ClinicalTrials.gg
CompletedNCT04805593Updated Aug 21, 2024Results posted

Clinical Investigation of the WaveLight® EX500 Excimer Laser

An interventional study of WaveLight EX500 excimer laser system and LASIK in Hyperopia and Hyperopic Astigmatism, sponsored by Alcon Research. Completed at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-21.

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

Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to collect efficacy and safety data on the WaveLight EX500 excimer laser system for the correction of hyperopia with and without astigmatism by laser in situ keratomileusis (LASIK) treatment.

Read the detailed description

Qualified subjects will receive LASIK treatment in both eyes and be followed for 1 year. Subjects will be asked to attend a total of 9 visits (Screening, Surgery, Day 1, Week 1, Month 1, Month 3, Month 6, Month 9, and Month 12). Total expected duration of subject participation is approximately 1 year.

02

Conditions studied

  • Hyperopia
  • Hyperopic Astigmatism

Keywords

  • LASIK
  • Refractive errors
03

In context

Hyperopia

156 studies on the registry are indexed under Hyperopia; 20 are open to participants now.

This study's enrollment of 44 is below the median of 60 across 125 interventional studies indexed under Hyperopia.

Browse Hyperopia 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
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Intended to treat bilaterally;
  • Hyperopia with or without astigmatism as specified in the protocol;
  • Stable vision as specified in the protocol;
  • Other protocol-defined inclusion criteria may apply.

Key Exclusion Criteria:

  • Glaucoma;
  • Cataracts;
  • Previous eye surgery;
  • Intent to have monovision treatment;
  • Other protocol-defined exclusion criteria may apply.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    WaveLight EX500 excimer laser system

    Laser-assisted in situ keratomileusis (LASIK) surgery using the WaveLight EX500 excimer laser system

    Device: WaveLight EX500 excimer laser system · Procedure: LASIK

Interventions

  • DeviceWaveLight EX500 excimer laser system

    FDA approved stationary scanning-spot excimer laser system used during refractive surgery for the treatment of myopia, myopic astigmatism, hyperopia, hyperopic astigmatism, and mixed astigmatism. For this clinical study, the Wavefront Optimized (WFO) Ablation profile of the WaveLight EX500 excimer laser system will be used for bilateral LASIK treatment of hyperopia with and without astigmatism.

  • ProcedureLASIK

    Procedure that reshapes the front part of the eye (cornea) so that light traveling through it is properly focused on the back part of the eye (retina). The procedure will be performed using the WaveLight EX500 excimer laser system.

06

What researchers measure

Primary outcomes

  1. Percentage of Eyes With Manifest Refraction Spherical Equivalent (MRSE) Within ±0.50 Diopter (D) at Refractive Stability

    A manifest refraction (manual refraction) was performed using a phoropter. The spherical equivalent was calculated by adding the sum of the sphere power with half of the cylinder power. Refractive stability was defined as the latter of two postoperative manifest refractions performed at least 3 months apart (or at 3 months after surgery when compared with the 1-month visit) that meets all the protocol-specified stability requirements. For this endpoint, change in MRSE by less than or equal to 0.50 D was reported. Both eyes contributed data to this analysis.

    Time frame: Up to Month 12 postoperative (Month 1 to Month 3, Month 3 to Month 6, Month 6 to Month 9, and Month 9 to Month 12)

  2. Percentage of Eyes With MRSE Within ±1.00 D at Refractive Stability

    A manifest refraction (manual refraction) was performed using a phoropter. The spherical equivalent was calculated by adding the sum of the sphere power with half of the cylinder power. Refractive stability was defined as the latter of two postoperative manifest refractions performed at least 3 months apart (or at 3 months after surgery when compared with the 1-month visit) that meets all the protocol-specified stability requirements. For this endpoint, change in MRSE by less than or equal to 1.00 D was reported. Both eyes contributed data to this analysis.

    Time frame: Up to Month 12 postoperative (Month 1 to Month 3, Month 3 to Month 6, Month 6 to Month 9, and Month 9 to Month 12)

  3. Percentage of Eyes Experiencing Ocular Adverse Events (AEs)

    An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users, or other persons, whether or not related to the investigational medical device (test product). Ocular adverse events were collected for this outcome measure. No hypothesis testing was prespecified for this endpoint.

    Time frame: Up to Month 12 postoperative

07

Results

Posted May 23, 2024

Participant flow

Participants were recruited from 5 investigative sites located in 1 country (US).

Participant flow — Overall Study
MilestoneWaveLight EX500 Excimer Laser System
Started30
Completed30
Not completed0

Outcome measures

PrimaryPercentage of Eyes With Manifest Refraction Spherical Equivalent (MRSE) Within ±0.50 Diopter (D) at Refractive Stability

A manifest refraction (manual refraction) was performed using a phoropter. The spherical equivalent was calculated by adding the sum of the sphere power with half of the cylinder power. Refractive stability was defined as the latter of two postoperative manifest refractions performed at least 3 months apart (or at 3 months after surgery when compared with the 1-month visit) that meets all the protocol-specified stability requirements. For this endpoint, change in MRSE by less than or equal to 0.50 D was reported. Both eyes contributed data to this analysis.

