Trial Outcomes & Findings for Safety and Performance Study of the ARGOS-IO (Intraocular) System in Patients With Primary Open Angle Glaucoma (POAG) (NCT NCT02434692)

NCT ID: NCT02434692

Last Updated: 2024-12-12

Results Overview

Number of patients experiencing a device related SAE (SADE) and complications during the implantation of the ARGOS-IO device.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Day 0 to Day 360 (V01 [Implantation] to V11)

Results posted on

2024-12-12

Participant Flow

Recruitment from July 2014 to March 2016 in medical clinics.

Participant milestones

Participant milestones
Measure
Single-arm Intervention ARGOS-IO System
The ARGOS-IO Pressure sensor will be additionally implanted during local routine working procedures for cataract surgery in Patients with Primary Open Angle Glaucoma (POAG) and indicated cataract surgery. ARGOS-IO system: Implantation of ARGOS-IO pressure sensor after cataract surgery on Day 0 (V01)
Overall Study
STARTED
22
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Performance Study of the ARGOS-IO (Intraocular) System in Patients With Primary Open Angle Glaucoma (POAG)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Safety Set
n=23 Participants
In this multicenter, open-label, single-arm, interventional clinical trial a total of 24 patients with primary open angle glaucoma were initially enrolled, 22 of whom successfully received the ARGOS-IO implant. Of the two patients, initially enrolled but not implanted with the ARGOS-IO implant, one patient was included due to a misunderstanding of the inclusion and exclusion criteria, which was noticed before the procedure. 23 patients were thus included in the safety evaluation set ("Safety Set"-Group). Due to surgical complications during cataract surgery, an implantation of the ARGOS-IO pressure sensor was not attempted in the second patient. Goldmann applanation tonometry (GAT) measures were compared with the sensors' IOP measures and comprehensive ophthalmic examinations at all post-operative visits (V02-V11) through 12 months.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
16 Participants
n=5 Participants
Age, Continuous
67.7 years
STANDARD_DEVIATION 6.7 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
23 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Germany
23 participants
n=5 Participants
Number of patients who successfully received the ARGOS-IO implant
22 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 0 to Day 360 (V01 [Implantation] to V11)

Number of patients experiencing a device related SAE (SADE) and complications during the implantation of the ARGOS-IO device.

Outcome measures

Outcome measures
Measure
Safety Set
n=23 Participants
In this multicenter, open-label, single-arm, interventional clinical trial a total of 24 patients with primary open angle glaucoma were initially enrolled, 22 of whom successfully received the ARGOS-IO implant. Of the two patients, initially enrolled but not implanted with the ARGOS-IO implant, one patient was included due to a misunderstanding of the inclusion and exclusion criteria, which was noticed before the procedure. 23 patients were thus included in the safety evaluation set ("Safety Set"-Group). Due to surgical complications during cataract surgery, an implantation of the ARGOS-IO pressure sensor was not attempted in the second patient.
Safety: Number of Patients Experiencing a Device Related SAE (SADE) and Complications During Implantation
SADEs
0 participants
Safety: Number of Patients Experiencing a Device Related SAE (SADE) and Complications During Implantation
SAEs
9 participants
Safety: Number of Patients Experiencing a Device Related SAE (SADE) and Complications During Implantation
Surgical complications
7 participants

PRIMARY outcome

Timeframe: Day 30 to Day 360 (V05 to V11)

Population: All available GAT and ARGOS-IO measurements.

Intraclass correlation between intraocular pressure (IOP) measurements made by GAT and the ARGOS-IO system (IOP in mmHg; starting at visit V05 as specified by the protocol) following the ICC(3,k) concordance analysis method \[Choritz et al., 2019 (Telemetric Measurement of … ARGOS-02 Trial) in the "References"-section\].

Outcome measures

Outcome measures
Measure
Safety Set
n=435 comparisons
In this multicenter, open-label, single-arm, interventional clinical trial a total of 24 patients with primary open angle glaucoma were initially enrolled, 22 of whom successfully received the ARGOS-IO implant. Of the two patients, initially enrolled but not implanted with the ARGOS-IO implant, one patient was included due to a misunderstanding of the inclusion and exclusion criteria, which was noticed before the procedure. 23 patients were thus included in the safety evaluation set ("Safety Set"-Group). Due to surgical complications during cataract surgery, an implantation of the ARGOS-IO pressure sensor was not attempted in the second patient.
Performance: Intraclass Correlation Between Intraocular Pressure (IOP) Measurements by GAT and the ARGOS-IO System
0.789 Intraclass correlation coefficient
Interval 0.743 to 0.8717

SECONDARY outcome

Timeframe: Day 0 to Day 360 (V01 [Implantation] to V11)

Population: 168 AEs were reported, 74 AEs in 18 patients (p) were related to the ARGOS-IO device, 90 AEs in 21 p had a relationship to the medical procedure \& 52 AEs in 17 p were related to other. Most common but as well expected AEs even after a standard cataract surgery were increased IOP (2 x in 14 p), anterior chamber inflammation (11x in 9 p) \& anterior chamber fibrin (5 p). Pigment dispersion was described in 8 p.

