- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03561922
Impact on Daily Life of Patients Using the Subretinal Implant RETINA IMPLANT Alpha AMS
Study Overview
Status
Intervention / Treatment
Detailed Description
This study aims to assess the impact of the subretinal implant RETINA IMPLANT Alpha AMS on the patient's daily life. In addition, the study will provide additional information about the safety and efficacy of the CE-certified RETINA IMPLANT Alpha AMS. In several studies it has been shown that patients who received this subretinal implant regain visual function to a certain extent and that its use is safe. So far, all assessments of patients with the RETINA IMPLANT Alpha AMS have been done in a controlled environment within the scope of interventional studies where the benefit in daily life has been assessed anecdotally only. Currently, there is no standard method available for an objective assessment of the impact of such devices in daily life of these patients. Hence, the aim of this study is to further assess the impact in daily life with a combination of already validated and newly developed assessments and questionnaires.
This study adheres to the tenets of the Declaration of Helsinki.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Hérault
-
Montpellier, Hérault, France, 34093
- Clinique Saint Jean
-
-
Vienne
-
Poitiers, Vienne, France, 86021
- Centre Hospitalier Universitaire La Milétrie de Poitiers
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 18 to 78
- Willing and able to give written informed consent
- Hereditary retinal degeneration of the outer retinal layer i.e. photoreceptors (rods & cones)
- Pseudophakia or aphakia in the eye to be implanted
- Retinal vessels with remaining perfusion, despite pathological condition
- Layering of inner retina in the central region present, as shown by Optical Coherence Tomography (OCT)
- Thickness of the retina sufficient for subretinal surgery as shown by OCT
- Inner retina still functional (proven e.g. by light perception or electrically evoked phosphenes (EEP))
- Blindness in both eyes, (no light perception or light perception only)
- Visual acuity sufficient for reading normal print in earlier life, optically corrected
- Period of appropriate visual functions at least 12 years / lifetime
- Willing and able to perform study assessments and training during the full time period of 12 months
- Motivation to get the best possible results through training and realistic expectations about these as assessed in screening interview
Exclusion Criteria:
- OCT shows significant retina edema and/or scar tissue within target region for implant
- Heavy clumped pigmentation at posterior pole or on the planned route of the implantation
- atrophy of optic nerve or ganglion cells degeneration
- Any other ophthalmologic disease with relevant effect upon visual function (e.g. glaucoma, optic neuropathies, trauma, diabetic retinopathy, retinal detachment)
- Deep amblyopia reported earlier in life on eye to be implanted
- Systemic conditions that might imply considerable risks with regard to the surgical interventions and anesthesia (e.g. cardiovascular/pulmonary diseases, severe metabolic diseases)
- Acute and severe neurological and/or psychiatric diseases
- Hyperthyroidism or hypersensitivity to iodine
- Hypersensitivity to fluorescent dye
- Women who are pregnant or nursing, or women of childbearing potential who are not willing to use a medically acceptable means of birth control for the duration of the study or women unwilling to perform a pregnancy test before entering the study
- Participation in another interventional clinical study within the past 30 days
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: RETINA IMPLANT Alpha AMS
All participants receive the subretinal device RETINA IMPLANT Alpha AMS
|
Implantation of the subretinal RETINA IMPLANT Alpha AMS
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in functional vision
Time Frame: baseline vs. 12 months after implantation
|
Instrumental Activities of Daily Living assessed at baseline (prior to implantation) versus one year after implantation
|
baseline vs. 12 months after implantation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Vision Related Quality of Life - Questionnaire
Time Frame: at baseline and 1, 2.5, 4, 6, 9 and 12 months after implantation (and for longterm review after 18 and 24 months)
|
A validated patient reported outcome questionnaire, IVI-VLV, assessed at baseline versus one year after implantation
|
at baseline and 1, 2.5, 4, 6, 9 and 12 months after implantation (and for longterm review after 18 and 24 months)
|
|
Visual Function - Questionnaire
Time Frame: at baseline and 1, 2.5, 4, 6, 9 and 12 months after implantation (and for longterm review after 18 and 24 months)
|
A validated patient reported outcome questionnaire, ULV-VFQ, assessed at baseline versus one year after implantation
|
at baseline and 1, 2.5, 4, 6, 9 and 12 months after implantation (and for longterm review after 18 and 24 months)
|
|
Adverse Events
Time Frame: 2 years
|
Number, nature and severity of device-related and implantation-related adverse events
|
2 years
|
|
Measure of implant-mediated visual function
Time Frame: 2 years
|
Computer test assessed with implant on versus off
|
2 years
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Nicolas Leveziel, Prof, Centre Hospitalier Universitaire (CHU) de Poitiers, France
- Principal Investigator: Pierre-André Duval, Dr, Clinique Saint Jean, Montpellier, France
Publications and helpful links
General Publications
- Stingl K, Schippert R, Bartz-Schmidt KU, Besch D, Cottriall CL, Edwards TL, Gekeler F, Greppmaier U, Kiel K, Koitschev A, Kuhlewein L, MacLaren RE, Ramsden JD, Roider J, Rothermel A, Sachs H, Schroder GS, Tode J, Troelenberg N, Zrenner E. Interim Results of a Multicenter Trial with the New Electronic Subretinal Implant Alpha AMS in 15 Patients Blind from Inherited Retinal Degenerations. Front Neurosci. 2017 Aug 23;11:445. doi: 10.3389/fnins.2017.00445. eCollection 2017.
- Edwards TL, Cottriall CL, Xue K, Simunovic MP, Ramsden JD, Zrenner E, MacLaren RE. Assessment of the Electronic Retinal Implant Alpha AMS in Restoring Vision to Blind Patients with End-Stage Retinitis Pigmentosa. Ophthalmology. 2018 Mar;125(3):432-443. doi: 10.1016/j.ophtha.2017.09.019. Epub 2017 Oct 27.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- RI-FI-2017
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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