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AphakiaNCT03733730

Post Approval Study of the AcrySof® IQ ReSTOR® Toric IOLs

A study testing ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL, ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL and ACRYSOF IQ RESTOR +2.5 D Multifocal IOL in people with Aphakia and Presbyopia, run by Alcon Research at 38 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

This is a prospective, multicenter, post-approval active surveillance study. The purpose of this study is to report the rate of post-surgical intraocular inflammation (based upon a specified case definition) reported within a 180-day post-surgical period following attempted implantation of an ACRYSOF IQ RESTOR Toric… Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Aphakia, Presbyopia, Astigmatism
What is being tested?
ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL, ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL and ACRYSOF IQ RESTOR +2.5 D Multifocal IOL
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,449 participants
Where
38 sitesin 2 countries
Study dates
27 Nov 2018to 14 Oct 2022
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

  • Preoperative cataract in the study eye(s)
  • Planned implantation in at least one eye with:
  • Cohort 1: An ACRYSOF IQ RESTOR +3.0 D Multifocal Toric IOL (Models SND1T3, SND1T4, SND1T5 or SND1T6) or an ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOLs (Models SV25T3, SV25T4, SV25T5, and SV25T6) in accordance with the product labeling from November 2018 to July 2020
  • Cohort 2: An ACRYSOF IQ RESTOR +3.0 D Multifocal Toric IOL (Models SND1T3, SND1T4, SND1T5 or SND1T6), or an ACRYSOF IQ RESTOR +2.5 D Multifocal IOL (Model SV25T0) in accordance with the product labeling after July 2020.
  • Able to comprehend and sign a statement of informed consent
  • Willing and able to complete all required postoperative visits
  • Other protocol-specified inclusion criteria may apply.

Who cannot join

  • Eyes with clinically significant ocular, including adnexa, or intraocular infection or inflammation (at the screening visit prior to surgery or on the day of surgery)
  • History of any intraocular inflammation within the past 12 months (ex: uveitis, choroiditis)
  • Combined procedures introducing an additional medical device during cataract surgery (ex: cataract surgery with implant of glaucoma stent)
  • Other protocol-specified exclusion criteria may apply.

Trial locations and contacts

38 sites in 2 countries.

