Trial Outcomes & Findings for AcrySof IQ Toric A-Code Post-Market Clinical Study (NCT NCT03350503)

NCT ID: NCT03350503

Last Updated: 2022-12-28

Results Overview

IOL rotation was defined as the IOL axis difference between study visits. A photograph of the eye was taken, and IOL rotation was calculated as the angle between the toric mark on the IOL at Visit 4 and the reference point from Visit 00 (minimum 0 degrees, maximum 180 degrees). A lower value indicates greater IOL stability. No confirmatory hypothesis testing was conducted.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

125 participants

Primary outcome timeframe

Visit 00 (Day 0 operative), Visit 4 (Day 120-180 postoperative)

Results posted on

2022-12-28

Participant Flow

Subjects were enrolled at 4 investigative sites located in Japan.

Of the 125 subjects enrolled, 4 were exited as screen failures prior to implantation with the test article. This reporting group includes all subjects/eyes with attempted implantation with the test article (successful or aborted after contact with the eye) (Safety Analysis Set).

Unit of analysis: eye

Participant milestones

Participant milestones
Measure
AcrySof IQ Toric A-code IOL
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Overall Study
STARTED
121 121
Overall Study
Successful Implantation
120 120
Overall Study
Implanted With SN6AT3
61 61
Overall Study
Implanted With SN6AT4
27 27
Overall Study
Implanted With SN6AT5
33 33
Overall Study
COMPLETED
104 104
Overall Study
NOT COMPLETED
17 17

Reasons for withdrawal

Reasons for withdrawal
Measure
AcrySof IQ Toric A-code IOL
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Overall Study
Adverse Event
5
Overall Study
Withdrawal by Subject
5
Overall Study
Continuation impossible due to move
4
Overall Study
Physician Decision
3

Baseline Characteristics

AcrySof IQ Toric A-Code Post-Market Clinical Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Acrysof IQ Toric A-code IOL
n=121 Participants
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Age, Continuous
75.5 years
STANDARD_DEVIATION 7.0 • n=5 Participants
Age, Customized
Less than 60 years
2 Participants
n=5 Participants
Age, Customized
60 to 69 years
14 Participants
n=5 Participants
Age, Customized
70 to 79 years
69 Participants
n=5 Participants
Age, Customized
Equal to or greater than 80 years
36 Participants
n=5 Participants
Sex: Female, Male
Female
67 Participants
n=5 Participants
Sex: Female, Male
Male
54 Participants
n=5 Participants
Race/Ethnicity, Customized
Japanese
121 participants
n=5 Participants
Region of Enrollment
Japan
121 participants
n=5 Participants

PRIMARY outcome

Timeframe: Visit 00 (Day 0 operative), Visit 4 (Day 120-180 postoperative)

Population: All Implanted Analysis Set: All eyes with successful test article implantation and measurable data at Visit 4.

IOL rotation was defined as the IOL axis difference between study visits. A photograph of the eye was taken, and IOL rotation was calculated as the angle between the toric mark on the IOL at Visit 4 and the reference point from Visit 00 (minimum 0 degrees, maximum 180 degrees). A lower value indicates greater IOL stability. No confirmatory hypothesis testing was conducted.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=114 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Percentage of Eyes With Absolute Value of Intraocular (IOL) Rotation (Visit 00 to Visit 4)
Less than 10 degrees rotation
99.1 percentage of eyes
Percentage of Eyes With Absolute Value of Intraocular (IOL) Rotation (Visit 00 to Visit 4)
Greater than or equal to 10 degrees rotation
0.9 percentage of eyes
Percentage of Eyes With Absolute Value of Intraocular (IOL) Rotation (Visit 00 to Visit 4)
Less than 20 degrees rotation
100.0 percentage of eyes
Percentage of Eyes With Absolute Value of Intraocular (IOL) Rotation (Visit 00 to Visit 4)
Greater than or equal to 20 degrees rotation
0.0 percentage of eyes
Percentage of Eyes With Absolute Value of Intraocular (IOL) Rotation (Visit 00 to Visit 4)
Less than 30 degrees rotation
100.0 percentage of eyes
Percentage of Eyes With Absolute Value of Intraocular (IOL) Rotation (Visit 00 to Visit 4)
Greater than or equal to 30 degrees rotation
0.0 percentage of eyes

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 00 (Day 0 operative), Visit 00-A (Day 0, 1 +/- 0.5 hours postoperative), Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: All Implanted Analysis Set: All eyes with successful test article implantation and measurable data at both visits.

