ClinicalTrials.gg
CompletedNCT05236439SAFARI 3Updated Apr 24, 2026

Study of a Cilioscleral Interposition Device (CID) SV22 in Patients With Primary Open Angle Glaucoma and Narrow Angle Glaucoma

An interventional study of Interposition supraciliary implant in Glaucoma, Open-Angle and Glaucoma, Narrow Angle, sponsored by Ciliatech. Completed at 1 site in Armenia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by Ciliatech · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
57
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and effectiveness of implanting a new version of an interposition supraciliary implant (SV22) as a stand-alone therapy for lowering intraocular pressure (IOP) in patients with primary open angle glaucoma (POAG) and primary narrow angle glaucoma (PNAG) who have failed at least one class of topical medical therapy

Read the detailed description

57 patients will be included in this 36 months interventional study.

All patients shall be indicated for glaucoma surgery alone (not combined with cataract), and will undergo incisional glaucoma therapy, including a simplified surgical technique allowing the placement of an interposition supraciliary permanent device.

Several patient data like safety events, IOP, visual capacity or associated pharmacological treatments will be recorded pre and post-operatively all along the follow-up.

Purpose is to ensure device safety, and verify IOP and associated pharmacological treatment reduction after surgery, and evolution along follow-up.

02

Conditions studied

  • Glaucoma, Open-Angle
  • Glaucoma, Narrow Angle
03

In context

Glaucoma, Open-Angle

924 studies on the registry are indexed under Glaucoma, Open-Angle; 117 are open to participants now.

This study's enrollment of 57 is below the median of 80 across 692 interventional studies indexed under Glaucoma, Open-Angle.

Browse Glaucoma, Open-Angle studies →

Lead sponsor

Ciliatech is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

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

To be included in the study, all patients must meet all the following inclusion criteria:

Patient:

  1. 18 years or older
  2. Able to understand study requirements
  3. Able and willing:

    To provide written consent on the EC-approved Form, b. To comply with all study requirements, including required study follow-up visits' agenda

    Eye:

  4. Primary Open Angle Glaucoma (POAG) or Narrow Angle Glaucoma (PNAG), including pseudo exfoliative and pigmentary glaucoma, which meets the following:

    1. Vertical C/D ratio on fundoscopic exam ≤ 0.9, or OCT demonstrating a thinness of the nerve fibre layer at the p\<5% level as defined by the instrument's built in age-adjusted normative database,
    2. Glaucoma visual field (Humphrey) with -15 \< MD \< 0dB
  5. Pharmacological treatments: glaucoma not adequately controlled by 1 to 4 different IOP-lowering medication(s), given each for at least one month prior to Screening,
  6. IOP: if using 1 to 4 IOP-lowering medication, IOP is between 21 mmHg and 35 mmHg in the study eye at Screening and Baseline visits
  7. Having the indication for glaucoma surgery alone (no concomitant cataract surgery)
  8. Central Corneal Thickness between 480 to 620 µm
  9. Gonioscopy confirming normal angle anatomy at site of implantation

Exclusion criteria

Exclusion criteria

Patients will not participate in this clinical study if they meet any of the following criteria:

Patient:

  1. Patient with a known allergy to any of the constituents of the products used in this study or known responder
  2. Patient already included in another study
  3. A person protected by law (temporary or permanent guardianship) or not capable of discernment
  4. Patient who may not assist to all follow-up visits (because of frequent travelling, or living in remote area, or limited moving capacities, …)
  5. Pregnant or nursing woman at the date of inclusion (only for women of : positive urine pregnancy test at screening)
  6. With uncontrolled systemic disease that, in the opinion of the Investigator, would put the subject's health at risk and/or prevent the subject from completing all study visits (e.g. inability to reliably complete visual field testing over the course of the study, or take glaucoma medications (e.g. Parkinson's disease), or uncontrolled systemic disease (diabetes, hypertension) that could compromise participation in the study, …)
  7. Who have a new or modified prescription for a systemic treatment that could influence IOP within one month prior to inclusion, or who are aware of a future change in their systemic treatment, or if their medical condition indicates that their systemic treatment may change in the future
  8. Chemotherapy in the last 6 months before surgery

