Trial Outcomes & Findings for Hydrophobic Acrylic Toric IOL Designed to Reduce the Effects of Preoperative Corneal Astigmatism (NCT NCT01852084)

NCT ID: NCT01852084

Last Updated: 2020-09-16

Results Overview

Dioptric change in cylinder from the preoperative keratometric cylinder magnitude to postoperative manifest refraction cylinder magnitude (referenced to the corneal plane).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

191 participants

Primary outcome timeframe

Baseline, Final Visit (scheduled within window: days 120-180)

Results posted on

2020-09-16

Participant Flow

Participant milestones

Participant milestones
Measure
Control IOL
Control IOL - Spherical control lens
Toric IOL1.25 D
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Overall Study
STARTED
79
80
20
12
Overall Study
COMPLETED
79
80
18
12
Overall Study
NOT COMPLETED
0
0
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Hydrophobic Acrylic Toric IOL Designed to Reduce the Effects of Preoperative Corneal Astigmatism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control IOL
n=79 Participants
Control IOL - Spherical control lens
Toric IOL1.25 D
n=80 Participants
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=20 Participants
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 Participants
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Total
n=191 Participants
Total of all reporting groups
Age, Continuous
69.5 years
STANDARD_DEVIATION 8.6 • n=93 Participants
71.1 years
STANDARD_DEVIATION 8.8 • n=4 Participants
68.7 years
STANDARD_DEVIATION 9.1 • n=27 Participants
69.6 years
STANDARD_DEVIATION 8.8 • n=483 Participants
70.1 years
STANDARD_DEVIATION 8.7 • n=36 Participants
Sex: Female, Male
Female
36 Participants
n=93 Participants
49 Participants
n=4 Participants
8 Participants
n=27 Participants
9 Participants
n=483 Participants
102 Participants
n=36 Participants
Sex: Female, Male
Male
43 Participants
n=93 Participants
31 Participants
n=4 Participants
12 Participants
n=27 Participants
3 Participants
n=483 Participants
89 Participants
n=36 Participants

PRIMARY outcome

Timeframe: Baseline, Final Visit (scheduled within window: days 120-180)

Population: Evaluable participants at the specified timepoint are included in the analysis.

Dioptric change in cylinder from the preoperative keratometric cylinder magnitude to postoperative manifest refraction cylinder magnitude (referenced to the corneal plane).

Outcome measures

Outcome measures
Measure
Control IOL
n=78 Participants
Control IOL - Spherical control lens
Toric IOL1.25 D
n=80 Participants
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=18 Participants
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 Participants
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Mean Dioptric Change in Cylinder
-0.479 diopter
Standard Deviation 0.665
-0.865 diopter
Standard Deviation 0.487
-1.413 diopter
Standard Deviation 0.532
-1.944 diopter
Standard Deviation 0.327

PRIMARY outcome

Timeframe: Form 3 Visit (window: days 30-60), Final Visit (window: days 120-180)

Population: The measure was not assessed for the control IOL. Evaluable participants at the specified timepoint are included in the analysis.

Intraocular Lens (IOL) rotation of less than or equal to five degrees between Forms 3 (scheduled within window: days 30-60) and final visit (scheduled within window: days 120-180).

Outcome measures

Outcome measures
Measure
Control IOL
Control IOL - Spherical control lens
Toric IOL1.25 D
n=74 Participants
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=15 Participants
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 Participants
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Percentage of Participants With Intraocular Lens (IOL) Rotation of Less Than or Equal to Five Degrees
74 Participants
15 Participants
12 Participants

PRIMARY outcome

Timeframe: Final Visit (scheduled within window: days 120-180)

Population: Evaluable participants at the specified timepoint are included in the analysis.

Best-corrected distance visual acuity (BCDVA) at Final Visit, expressed as logarithm of the minimum angle of resolution (logMAR). Corrected means spectacle corrected. Visual acuity (VA) was reported as letters read correctly, and the letters read were converted to logarithm of the minimum angle of resolution (logMAR) acuity. The participant read rows of letters on a standard LogMAR chart until the participant misses 3 letters on a row with 5 letters. The total number of correct letters were recorded. A decrease in the number of correct letters indicates a decrease in visual acuity.

Outcome measures

Outcome measures
Measure
Control IOL
n=78 Participants
Control IOL - Spherical control lens
Toric IOL1.25 D
n=80 Participants
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=18 Participants
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 Participants
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Mean Best-corrected Distance Visual Acuity (BCDVA) at Final Visit
0.01 logMAR
Standard Deviation 0.09
0.00 logMAR
Standard Deviation 0.09
0.05 logMAR
Standard Deviation 0.10
-0.01 logMAR
Standard Deviation 0.09

PRIMARY outcome

Timeframe: Final Visit (scheduled within window: days 120-180)

Population: Evaluable participants at the specified timepoint are included in the analysis.