IOL rotation was defined as the IOL axis difference between study visits. A photograph of the eye was taken, and IOL rotation was calculated as the angle between the toric mark on the IOL at the specified visit and the reference point from Visit 00 (minimum 0 degrees, maximum 180 degrees). A lower value indicates greater IOL stability.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=114 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=109 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=95 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
n=90 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Percentage of Eyes With Absolute Value of IOL Rotation From Visit 00
Less than 10 degrees rotation
100.0 percentage of eyes
100.0 percentage of eyes
99.2 percentage of eyes
99.1 percentage of eyes
99.1 percentage of eyes
99.1 percentage of eyes
98.9 percentage of eyes
100.0 percentage of eyes
Percentage of Eyes With Absolute Value of IOL Rotation From Visit 00
Greater than or equal to 10 degrees rotation
0.0 percentage of eyes
0.0 percentage of eyes
0.8 percentage of eyes
0.9 percentage of eyes
0.9 percentage of eyes
0.9 percentage of eyes
1.1 percentage of eyes
0.0 percentage of eyes
Percentage of Eyes With Absolute Value of IOL Rotation From Visit 00
Less than 20 degrees rotation
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
Percentage of Eyes With Absolute Value of IOL Rotation From Visit 00
Greater than or equal to 20 degrees rotation
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
Percentage of Eyes With Absolute Value of IOL Rotation From Visit 00
Less than 30 degrees rotation
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
Percentage of Eyes With Absolute Value of IOL Rotation From Visit 00
Greater than or equal to 30 degrees rotation
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 00 (Day 0 operative), Visit 00-A (Day 0, 1 +/- 0.5 hours postoperative), Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: All Implanted Analysis Set: All eyes with successful test article implantation and measurable data at both visits.

IOL rotation was defined as the IOL axis difference between study visits. A photograph of the eye was taken, and IOL rotation was calculated as the angle on the IOL at the specified visit and the reference point from Visit 00 (minimum 0 degrees, maximum 180 degrees). A lower value indicates greater IOL stability.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=114 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=109 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=95 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
n=90 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Mean Absolute Value of IOL Rotation From Visit 00
2.11 degree
Standard Deviation 1.80
2.37 degree
Standard Deviation 1.96
2.22 degree
Standard Deviation 2.08
2.32 degree
Standard Deviation 2.14
2.30 degree
Standard Deviation 2.23
2.10 degree
Standard Deviation 2.08
2.31 degree
Standard Deviation 1.99
2.10 degree
Standard Deviation 2.06

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 0 (Preoperative), Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: All Implanted Analysis Set: All eyes with successful test article implantation

Visual acuity (VA) was tested under well-lit conditions with no refractive correction in place using a decimal visual acuity chart set at 5 meters. VA was measured in "logarithm of the minimum angle of resolution" (logMAR), with 0.0 logMAR corresponding to 20/20 Snellen visual acuity, or normal distance eyesight. A negative value denotes better than 20/20 visual acuity.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=120 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=115 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=109 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
n=104 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Mean Uncorrected Distance Visual Acuity (UCDVA) by Visit
0.551 logMAR
Standard Deviation 0.368
0.087 logMAR
Standard Deviation 0.170
0.058 logMAR
Standard Deviation 0.156
0.040 logMAR
Standard Deviation 0.127
0.054 logMAR
Standard Deviation 0.149
0.045 logMAR
Standard Deviation 0.163
0.070 logMAR
Standard Deviation 0.157
0.086 logMAR
Standard Deviation 0.182

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 0 (Preoperative), Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: All Implanted Analysis Set: All eyes with successful test article implantation

Visual acuity (VA) was tested under well-lit conditions with refractive correction in place using a decimal visual acuity chart set at 5 meters. VA was measured in "logarithm of the minimum angle of resolution" (logMAR), with 0.0 logMAR corresponding to 20/20 Snellen visual acuity, or normal distance eyesight. A negative value denotes better than 20/20 visual acuity.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=120 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=118 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=115 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=109 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
n=104 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Mean Best Corrected Distance Visual Acuity (BCDVA) by Visit
0.190 logMAR
Standard Deviation 0.163
-0.030 logMAR
Standard Deviation 0.113
-0.063 logMAR
Standard Deviation 0.088
-0.080 logMAR
Standard Deviation 0.063
-0.075 logMAR
Standard Deviation 0.099
-0.085 logMAR
Standard Deviation 0.077
-0.073 logMAR
Standard Deviation 0.080
-0.069 logMAR
Standard Deviation 0.101

