- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06041139
Visual Outcomes and Patient Satisfaction With Bilateral PanOptix Verses Bilateral Synergy
February 12, 2024 updated by: Berkeley Eye Center
Background:
- The Tecnis Synergy intraocular lens (IOL) has a claim to allow patients to experience continuous high-contrast vision from far through near even in low-light conditions.
- A J&J-sponsored post marketing study done outside of the US claim superiority of range of vision for the Tecnis Synergy IOL over the PanOptix IOL.
Hypothesis:
- Patients with bilateral Panoptix IOLs have non-inferior distance, intermediate, and near visual acuity compared to patients with bilateral Synergy IOLs in both photopic and mesopic conditions with less glare, haloes, and/or starbursts.
Unmet Medical Need:
- There is a need to look at patient visual outcomes and the visual disturbance profile comparing trifocal technology with combined EDOF/Bifocal technology in the United States.
Study Overview
Status
Recruiting
Conditions
Detailed Description
- This is a non-interventional single center, two-arm comparative study of the outcomes for patients following successful, uncomplicated cataract surgery.
- There will be 155 subjects enrolled in each arm (310 subjects total).
- Consecutive screening will be used for enrollment beginning from the first bilateral IOL implanted.
- All testing will be at a single site with subjects coming from 4 surgeons (all use similar surgical technique) at that site.
- Each surgeon will contribute a minimum of ten subjects per arm.
- Subjects will be assessed post-operatively during a minimum of five months after their second-eye surgery.
- Binocular defocus curves will be performed from +1.00 to -4.00 in 0.50 diopter steps and with +0.25 and -0.25 added.
- Self-reporting of visual complaints will be assessed.
- IOLSAT (IOL Satisfaction) and QUVID (Quality of Vision After Surgery) questionnaire will be administered at the study visit.
- Halo and Glare simulator VS Halo & Glare (visu-med.com) will be administered at the study visit.
- All visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
- PanOptix subjects will have been implanted with the toric and non-toric models.
- Synergy subjects will have been implanted with the toric and non-toric models.
- Demographic data will be collected to match the groups as closely as possible.
Study Type
Observational
Enrollment (Estimated)
310
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Diana Hill
- Phone Number: 713-620-7640
- Email: diana.hill@berkeleyeye.com
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77027
- Recruiting
- Berkeley Eye Center
-
Contact:
- Diana Hill
- Phone Number: 713-620-7640
- Email: diana.hill@berkeleyeye.com
-
Principal Investigator:
- Morgan Micheletti, MD
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Sampling Method
Non-Probability Sample
Study Population
Patients with healthy eyes and uncomplicated bilateral implantation of Panoptix IOLs or Synergy IOLs.
Description
Inclusion Criteria:
- Are willing and able to understand and sign an informed consent
- Are willing and able to complete all required study visits
- Are more than 40 years of age
- Patient diagnosed with cataracts both eyes and underwent uncomplicated cataract surgeries
- Patients with bilateral PanOptix (toric or non-toric)
- Patients with bilateral Synergy (toric or non-toric)
- Post-op best Corrected distance Visual Acuity for each eye is logMAR 0.1 (20/25) or better after cataract removal.
- Post-op residual refractive error +0.50 - -0.50 SE with ≤ 0.75 residual refractive astigmatism in each eye
- Minimum of two weeks post Yttrium Aluminum Garnet capsulotomy to treat posterior capsular opacification
Exclusion Criteria:
- Corneal dystrophies or degenerations
- Failure to return for follow up at designed intervals.
- Any conditions that might affect cataract removal (pseudoexfoliation, posterior polar cataract, Flomax, etc.)
- Any conditions during surgery that might prolong the cataract removal (capsular tear, inadequate pupil dilation, etc.)
- Strabismus with or without amblyopia in either eye
- Previous ocular surgery of any kind
- History of retinal detachment
- Any corneal abnormality, other than regular corneal astigmatism (as determined by corneal topography) that in the opinion of the investigator would confound the outcome(s) of the study
- Subjects with diagnosed degenerative visual disorders (e.g., macular degeneration or other retinal disorders) that in the opinion of the investigator is clinically significant
- Subjects with glaucoma
- Subjects who have an acute or chronic disease or illness that would confound the results of this investigation (e.g. immunocompromised, connective tissue disease, clinically significant atopic disease, diabetes, etc)
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
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Alcon PanOptix
Patients will have had bilateral implantation of PanOptix IOLs with the toric and/or non-toric models at the time of uncomplicated cataract surgery.
|
Measurement of distance, intermediate and near visual acuity.
Measurement of visual acuity performed from +1.00 to -4.00 in 0.50 diopter steps and with +0.25 and -0.25 added.
Measurement to quantify degree of visual loss caused by either halo and/or glare.