38 sites in 2 countries

United States37 sites
  • Kleinman Evangelista Eye Center of Texas

    Arlington, Texas, 76018

  • Keystone Research

    Austin, Texas, 78731

  • Chu Vision Institute

    Bloomington, Minnesota, 55421

  • Cincinnati Eye Institute

    Cincinnati, Ohio, 45242

  • Rand Eye Institute

    Deerfield Beach, Florida, 33064

  • Central Florida Eye Specialists

    DeLand, Florida, 32720

  • Trinity Research Group

    Dothan, Alabama, 36301

  • El Paso Eye Surgeons

    El Paso, Texas, 79902

  • Bergstrom Eye Research

    Fargo, North Dakota, 58103

  • Eye Center of Northern Colorado, PC

    Fort Collins, Colorado, 80528

  • Chu Eye Institute

    Fort Worth, Texas, 76107

  • InSight Vision Center

    Fresno, California, 93720

  • Gainesville Eye Associates

    Gainesville, Georgia, 30501

  • Houston Eye Associates

    Houston, Texas, 77008

  • Berkeley Eye Center

    Houston, Texas, 77027

  • Baylor College of Medicine Alkek Eye Center

    Houston, Texas, 77030

  • Moyes Eye Center

    Kansas City, Missouri, 64154

  • Harvard Eye Associates

    Laguna Hills, California, 92653

  • Sabates Eye Center

    Leawood, Kansas, 66211

  • Senior Health Services

    Louisville, Kentucky, 40220

  • Piedmont Eye Center

    Lynchburg, Virginia, 24501

  • Mid Florida Eye Center

    Mt. Dora, Florida, 32757

  • Vision for Life

    Nashville, Tennessee, 37205

  • Raymond Fong Eye Care

    New York, New York, 10013

  • Durrie Vision

    Overland Park, Kansas, 66210

  • Eye Doctors of Arizona

    Phoenix, Arizona, 85003

  • Seeta Eye Center

    Poughkeepsie, New York, 12603

  • Vistar Eye Center

    Roanoke, Virginia, 24011

  • The Eye Institute of Utah

    Salt Lake City, Utah, 84107

  • Northwest Eye Surgeons

    Seattle, Washington, 98133

  • Newsom Eye and Laser Center

    Sebring, Florida, 33870

  • Willis-Knighton Eye Institute South

    Shreveport, Louisiana, 71118

  • Carolina Eye Associates

    Southern Pines, North Carolina, 28387

  • Associated Eye Care

    Stillwater, Minnesota, 55082

  • SightTrust Eye Institute

    Sunrise, Florida, 33323

  • Wolstan Goldberg Eye Associates

    Torrance, California, 90505

  • St. Louis Eye Institute

    Town and Country, Missouri, 63017

Other trials in United States

Puerto Rico1 site
  • Centro Oftalmologico Metropolitano

    San Juan, 00921

Other trials in Puerto Rico

About this study

This is a prospective, multicenter, post-approval active surveillance study. The purpose of this study is to report the rate of post-surgical intraocular inflammation (based upon a specified case definition) reported within a 180-day post-surgical period following attempted implantation of an ACRYSOF IQ RESTOR Toric or ACRYSOF IQ RESTOR IOL in the US.

Read the detailed description

If a second eye will participate in the study, subjects will receive the second eye cataract surgery within 20 days of the first eye surgery. Four postoperative follow-up visits are planned to occur at 1-2 days, 7-14 days, 30-60 days, and 90-180 days, for each enrolled eye. Subject participation in this study is expected to last up to 7 months, including a total of 6 study visits for subjects implanted in one eye and up to 11 visits for subjects implanted in both eyes. Upon completion of the 180 days follow-up visit, subjects will be exited from the study.

Being tested
ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL, ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL, ACRYSOF IQ RESTOR +2.5 D Multifocal IOL, Cataract Surgery
Keywords
cataract
Medical subject headings
Aphakia, Presbyopia, Astigmatism, Cataract

What participants receive

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

  • ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOLDevice

    Also called Models SND1T3, SND1T4, SND1T5, and SND1T6

    Intraocular lens (IOL) intended for visual correction of aphakia in adult patients with and without presbyopia, who desire near, intermediate and distance vision, reduction of residual cylinder and increased spectacle independence. IOLs are implantable medical devices and are intended for long term use over the lifetime of the cataract subject.

  • ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOLDevice

    Also called Models SV25T3, SV25T4, SV25T5, and SV25T6

    Intraocular lens (IOL) intended for visual correction of aphakia in adult patients with and without presbyopia, who desire near, intermediate and distance vision, reduction of residual cylinder and increased spectacle independence. IOLs are implantable medical devices and are intended for long term use over the lifetime of the cataract subject.

  • ACRYSOF IQ RESTOR +2.5 D Multifocal IOLDevice

    Also called Model SV25T0

    Intraocular lens (IOL) intended for visual correction of aphakia in adult patients with and without presbyopia, who desire near, intermediate and distance vision with increased spectacle independence. IOLs are implantable medical devices and are intended for long term use over the lifetime of the cataract subject.

  • Cataract SurgeryProcedure or surgery

    Routine small incision cataract surgery with IOL implantation

Study groups in NCT03733730
Study groupRoleWhat they receive
Cohort 1ExperimentalACRYSOF IQ RESTOR Multifocal Toric IOL (+3.0 D or +2.5 D) implanted in at least one eye during cataract surgery, with implantation occurring from November 2018 through July 2020.
Receives: Device: ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL; Device: ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL; Procedure: Cataract Surgery
Cohort 2ExperimentalACRYSOF IQ RESTOR +3.0 D Multifocal Toric IOL or ACRYSOF IQ RESTOR +2.5 D Multifocal IOL implanted in at least one eye during cataract surgery, with implantation occurring after July 2020.
Receives: Device: ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL; Device: ACRYSOF IQ RESTOR +2.5 D Multifocal IOL; Procedure: Cataract Surgery

What is being measured

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

  1. Rate of Eyes With Post-Surgical Intraocular Inflammation - By Eye - Cohort 2

    Post-surgical intraocular inflammation was defined as exacerbated intraocular inflammation within 180 days after IOL implantation, indicated by greater than or equal to 3+ aqueous cell within the first 14 days post-operative, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-operative, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.

