Comparison of Clinical Outcomes on Trifocal IOLs FineVision POD F GF and FineVision POD F in Asian Eyes (PHY1706)

July 26, 2023 updated by: Beaver-Visitec International, Inc.

Clinical Study to Compare Clinical Outcomes of IOLs FineVision POD F GF (Hydrophobic) and FineVision POD F (Hydrophilic) After Bilateral Implantation in Asian Eyes

Prospective, randomised, controlled, single-surgeon, single-center clinical study to compare the clinical outcomes of two trifocal IOLs with different material (hydrophobic and hydrophilic) from the same manufacturer. Implantation of the IOLs is bilaterally.

Study Overview

Status

Completed

Conditions

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

Interventional

Enrollment (Actual)

45

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Makati City, Philippines, 1200
        • Asian Eye Institute

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

45 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

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

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / 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

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

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

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

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Robert Edward Ang, MD, Asian Eye Institute

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 4, 2017

Primary Completion (Actual)

January 24, 2019

Study Completion (Actual)

February 10, 2022

Study Registration Dates

First Submitted

September 28, 2017

First Submitted That Met QC Criteria

October 4, 2017

First Posted (Actual)

October 11, 2017

Study Record Updates

Last Update Posted (Actual)

July 27, 2023

Last Update Submitted That Met QC Criteria

July 26, 2023

Last Verified

July 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • PHY 1706

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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