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CataractNCT03274986

A Clinical Study of the ACRYSOF® IQ Extended Depth of Focus Intraocular Lens (IOL)

A study testing ACRYSOF® IQ Extended Depth of Focus IOL, ACRYSOF® IQ Monofocal IOL and Cataract surgery in people with Cataract, run by Alcon Research at 11 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to demonstrate the safety and performance of ACRYSOF IQ extended depth of focus (EDF) intraocular lens (IOL) at Month 6. Depth of focus (DOF) is the amount of focal plane displacement behind a lens that does not degrade the image quality of a distant object. Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Cataract
What is being tested?
ACRYSOF® IQ Extended Depth of Focus IOL, ACRYSOF® IQ Monofocal IOL and Cataract surgery
Could I receive a placebo?
No, everyone receives an active treatment
How many people
242 participants
Where
11 sitesUnited States
Study dates
11 Oct 2017to 16 Oct 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 22 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Best Corrected Distance Visual Acuity (BCDVA) of 0.3 logarithm of the minimum angle of resolution (logMAR) (20/40 Snellen) or worse either with or without a glare source present (e.g., Brightness Acuity Tester)
  • Preoperative regular astigmatism of < 1.0 D in both eyes
  • Clear intraocular media other than cataract
  • Diagnosed with cataract in both eyes
  • Planned cataract removal by routine small incision surgery
  • Calculated lens power between 18.0 and 25.0 diopter (D) [when targeted for emmetropia (0.0 D)]
Show all 9Show fewer
  • Willing and able to complete all required postoperative visits
  • Able to comprehend and sign an ethics committee-approved statement of informed consent
  • Potential postoperative BCDVA of 0.2 logMAR (20/32 Snellen) or better in each eye based on Investigator's medical opinion.

Who cannot join

  • History of eye pathology and/or inflammation, as specified in the protocol
  • Clinically significant/severe ocular surface disease that would affect study measurements based on Investigator expert medical opinion
  • History of previous intraocular or corneal surgery
  • Pregnant/lactating or has another condition with associated fluctuation of hormones that could lead to refractive changes
  • Taking systemic medications that in the Investigator's best medical judgment may confound the outcome or increase the risk to the subject.

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

United States11 sites
  • Alcon Investigative Site

    Allenwood, Pennsylvania, 17810

  • Alcon Investigative Site

    Birmingham, Alabama, 35213

  • Alcon Investigative Site

    Bradenton, Florida, 34209

  • Alcon Investigative Site

    Cincinnati, Ohio, 45242

  • Alcon Investigative Site

    Fort Collins, Colorado, 80528

  • Alcon Investigative Site

    Gainesville, Georgia, 30501

  • Alcon Investigative Site

    Kingston, Pennsylvania, 18704

  • Alcon Investigative Site

    Rock Island, Illinois, 61201

  • Alcon Investigative Site

    Sebring, Florida, 33870

  • Alcon Investigative Site

    Sioux Falls, South Dakota, 57108

  • Alcon Investigative Site

    West Mifflin, Pennsylvania, 15122

Other trials in United States

About this study

Official title: A Prospective, Randomized, Controlled, Multi-Center Clinical Study of the ACRYSOF® IQ Extended Depth of Focus IOL

The purpose of the study is to demonstrate the safety and performance of ACRYSOF IQ extended depth of focus (EDF) intraocular lens (IOL) at Month 6. Depth of focus (DOF) is the amount of focal plane displacement behind a lens that does not degrade the image quality of a distant object. A larger DOF allows sharp images of closer objects and may provide improved vision at intermediate and near distances.

Read the detailed description

Both eyes of a subject must require cataract surgery to qualify for enrollment into this study. Subjects participating in the trial will attend a total of 9 scheduled study visits over a 7-8 month period. Of the 9 visits, 1 is preoperative, 2 are operative, and the remaining 6 are postoperative visits. Primary endpoint data will be collected at the Month 6 (Day 120-180) post second eye implantation visit.