  2. Rate of Eyes With Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2

    Post-surgical intraocular inflammation was defined as exacerbated intraocular inflammation within 180 days after IOL implantation, indicated by greater than or equal to 3+ aqueous cell within the first 14 days post-operative, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-operative, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.

Secondary outcomes (8)
  1. Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - By Eye - Cohort 2

    TASS was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 3+ aqueous cell, non-infectious etiology, and rapid onset (up to and including 2 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.

  2. Rate of Eyes With Toxic Anterior Segment Syndrome (TASS) - Overall Eyes - Cohort 2

    TASS was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 3+ aqueous cell, non-infectious etiology, and rapid onset (up to and including 2 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  3. Rate of Eyes With Acute Postoperative Endophthalmitis - By Eye - Cohort 2

    Acute postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater or equal to 3+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous and/or vitreous abscess, and rapid onset (3 to 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  4. Rate of Eyes With Acute Postoperative Endophthalmitis - Overall Eyes - Cohort 2

    Acute postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater or equal to 3+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous and/or vitreous abscess, and rapid onset (3 to 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  5. Rate of Eyes With Chronic Postoperative Endophthalmitis - By Eye - Cohort 2

    Chronic postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 1+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous, and delayed onset (greater than 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  6. Rate of Eyes With Chronic Postoperative Endophthalmitis - Overall Eyes - Cohort 2

    Chronic postoperative endophthalmitis was defined as exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings: Greater than or equal to 1+ aqueous cell, etiology (infectious per positive culture of ocular media; non-infectious per negative culture of ocular media), inflammatory cells in the vitreous, and delayed onset (greater than 14 days post-operatively). The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  7. Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - By Eye - Cohort 2

    Uncategorized post-surgical intraocular inflammation was defined as signs of exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings that do not fall in the given category of TASS, Acute Postoperative Endophthalmitis, or Chronic Postoperative Endophthalmitis: Greater than or equal to 3+ aqueous cell within the first 14 days post-op, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-op, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

  8. Rate of Eyes With Uncategorized Cases of Post-Surgical Intraocular Inflammation - Overall Eyes - Cohort 2

    Uncategorized post-surgical intraocular inflammation was defined as signs of exacerbated intraocular inflammation within 180 days after IOL implantation associated with the following findings that do not fall in the given category of TASS, Acute Postoperative Endophthalmitis, or Chronic Postoperative Endophthalmitis: Greater than or equal to 3+ aqueous cell within the first 14 days post-op, and/or greater than or equal to 2+ aqueous cell greater than 14 days and less than or equal to 60 days post-op, and/or greater than or equal to 1+ aqueous cell greater than 60 days post-operatively or later. The event rate (per 1000 IOL implants) was calculated as "Total # of reported events / Total # of implants X 1000." No formal safety hypothesis was pre-specified for this outcome measure. This outcome measure was pre-specified for Cohort 2 only.

    Measured: Day 90 to 180 post second eye implantation, with the second implantation occurring up to 20 days after the first

Timeline

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

  1. First posted7 Nov 2018
  2. Study start27 Nov 2018
  3. Primary completion14 Oct 2022
  4. Study completion14 Oct 2022

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
Non-randomised
Intervention model
Parallel groups
Model description
Arm 1 completed prior to the initiation of Arm 2. Within each arm, IOL assignment was parallel.
Masking
None (open label)
Enrolment
2,449 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03733730
Sponsor's protocol ID
ILR431b-P001
Other IDs
P040020
Status last verified
Oct 2023
First submitted
6 Nov 2018
Last updated
1 Nov 2023
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing ACRYSOF IQ RESTOR +3.0 Multifocal Toric IOL, ACRYSOF IQ RESTOR +2.5 D Multifocal Toric IOL and ACRYSOF IQ RESTOR +2.5 D Multifocal IOL in people with Aphakia and Presbyopia, run by Alcon Research at 38 sites in 2 countries.

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 7 inclusion and 4 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 1 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Puerto Rico. 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 1 Nov 2023). 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?

Rate of Eyes With Post-Surgical Intraocular Inflammation - By Eye - Cohort 2 (time frame: Day 90 to 180 post implantation, each eye. The second eye was implanted within 20 days of the first eye.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 1 Nov 2023.

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