Trial Outcomes & Findings for Safety and Performance of Miami InnFocus Drainage Implant (MIDI Arrow) Glaucoma Drainage Implant (NCT NCT01563237)

NCT ID: NCT01563237

Last Updated: 2021-06-24

Results Overview

The rate of success reflected sustained control of IOP over 24 Months from baseline

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

69 participants

Primary outcome timeframe

Months 6, 9, 12 and 24

Results posted on

2021-06-24

Participant Flow

Listing of Eyes under Study

Unit of analysis: Eyes

Participant milestones

Participant milestones
Measure
First Studied Eye
Patients suffering from glaucoma that is inadequately controlled on maximum tolerated medical therapy with intraocular pressure ≥ 18 mm Hg and ≤ 40 mm Hg.
Second Studied Eye
Patients suffering from glaucoma that is inadequately controlled on maximum tolerated medical therapy with intraocular pressure ≥ 18 mm Hg and ≤ 40 mm Hg.
Overall Study
STARTED
64 69
5 5
Overall Study
COMPLETED
54 59
5 5
Overall Study
NOT COMPLETED
10 10
0 0

Reasons for withdrawal

Reasons for withdrawal
Measure
First Studied Eye
Patients suffering from glaucoma that is inadequately controlled on maximum tolerated medical therapy with intraocular pressure ≥ 18 mm Hg and ≤ 40 mm Hg.
Second Studied Eye
Patients suffering from glaucoma that is inadequately controlled on maximum tolerated medical therapy with intraocular pressure ≥ 18 mm Hg and ≤ 40 mm Hg.
Overall Study
Lost to Follow-up
6
0
Overall Study
Withdrawal by Subject
1
0
Overall Study
Adverse Event
1
0
Overall Study
Medical Reasons
1
0
Overall Study
Death
1
0

Baseline Characteristics

Safety and Performance of Miami InnFocus Drainage Implant (MIDI Arrow) Glaucoma Drainage Implant

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MIDI Arrow
n=67 Participants
Implantation of MIDI Arrow (MicroShunt) in the anterior chamber of the eye in patients with primary open angle glaucoma (POAG)
Age, Continuous
64.1 years
STANDARD_DEVIATION 13.1 • n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
Sex: Female, Male
Male
39 Participants
n=5 Participants
Region of Enrollment
France
67 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Months 6, 9, 12 and 24

Population: The Intent-to-Treat (ITT) population included all enrolled eyes who have signed the informed consent and attended the procedure visit to receive the assigned therapy under evaluation (MIDI Arrow).

The rate of success reflected sustained control of IOP over 24 Months from baseline

Outcome measures

Outcome measures
Measure
Success With Respect to IOP
n=72 Implanted eyes
The rates of success reflected sustained control of IOP
Number of Eyes With Study Success
Month 6
50 Implanted eyes
Number of Eyes With Study Success
Month 9
52 Implanted eyes
Number of Eyes With Study Success
Month 12
50 Implanted eyes
Number of Eyes With Study Success
Month 24
51 Implanted eyes

SECONDARY outcome

Timeframe: At Day 1, Day 7, Week 3, Week 6, Month 3, Month 9, Month 12 and Month 24

Population: The Intent-to-Treat (ITT) population included all enrolled subject who have signed the informed consent and attended the procedure visit to receive the assigned therapy under evaluation (MIDI Arrow). IOP data collected after glaucoma re-operation was censored for this analysis

Intraocular Pressure (IOP) change in studied eye compared to baseline value at all timepoints thru 24 Months.

Outcome measures

Outcome measures
Measure
Success With Respect to IOP
n=72 eyes
The rates of success reflected sustained control of IOP
IOP Change From Baseline
Month 12
15.6 mmHg
Standard Deviation 4.7
IOP Change From Baseline
IOP at Baseline
26 mmHg
Standard Deviation 7
IOP Change From Baseline
Day 1
9.2 mmHg
Standard Deviation 4.2
IOP Change From Baseline
Day 7
10.9 mmHg
Standard Deviation 5.2
IOP Change From Baseline
Week 3
13.2 mmHg
Standard Deviation 6.3
IOP Change From Baseline
Week 6
13.3 mmHg
Standard Deviation 5.2
IOP Change From Baseline
Month 3
13.8 mmHg
Standard Deviation 4.1
IOP Change From Baseline
Month 6
15 mmHg
Standard Deviation 3.9
IOP Change From Baseline
Month 9
15.4 mmHg
Standard Deviation 4.2
IOP Change From Baseline
Month 24
16.2 mmHg
Standard Deviation 5.8

