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Eye DiseasesNCT04176965

Investigation of the Safety and Effectiveness of a Trifocal IOL

A study testing FINEVISION HP IOL and Alcon AcrySof SN60AT in people with Eye Diseases and Postcataract Aphakia, run by Beaver-Visitec International, Inc. at 20 sites in United States.

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 study is a prospective, multicenter, randomized, double masked confirmatory trial comparing an investigational trifocal intraocular lens (IOL) and a commercially available monofocal IOL. Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Eye Diseases, Postcataract Aphakia, Cataract
What is being tested?
FINEVISION HP IOL and Alcon AcrySof SN60AT
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
539 participants
Where
20 sitesUnited States
Study dates
28 Apr 2022to 13 May 2024
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

  • Male or female adults, age 22 years or older at the Preoperative Visit.
  • Visually significant cataracts in both eyes that are eligible for phacoemulsification cataract surgery.
  • Willing to undergo cataract surgery in the second operative eye within 7 - 30 days after surgery in the first eye.
  • Projected Best Corrected Distance Visual Acuity (BCDVA) of 0.2 logMAR (20/32 Snellen) or better in each eye after cataract surgery/IOL implantation, as determined by the medical judgement of the Investigator
  • Eligible for receipt of an IOL power within the range of the investigational IOL (+10.0 D to +30.0 D, in 0.50 D increments) in each eye
  • Contact lens users must be willing to discontinue wear of their lenses in accordance with the following requirements:
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  • Rigid gas permeable lenses for ≥ 7 days prior to the Preoperative Visit
  • Soft contact lenses for ≥ 3 days prior to the Preoperative Visit Contact lens wearers must demonstrate a stable refraction (within ±0.50 D for both sphere and cylinder) in each eye, as determined by manifest refraction on two consecutive examination dates at least one week apart after discontinuation of contact lens wear.
  • Provide signed written consent prior to participation in any study-related procedures.
  • Ability, comprehension, and willingness to follow study instructions, and likely to complete all study visits.
  • Female subjects must be 1-year postmenopausal, surgically sterilized, or, if of childbearing potential, have a negative urine pregnancy test at the Preoperative Visit. Women of childbearing potential must use an acceptable form of contraception throughout the study. Acceptable methods include at least one of the following: intrauterine (intrauterine device), hormonal (oral, injection, patch, implant, ring), barrier with spermicide (condom, diaphragm), or abstinence.

Who cannot join

  • History or presence of, or predisposition to, degenerative visual disorders (e.g., macular degeneration, retinal detachment, proliferative diabetic retinopathy, or other retinal disorders) predicted to result in BCDVA worse than 0.2 LogMAR (20/32 Snellen) in either eye during the study participation period.
  • Significant anterior segment pathology in either eye that might increase intraoperative risk or compromise IOL stability (e.g., pseudoexfoliation syndrome)
  • Reasonably expected to require secondary ocular surgical intervention or laser treatment other than YAG capsulotomy in either eye during the study participation period.
  • Presence of one or more clinically significant corneal abnormalities in either eye, including corneal dystrophy, irregularity, or edema per the Investigator's medical opinion.
  • Previous intraocular, corneal, or retinal detachment surgery, including corneal transplant, LASIK, astigmatic keratotomy and limbal relaxing incisions in either eye
  • Rubella, congenital, traumatic or complicated cataract in either eye
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  • Preoperative keratometric astigmatism > 1.0 D or irregular corneal astigmatism in either eye (Note: corneal incisions intended to reduce astigmatism are not permitted)
  • Clinically significant ocular inflammation or infection present ≤ 30 days in either eye prior to the Preoperative Visit.
  • Presence or history of one or more severe/serious ocular conditions (e.g., glaucoma, uveitis, ocular infection, severe dry eye) in either eye, or any other unstable medical condition (e.g., uncontrolled diabetes) that in the opinion of the Investigator would put the subject's health at risk, confound the results of the study and/or prevent the subject from completing all study visits.
  • Use of medications known to interfere with visual performance, pupil dilation, or iris structure ≤ 30 days prior to the Preoperative Visit.
  • Participation in any study of an investigational, interventional product within 30 days prior to the Preoperative Visit or at any time during the study period.
  • Pregnant or nursing females.

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

United States20 sites
  • Vance Thompson Vision, MN Site

    Alexandria, Minnesota, 56308

  • Chu Vision Institute

    Bloomington, Minnesota, 55420

  • Vance Thompson Vision, MT Site

    Bozeman, Montana, 59718

  • Cleveland Eye Clinic

    Brecksville, Ohio, 44141

  • Key-Whitman Eye Center

    Dallas, Texas, 75243

  • Michael Washburn Center for Ophthalmic Research

    Indianapolis, Indiana, 46240

  • Center For Sight

    Las Vegas, Nevada, 89145

  • Piedmont Eye Center

    Lynchburg, Virginia, 24502

  • Lehmann Eye Center

    Nacogdoches, Texas, 75965

  • Mitchell C Shultz MD/Shultz Chang Vision

    Northridge, California, 91325

  • Vance Thompson Vision NE Site

    Omaha, Nebraska, 68137

  • Coastal Vision Medical Group

    Orange, California, 92868

  • Arbor Centers for Eye Care

    Orland Park, Illinois, 60467

  • The Eye Institute of Utah

    Salt Lake City, Utah, 84107

  • Parkhurst Nuvision

    San Antonio, Texas, 78229

  • Vance Thompson Vision. SD Site

    Sioux Falls, South Dakota, 57108

  • Ophthalmology Consultants, Ltd

    St Louis, Missouri, 63131

  • Eye Associates & SurgiCenter

    Vineland, New Jersey, 08361

  • Vance Thompson Vision ND Site

    West Fargo, North Dakota, 58078

  • Associates in Ophthalmology Ltd

    West Mifflin, Pennsylvania, 15122

Other trials in United States

About this study

Official title: Clinical Investigation of the Safety and Effectiveness of FINEVISION HP Trifocal IOL

This study is a prospective, multicenter, randomized, double masked confirmatory trial comparing an investigational trifocal intraocular lens (IOL) and a commercially available monofocal IOL.

Read the detailed description

The study will include adult subjects with operable cataracts in both eyes who are eligible for phacoemulsification cataract surgery followed by IOL implantation.

Being tested
FINEVISION HP IOL, Alcon AcrySof SN60AT
Keywords
Intraocular Lens, Multifocal, Hydrophobic
Medical subject headings
Eye Diseases, Aphakia, Postcataract, Cataract

What participants receive

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

  • FINEVISION HP IOLDevice

    Cataractous lens will be removed in the study eyes and the FINEVISION HP IOL will be implanted in the capsular bag.

  • Alcon AcrySof SN60ATDevice

    Cataractous lens will be removed in the study eyes and the Alcon AcrySof SN60AT IOL will be implanted in the capsular bag.

Study groups in NCT04176965
Study groupRoleWhat they receive
FINEVISION HPExperimentalTrifocal FINEVISION HP. Cataractous lens will be removed in the study eyes and the FINEVISION HP will be implanted in the capsular bag.
Receives: Device: FINEVISION HP IOL
Control ProductActive comparatorCataractous lens will be removed in the study eyes and the Alcon AcrySof® SN60AT IOL will be implanted in the capsular bag.
Receives: Device: Alcon AcrySof SN60AT

What is being measured

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

  1. Mean Photopic Monocular logMAR Best Corrected Distance Visual Acuity (BCDVA) at 4 Meters in First Operative Eyes

    Visual acuity (VA) was tested monocularly (each eye separately) under photopic (well-lit) conditions using the correction obtained from the manifest refraction and electronic Early Treatment Diabetic Retinopathy Study (ETDRS) charts on a CTS (Clinical Trial Suite, M\&S Technologies) device at a distance of 4 meters (m) from the eye. VA was measured in logarithm of the minimum angle of resolution (logMAR), with 0.02 logMAR increment corresponding to a single letter on an ETDRS chart. A lower or negative value represents better visual acuity. The mean logMAR values of the two groups were compared to demonstrate non-inferiority of FINEVISION HP trifocal IOL to the control IOL in mean photopic monocular logMAR BCDVA (best corrected distance visual acuity) for the first operative eyes.

    Measured: 150-180 days after surgery on the first eyes

  2. Mean Photopic Monocular logMAR Distance Corrected Near Visual Acuity (DCNVA) for the First Operative Eyes.

    VA was tested monocularly under photopic (well-lit) conditions using the manifest refraction adjusted for optical infinity and electronic ETDRS charts at a distance of 40 centimeters (cm) from the eye. Distance corrected visual acuity at near was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter on an ETDRS chart. A lower value represents better visual acuity. The mean logMAR values of the two groups were compared to demonstrate superiority of FINEVISION HP trifocal IOL to the control in mean photopic monocular logMAR DCNVA for the first operative eyes.

    Measured: 150-180 days after surgery on the first eyes

  3. Percentage of 1st Operative Eyes With Secondary Surgical Interventions (SSIs) Related to Optical Properties of IOL for up to Month 12 (Visit 5)

    The number of SSI's related to the optical properties of the IOL was calculated from the time of implantation up to Month 12. The percentage of SSIs was calculated as (# of first operative eyes with an SSI related to the optical properties of the IOL) divided by (# of first operative eyes with successful IOL implantation) times 100. The percentages were compared in the two groups to demonstrate noninferiority of FINEVISION HP IOL compared to AcrySof SN60AT IOL.

    Measured: Up to Month 12 (Day 360-420), post first eye implantation

  4. Mean Monocular Distance Log Contrast Sensitivity Photopic Without Glare at 2.5 m in 1st Operative Eyes at Month 12 (Visit 5).

    Contrast sensitivity (the ability to detect objects by distinguishing them from their background) was measured monocularly under photopic (well-lit) conditions without glare source in log units using the Clinical Trial Suite (M\&S Technologies) for sine-wave gratings 3, 6, 12, and 18 cycles per degree (CPD) at a test distance of 2.5 meters with best-corrected manifest refraction at 4 meters in place with an adjustment of +0.12 D for the 2.5-meter test distance. A more negative numeric log value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 12 (Day 360-420), post-first eye implantation

  5. Mean Monocular Distance Log Contrast Sensitivity Photopic With Glare at 2.5 m in 1st Operative Eyes at Month 12 (Visit 5).

    Contrast sensitivity (the ability to detect objects by distinguishing them from their background) was measured monocularly under photopic (well-lit) conditions with a glare source in log units using the Clinical Trial Suite (M\&S Technologies) for sine-wave gratings 3, 6, 12, and 18 cycles per degree (CPD) at a test distance of 2.5 meters with best-corrected manifest refraction at 4 meters in place with an adjustment of +0.12 D for the 2.5-meter test distance. A more negative numeric log value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 12 (Day 360-420), post-first eye implantation

  6. Mean Monocular Distance Log Contrast Sensitivity Mesopic Without Glare at 2.5 m in 1st Operative Eyes at Month 12 (Visit 5).

    Contrast sensitivity (the ability to detect objects by distinguishing them from their background) was measured monocularly under mesopic (dim-lit) conditions without glare source in log units using the Clinical Trial Suite (M\&S Technologies) for sine-wave gratings 1.5, 3, 6, and 12 cycles per degree (CPD) at a test distance of 2.5 meters with best-corrected manifest refraction at 4 meters in place with an adjustment of +0.12 D for the 2.5-meter test distance. A more negative numeric log value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 12 (Day 360-420), post-first eye implantation

  7. Mean Monocular Distance Log Contrast Sensitivity Mesopic With Glare at 2.5 m in 1st Operative Eyes at Month 12 (Visit 5).

    Contrast sensitivity (the ability to detect objects by distinguishing them from their background) was measured monocularly under mesopic (dim-lit) conditions with a glare source in log units using the Clinical Trial Suite (M\&S Technologies) for sine-wave gratings 1.5, 3, 6, and12 cycles per degree (CPD) at a test distance of 2.5 meters with best-corrected manifest refraction at 4 meters in place with an adjustment of +0.12 D for the 2.5-meter test distance. A more negative numeric log value represents better contrast sensitivity. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 12 (Day 360-420), post-first eye implantation

Secondary outcomes (3)
  1. Mean Photopic Monocular logMAR Distance Corrected Intermediate Visual Acuity (DCIVA) at 66 cm for the First Operative Eyes.

    VA was tested monocularly under photopic(well-lit) conditions using the manifest refraction adjusted for optical infinity and electronic ETDRS charts at a distance of 66 centimeters (cm) from the eye. DCIVA was measured in logMAR, with 0.02 logMAR increment corresponding to a single letter on an ETDRS chart. A lower value represents better visual acuity. The mean logMAR values of the two groups were compared to demonstrate superiority of FINEVISION HP trifocal IOL to the control in mean photopic monocular logMAR DCIVA for the first operative eyes.

    Measured: 150-180 days after surgery on the first eye

  2. Number and Percentage of First Operative Eyes With Cumulative and Persistent Adverse Events at Month 12 (Visit 5) in Comparison to the ISO Safety and Performance Endpoint (SPE) Rates as Described in ISO 11979-7

    The number and percentage of the first operative eyes with cumulative and persistent adverse events as noted in ISO 11979-7 were calculated for the two IOL groups and compared with the ISO Safety and Performance Endpoint (SPE) rates from ISO 11979-7 Table E.2. A p-value was calculated for each adverse event for each IOL group to determine the statistical significance of the difference in the percentages.

    Measured: Month 12 (Day 360-420), post-first eye implantation

  3. Evaluate Visual Disturbances Using the Quality of Vision (QoV) Questionnaire and QoV Supplemental Questions at Month 12 (Visit 5)

    The Quality of Vision (QoV) questionnaire was used to assess subjective visual disturbances reported by subjects receiving IOLs. The QoV asked the subject to rate the frequency, severity, and degree of bothersomeness for 10 items/visual disturbances in their everyday life based on the past week. The rating scales for frequency, severity, and degree of bothersomeness were:

    • Frequency: 0 (Never), 1 (Occasionally), 2 (Quite Often), 3 (Very Often)
    • Severity: 0 (Not at all), 1 (Mild), 2 (Moderate), 3 (Severe)
    • Bothersome: 0 (Not at all), 1 (A little), 2 (Quite), 3 (Very)

    Scores for each subscale (frequency, severity, degree of bothersomeness) ranging from 0 to 100, with higher scores indicating a higher degree of visual disturbances, were computed using a Rasch scoring algorithm which utilized data from the original validation of the QoV. Hypothesis testing was not planned for this outcome measure.

    Measured: Month 12 (Day 360-420), post-first 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 posted26 Nov 2019
  2. Study start28 Apr 2022
  3. Primary completion13 May 2024
  4. Study completion13 May 2024

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
Model description
Approximately 501 subjects will be screened across up to 24 study sites to complete 300 subjects implanted bilaterally with the FINEVISION HP and 150 subjects implanted bilaterally with the control monofocal Alcon AcrySof SN60AT.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
539 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04176965
Sponsor's protocol ID
PHY1903
Status last verified
Jan 2025
First submitted
20 Nov 2019
Last updated
29 Jan 2025
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 FINEVISION HP IOL and Alcon AcrySof SN60AT in people with Eye Diseases and Postcataract Aphakia, run by Beaver-Visitec International, Inc. at 20 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 11 inclusion and 12 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 29 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 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 29 Jan 2025). 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?

Mean Photopic Monocular logMAR Best Corrected Distance Visual Acuity (BCDVA) at 4 Meters in First Operative Eyes (time frame: 150-180 days after surgery on the first eyes). The study lists 7 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 29 Jan 2025.

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