ClinicalTrials.gg
CompletedNCT06461455Updated Dec 24, 2025Results posted

Clinical Performance Evaluation of Two Frequent Replacement Silicone Hydrogel Multifocal Toric Contact Lenses

An interventional study of Lehfilcon A multifocal for astigmatism contact lenses and Samfilcon A multifocal for astigmatism contact lenses in Presbyopia and Astigmatism, sponsored by Alcon Research. Completed at 11 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2025-12-24.

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

Phase
Not applicable
Study type
Interventional
Enrollment
95
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate on-eye clinical performance of the investigational contact lenses following 30 days of wear in the intended population.

Read the detailed description

Subjects will wear two different contact lens study products in a cross-over fashion. Each study product type will be worn for approximately 30 days. A washout period of 2-4 days will occur prior to the first wear period and between the two wear periods. Subjects will be expected to attend 5 office visits. The total duration of study participation is approximately 66 days.

02

Conditions studied

  • Presbyopia
  • Astigmatism

Keywords

  • Myopia
  • Hyperopia
  • Multifocal
  • Toric
03

In context

Presbyopia

336 studies on the registry are indexed under Presbyopia; 35 are open to participants now.

This study's enrollment of 95 is above the median of 61 across 276 interventional studies indexed under Presbyopia.

Browse Presbyopia 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
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Habitual wearer of biweekly/monthly replacement soft multifocal or multifocal toric contact lenses in both eyes for a minimum of 5 days per week and 8 hours per day during the past 3 months;
  • Manifest cylinder equal to or greater than 0.75 diopter (D) in each eye at Screening;
  • Willing to not use readers while wearing study contact lenses for duration of the study;
  • Other protocol-defined inclusion criteria may apply.

Key Exclusion Criteria:

  • Use of topical ocular medications and artificial tear or rewetting drops that would require instillation during contact lens wear;
  • Wears habitual contact lenses in an extended wear modality (routinely sleeping in lenses for at least 1 night per week) over the last 3 months prior to enrollment;
  • Monovision contact lens wearers and wearers of contact lens in one eye only;
  • Other protocol-defined exclusion criteria may apply.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
95 participants (actual)

Study arms

  • Other
    LID230451, then ULTRA MFfA

    Lehfilcon A multifocal for astigmatism contact lenses worn in Period 1, followed by samfilcon A multifocal for astigmatism contact lenses worn in Period 2, as randomized. The study lenses will be worn bilaterally (in both eyes) during typical contact lens wearing hours for at least 8 hours per day during each wear period \[30 days (-2/+1)\]. Study lenses will be removed daily for cleaning and disinfection with CLEAR CARE.

    Device: Lehfilcon A multifocal for astigmatism contact lenses · Device: Samfilcon A multifocal for astigmatism contact lenses · Device: CLEAR CARE® Cleaning & Disinfecting Solution

  • Other
    ULTRA MFfA, then LID230451

    Samfilcon A multifocal for astigmatism contact lenses worn in Period 1, followed by lehfilcon A multifocal for astigmatism contact lenses worn in Period 2, as randomized. The study lenses will be worn bilaterally (in both eyes) during typical contact lens wearing hours for at least 8 hours per day during each wear period \[30 days (-2/+1)\]. Study lenses will be removed daily for cleaning and disinfection with CLEAR CARE.

    Device: Samfilcon A multifocal for astigmatism contact lenses · Device: Lehfilcon A multifocal for astigmatism contact lenses · Device: CLEAR CARE® Cleaning & Disinfecting Solution

Interventions

  • DeviceLehfilcon A multifocal for astigmatism contact lenses

    Investigational multifocal contact lenses for astigmatism

  • DeviceSamfilcon A multifocal for astigmatism contact lenses

    Commercially available multifocal contact lenses for astigmatism

    Also known as: ULTRA® Multifocal for Astigmatism

  • DeviceCLEAR CARE® Cleaning & Disinfecting Solution

    Hydrogen peroxide-based contact lens cleaning and disinfection system

    Also known as: CLEAR CARE

  • DeviceLehfilcon A multifocal for astigmatism contact lenses

    Investigational multifocal contact lenses for astigmatism

  • DeviceCLEAR CARE® Cleaning & Disinfecting Solution

    Hydrogen peroxide-based contact lens cleaning and disinfection system

    Also known as: CLEAR CARE

06

What researchers measure

Primary outcomes

  1. Mean Binocular Visual Acuity at Distance (4 Meters) at Day 30 With Study Lenses

    Visual Acuity (VA) was assessed at a distance of 4 meters with both eyes together (binocular) under high contrast, high illumination lighting with study lenses in place. VA was measured using letter charts and recorded in the logarithm of the minimum angle of resolution (LogMAR). A LogMAR value of 0 equates to 20/20 Snellen VA (normal distance eyesight), with negative LogMAR values representing better than 20/20 VA. The LogMAR VA scale ranges from -0.30 (20/10 Snellen) to 1.00 (20/200 Snellen).

    Time frame: Day 30 (-2/+1) of each wear period. A wear period was 30 days (-2/+1) according to randomization assignment.