Other Names:
Patients will complete a series of questionnaires to record self-reported visual disturbances, visual acuity satisfaction, level of spectacle independence and any issues with glare, halos, and/or starbursts.
Other Names:
|
Johnson & Johnson Synergy
Patients will have had bilateral implantation of Synergy IOLs with the toric and/or non-toric models at the time of uncomplicated cataract surgery.
|
Measurement of distance, intermediate and near visual acuity.
Measurement of visual acuity performed from +1.00 to -4.00 in 0.50 diopter steps and with +0.25 and -0.25 added.
Measurement to quantify degree of visual loss caused by either halo and/or glare.
Other Names:
Patients will complete a series of questionnaires to record self-reported visual disturbances, visual acuity satisfaction, level of spectacle independence and any issues with glare, halos, and/or starbursts.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Binocular DCNVA (distance corrected near visual acuity) of Trifocal (Alcon PanOptix)
Time Frame: 3 months post operatively
|
Binocular DCNVA of Trifocal (Alcon PanOptix).
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Binocular DCNVA of EDOF (extended depth of focus)/Bifocal (Johnson and Johnson Tecnis Synergy) at 40 cm
Time Frame: 3 months post operatively
|
Binocular DCNVA of EDOF/Bifocal (Johnson and Johnson Tecnis Synergy) at 40 cm.
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Binocular BCDVA measured at 4m.
Time Frame: 3 months post operatively
|
Binocular BCDVA measured at 4m. Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Binocular DCIVA measured at 60cm.
Time Frame: 3 months post operatively
|
Binocular DCIVA measured at 60cm.
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Binocular UCDVA measured at 4m.
Time Frame: 3 months post operatively
|
Binocular UCDVA measured at 4m. Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Binocular UCIVA measured at 60cm.
Time Frame: 3 months post operatively
|
Binocular UCIVA measured at 60cm.
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Binocular UCNVA measured at 40cm.
Time Frame: 3 months post operatively
|
Binocular UCNVA measured at 40cm.
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Binocular target corrected defocus curve
Time Frame: 3 months post operatively
|
Binocular target corrected defocus curve.
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Patient self-reported visual disturbances.
Time Frame: 3 months post operatively
|
Patient self-reported visual disturbances will be assessed.
Variables measured on a categorical scale will be summarized to provide the number and percentage of subjects who provided each score.
|
3 months post operatively
|
Patient reported satisfaction by IOLSAT questionnaire.
Time Frame: 3 months post operatively
|
Patient reported satisfaction by IOLSAT questionnaire will be assessed.
Variables measured on a categorical scale will be summarized to provide the number and percentage of subjects who provided each score.
|
3 months post operatively
|
Patient reported satisfaction by QUVID questionnaire.
Time Frame: 3 months post operatively
|
Patient reported satisfaction by QUVID questionnaire will be assessed.
Variables measured on a categorical scale will be summarized to provide the number and percentage of subjects who provided each score.
|
3 months post operatively
|
Post operative refraction.
Time Frame: 3 months post operatively
|
Post operative refraction.
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Spectacle independence utilizing the IOLSAT.
Time Frame: 3 months post operatively
|
Spectacle independence utilizing the IOLSAT will be assessed.
Variables measured on a categorical scale will be summarized to provide the number and percentage of subjects who provided each score.
|
3 months post operatively
|
Halo will be reported.
Time Frame: 3 months post operatively
|
Halo will be reported and assessed.
Variables measured on a categorical scale will be summarized to provide the number and percentage of subjects who provided each score.
|
3 months post operatively
|
Glare will be reported.
Time Frame: 3 months post operatively
|
Glare will be reported and assessed.
Variables measured on a categorical scale will be summarized to provide the number and percentage of subjects who provided each score.
|
3 months post operatively
|
Binocular DCNVA at 33cm.
Time Frame: 3 months post operatively
|
Binocular DCNVA at 33cm.
Visual acuity testing will be measured in LogMar and all study technicians and evaluators will be masked.
A summary of the data will be prepared for all subjects and categorized by the lens implanted.
Variables measured on a continuous scale will be summarized to include sample size as well as the mean, standard deviation, median, minimum and maximum.
|
3 months post operatively
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Morgan Micheletti, MD, Berkeley Eye Center
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)
September 12, 2022
Primary Completion (Estimated)
December 1, 2024
Study Completion (Estimated)
December 1, 2024
Study Registration Dates
First Submitted
July 13, 2022
First Submitted That Met QC Criteria
September 14, 2023
First Posted (Actual)
September 18, 2023
Study Record Updates
Last Update Posted (Estimated)
February 13, 2024
Last Update Submitted That Met QC Criteria
February 12, 2024
Last Verified
February 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 69881171
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
Yes
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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