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Primary Open Angle GlaucomaMAGICNCT05786196

Multicenter Glaucoma Study Investigating Standalone Canaloplasty

A study testing Ab-interno canaloplasty utilizing the iTrack Advance device and Ab-interno canaloplasty utilizing the OMNI Surgical System in people with Primary Open Angle Glaucoma, run by Nova Eye, Inc. at 5 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

A multicenter, randomized, clinical trial to evaluate the efficacy of canaloplasty performed as a standalone procedure using the iTrack™ Advance canaloplasty device (Nova Eye, Inc.) as compared to the OMNI® Surgical System (Sight Sciences) in patients with mild to moderate primary open-angle glaucoma. Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Primary Open Angle Glaucoma
What is being tested?
Ab-interno canaloplasty utilizing the iTrack Advance device and Ab-interno canaloplasty utilizing the OMNI Surgical System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
86 participants
Where
5 sitesin 3 countries
Study dates
9 May 2023to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 subjects, 22 years or older at the time of surgery
  • Diagnosed with mild to moderate primary open angle glaucoma
  • Candidate for canaloplasty surgery: i.e., catheterization of Schlemm's canal and subsequent viscodilation of Schlemm's canal, without trabeculotomy
  • Intolerance to medical therapy OR need/willingness to reduce medications
  • At the Screening Visit, IOP of ≤ 30 mmHg while on 1-4 ocular hypotensive medications
  • At the Baseline Visit, unmedicated IOP ≥ 21mmHg and ≤ 36 mmHg, and ≥ 3mmHg higher than medicated IOP
Show all 10Show fewer
  • Shaffer grade of ≥ 3 in all four quadrants
  • Central corneal thickness ≥ 480µm and ≤ 620 µm
  • Able and willing to comply with the study procedures and attend all follow-up visits
  • Understands and signs the informed consent

Who cannot join

  • Any of the following prior treatments for glaucoma (study eye):
  • Laser trabeculoplasty
  • Selective Laser Trabeculoplasty (SLT) conducted within 6-months of the Screening Visit ii. Prior Argon Laser Trabeculoplasty
  • iStent or iStent Inject within 180 days of the Screening Visit
  • Endocyclophotocoagulation (ECP) or Micropulse laser
  • Trabeculectomy or other bleb forming procedure including Xen, Express, and glaucoma draining device/valve
Show all 21Show fewer
  • Prior canaloplasty (ab interno and ab externo)
  • Prior goniotomy, or trabeculotomy (ab externo and ab interno)
  • Hydrus microstent
  • Suprachoroidal stent (e.g., Cypass, iStent Supra, MINIject)
  • Concurrent IOP-lowering procedure other than use of the iTrack Advance canaloplasty device OR the OMNI Surgical System at the time of surgery (e.g., ECP, CPC, etc.)
  • Acute angle closure, traumatic, congenital, malignant, uveitic or neovascular glaucoma, pigmentary glaucoma or pseudoexfoliative glaucoma
  • Cataract surgery within 6 months of the Screening Visit in the study eye
  • History of fellow eye with cataract surgery within 30 days of Screening
  • Subjects at significant risk by a washout of ocular hypotensive medication, and/or subjects where the unmedicated IOP is expected to exceed the upper limit of 36 mmHg
  • Use of systemic medications (either current, within 30 calendar days of Screening exam, or anticipated) that may cause an increase in IOP, (e.g., systemic steroids including inhaled and oral steroids used on a regular basis)
  • Ocular and/or systemic diseases that could affect the corneal endothelium (such as corneal endothelial dystrophy, intraocular inflammation and infection, or congenital abnormalities)
  • History of penetrating keratoplasty or another corneal transplant
  • BCVA of 20/200 or worse in the fellow eye not due to cataract
  • Previous treatment with OMNI or iTrack (Note: permitted if fellow eye only was treated)
  • BCVA of 20/50 or worse in the study eye not due to posterior capsular opacification