Adverse Events

Study Eyes Selected to be Operated Within the Study

Serious events: 10 serious events
Other events: 68 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Study Eyes Selected to be Operated Within the Study
n=74 participants at risk
Patients suffering from glaucoma that is inadequately controlled on maximum tolerated medical therapy with intraocular pressure ≥ 18 mm Hg and ≤ 40 mm Hg.
Investigations
Intraocular Pressure Increased
4.1%
3/74 • Number of events 3 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Surgical and medical procedures
Gallbladder Operation
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Surgical and medical procedures
Medical Device Repositioning
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Macular Degeneration
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Macular Oedema
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Visual Acuity Reduced
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Injury, poisoning and procedural complications
Conjunctival Filtering Bleb Leak
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Hepatobiliary disorders
Perforation Bile Duct
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Infections and infestations
Dacryocystitis
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.

Other adverse events

Other adverse events
Measure
Study Eyes Selected to be Operated Within the Study
n=74 participants at risk
Patients suffering from glaucoma that is inadequately controlled on maximum tolerated medical therapy with intraocular pressure ≥ 18 mm Hg and ≤ 40 mm Hg.
Investigations
Intraocular pressure increased
52.7%
39/74 • Number of events 64 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Hyphaema
25.7%
19/74 • Number of events 19 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Hypotony of eye
17.6%
13/74 • Number of events 15 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Cataract
23.0%
17/74 • Number of events 17 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Macular oedema
4.1%
3/74 • Number of events 6 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Diplopia
2.7%
2/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Keratitis
16.2%
12/74 • Number of events 12 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Visual acuity reduced
5.4%
4/74 • Number of events 6 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Eye irritation
6.8%
5/74 • Number of events 6 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Ulcerative keratitis
6.8%
5/74 • Number of events 6 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Eyelid ptosis
5.4%
4/74 • Number of events 4 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Conjunctival haemorrhage
2.7%
2/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Iris adhesions
2.7%
2/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Conjunctivitis allergic
2.7%
2/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Dry eye
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Retinopathy
2.7%
2/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Eyelid irritation
1.4%
1/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Allergic Keratitis
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Blepharitis
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Blepharospasm
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Choroidal detachment
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Corneal irritation
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Dacryostenosis acquired
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Eye Haemorrhage
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Eye Pain
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Lacrimal Disorder
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Macular Degeneration
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Narrow Anterior Chamber Angle
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Eye disorders
Trichiasis
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Investigations
Intraocular Pressure Decreased
2.7%
2/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
General disorders
Drug Intolerance
9.5%
7/74 • Number of events 7 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Injury, poisoning and procedural complications
Conjunctival Abrasion
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Injury, poisoning and procedural complications
Conjunctival Filtering Bleb Leak
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Injury, poisoning and procedural complications
Conjunctival Scar
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Injury, poisoning and procedural complications
Procedural Haemorrhage
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Injury, poisoning and procedural complications
Suture Related Complication
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Infections and infestations
Conjunctivitis
4.1%
3/74 • Number of events 3 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Infections and infestations
Dacryocystitis
1.4%
1/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Infections and infestations
Infection
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Infections and infestations
Sinusitis
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Nervous system disorders
Visual Field Defect
2.7%
2/74 • Number of events 2 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Product Issues
Device Deployment Issue
4.1%
3/74 • Number of events 3 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Product Issues
Device Difficult To Use
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Product Issues
Device Occlusion
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Surgical and medical procedures
Gallbladder Operation
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Surgical and medical procedures
Medical Device Repositioning
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Surgical and medical procedures
Suture Removal
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.
Hepatobiliary disorders
Perforation Bile Duct
1.4%
1/74 • Number of events 1 • Adverse events (AEs) were reported for the duration of the study of 24 Months.
Any untoward medical occurrence, unintended disease or injury or any untoward clinical signs (including an abnormal laboratory finding) affecting the study eye. Adverse Events were collected and reported per eye.

Additional Information

Sharon Herbert, Associate Director of Clinical Operations

InnFocus, Inc.

Phone: (415) 268-9059

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place