Outcome measures

Outcome measures
Measure
Control IOL
n=78 Participants
Control IOL - Spherical control lens
Toric IOL1.25 D
n=80 Participants
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=18 Participants
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 Participants
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Percentage of Participants With Reduction in Cylinder Within 0.50 Diopter (D) and Within 1.00 D of Intended.
Within 0.50 D of intended
27 Participants
43 Participants
12 Participants
8 Participants
Percentage of Participants With Reduction in Cylinder Within 0.50 Diopter (D) and Within 1.00 D of Intended.
Within 1.00 D of intended
45 Participants
71 Participants
17 Participants
12 Participants

SECONDARY outcome

Timeframe: Final Visit (scheduled within window: days 120-180)

Population: Evaluable participants at the specified timepoint are included in the analysis.

Uncorrected distance visual acuity (UCDVA), expressed as logarithm of the minimum angle of resolution (logMAR). Uncorrected means not spectacle-corrected. Visual acuity (VA) was reported as letters read correctly, and the letters read were converted to logarithm of the minimum angle of resolution (logMAR) acuity. The participant read rows of letters on a standard LogMAR chart until the participant misses 3 letters on a row with 5 letters. The total number of correct letters were recorded. A decrease in the number of correct letters indicates a decrease in visual acuity.

Outcome measures

Outcome measures
Measure
Control IOL
n=78 Participants
Control IOL - Spherical control lens
Toric IOL1.25 D
n=80 Participants
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=18 Participants
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 Participants
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Mean Uncorrected Distance Visual Acuity (UCDVA) at Final Visit
0.19 logMAR
Standard Deviation 0.16
0.11 logMAR
Standard Deviation 0.14
0.12 logMAR
Standard Deviation 0.11
0.13 logMAR
Standard Deviation 0.18

Adverse Events

Control IOL

Serious events: 0 serious events
Other events: 38 other events
Deaths: 0 deaths

Toric IOL1.25 D

Serious events: 2 serious events
Other events: 39 other events
Deaths: 0 deaths

Toric IOL 2.00 D

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Toric IOL 2.75 D

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Control IOL
n=79 participants at risk
Control IOL - Spherical control lens
Toric IOL1.25 D
n=80 participants at risk
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=20 participants at risk
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 participants at risk
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Eye disorders
Epiretinal membrane
0.00%
0/79 • 180 days
0.00%
0/80 • 180 days
5.0%
1/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
IOL tilt
0.00%
0/79 • 180 days
1.2%
1/80 • 180 days
0.00%
0/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
Anterior lens vault
0.00%
0/79 • 180 days
1.2%
1/80 • 180 days
0.00%
0/20 • 180 days
0.00%
0/12 • 180 days

Other adverse events

Other adverse events
Measure
Control IOL
n=79 participants at risk
Control IOL - Spherical control lens
Toric IOL1.25 D
n=80 participants at risk
Toric IOL1.25 D - Toric cylinder power of 1.25 diopters (D)
Toric IOL 2.00 D
n=20 participants at risk
Toric IOL 2.00 D - - Toric cylinder power of 2.00 diopters (D)
Toric IOL 2.75 D
n=12 participants at risk
Toric IOL 2.75 D - Toric cylinder power of 2.75 diopters (D)
Eye disorders
Corneal edema
19.0%
15/79 • 180 days
22.5%
18/80 • 180 days
15.0%
3/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
Anterior chamber cell
21.5%
17/79 • 180 days
18.8%
15/80 • 180 days
5.0%
1/20 • 180 days
8.3%
1/12 • 180 days
Eye disorders
Anterior chamber flare
5.1%
4/79 • 180 days
3.8%
3/80 • 180 days
5.0%
1/20 • 180 days
8.3%
1/12 • 180 days
Eye disorders
Punctate keratosis
7.6%
6/79 • 180 days
6.2%
5/80 • 180 days
0.00%
0/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
Visual acuity reduced
8.9%
7/79 • 180 days
2.5%
2/80 • 180 days
5.0%
1/20 • 180 days
8.3%
1/12 • 180 days
Eye disorders
Dry eye
1.3%
1/79 • 180 days
1.2%
1/80 • 180 days
10.0%
2/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
Diplopia
0.00%
0/79 • 180 days
1.2%
1/80 • 180 days
5.0%
1/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
Trichiasis
0.00%
0/79 • 180 days
1.2%
1/80 • 180 days
5.0%
1/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
Maculopathy
0.00%
0/79 • 180 days
0.00%
0/80 • 180 days
5.0%
1/20 • 180 days
0.00%
0/12 • 180 days
Eye disorders
Photophobia
0.00%
0/79 • 180 days
0.00%
0/80 • 180 days
5.0%
1/20 • 180 days
0.00%
0/12 • 180 days
Investigations
Intraocular pressure increased
3.8%
3/79 • 180 days
6.2%
5/80 • 180 days
5.0%
1/20 • 180 days
0.00%
0/12 • 180 days

Additional Information

Study Director

Bausch Health

Results disclosure agreements

  • Principal investigator is a sponsor employee Contact sponsor directly for details.
  • Publication restrictions are in place

Restriction type: OTHER