Trial locations and contacts

5 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

5 sites in 3 countries

United Kingdom3 sites, 3 recruiting
  • Princess Alexandra Eye Pavilion, NHS Lothian

    Edinburgh

    Andrew Tatham, MD

    Recruiting
  • St. Paul's Eye Unit, Liverpool University

    Liverpool

    Neeru Vallabh, PhD

    Recruiting
  • Manchester Royal Eye Hospital

    Manchester

    Leon Au, MD

    Recruiting

Other trials in United Kingdom

Germany1 site, 1 recruiting
  • Breyer Kaymak Klabe Augenchirurgie

    Düsseldorf

    Karsten Klabe, MD

    Recruiting

Other trials in Germany

Spain1 site, 1 recruiting
  • Hospital Clinico San Carlos, Servicio de Oftalmologia

    Madrid

    Jose Martinez de la Casa, MD

    Recruiting

Other trials in Spain

About this study

Official title: Multicenter Glaucoma Study Investigating Standalone Canaloplasty, Randomized Controlled Trial: iTrack Advance (Nova Eye, Inc.) Compared to OMNI (Sight Sciences)

A multicenter, randomized, clinical trial to evaluate the efficacy of canaloplasty performed as a standalone procedure using the iTrack™ Advance canaloplasty device (Nova Eye, Inc.) as compared to the OMNI® Surgical System (Sight Sciences) in patients with mild to moderate primary open-angle glaucoma.

Being tested
Ab-interno canaloplasty utilizing the iTrack Advance device, Ab-interno canaloplasty utilizing the OMNI Surgical System
Keywords
Canaloplasty
Medical subject headings
Glaucoma, Open-Angle

What participants receive

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

  • Ab-interno canaloplasty utilizing the iTrack Advance deviceDevice

    360 degree microcatheterization and viscodilation of Schlemm's canal

  • Ab-interno canaloplasty utilizing the OMNI Surgical SystemDevice

    360 degree microcatheterization and viscodilation of Schlemm's canal

Study groups in NCT05786196
Study groupRoleWhat they receive
iTrack AdvanceActive comparatorAb-interno canaloplasty utilizing the iTrack Advance microcatheter device (Nova Eye, Inc.)
Receives: Device: Ab-interno canaloplasty utilizing the iTrack Advance device
OMNI Surgical SystemActive comparatorAb-interno canaloplasty utilizing the OMNI Surgical System
Receives: Device: Ab-interno canaloplasty utilizing the OMNI Surgical System

What is being measured

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

  1. The mean change in unmedicated Intraocular pressure (IOP) at Month-12 compared to baseline

    IOP will be measured at each visit with Goldmann applanation tonometry

    Measured: 12 months

  2. Percentage of eyes achieving a 20% or greater reduction in unmedicated Intraocular pressure (IOP) at Month-12 compared to baseline and without any other intervention (medication or secondary surgery)

    IOP will be measured at each visit with Goldmann applanation tonometry

    Measured: 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 posted27 Mar 2023
  2. Study start9 May 2023
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
86 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05786196
Sponsor's protocol ID
NE 05021
Acronym
MAGIC
Status last verified
Apr 2025
First submitted
14 Mar 2023
Last updated
18 Apr 2025
Results posted
No
Data monitoring committee
No
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 Ab-interno canaloplasty utilizing the iTrack Advance device and Ab-interno canaloplasty utilizing the OMNI Surgical System in people with Primary Open Angle Glaucoma, run by Nova Eye, Inc. at 5 sites in 3 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 10 inclusion and 21 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: looking for participants now, as of the sponsor's last update on 18 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United Kingdom, Germany, Spain. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Mike Pickrel (1-800-391-2316, mpickrel@nova-eye.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The mean change in unmedicated Intraocular pressure (IOP) at Month-12 compared to baseline (time frame: 12 months). 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 18 Apr 2025.

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