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NCT03268746

Clinical Investigation of the Visual Outcomes and Safety of a Trifocal Intraocular Lens (IOL) in a Korean Population

Completed NA Results posted Last updated 25 September 2019
What this trial tests

NA trial testing AcrySof IQ PanOptix Multifocal IOL in Cataract in 52 participants. Completed in 30 November 2018.

Timeline
9 January 2018
Primary endpoint
30 November 2018
30 November 2018

Quick facts

Lead sponsorAlcon Research
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment52
Start date9 January 2018
Primary completion30 November 2018
Estimated completion30 November 2018
Sites4 locations across South Korea

Drugs / interventions tested

Conditions studied

Sponsor

Alcon Research — full company profile →

Who can join

20 and older, any sex, with Cataract or Presbyopia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Binocular Defocus Curve at Month 3 Primary · Month 3 (Day 90-120 post second eye implantation)

The defocus curve (an indicator of the expected range of vision with a presbyopia-correcting IOL) was tested binocularly (both eyes together) with the subject's best distance correction across full range varied from +2.0 diopter (D) to -5.0 D in 0.5 D increments. The visual acuity (VA) at each spherical power was measured in logarithm of the minimum angle of resolution (logMAR), with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an Early Treatment Diabetic Retinopathy Study (ETDRS) chart. A lower numeric value represents better VA. No formal statistical hypothesis testing was

+2.0 D
GroupValue95% CI
TFNT000.539± 0.1188
+1.5 D
GroupValue95% CI
TFNT000.364± 0.1241
+1.0 D
GroupValue95% CI
TFNT000.213± 0.1339
+0.5 D
GroupValue95% CI
TFNT000.054± 0.0977
0.0 D
GroupValue95% CI
TFNT00-0.049± 0.0697
-0.5 D
GroupValue95% CI
TFNT000.030± 0.0701
-1.0 D
GroupValue95% CI
TFNT000.092± 0.0854
-1.5 D
GroupValue95% CI
TFNT000.060± 0.0917
Binocular Defocus Curve at Month 1 Secondary · Month 1 (Day 30-60 post second eye implantation)

The defocus curve (an indicator of the expected range of vision with a presbyopia-correcting IOL) was tested binocularly (both eyes together) with the subject's best distance correction across full range varied from +2.0 diopter (D) to -5.0 D in 0.5 D increments. VA at each spherical power was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better VA. No formal statistical hypothesis testing was planned.

+2.0 D
GroupValue95% CI
TFNT000.581± 0.1689
+1.5 D
GroupValue95% CI
TFNT000.427± 0.1568
+1.0 D
GroupValue95% CI
TFNT000.275± 0.1325
+0.5 D
GroupValue95% CI
TFNT000.111± 0.1420
0.0 D
GroupValue95% CI
TFNT00-0.015± 0.0815
-0.5 D
GroupValue95% CI
TFNT000.049± 0.0785
-1.0 D
GroupValue95% CI
TFNT000.086± 0.0678
-1.5 D
GroupValue95% CI
TFNT000.093± 0.0800
Binocular Best Corrected Distance Visual Acuity (BCDVA) [4 Meters (m)] Secondary · Month 1 (Day 30-60 post second eye implantation) and Month 3 (Day 90-120 post second eye implantation)

VA was tested binocularly under photopic conditions using the correction obtained from the manual manifest refraction and 100% contrast, ETDRS charts at a distance of 4 meters from the spectacle plane. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. No formal statistical hypothesis testing was planned.

Month 1
GroupValue95% CI
TFNT00-0.015± 0.0815
Month 3
GroupValue95% CI
TFNT00-0.049± 0.0697
Monocular Uncorrected Distance Visual Acuity (UCDVA) (4 m) Secondary · Month 1 (Day 30-60 post second eye implantation) and Month 3 (Day 90-120 post second eye implantation)

VA was tested monocularly (each eye separately) under photopic conditions without visual correction using 100% contrast ETDRS charts at a distance of 4 m from the eye, corresponding to a far distance for visual tasks. UCDVA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. Both eyes contributed to the analysis. A lower numeric value represented better VA. No formal statistical hypothesis testing was planned.