    Eye:

  9. Inflammatory, congenital, malignant, traumatic, uveitic, neovascular glaucoma or iridocorneal endothelial syndrome (ICE syndrome)
  10. History of any incisional glaucoma surgery or implantable glaucoma device
  11. Prior SLT, or MLT
  12. Eye surgery (other than glaucoma) less than 6 months ago, or presenting sequelae of previous eye surgery or trauma
  13. Inability to obtain accurate IOP measurement throughout the study (e.g. history of corneal surgery, corneal opacities or disease/pathology)
  14. Conditions associated with elevated episcleral venous pressure such as active thyroid orbitopathy, cavernous sinus fistula, Sturge-Weber syndrome, orbital tumors, orbital congestive disease
  15. Any known ocular condition that may require intraocular intervention during the protocol required follow-up period
  16. Premature or mature cataract (initial cataract are accepted)
  17. Any condition that prevents the device implantation in the superior and nasal region of the eye
  18. Pre-existing ocular or systemic pathology that may, in the opinion of the Investigator, cause post-operative complications
  19. Non laser retinal surgery
  20. Previous cyclodestructive or scleral buckling procedure
  21. History of complicated cataract surgery (as posterior capsular rupture, vitreous loss)
  22. History of silicone oil
  23. Ocular steroid in the planned study eye or systemic steroid use in the last 3 months before surgery
  24. Use of oral hypotensive glaucoma medications for treatment of the fellow eye
  25. Axial length \<20 mm
  26. Severe myopia
  27. Best corrected distant visual acuity of 0.1 (20/200) or worse in the study or fellow eye
  28. Peripheral synechia at the angle
  29. Closed angle
  30. Peripheral laser iridotomy in the last 7 days before planned surgery
  31. Epithelial or fibrous downgrowth
  32. Severe dry eye syndrome
  33. Severe blepharitis
  34. Chronic or recurrent uveitis
  35. Conjunctiva showing keratitis, fine conjunctiva, erosion or abnormal vascularisation
  36. Active iris neovascularization, rubeosis, proliferative retinopathy, diagnosed degenerative visual disorders (e.g. macular degeneration or other retinal disorders), vitreous haemorrhage, preretinal haemorrhage, choroidopathy or other ophthalmic disease that could confound study results
  37. Scleral fixation IOL
  38. Lens dislocation or subluxation
  39. Vitreous loss in the anterior chamber
Terms in these criteria, in plain language(5)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    Interposition supraciliary implant

    Any patients corresponding to inclusion / exclusion criteria

    Device: Interposition supraciliary implant

Interventions

  • DeviceInterposition supraciliary implant

    Surgical placement of SV22 interposition supraciliary implant in the supraciliary space

06

What researchers measure

Primary outcomes

  1. Assess post-op IOP and IOP lowering pharmacological treatments

    Mean change in medicated IOP and IOP-lowering pharmacological treatments from baseline at 24 months after surgery

    Time frame: 24 months

Secondary outcomes

  1. Assess post op mean diurnal IOP

    Proportion of eyes with ≥ 20% decrease in mean-Diurnal-IOP from baseline up to 6, 12, 18, 24 and 36 months post-operatively with IOP lowering medication

    Time frame: up to 36 months

  2. Assess mean medicated IOP

    Mean medicated IOP at Baseline and 6, 12, 18, 24 and 36 months after surgery

    Time frame: Up to 36 months

  3. Mean number of IOP lowering pharmacological treatments

    Mean number of IOP-lowering pharmacological treatments at baseline and 6, 12, 18, 24 and 36 months after surgery

    Time frame: Up to 36 months

  4. Mean change in post op IOP and IOP lowering pharmacological treatment

    Mean change in medicated IOP and IOP-lowering pharmacological treatments from baseline at 6, 12, 18 and 36 months after surgery

    Time frame: 6, 12, 18, and 36 months

  5. Assess absolute success rate

    Absolute success rate: proportion of med-free eyes with ≥ 20% decrease from baseline and below 18 mmHg at 6, 12, 18, 24 and 36 months after surgery

    Time frame: Up to 36 months

  6. Assess qualified success rate

    Qualified success rate: proportion of eyes with ≥ 20% decrease from baseline and below 18 mmHg at 6, 12, 18, 24 and 36 months after surgery