Conditions
Cataract
Being tested
ACRYSOF® IQ Extended Depth of Focus IOL, ACRYSOF® IQ Monofocal IOL, Cataract surgery
Medical subject headings
Cataract

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ACRYSOF® IQ Extended Depth of Focus IOLDevice

    Also called Model DFT015

    Implantable IOL intending to extend the depth of focus and provide continuous functional vision from distance to near while maintaining distance vision and a visual disturbance profile comparable to a monofocal IOL.

  • ACRYSOF® IQ Monofocal IOLDevice

    Also called Model SN60WF

    Monofocal IOL implanted for long-term use over the lifetime of the pseudophakic subject

  • Cataract surgeryProcedure or surgery

    IOL bilateral implantation

Study groups in NCT03274986
Study groupRoleWhat they receive
DFT015ExperimentalACRYSOF® IQ Extended Depth of Focus Intraocular lens (IOL), bilateral implantation
Receives: Device: ACRYSOF® IQ Extended Depth of Focus IOL; Procedure: Cataract surgery
SN60WFActive comparatorACRYSOF® IQ Monofocal IOL, bilateral implantation
Receives: Device: ACRYSOF® IQ Monofocal IOL; Procedure: Cataract surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Monocular Photopic Distance Corrected Intermediate Visual Acuity (DCIVA) [(Logarithm of the Minimum Angle of Resolution (logMAR)] 66 Centimeters (cm) From Spectacle Plane

    Visual acuity (VA) was tested monocularly (each eye separately) under photopic (well-lit) conditions using best distance correction adjusted for optical infinity, electronic Early Treatment Diabetic Retinopathy Study (ETDRS) charts at a distance of 66 cm from the spectacle plane. DCIVA was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter or 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. This analysis was prespecified for the first operative eye.

    Measured: Month 6 (120-180 days post second eye implantation)

  2. Monocular Photopic Best Corrected Distance Visual Acuity (BCDVA) logMAR [(4 Meters (m)] From Spectacle Plane

    VA was tested monocularly under photopic conditions using the correction obtained from the best correction and no optical infinity adjustment, electronic ETDRS charts at a distance of 4 m from the spectacle plane. VA was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter or 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. This analysis was prespecified for the first operative eye.

    Measured: Month 6 (120-180 days post second eye implantation)

  3. Monocular Depth of Focus (Measured in the Negative Direction From 0) at 0.20 logMAR From the Mean Defocus Curve

    Depth of focus was assessed at 4 meters under photopic (well-lit) conditions using best corrected distance refraction and added defocus. The depth of focus was estimated as the dioptric range between zero defocus and the first point on the negative lens induced mean defocus curve that crosses the 0.2 logMAR using a linear interpolation. A lower numeric value represents better VA. This analysis was pre-specified for the first operative eye. No formal statistical hypothesis testing was planned.

    Measured: Month 6 (120-180 days post second eye implantation)

  4. Percentage of Eyes Achieving Monocular Photopic DCIVA 0.20 logMAR or Better

    VA was tested monocularly under photopic conditions using best distance correction adjusted for optical infinity, electronic ETDRS charts at a distance of 66 cm from the eye. DCIVA was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter or 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. This analysis was prespecified for the first operative eye. No formal statistical hypothesis testing was planned.

    Measured: Month 6 (120-180 days post second eye implantation)

  5. Percentage of Subjects With Ocular Adverse Events

    An adverse event (AE) was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users or other persons, whether or not related to the investigational medical device (test article). Ocular AEs are events localized to the eye. Cumulative and persistent serious adverse events as defined in ISO 11979-7:2014 were collected. This outcome measure was prespecified for the Model DFT015 first and second eyes. No formal statistical hypothesis testing was planned.

    Measured: Day 0 (first operative eye visit), up to Month 6 (120-180 days post second eye implantation)

  6. Mesopic Contrast Sensitivity

    Contrast sensitivity (i.e., the ability to detect objects by distinguishing them from their background) was assessed monocularly with the subject's best spectacle correction under mesopic (low, but not quite dark) conditions at a distance of 8 (2.45 m) feet from the eye at a spatial frequency of 1.5, 3, 6, and 12 cycles per degree (cpd) using the Vector Vision CSV 1000-HGT with and without a glare source. Raw scores from contrast sensitivity testing were transformed to log units. A higher numeric value represented better contrast sensitivity. This analysis was prespecified for the first operative eye. No formal statistical hypothesis testing was planned.