Month 1
GroupValue95% CI
TFNT00 First Eye0.089± 0.1203
TFNT00 Second Eye0.097± 0.1078
Month 3
GroupValue95% CI
TFNT00 First Eye0.073± 0.1002
TFNT00 Second Eye0.081± 0.1328
Monocular Uncorrected Intermediate Visual Acuity (UCIVA) [60 Centimeters (cm)] Secondary · Month 1 (Day 30-60 post second eye implantation) and Month 3 (Day 90-120 post second eye implantation)

VA was tested monocularly under photopic conditions without visual correction using 100% contrast ETDRS charts at a distance of 60 cm from the eye, representative of intermediate distances for visual tasks. UCIVA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. Both eyes contributed to the analysis. A lower numeric value represented better VA. No formal statistical hypothesis testing was planned.

Month 1
GroupValue95% CI
TFNT00 First Eye0.080± 0.1493
TFNT00 Second Eye0.080± 0.1407
Month 3
GroupValue95% CI
TFNT00 First Eye0.054± 0.1217
TFNT00 Second Eye0.035± 0.1295
Monocular Uncorrected Near Visual Acuity (UCNVA) (40 cm) Secondary · Month 1 (Day 30-60 post second eye implantation) and Month 3 (Day 90-120 post second eye implantation)

VA was tested monocularly under photopic conditions without visual correction using 100% contrast ETDRS charts at a distance of 40 cm from the eye, representative of near distances for visual tasks. UCNVA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. Both eyes contributed to the analysis. A lower numeric value represented better VA. No formal statistical hypothesis testing was planned.

Month 1
GroupValue95% CI
TFNT00 First Eye0.116± 0.1284
TFNT00 Second Eye0.104± 0.1219
Month 3
GroupValue95% CI
TFNT00 First Eye0.089± 0.1334
TFNT00 Second Eye0.091± 0.1226
Binocular Uncorrected Distance Visual Acuity (UCDVA) (4 m) Secondary · Month 1 (Day 30-60 post second eye implantation) and Month 3 (Day 90-120 post second eye implantation)

VA was tested binocularly under photopic conditions without visual correction using 100% contrast ETDRS charts at a distance of 4 m from the eye, corresponding to a far distance for visual tasks. UCDVA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. No formal statistical hypothesis testing was planned.

Month 1
GroupValue95% CI
TFNT000.049± 0.1071
Month 3
GroupValue95% CI
TFNT000.026± 0.0987
Binocular Uncorrected Intermediate Visual Acuity (UCIVA) (60 cm) Secondary · Month 1 (Day 30-60 post second eye implantation) and Month 3 (Day 90-120 post second eye implantation)

VA was tested binocularly under photopic conditions without visual correction using 100% contrast ETDRS charts at a distance of 60 cm from the eye, representative of intermediate distances for visual tasks. UCIVA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. No formal statistical hypothesis testing was planned.

Month 1
GroupValue95% CI
TFNT000.015± 0.1242
Month 3
GroupValue95% CI
TFNT00-0.025± 0.1113
Binocular Uncorrected Near Visual Acuity (UCNVA) (40 cm) Secondary · Month 1 (Day 30-60 post second eye implantation) and Month 3 (Day 90-120 post second eye implantation)

VA was tested binocularly under photopic conditions without visual correction using 100% contrast ETDRS charts at a distance of 40 cm from the eye, representative of near distances for visual tasks. UCNVA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. No formal statistical hypothesis testing was planned.

Month 1
GroupValue95% CI
TFNT000.047± 0.1221
Month 3
GroupValue95% CI
TFNT000.029± 0.1222
Binocular Photopic Best Corrected Contrast Sensitivity With Glare Secondary · Month 3 (Day 90-120 post second eye implantation)

Contrast sensitivity (i.e., the ability to detect objects by distinguishing them from their background) was assessed binocularly under photopic conditions at a distance of 8 feet from the eye at spatial frequencies of 3, 6, 12, and 18 cycles per degree (cpd) using the Vector Vision CSV 1000-HGT with a glare source. A higher numeric value will represent better contrast sensitivity. No formal statistical hypothesis testing was planned.

3 cpd
GroupValue95% CI
TFNT001.673± 0.1316
6 cpd
GroupValue95% CI
TFNT001.907± 0.1691
12 cpd
GroupValue95% CI
TFNT001.539± 0.2113
18 cpd
GroupValue95% CI
TFNT001.139± 0.2038
Binocular Photopic Best Corrected Contrast Sensitivity Without Glare Secondary · Month 3 (Day 90-120 post second eye implantation)

Contrast sensitivity (i.e., the ability to detect objects by distinguishing them from their background) was assessed binocularly under photopic conditions at a distance of 8 feet from the eye at spatial frequencies of 3, 6, 12, and 18 cpd using the Vector Vision CSV 1000-HGT without a glare source. A higher numeric value will represent better contrast sensitivity. No formal statistical hypothesis testing was planned.