    Time frame: Up to 36 months

  7. Rate of patients with a reduction in post operative IOP

    Rate of patients with at least a 20%, 30%, 40% and more than 50% reduction in post operative IOP, with or without combined medical treatments, at each visit

    Time frame: Up to 36 months

  8. Proportion of eyes free of ocular hypotensive medications

    Proportion of eyes free of ocular hypotensive medications at 6, 12, 18, 24 and 36 months after surgery

    Time frame: Up to 36 months

  9. Assess proportion of eyes with IOP between 6-18 mmHg

    Proportion of eyes with IOP ≥6 mmHg and ≤ 18 mmHg, the same with med-free eyes only

    Time frame: Up to 36 months

  10. Proportion of eyes with IOP between 6-16 mmHg

    Proportion of eyes with IOP ≥6 mmHg and ≤ 16 mmHg, the same with med-free eyes only

    Time frame: Up to 36 months

  11. Average number of adjunctive therapies post-operatively

    Average number of adjunctive therapies (needling, goniopuncture, SLT, …) performed up to 36 months postoperatively

    Time frame: Up to 36 months

  12. Rate of patients with no filtering blebs

    Rate of patients with no filtering bleb, average duration of filtering blebs

    Time frame: Up to 36 months

  13. Assess the surgical procedure

    To evaluate the surgical procedure (duration of operation, ease of implantation)

    Time frame: Day 0, day of surgery

  14. Assess patient satisfaction post-operatively

    To describe patient satisfaction following surgery based on criteria of pain, discomfort and deterioration in visual acuity

    Time frame: Up to 36 months

  15. Describe patient's quality of life

    To describe changes in quality of life (EQ5D)

    Time frame: Up to 36 months

  16. Assess rate of intraoperative and post-operative related adverse device effects

    Rate of intraoperative and post-operative device related ocular adverse events and adverse device effect

    Time frame: Up to 36 months

  17. Review slit lamp, gonioscopy and fundus findings

    Slit lamp, gonioscopy and fundus findings

    Time frame: Up to 36 months

  18. Determine rate of BCVA

    Rate of best corrected visual acuity variation (BCVA)

    Time frame: Up to 36 months

  19. Assess rate of Visual field mean deviation variation (VF MD)

    Rate of Visual field mean deviation variation (VF MD)

    Time frame: Up to 36 months

  20. Determine rate of C/D ratio mean deviation

    Rate of C/D ratio mean deviation

    Time frame: Up to 36 months

  21. Assess rate of sight threatening events

    Rate of sight threatening events

    Time frame: Up to 36 months

  22. Assess rate of change in endothelial cell density and central corneal thickness

    Rate of change in endothelial cell density (ECD) and central corneal thickness (CCT)

    Time frame: Up to 36 months

  23. Assess rate of occurrence of SV22 movements in the supraciliary space

    Rate of occurrence of SV22 movements inside the supraciliary space (SCS), defined as a change of position of the anterior edge of the implant of at least 200 µm measured on UBM from D7 to any timepoint

    Time frame: Up to 36 months

07

Study locations

1 site
  • Malayan center
    Yerevan, Yerevan, Armenia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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 May 2022 to primary completion in Feb 2025, 32 months.

Of 70 industry-sponsored interventional studies with no phase under Glaucoma, Open-Angle, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 64. This study's 32 months is close to that.

Counting every sponsor, half of 170 studies reached it within 35 months; a quarter within 19 and three quarters within 61.

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

Registered
Feb 2, 2022
First posted
Feb 11, 2022
StartActual
May 23, 2022
Primary completionActual
Feb 19, 2025
CompletionActual
Nov 3, 2025
Last update
Apr 24, 2026
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 Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05236439
Lead sponsor
Ciliatech
Collaborators
Clinchoice Inc
Responsible party
Sponsor
First posted
Feb 11, 2022
Start date
May 23, 2022
Primary completion
Feb 19, 2025
Completion
Nov 3, 2025
Last update
Apr 24, 2026

Study contacts

Lilit Voskanyan
principal investigator · Malayan Center

Oversight

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

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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