Safety evaluation based on the incidence, nature, severity and seriousness of observed adverse events and adverse device events.

Outcome measures

Outcome measures
Measure
Safety Set
n=23 Participants
In this multicenter, open-label, single-arm, interventional clinical trial a total of 24 patients with primary open angle glaucoma were initially enrolled, 22 of whom successfully received the ARGOS-IO implant. Of the two patients, initially enrolled but not implanted with the ARGOS-IO implant, one patient was included due to a misunderstanding of the inclusion and exclusion criteria, which was noticed before the procedure. 23 patients were thus included in the safety evaluation set ("Safety Set"-Group). Due to surgical complications during cataract surgery, an implantation of the ARGOS-IO pressure sensor was not attempted in the second patient.
Safety: Incidence, Nature, Severity & Seriousness of Observed AEs/ADEs.
Overall number of AEs/ADEs
168 A(D)Es
Safety: Incidence, Nature, Severity & Seriousness of Observed AEs/ADEs.
AEs related to medical device
74 A(D)Es
Safety: Incidence, Nature, Severity & Seriousness of Observed AEs/ADEs.
AEs related to medical procedure
90 A(D)Es
Safety: Incidence, Nature, Severity & Seriousness of Observed AEs/ADEs.
AEs related to other
52 A(D)Es

Adverse Events

Safety Set

Serious events: 9 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Safety Set
n=23 participants at risk
In this multicenter, open-label, single-arm, interventional clinical trial a total of 24 patients with primary open angle glaucoma were initially enrolled, 22 of whom successfully received the ARGOS-IO implant. Of the two patients, initially enrolled but not implanted with the ARGOS-IO implant, one patient was included due to a misunderstanding of the inclusion and exclusion criteria, which was noticed before the procedure. 23 patients were thus included in the safety evaluation set ("Safety Set"-Group). Due to surgical complications during cataract surgery, an implantation of the ARGOS-IO pressure sensor was not attempted in the second patient.
Eye disorders
Abnormal visual field test
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Anterior chamber fibrin
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Intraocular pressure increased
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Amaurosis fugax
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Corneal decompensation
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Cataract operation in fellow eye
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Gastrointestinal disorders
Abdominal pain upper
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Immune system disorders
Arthritis
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Gastrointestinal disorders
Constipation
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Metabolism and nutrition disorders
Dehydration
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Gastrointestinal disorders
Large intestine perforation
4.3%
1/23 • Number of events 1 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization

Other adverse events

Other adverse events
Measure
Safety Set
n=23 participants at risk
In this multicenter, open-label, single-arm, interventional clinical trial a total of 24 patients with primary open angle glaucoma were initially enrolled, 22 of whom successfully received the ARGOS-IO implant. Of the two patients, initially enrolled but not implanted with the ARGOS-IO implant, one patient was included due to a misunderstanding of the inclusion and exclusion criteria, which was noticed before the procedure. 23 patients were thus included in the safety evaluation set ("Safety Set"-Group). Due to surgical complications during cataract surgery, an implantation of the ARGOS-IO pressure sensor was not attempted in the second patient.
Eye disorders
Intraocular pressure increased
52.2%
12/23 • Number of events 20 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Anterior chamber inflammation
39.1%
9/23 • Number of events 11 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Pigment dispersion
34.8%
8/23 • Number of events 8 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Anterior chamber fibrin
13.0%
3/23 • Number of events 3 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Corneal endothelial cell loss
21.7%
5/23 • Number of events 5 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Visual acuity reduced
21.7%
5/23 • Number of events 5 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Blepharitis
17.4%
4/23 • Number of events 4 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Corneal pigmentation
17.4%
4/23 • Number of events 5 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Dry eye
17.4%
4/23 • Number of events 4 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Iris prolapse
17.4%
4/23 • Number of events 4 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Iris transillumination defect
17.4%
4/23 • Number of events 4 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Corneal edema
13.0%
3/23 • Number of events 3 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Macular edema
13.0%
3/23 • Number of events 3 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Posterior capsule opafication
13.0%
3/23 • Number of events 3 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Visual field test abnormal
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Conjunctival edema
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Corneal erosion
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Eye Pain
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Foreign body sensation in eye
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Glare
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Pupils unequal
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization
Eye disorders
Vitreous floaters
8.7%
2/23 • Number of events 2 • Evaluation over 12 months follow-up period.
SAE Definition That meets any of the following criteria of a serious adverse event: * Resulted in death, permanent damage or disability or a congenital anomaly * Was life threatening * Required hospitalization

Additional Information

Clinical Study Manager

Implandata Ophthalmic Products

Phone: +49 (0) 511 - 2204 2580

Results disclosure agreements

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