events compared to the ISO Safety and Performance Endpoint (SPE) rates as described in International Organization for Standardization (ISO) 11979-7

    Time frame: Enrollment (Day -30 to -1) through study exit or Visit 5 (Day 330 to 420 both eyes), whichever comes first

  2. Safety Endpoint: Optical and Visual Symptoms Assessed with NAVQ

    Subject questionnaire frequency of optical and visual symptoms as reported in NAVQ

    Time frame: Visit 4 (Day 120 to 180 both eyes)

  3. Safety Endpoint: Optical and Visual Symptoms Assessed with QoV questionnaire

    Subject questionnaire frequency of optical and visual symptoms as reported in QOV questionnaire

    Time frame: Visit 4 (Day 120 to 180 both eyes)

  4. Safety Endpoint: Secondary Surgical Interventions

    Rates of device-related secondary surgical interventions related to the POD L GF trifocal IOL

    Time frame: Operative Visit (Day 0) through study exit or Visit 5 (Day 330 to 420 both eyes), whichever comes first

  5. Safety Endpoint: Serious Adverse Events

    The rate of serious adverse events related to teh POD L GF trifocal IOL in first implanted eyes through Visit 5

    Time frame: Day 330 to 420 both eyes

06

Study locations

5 sites
  • OphtALLIANCE Clinique Jules Verne
    Nantes, 44300, France
  • Augenklinik Ahaus
    Ahaus, 48683, Germany
  • Internationale Innovative Ophthalmochirgie
    Düsseldorf, 40212, Germany
  • Augentagesklinik Rheine
    Rheine, 48429, Germany
  • IOA Madrid Innova Ocular
    Madrid, 28003, Spain
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04005651
Lead sponsor
Beaver-Visitec International, Inc.
Responsible party
Sponsor
First posted
Jul 2, 2019
Start date
May 30, 2019
Primary completion
Jul 27, 2022
Completion
Nov 29, 2022
Last update
Apr 19, 2023

Study contacts

Christophe Pagnoulle
study director · PhysIOL s.a.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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