Time frame:
Up to Month 12 postoperative (Month 1 to Month 3, Month 3 to Month 6, Month 6 to Month 9, and Month 9 to Month 12)
Reported as:
Number · percentage of eyes
Percentage of Eyes With Manifest Refraction Spherical Equivalent (MRSE) Within ±0.50 Diopter (D) at Refractive Stability
percentage of eyesWaveLight EX500 Excimer Laser System
Percentage of Eyes With Manifest Refraction Spherical Equivalent (MRSE) Within ±0.50 Diopter (D) at Refractive Stability98.3
Statistical analysis
  • WaveLight EX500 Excimer Laser System · Exact Test of Binomial Proportion · p = <0.0001
PrimaryPercentage of Eyes With MRSE Within ±1.00 D at Refractive Stability

A manifest refraction (manual refraction) was performed using a phoropter. The spherical equivalent was calculated by adding the sum of the sphere power with half of the cylinder power. Refractive stability was defined as the latter of two postoperative manifest refractions performed at least 3 months apart (or at 3 months after surgery when compared with the 1-month visit) that meets all the protocol-specified stability requirements. For this endpoint, change in MRSE by less than or equal to 1.00 D was reported. Both eyes contributed data to this analysis.

Time frame:
Up to Month 12 postoperative (Month 1 to Month 3, Month 3 to Month 6, Month 6 to Month 9, and Month 9 to Month 12)
Reported as:
Number · percentage of eyes
Percentage of Eyes With MRSE Within ±1.00 D at Refractive Stability
percentage of eyesWaveLight EX500 Excimer Laser System
Percentage of Eyes With MRSE Within ±1.00 D at Refractive Stability100.0
Statistical analysis
  • WaveLight EX500 Excimer Laser System · Exact Test of Binomial Proportion · p = <0.0001
PrimaryPercentage of Eyes Experiencing Ocular Adverse Events (AEs)

An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users, or other persons, whether or not related to the investigational medical device (test product). Ocular adverse events were collected for this outcome measure. No hypothesis testing was prespecified for this endpoint.

Time frame:
Up to Month 12 postoperative
Reported as:
Number · percentage of eyes
Percentage of Eyes Experiencing Ocular Adverse Events (AEs)
percentage of eyesWaveLight EX500 Excimer Laser System
Diplopia11.7
Photophobia6.7
Visual acuity reduced3.3
Ocular hyperaemia1.7

Adverse events

Collected over Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pretreament0/30 (0%)0/30 (0%)0/30 (0%)
WaveLight EX500 Excimer Laser System - Ocular0/60 (0%)2/60 (3.3%)10/60 (16.7%)
WaveLight EX500 Excimer Laser System - Systemic0/30 (0%)0/30 (0%)0/30 (0%)
Most frequent serious events
Most frequent serious events
EventPretreamentWaveLight EX500 Excimer Laser System - OcularWaveLight EX500 Excimer Laser System - Systemic
Visual acuity reducedEye disorders0/302/600/30
Most frequent other events
Most frequent other events
EventPretreamentWaveLight EX500 Excimer Laser System - OcularWaveLight EX500 Excimer Laser System - Systemic
DiplopiaEye disorders0/307/600/30
PhotophobiaEye disorders0/304/600/30

Baseline characteristics

Safety Analysis Set: All eyes for which a refractive surgery was attempted with test device (regardless of success or failure).

Age, Continuous
Age, Continuous(years)WaveLight EX500 Excimer Laser System
Mean38.6 ± 10.42
Sex: Female, Male
Sex: Female, Male(Participants)WaveLight EX500 Excimer Laser System
Female19
Male11
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)WaveLight EX500 Excimer Laser System
White29
Black or African American1
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Multi-Racial0
Other0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)WaveLight EX500 Excimer Laser System
Hispanic or Latino4
Not Hispanic or Latino26
Not Reported0
Unknown0
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Study locations

5 sites
  • Durrie Vision
    Overland Park, Kansas 66210, United States
  • Moyes Eye Center
    Kansas City, Missouri 64154, United States
  • Physicians Protocol
    Greensboro, North Carolina 27401, United States
  • Vance Thompson Vision ND
    W. Fargo, North Dakota 58078, United States
  • Mann Eye Institute
    Houston, Texas 77004, United States
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 Apr 2021 to primary completion in May 2023, 24 months.

Results were first posted in May 2024, 1 year after primary completion.

Of 36 industry-sponsored interventional studies with no phase under Hyperopia, half reached primary completion within 5 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 24. This study's 24 months is above that.

Counting every sponsor, half of 54 studies reached it within 10 months; a quarter within 4 and three quarters within 24.

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

Registered
Mar 16, 2021
First posted
Mar 18, 2021
StartActual
Apr 28, 2021
Primary completionActual
May 2, 2023
CompletionActual
May 2, 2023
Results first posted
May 23, 2024
Last update
Aug 21, 2024
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 Aug 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04805593
Lead sponsor
Alcon Research
Responsible party
Sponsor
First posted
Mar 18, 2021
Start date
Apr 28, 2021
Primary completion
May 2, 2023
Completion
May 2, 2023
Results posted
May 23, 2024
Last update
Aug 21, 2024

Study contacts

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

Oversight

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

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