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: All Implanted Analysis Set: All eyes with successful test article implantation

Sub-surface nano glistening (SSNG) densitometry was measured as the IOL anterior surface light scattering densitometry using Pentacam or Pentacam HR. SSNG was measured in units specific to the device, with a higher number indicating a higher presence of SSNG. Peak value is the highest value in the IOL anterior surface light scattering densitometry.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=115 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=114 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=107 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=103 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Mean Sub-Surface Nano Glistening (SSNG) Densitometry (Peak) by Visit
4.50 arbitrary units
Standard Deviation 0.70
4.55 arbitrary units
Standard Deviation 0.57
4.50 arbitrary units
Standard Deviation 0.55
4.48 arbitrary units
Standard Deviation 0.64
4.64 arbitrary units
Standard Deviation 0.78
4.82 arbitrary units
Standard Deviation 0.63
5.11 arbitrary units
Standard Deviation 0.76

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: All Implanted Analysis Set: All eyes with successful test article implantation

Sub-surface nano glistening (SSNG) densitometry was measured as the IOL anterior surface light scattering densitometry using Pentacam or Pentacam HR. SSNG was measured in units specific to the device, with a higher number indicating a higher presence of SSNG. Area analysis value is an average value of the IOL anterior surface light scattering densitometry in a certain area.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=115 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=114 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=107 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=103 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Mean SSNG Densitometry (Area Analysis) by Visit
4.07 arbitrary units
Standard Deviation 0.50
4.12 arbitrary units
Standard Deviation 0.47
4.08 arbitrary units
Standard Deviation 0.46
4.05 arbitrary units
Standard Deviation 0.42
4.19 arbitrary units
Standard Deviation 0.38
4.30 arbitrary units
Standard Deviation 0.41
4.45 arbitrary units
Standard Deviation 0.48

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 00 (Day 0 operative), Visit 00-A (Day 0, 1 +/- 0.5 hours postoperative), Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: Safety Analysis Set

A device deficiency was defined as an inadequacy of the medical device with respect to its identity, quality, durability, reliability, safety, or performance.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=121 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Number of Device Deficiencies
Broken IOL haptic
0 device deficiency
Number of Device Deficiencies
IOL luxation
0 device deficiency
Number of Device Deficiencies
IOL dislocation
0 device deficiency
Number of Device Deficiencies
Other: IOL rotation
2 device deficiency
Number of Device Deficiencies
Broken IOL optic
0 device deficiency

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140)

Population: Safety Analysis Set: All eyes with attempted implantation with the test article (successful or aborted after contact with the eye). Note: One subject implanted with the test article discontinued the study prior to the Visit 1 assessment.

A slit lamp examination was conducted to determine the presence/absence of glistening particles on the implanted IOL. Glistening was reported by on a 4-point scale, where Grade 0 = no glistening; Grade 1 = mild glistening (50/mm3); Grade 2 = moderate glistening (100/mm3); and Grade 3 = severe glistening (200/mm3).

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=120 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=101 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=104 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Percentage of Eyes With Glistening by Visit
Grade 0
100.0 percentage of eyes
100.0 percentage of eyes
100.0 percentage of eyes
88.0 percentage of eyes
68.1 percentage of eyes
59.4 percentage of eyes
49.0 percentage of eyes
Percentage of Eyes With Glistening by Visit
Grade 1
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
9.4 percentage of eyes
20.7 percentage of eyes
21.8 percentage of eyes
27.9 percentage of eyes
Percentage of Eyes With Glistening by Visit
Grade 2
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
2.6 percentage of eyes
7.8 percentage of eyes
13.9 percentage of eyes
15.4 percentage of eyes
Percentage of Eyes With Glistening by Visit
Grade 3
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
0.0 percentage of eyes
3.4 percentage of eyes
5.0 percentage of eyes
7.7 percentage of eyes

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140), Unscheduled Visits between Visit 1 and Visit 7

Population: Safety Analysis Set: All eyes with attempted implantation with the test article (successful or aborted after contact with the eye). Note: One subject implanted with the test article discontinued the study prior to the Visit 1 assessment.

