Comparison of Clinical Outcomes on Trifocal IOLs FineVision POD F GF and FineVision POD F in Asian Eyes (PHY1706)
Clinical Study to Compare Clinical Outcomes of IOLs FineVision POD F GF (Hydrophobic) and FineVision POD F (Hydrophilic) After Bilateral Implantation in Asian Eyes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a prospective, randomised, controlled, single-surgeon, single-center clinical study whereby patients undergoing routine cataract surgery will have bilateral implantation of trifocal intraocular lenses. The patients will either be implanted with the hydrophobic IOL FineVision POD F GF or the hydrophilic IOL FineVision POD F (both lenses: (PhysIOL, Liège, Belgium).
The devices under investigation (FineVision POD F GF and POD F) are trifocal glistening-free acrylic intraocular lenses (IOLs) manufactured by the sponsor of this study PhysIOL sa/nv. The main difference between the lenses is the material (hydrophobic and hydrophilic). The IOLs will be implanted as part of the routine cataract surgery on patients suffering from cataract development.
Subjects participating in the trial will attend a total of 12 study visits (1 preoperative, 2 operative and 9 postoperative) over a period of 36 months. Subjects would have the option for unscheduled visits if required medically.
Primary endpoint data will be collected at the 3 months follow up visit and secondary endpoint data will be collected at the 3, 12, 24 and 36 months follow up visits. Data analyses will be done after the last patient finished the final examination to support the study publication plan.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Makati City, Philippines, 1200
- Asian Eye Institute
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Cataractous eyes with no comorbidity
- Spontaneously emitting the desire for spectacle independence after surgery and with realistic expectation.
- Availability, willingness and sufficient cognitive awareness to comply with examination procedures
- Signed informed consent
Exclusion Criteria:
- Unrealistic expectation
- Age of patient <45 years
- Irregular astigmatism
- Regular corneal astigmatism >0.75 dioptres by an automatic keratometer or biometer or >1.0 dioptres if the steep axis of cylinder is between 90° and 120°
- Difficulty for cooperation (distance from their home, general health condition)
- Acute or chronic disease or illness that would increase risk or confound study results (e.g. diabetes mellitus (with retinopathy), immunocompromised, glaucoma etc…)
- Any ocular comorbidity
- History of ocular trauma or prior ocular surgery including refractive procedures
- Capsule or zonular abnormalities that may affect postoperative centration or tilt of the lens (e.g. pseudoexfoliation syndrome, chronic Uveitis, Marfan's syndrome)
- Pupil abnormalities (non-reactive, tonic pupils, abnormally shaped pupils or pupils that do not dilate under mesopic/scotopic conditions)
- Age-related Macular Degeneration (AMD) suspicious eyes (determined by OCT)
- Complicated surgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: IOL implantation experimental
hydrophobic, trifocal intraocular lens POD F GF
|
Implantation of trifocal IOL POD F GF consisting of hydrophobic material
|
|
Active Comparator: IOL implantation active comparator
hydrophilic, trifocal intraocular lens POD F
|
Implantation of trifocal IOL POD F consisting of hydrophilic material
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Monocular Uncorrected Distance Visual Acuity (UDVA) under photopic light conditions.
Time Frame: 3 months postoperative
|
No statistically significant difference between the two study groups on monocular UDVA at 3 months follow up visit.
A significance level of 0.05 or lower (p < 0.05) will be considered statistically significant.
UDVA is measured with ETDRS charts placed in 4m distance according to ISO 11979-7:2014
|
3 months postoperative
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Manifested refraction
Time Frame: Pre-OP, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The manifested refraction is measured by means of a phoropter.
The data contains values for sphere, cylinder and axis of cylinder according to ISO 11979-7:2014.
This data will also be used to calculate the manifested refractive spherical equivalent (MRSE)
|
Pre-OP, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Uncorrected Distance Visual Acuity (UDVA) - monocular
Time Frame: 1 day postoperative, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
UDVA is measured with ETDRS charts placed in 4m distance according to ISO 11979-7:2014.
This assessment is done monocularly.
|
1 day postoperative, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Uncorrected Distance Visual Acuity (UDVA) - binocular
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
UDVA is measured with ETDRS charts placed in 4m distance according to ISO 11979-7:2014.
This assessment is done binocularly.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Corrected Distance Visual Acuity (CDVA) - monocular
Time Frame: Pre-OP, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
CDVA is measured with ETDRS charts placed in 4m distance with best aided corrective glasses according to ISO 11979-7:2014.
This assessment is done monocularly.
|
Pre-OP, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Corrected Distance Visual Acuity (CDVA) - binocular
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
CDVA is measured with ETDRS charts placed in 4m distance with best aided corrective glasses according to ISO 11979-7:2014.
This assessment is done binocularly.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Distance Corrected Intermediate Visual Acuity at 70cm (DCIVA) - monocular
Time Frame: 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
DCIVA is measured with ETDRS charts placed in 70cm distance with corrective glasses for far distance according to ISO 11979-7:2014.