3 cpd
GroupValue95% CI
TFNT001.676± 0.1647
6 cpd
GroupValue95% CI
TFNT001.878± 0.1747
12 cpd
GroupValue95% CI
TFNT001.588± 0.2317
18 cpd
GroupValue95% CI
TFNT001.133± 0.2268
Percentage of Subjects Who Responded to Subjective Symptoms Questions (SSQs) Secondary · Preoperative and Month 3 (Day 90-120 post second eye implantation)

Subjects responded to 12 SSQs based on their experience during past 7 days for quality of vision and any change since cataract surgery as follows; Q1:How satisfied are you with your vision for seeing objects at near distance(ND)? Q2:How often do you wear eyeglasses or contact lenses for seeing objects at ND? Q3:How satisfied are you with your vision for seeing objects at intermediate distance(ID)? Q4:How often do you wear eyeglasses or contact lens for seeing objects at ID? Q5:How satisfied are you with your vision for seeing objects at distance(D)? Q6:How often do you wear eyeglasses or conta

Q1: Very dissatisfied
GroupValue95% CI
TFNT00 Preoperative47.7
TFNT00 Month 32.3
Q1: Dissatisfied
GroupValue95% CI
TFNT00 Preoperative40.9
TFNT00 Month 34.5
Q1: Neither satisfied nor dissatisfied
GroupValue95% CI
TFNT00 Preoperative6.8
TFNT00 Month 39.1
Q1: Satisfied
GroupValue95% CI
TFNT00 Preoperative4.5
TFNT00 Month 363.6
Q1: Very satisfied
GroupValue95% CI
TFNT00 Preoperative0.0
TFNT00 Month 320.5
Q2: None of the time
GroupValue95% CI
TFNT00 Preoperative15.9
TFNT00 Month 384.1
Q2: Some of the time
GroupValue95% CI
TFNT00 Preoperative15.9
TFNT00 Month 313.6
Q2: Most of the time
GroupValue95% CI
TFNT00 Preoperative25.0
TFNT00 Month 30.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Pre-operation through study completion, an average of 7 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Preoperative
Serious: 0/45 (0%)
Deaths: 0/45
TFNT00 First Eye
Serious: 0/45 (0%)
Deaths: 0/45
TFNT00 Second Eye
Serious: 1/44 (2%)
Deaths: 0/44
TFNT00 Systemic
Serious: 2/45 (4%)
Deaths: 0/45

Serious adverse events (4 terms)

ReactionSystemPreoperativeTFNT00 First EyeTFNT00 Second EyeTFNT00 Systemic
Diverticulum intestinal haemorrhagicGastrointestinal disorders
Device dislocationProduct Issues
DyspnoeaRespiratory, thoracic and mediastinal disorders
SurgerySurgical and medical procedures
Other adverse events (7 terms — click to expand)

ReactionSystemPreoperativeTFNT00 First EyeTFNT00 Second EyeTFNT00 Systemic
Dry eyeEye disorders
GlareEye disorders
Visual impairmentEye disorders
Halo visionEye disorders
Foreign body sensation in eyesEye disorders
Vitreous floatersEye disorders
ArthralgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Diverticulum intestinal haemorrhagic, Device dislocation, Dyspnoea, Surgery.

Data from ClinicalTrials.gov NCT03268746 adverse events section.

Sponsor's own description

The purpose of this study is to confirm the effectiveness of the investigational lens in a Korean population, especially for visual performance, quality of vision, and subject satisfaction with the visual outcome, as well as the safety of the lens. This trial will be conducted in Korea.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Visual outcomes and safety after bilateral implantation of a trifocal presbyopia correcting intraocular lens in a Korean population: a prospective single-arm study.
    Kim TI, Chung TY, Kim MJ, Lee K, et al · · 2020 · cited 20× · PMID 32669090 · DOI 10.1186/s12886-020-01549-z

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Other trials of AcrySof IQ PanOptix Multifocal IOL

Trials testing the same drug.

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Currently open trials in the same condition.

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Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing