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Myopic AstigmatismNCT05229133

Efficacy and Safety of CLEAR in Myopia and Astigmatism in Chinese Population

A study testing CLEAR in people with Myopic Astigmatism, run by Ziemer Ophthalmic Systems AG at 4 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In this multicenter, prospective, interventional, single-arm clinical trial, the aim is to determine safety and efficacy of CLEAR using the FEMTO LDV Z8 in Chinese patients in China. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myopic Astigmatism
What is being tested?
CLEAR
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
215 participants
Where
4 sitesChina
Study dates
29 Nov 2021to 1 Mar 2023
Phase
Interventional
Are there results?
None posted in the registry

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

Who may be able to join

  • Medically suitable for corneal refractive surgery
  • Signed informed consent form
  • Age ≥ 18 years
  • Pre-operative BCVA ≥ 5.0 (corresponding to 20/20 as per Snellen chart lines)
  • Myopia sphere from -0.5 D to -10.00 D
  • Maximum cylinder diopter of -5.00 D
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  • Maximum resulting MRSE of -12.5 D
  • Calculated residual stromal thickness ≥ 250 microns
  • Non-contact IOP < 21mmHg
  • Stable refraction for the past year, as demonstrated by a change in manifest refraction spherical equivalent (MRSE) of ≤ 0.50 D
  • A difference between cycloplegic refraction spherical equivalent and MRSE < 0.75 D.
  • For contact lens wearers (where applicable) after pre-operative stop of contact lens wear: Stable refraction (within ±0.5 D), as determined by MRSE, on two consecutive examinations at least 1 week apart.
  • Patient willing and able to return to the study site for the follow-up visits, in the judgement of the investigator.

Who cannot join

  • Wearing of contact lenses pre-operatively i) soft contact lenses: <2 weeks before Visit 1 OR from Visit 1 till the day of surgery ii) hard contact lenses: <1 month before Visit 1 OR from Visit 1 till the day of surgery iii) therapeutic contact lenses (such as Ortho-K): <3 months before Visit 1 OR from Visit 1 till the day of surgery
  • Corneal disease or pathology, such as corneal scaring or opacity, that precludes transmission of laser wavelength or that distorts laser light
  • Residual, recurrent, or active ocular disease or corneal abnormality (including, but not limited to ocular herpes zoster or simplex, active infections and inflammation)
  • History of ocular herpes simplex or herpes zoster keratitis
  • 3 months before the inclusion have taken systemic medication likely to negatively affect wound healing, such as glucocorticosteroide or antimetabolites
  • Severe dry eye
Show all 18Show fewer
  • Glaucoma
  • Nystagmus or hemofacial spasm preventing placement of the patient interface
  • Previous corneal surgery of any kind, including any type of surgery for either refractive or therapeutic purposes
  • Unstable central keratometry readings
  • Mesopic pupil diameter > 8.0 mm
  • Keratometry readings via Sim-K values less than 40.00 D
  • Allergy to medications required in surgery, pre- and post-operative treatment
  • Keratoconus or keratectasia, including patients with suspicion of keratoconus on corneal topography
  • At the time of inclusion, participation in other medical device clinical trials within one month or in drug clinical trials within 3 months
  • Diagnosis of autoimmune disease, connective tissue disease, clinically significant atopic disease, diabetes or AIDS and other acute or chronic illnesses that increases the risk to the subject or confounds the outcomes of this study in the opinion of the study principal investigator
  • Known psychotic disorders associated with delusions (e.g. schizophrenia)
  • Woman who is pregnant or nursing

Trial locations and contacts

4 sites in 1 country.

Olga Grossenbacher, MD, PhD contact

+41 79 671 67 25

olga.grossenbacher@ziemergroup.com

China4 sites, 4 recruiting
  • Beijing Tongren Hospital

    Beijing, Beijing Municipality

    Changbin Zhai, MD, 136 0108 9269

    Changbin Zhai, MD

    Not yet recruiting
  • Ineye Hospital of Chengdu University of TCM

    Chengdu, Sichuan

    Yuehua Zhou, MD, 139 1083 6019

    Yuehua Zhou, MD

    Not yet recruiting
  • Guangzhou Aier Eye Hospital

    Guangzhou, Guangdong

    Zheng Wang, MD, 139 0300 2594

    Zheng Wang, MD

    Not yet recruiting
  • Eye Hospital, WMU

    Wenzhou, Zhejiang

    Shi-hao Chen, MD, 139 6887 8892

    Shi-hao Chen, MD

    Recruiting

Other trials in China

About this study

Official title: A Multicentre, Prospective, Single-arm Clinical Trial to Evaluate Efficacy and Safety of Femtosecond Laser Corneal Lenticule Extraction for Advanced Refractive Correction (CLEAR) in Myopia and Astigmatism in Chinese Population

In this multicenter, prospective, interventional, single-arm clinical trial, the aim is to determine safety and efficacy of CLEAR using the FEMTO LDV Z8 in Chinese patients in China.

The primary objective is to evaluate the visual outcome after CLEAR using the FEMTO LDV Z8 in myopia and astigmatic myopia at the time point, when stability of manifest refraction spherical equivalent (MRSE) is reached.

Read more

The corresponding hypothesis is that the percentage of treated eyes with satisfactory Uncorrected Distance Visual Acuity (UCDVA) at the point when stability of MRSE is reached after CLEAR is at least 85% of all treated eyes. This hypothesis has been chosen in line with the recommendations of the "Checklist of Information Usually Submitted in an Investigational Device Exemptions (IDE) Application for Refractive Surgery Lasers" issued by the FDA.

The secondary objectives are to evaluate the efficacy and safety with respect to stability, predictability, device defects and adverse events of CLEAR using the FEMTO LDV Z8 in myopia and astigmatic myopia during follow-up.

Being tested
CLEAR
Keywords
CLEAR, Ziemer, FEMTO LDV, Lenticule, Myopic astigmatism
Medical subject headings
Astigmatism

What participants receive

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

  • CLEARDevice

    Also called Corneal lenticule extraction for advanced refractive correction

    FEMTO LDV Z8 Surgical Laser is intended for use in Corneal Lenticule Extraction for Advanced Refractive correction (CLEAR), also called Curved Lamellar Resection (CLR), for the reduction or elimination of myopia from -0.50 D to -10.00 D, with astigmatism of 0 D to -5.00 D or without astigmatism, and MRSE of -0.50 D to -12.50 D in the eye to be treated in patients who are 18 years of age or older with documentation of stable manifest refraction over the past year as demonstrated by a change in sphere and cylinder of ≤ 0.50 D in magnitude.

Study groups in NCT05229133
Study groupRoleWhat they receive
Refractive correction using CLEARExperimentalSubjects 18+ years old with myopic (-0.50 to -10.00 D) astigmatism (up to -5.00 D) treated bilaterally with FEMTO LDV Z8 using CLEAR application.
Receives: Device: CLEAR

What is being measured

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

  1. UCDVA (with cycloplegia)

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: Pre-operative

  2. UCDVA (without cycloplegia)

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: Pre-operative

  3. UCDVA

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: day 1

  4. UCDVA

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: 1 week

  5. UCDVA

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: 1 month

  6. UCDVA

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: 3 months

  7. UCDVA

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: 6 months

  8. UCDVA

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: 9 months

  9. UCDVA

    The primary outcome is the percentage of eyes that achieve satisfactory Uncorrected Distance Visual Acuity (UCDVA) after CLEAR using the FEMTO LDV Z8, at the time point, when stability of MRSE is reached.

    Satisfactory UCDVA is defined as 20/40, or better, as per Snellen chart lines.

    Measured: 12 months

Secondary outcomes (13)
  1. Stability of MRSE

    The percentage of eyes with:

    • a change of less than or equal to 1.00 D of MRSE between two refractions
    • a change of less than or equal to 0.50 D of MRSE between two refractions will be reported for the corresponding time period.

    Measured: Assessed at 3 months, 6 months, 9 months and 12 months post surgery.

  2. Predictability of MRSE

    Percentage of eyes achieving MRSE within ± 1.00 D and within ± 0.50 D of the intended outcome at the point at which MRSE stability is achieved.

    Measured: Up to 12 months

  3. Efficacy Index

    Efficacy Index is defined as UCDVA at the time point, when stability of MRSE is reached, divided by CDVA at baseline:

    (UCDVA VX /CDVA V1). Note: "X" corresponds to the visit, when stability of MRSE will have been reached.

    The Efficacy Index being above the efficacy cut-off level 0.8 indicates loss of less than two lines of UCDVA

    Measured: Up to 12 months

  4. Stability of MRCYL

    The stability of the manifest refractive cylinder (MRCYL) will be evaluated for the whole set of eyes treated for astigmatic myopia. The following statistics for the change in the MRCYL between two consecutive post-operative follow-up visits will be recorded:

    • percentage of eyes with a change in MRCYL within ±1.0 D and ±0.5 D

    Stability analyses will be performed on the eyes that had every follow-up exam from 1- month up to the stability time point (the Consistent Cohort), as well as on the eyes that had 2 consecutive post-op exams, but not necessarily every follow-up exam

    Measured: Assessed at 3 months, 6 months, 9 months and 12 months post surgery.

  5. Predictability of MRCYL

    Percentage of eyes achieving MRCYL within ± 1.00 D of the intended outcome, and within ± 0.50 D of the intended outcome at the point at which stability of MRSE is achieved.

    Measured: Up to 12 months

  6. Vector analysis (IRC)

    Intended Refractive Correction Vector (IRC) IRC = Preoperative cylinder - Target (attempted) cylinder

    Measured: Pre-operative

  7. Vector analysis (SIRC)

    Assessment of change in the Surgically Induced Refractive Correction Vector (SIRC) during follow up; assessed until the MRSE stability is reached.

    SIRC = Preoperative cylinder - Postoperative cylinder

    Measured: Assessed at 3 months, 6 months, 9 months and 12 months post surgery.

  8. Vector analysis (EV)

    Assessment of change in the Error Vector during follow up; assessed until the MRSE stability is reached.

    Error Vector (EV) EV = IRC - SIRC

    Measured: Assessed at 3 months, 6 months, 9 months and 12 months post surgery.

  9. Vector analysis (CR)

    Assessment of change in the Correction Rate during follow up; assessed until the MRSE stability is reached.

    Correction Ratio (CR) CR = magnitude of SIRC / magnitude of IRC

    Measured: Assessed at 3 months, 6 months, 9 months and 12 months post surgery.

  10. Vector analysis (ER)

    Assessment of change in the Error Ratio during follow up; assessed until the MRSE stability is reached.

    Error Ratio (ER) ER = magnitude of EV/ magnitude of IRC

    Measured: Assessed at 3 months, 6 months, 9 months and 12 months post surgery.

  11. Safety Index

    Safety Index defined as CDVA at the time point, when the stability of MRSE is reached, divided by CDVA at baseline (CDVA VX / CDVA V1).

    Measured: Up to 12 months

  12. Number of Adverse Events observed in the study

    Complications, including all related (Serious) Adverse Events, during surgery day and follow-up.

    Measured: Up to 12 months.

  13. Number of Device defects observed in the study

    Number of device defects observed during the clinical trial.

    Measured: Up to 12 months

Timeline

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

  1. First posted8 Feb 2022
  2. Study start29 Nov 2021
  3. Primary completion1 Mar 2023 (estimated)
  4. Study completion1 Mar 2023 (estimated)

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
215 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05229133
Sponsor's protocol ID
CPFLM-0008-CN-01
Status last verified
Dec 2021
First submitted
22 Dec 2021
Last updated
8 Feb 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing CLEAR in people with Myopic Astigmatism, run by Ziemer Ophthalmic Systems AG at 4 sites in China.

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 13 inclusion and 18 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: status not confirmed, as of the sponsor's last update on 8 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. 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?

Results are not available in the source record.

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

Contact Olga Grossenbacher, MD, PhD (+41 79 671 67 25, olga.grossenbacher@ziemergroup.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

UCDVA (with cycloplegia) (time frame: Pre-operative). The study lists 9 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 8 Feb 2022.

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