This assessment is done monocularly.
|
1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Distance Corrected Intermediate Visual Acuity at 70cm (DCIVA) - binocular
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
DCIVA is measured with ETDRS charts placed in 70cm distance with corrective glasses for far distance according to ISO 11979-7:2014.
This assessment is done binocularly.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Uncorrected Intermediate Visual Acuity at 70cm (UIVA) - monocular
Time Frame: 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
UIVA is measured with ETDRS charts placed in 70cm distance.
The examination is done without corrective glasses and according to ISO 11979-7:2014.
This assessment is done monocularly.
|
1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Uncorrected Intermediate Visual Acuity at 70cm (UIVA) - binocular
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
UIVA is measured with ETDRS charts placed in 70cm distance.
The examination is done without corrective glasses and according to ISO 11979-7:2014.
This assessment is done binocularly.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Distance Corrected Near Visual Acuity at 35cm (DCNVA) - monocular
Time Frame: 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
DCNVA is measured with ETDRS charts placed in 35cm distance with corrective glasses for far distance according to ISO 11979-7:2014.
This assessment is done monocularly.
|
1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Distance Corrected Near Visual Acuity at 35cm (DCNVA) - binocular
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
DCNVA is measured with ETDRS charts placed in 35cm distance with corrective glasses for far distance according to ISO 11979-7:2014.
This assessment is done binocularly.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Uncorrected Near Visual Acuity at 35cm (UNVA)
Time Frame: 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
UNVA is measured with ETDRS charts placed in 35cm distance.
The examination is done without corrective glasses and according to ISO 11979-7:2014.
This assessment is done monocularly.
|
1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Uncorrected Near Visual Acuity at 35cm (UNVA)
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
UNVA is measured with ETDRS charts placed in 35cm distance.
The examination is done without corrective glasses and according to ISO 11979-7:2014.
This assessment is done binocularly.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Contrast Sensitivity
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
Contrast Sensitivity under photopic and mesopic light conditions
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Aberrometry
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
Aberrometry outcomes are measured with a standard aberrometer.
The following values will be evaluated in this study: Spherical aberrations, high order aberrations, lens tilt.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
AcuTarget diagnostic device
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
Measurement of Ocular Scatter Index (OSI) score to evaluate and compare the scattering of the implanted lenses.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Visual Functioning Questionnaire - 25 (VFQ-25)
Time Frame: 3 months postoperative, 12 months postoperative.
|
Outcomes measures of a questionnaire to address the general patient satisfaction and possible side effects of the treatment.
For this study, the validated and verified Visual Functioning Questionnaire - 25 (VFQ-25) will be used.
The maximum score for each questionaire is 100.
|
3 months postoperative, 12 months postoperative.
|
|
Defocus Curve
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
To assess the visual acuity for different distances, defocus curves under photopic light conditions are measured.
This test is performed with best distance corrected refraction and spherical additions ranging from -5.0 D to +1.5 D. This examination is performed monocularly and binocularly.
|
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - Corneal Status
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Corneal Status |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - Fundus
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Fundus |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - Signs of inflammation
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Signs of inflammation |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - Pupillary block
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Pupillary block |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - Retinal detachment
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Retinal detachment |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - Status of anterior and posterior capsule
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • Status of anterior and posterior capsule |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - IOL decentration
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • IOL decentration |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - IOL tilt
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • IOL tilt |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - IOL discoloration
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • IOL discoloration |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Slitlamp examination - IOL opacity
Time Frame: 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The slitlamp examination is one examination to analyse the integrity of eye structures and the implanted IOL. The examination is performed and documented according to the guidelines in ISO 11979-7:2018. With the slitlamp the ophthalmologist can observe the eyes stereoscopically. A focussed slit of light, which can be width-adjusted, is projected on the eye to be examined. The investigator observes this projection on the eye through a reflected light microscope. The slitlamp is used to observe the anterior and posterior part of the eye, including cornea, lens and anterior chamber. By dilating the pupil the fundus can also be examined. Following conditions shall be examined with the slitlamp: • IOL opacity |
3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Intraocular pressure (IOP) measurement
Time Frame: Pre-OP, 1 day postoperative, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
The IOP will be measured with non-contact tonometer as part of the routine follow up examinations
|
Pre-OP, 1 day postoperative, 1 week postoperative, 1 month postoperative, 3 months postoperative, 12 months postoperative, 24 months postoperative, 36 months postoperative.
|
|
Keratometry
Time Frame: Pre-OP
|
Keratometric measurements are performed to calculate the required IOL power
|
Pre-OP
|
|
Biometry
Time Frame: Pre-OP
|
Biometry measurements are performed to calculate the required IOL power
|
Pre-OP
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Robert Edward Ang, MD, Asian Eye Institute
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PHY 1706
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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