A slit lamp examination was performed to evaluate the eye for posterior capsule opacification (that is, the thickening, opacification and clouding of the posterior lens capsule). The presence or absence of PCO was recorded. Clinical significance was determined by the investigator.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=120 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=105 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=104 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
n=21 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
n=120 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Number of Eyes With Posterior Capsule Opacification (PCO) by Visit
Clinically nonsignificant
0 eye
1 eye
7 eye
12 eye
16 eye
26 eye
34 eye
0 eye
39 eye
Number of Eyes With Posterior Capsule Opacification (PCO) by Visit
None
120 eye
118 eye
112 eye
105 eye
100 eye
79 eye
66 eye
16 eye
74 eye
Number of Eyes With Posterior Capsule Opacification (PCO) by Visit
Clinically significant
0 eye
0 eye
0 eye
0 eye
0 eye
0 eye
2 eye
2 eye
2 eye
Number of Eyes With Posterior Capsule Opacification (PCO) by Visit
Clinically significant requiring Nd:YAG laser treatment
0 eye
0 eye
0 eye
0 eye
0 eye
0 eye
2 eye
3 eye
5 eye

OTHER_PRE_SPECIFIED outcome

Timeframe: Visit 1 (Day 1-2 postoperative), Visit 2 (Day 7-14), Visit 3 (Day 30-60), Visit 4 (Day 120-180), Visit 5 (Day 330-420), Visit 6 (Day 630-780), Visit 7 (Day 990-1140), Unscheduled Visits between Visit 1 and Visit 7

Population: Safety Analysis Set: All eyes with attempted implantation with the test article (successful or aborted after contact with the eye). Note: One subject implanted with the test article discontinued the study prior to the Visit 1 assessment.

A slit lamp examination was performed to evaluate the eye for posterior capsule opacification (that is, the thickening, opacification and clouding of the posterior lens capsule). A neodymium-doped yttrium aluminum garnet (Nd:YAG) laser was used to treat posterior capsule opacification, with treatment determined by the investigator. The presence or absence of Nd:YAG laser treament was recorded.

Outcome measures

Outcome measures
Measure
Acrysof IQ Toric A-code IOL
n=120 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 (Day 1-2 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 2 (Day 7-14 Postoperative)
n=119 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 3 (Day 30-60 Postoperative)
n=117 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 4 (Day 120-180 Postoperative)
n=116 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 5 (Day 330-420 Postoperative)
n=110 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 6 (Day 630-780 Postoperative)
n=104 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 7 (Day 990-1140 Postoperative)
n=32 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Visit 1 Through Visit 7 Cumulative
n=120 eye
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted in the study eye
Number of Eyes Receiving Nd:YAG Laser Treatment for Posterior Capsule Opacification (PCO) by Visit
No
120 eye
119 eye
119 eye
117 eye
116 eye
110 eye
103 eye
29 eye
116 eye
Number of Eyes Receiving Nd:YAG Laser Treatment for Posterior Capsule Opacification (PCO) by Visit
Yes
0 eye
0 eye
0 eye
0 eye
0 eye
0 eye
1 eye
3 eye
4 eye

Adverse Events

Acrysof IQ Toric A-code IOL

Serious events: 15 serious events
Other events: 7 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Acrysof IQ Toric A-code IOL
n=121 participants at risk
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted unilaterally
Nervous system disorders
Cerebral infarction
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Infections and infestations
Pneumonia
1.7%
2/121 • Number of events 2 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Injury, poisoning and procedural complications
Compression fracture
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Gastrointestinal disorders
Haemmorhoids
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
1.7%
2/121 • Number of events 2 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain neoplasm
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Injury, poisoning and procedural complications
Patella fracture
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Injury, poisoning and procedural complications
Spinal column injury
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Gastrointestinal disorders
Colitis ulcerative
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Cardiac disorders
Cardiac failure
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
General disorders
Pyrexia
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Renal and urinary disorders
Bladder prolapse
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).
Eye disorders
Dermatochalasis
0.83%
1/121 • Number of events 1 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).

Other adverse events

Other adverse events
Measure
Acrysof IQ Toric A-code IOL
n=121 participants at risk
AcrySof IQ Toric A-code (SN6AT3 - SN6AT5) implanted unilaterally
Eye disorders
Posterior capsule opacification
5.8%
7/121 • Number of events 7 • Adverse events are reported for the duration of individual participation (up to 990-1140 days).
Adverse Events were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator. This analysis population includes all eyes with attempted implantation of the test article (successful or aborted after contact with the eye).

Additional Information

Expert Clinical Project Lead, CDMA Surgical

Alcon Research

Phone: 1-888-451-3937

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor reserves the right of prior review of any publication or presentation of information related to the study.
  • Publication restrictions are in place

Restriction type: OTHER