    Measured: Month 6 (120-180 days post second eye implantation)

Secondary outcomes (5)
  1. Monocular Photopic Distance Corrected Near Visual Acuity (DCNVA) (logMAR) 40 cm From Spectacle Plane

    VA was tested monocularly under photopic conditions using best distance correction adjusted for optical infinity, electronic ETDRS chart set at 40 cm from the spectacle plane. VA was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter or 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. This analysis was prespecified for the first operative eye.

    Measured: Month 6 (120-180 days post second eye implantation)

  2. Percentage of Subjects Who Respond "Never" to Question 1 of the Intraocular Lens Satisfaction (IOLSAT) Questionnaire: "Overall, in the Past 7 Days, How Often Did You Need to Wear Eyeglasses to See?"

    The IOLSAT questionnaire assessed the subjective quality of vision with respect to need for spectacles, as well as the subject's expectation and satisfaction with their quality of vision at 6 months. Results are reported consistent with multiple testing strategy.

    Measured: Month 6 (120-180 days post second eye implantation)

  3. Monocular Photopic Uncorrected Intermediate Visual Acuity (UCIVA) (logMAR) 66 cm From Spectacle Plane

    VA was tested monocularly under photopic conditions with no refractive correction or adjustment for optical infinity, using electronic ETDRS charts at a distance of 66 cm from the spectacle plane. UCIVA was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter or 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA. This analysis was prespecified for the first operative eye. No formal statistical hypothesis testing was planned.

    Measured: Month 6 (120-180 days post second eye implantation)

  4. Monocular Photopic Uncorrected Distance Visual Acuity (UCDVA) (logMAR)

    VA was tested monocularly under photopic conditions without refractive correction but with adjustment for optical infinity, electronic ETDRS charts at a distance of 4 m from the eye. +0.25 D spherical power was applied to correct for optical infinity. UCDVA was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter or 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represented better VA.This analysis was prespecified for the first operative eye. No formal statistical hypothesis testing was planned.

    Measured: Month 6 (120-180 days post second eye implantation)

  5. Percentage of Subjects With Visual Disturbances as Reported by the Subjects Using the Questionnaire for Visual Disturbances (QUVID)

    Rates of severe and most bothersome visual disturbances as reported by the subjects on the QUVID questionnaire, a Patient Reported Outcome (PRO) questionnaire. No formal statistical hypothesis testing was planned.

    Measured: Month 6 (120-180 days post second eye implantation)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Sep 2017
  2. Study start11 Oct 2017
  3. Primary completion16 Oct 2018
  4. Study completion16 Oct 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
242 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03274986
Sponsor's protocol ID
ILI875-C002
Status last verified
Mar 2020
First submitted
5 Sep 2017
Last updated
7 Apr 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • McCabe C, Berdahl J, Reiser H, Newsom TH, Cibik L, Koch D, Lemp-Hull J, Jasti S. Clinical outcomes in a U.S. registration study of a new EDOF intraocular lens with a nondiffractive design. J Cataract Refract Surg. 2022 Nov 1;48(11):1297-1304. doi: 10.1097/j.jcrs.0000000000000978. Epub 2022 May 26.

    PubMed 35616507

Questions about this trial

What is this clinical trial studying?

A study testing ACRYSOF® IQ Extended Depth of Focus IOL, ACRYSOF® IQ Monofocal IOL and Cataract surgery in people with Cataract, run by Alcon Research at 11 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Apr 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Monocular Photopic Distance Corrected Intermediate Visual Acuity (DCIVA) [(Logarithm of the Minimum Angle of Resolution (logMAR)] 66 Centimeters (cm) From Spectacle Plane (time frame: Month 6 (120-180 days post second eye implantation)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03274986, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Apr 2020.

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