07

Results

Posted Dec 24, 2025

Participant flow

Subjects were enrolled at 11 investigative sites.

First Wear Period (Approx 30 Days)
Participant flow — First Wear Period (Approx 30 Days)
MilestoneLID230451, Then ULTRA MFfAULTRA MFfA, Then LID230451
Started4639
Completed4538
Not completed11
Withdrew: Withdrawal by subject01
Withdrew: Screen failure10
Washout Period (Approx 2-4 Days)
Participant flow — Washout Period (Approx 2-4 Days)
MilestoneLID230451, Then ULTRA MFfAULTRA MFfA, Then LID230451
Started4538
Completed4537
Not completed01
Withdrew: Adverse event01
Second Wear Period (Approx 30 Days)
Participant flow — Second Wear Period (Approx 30 Days)
MilestoneLID230451, Then ULTRA MFfAULTRA MFfA, Then LID230451
Started4537
Completed4537
Not completed00

Outcome measures

PrimaryMean Binocular Visual Acuity at Distance (4 Meters) at Day 30 With Study Lenses

Visual Acuity (VA) was assessed at a distance of 4 meters with both eyes together (binocular) under high contrast, high illumination lighting with study lenses in place. VA was measured using letter charts and recorded in the logarithm of the minimum angle of resolution (LogMAR). A LogMAR value of 0 equates to 20/20 Snellen VA (normal distance eyesight), with negative LogMAR values representing better than 20/20 VA. The LogMAR VA scale ranges from -0.30 (20/10 Snellen) to 1.00 (20/200 Snellen).

Time frame:
Day 30 (-2/+1) of each wear period. A wear period was 30 days (-2/+1) according to randomization assignment.
Reported as:
Mean · logMAR
Mean Binocular Visual Acuity at Distance (4 Meters) at Day 30 With Study Lenses
logMARLID230451ULTRA MFfA
Mean Binocular Visual Acuity at Distance (4 Meters) at Day 30 With Study Lenses-0.50 ± 0.10-0.08 ± 0.09
Statistical analysis
  • LID230451 vs ULTRA MFfA · Least squares mean difference: -0.05LSM results based on mixed effects repeated measures model with both fixed (lens, visit, lens by visit interaction, period, and lens sequence) and random (subject) effects. Difference=LID230451-ULTRA MFfA. Sign is retained with the rounded value.

Adverse events

Collected over Adverse Events (AEs) were collected from time of consent to study exit, approximately 66 days. AEs were obtained through solicited and spontaneous comments from subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects exposed to any study lenses evaluated in this study, as treated.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pretreatment0/85 (0%)0/85 (0%)0/85 (0%)
LID230451 Ocular—0/166 (0%)0/166 (0%)
LID230451 Nonocular0/83 (0%)0/83 (0%)0/83 (0%)
ULTRA MFfA Ocular—0/168 (0%)0/168 (0%)
ULTRA MFfA Nonocular0/84 (0%)0/84 (0%)0/84 (0%)

Baseline characteristics

This analysis population includes all subjects exposed to any study lenses evaluated in this study.

Age, Continuous
Age, Continuous(years)LID230451, Then ULTRA MFfAULTRA MFfA, Then LID230451Total
Mean55.8 ± 9.455.9 ± 9.455.9 ± 9.4
Sex: Female, Male
Sex: Female, Male(Participants)LID230451, Then ULTRA MFfAULTRA MFfA, Then LID230451Total
Female292756
Male171229
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)LID230451, Then ULTRA MFfAULTRA MFfA, Then LID230451Total
White392766
Black or African American224
American Indian or Alaska Native000
Asian51015
Native Hawaiian or Other Pacific Islander000
Other000
Region of Enrollment
Region of Enrollment(participants)LID230451, Then ULTRA MFfAULTRA MFfA, Then LID230451Total
United States463985
08

Study locations

11 sites
  • Dr.Elsa Pao, O.D
    Oakland, California 94607, United States
  • Pacific Rims Optometry
    San Francisco, California 94127, United States
  • Drs. Giedd, P.A.
    Maitland, Florida 32751, United States
  • Vision Health Institute
    Orlando, Florida 32803, United States
  • Kannarr Eye Care LLC
    Pittsburg, Kansas 66762, United States
  • Wesley Optometric Consulting
    Medina, Minnesota 55340, United States
  • Oculus Research, Inc.
    Garner, North Carolina 27529, United States
  • ProCare Vision Centers, Inc.
    Granville, Ohio 43023, United States
  • Insight Research Clinic LLC
    Powell, Ohio 43065, United States
  • Optometry Group, PLLC
    Memphis, Tennessee 38111, United States
  • Dawn M. Rakich, OD
    San Antonio, Texas 78213, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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 Dec 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06461455
Lead sponsor
Alcon Research
Responsible party
Sponsor
First posted
Jun 17, 2024
Start date
Jul 26, 2024
Primary completion
Dec 31, 2024
Completion
Dec 31, 2024
Results posted
Dec 24, 2025
Last update
Dec 24, 2025

Study contacts

Sr. Clinical Trial Lead, Vision Care
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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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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