Trial Outcomes & Findings for Post-Approval Study of the TECNIS SYMFONY® Toric Lenses (NCT NCT03791619)

NCT ID: NCT03791619

Last Updated: 2023-08-29

Results Overview

The rate of subjects reporting one or more of these items as very or extremely bothersome and impacting daily life via questionnaire.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

475 participants

Primary outcome timeframe

6-month

Results posted on

2023-08-29

Participant Flow

It includes all subjects with ZXT300/375/150 toric IOL in the primary eye.

Participant milestones

Participant milestones
Measure
Higher Cylinder Group
All subjects implanted with a higher cylinder IOL (ZXT300 or ZXT375) in the primary eye.
Lower Cylinder Group
All subjects implanted with a lower cylinder IOL (ZXT150) in the primary eye.
Overall Study
STARTED
260
215
Overall Study
COMPLETED
256
209
Overall Study
NOT COMPLETED
4
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Post-Approval Study of the TECNIS SYMFONY® Toric Lenses

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Higher Cylinder Group
n=260 Participants
All subjects implanted with a higher cylinder IOL (ZXT300 or ZXT375) in the primary eye.
Lower Cylinder Group
n=215 Participants
All subjects implanted with a lower cylinder IOL (ZXT150) in the primary eye.
Total
n=475 Participants
Total of all reporting groups
Age, Continuous
69.2 Years
STANDARD_DEVIATION 9.8 • n=5 Participants
68.2 Years
STANDARD_DEVIATION 7.9 • n=7 Participants
68.7 Years
STANDARD_DEVIATION 8.9 • n=5 Participants
Sex: Female, Male
Female
151 Participants
n=5 Participants
134 Participants
n=7 Participants
285 Participants
n=5 Participants
Sex: Female, Male
Male
109 Participants
n=5 Participants
81 Participants
n=7 Participants
190 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
8 Participants
n=5 Participants
12 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=5 Participants
8 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
White
237 Participants
n=5 Participants
194 Participants
n=7 Participants
431 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6-month

Population: Higher cylinder includes all bilaterally implanted subjects with at least a ZXT300 or ZXT375 in the primary eye; lower cylinder group includes all bilaterally implanted subjects with ZXT150 in the primary eye.

The rate of subjects reporting one or more of these items as very or extremely bothersome and impacting daily life via questionnaire.

Outcome measures

Outcome measures
Measure
Higher Cylinder Group
n=256 Participants
All subjects implanted with a higher cylinder IOL (ZXT300 or ZXT375) in the primary eye.
Lower Cylinder Group
n=209 Participants
All subjects implanted with a lower cylinder IOL (ZXT150) in the primary eye.
Rate of Bothersome Visual Symptoms
19 Participants
19 Participants

PRIMARY outcome

Timeframe: 6-month

Population: Higher cylinder includes all bilaterally implanted subjects with at least a ZXT300 or ZXT375 in the primary eye; lower cylinder group includes all bilaterally implanted subjects with ZXT150 in the primary eye.

The rate of reported difficulty with an activity due to one or more of visual symptoms impacting daily life via questionnaire.

Outcome measures

Outcome measures
Measure
Higher Cylinder Group
n=256 Participants
All subjects implanted with a higher cylinder IOL (ZXT300 or ZXT375) in the primary eye.
Lower Cylinder Group
n=209 Participants
All subjects implanted with a lower cylinder IOL (ZXT150) in the primary eye.
Rate of Difficulty With an Activity Due to the Visual Symptoms
28 Participants
26 Participants

Adverse Events

Higher Cylinder Group

Serious events: 34 serious events
Other events: 12 other events
Deaths: 0 deaths

Lower Cylinder Group

Serious events: 33 serious events
Other events: 2 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Higher Cylinder Group
n=260 participants at risk
All subjects implanted with a higher cylinder IOL (ZXT300 or ZXT375) in the primary eye.
Lower Cylinder Group
n=215 participants at risk
All subjects implanted with a lower cylinder IOL (ZXT150) in the primary eye.
Eye disorders
Cystoid Macular Edema
2.7%
7/260 • Number of events 7 • 6 months
3.7%
8/215 • Number of events 10 • 6 months
Eye disorders
Vitreous Hemorrhage
0.00%
0/260 • 6 months
0.47%
1/215 • Number of events 1 • 6 months
Eye disorders
Undesirable Optical Phenomena
0.38%
1/260 • Number of events 1 • 6 months
0.93%
2/215 • Number of events 2 • 6 months
Eye disorders
Elevated IOP requiring treatment
2.7%
7/260 • Number of events 8 • 6 months
3.3%
7/215 • Number of events 7 • 6 months
Eye disorders
Non-Ischemic Optic Neuropathy
0.00%
0/260 • 6 months
0.47%
1/215 • Number of events 1 • 6 months
Eye disorders
Lens Axis Misalignment requiring SSI
2.3%
6/260 • Number of events 6 • 6 months
0.00%
0/215 • 6 months
Eye disorders
Retinal Detachment/Tear
0.38%
1/260 • Number of events 1 • 6 months
0.00%
0/215 • 6 months
Eye disorders
RETINAL VEIN OCCLUSION
0.00%
0/260 • 6 months
0.47%
1/215 • Number of events 1 • 6 months
Eye disorders
Visual Symptoms requiring SSI
0.77%
2/260 • Number of events 3 • 6 months
0.00%
0/215 • 6 months
Eye disorders
Tilt & decentration requiring SSI
0.00%
0/260 • 6 months
0.47%
1/215 • Number of events 1 • 6 months
Eye disorders
IOP Elevated Without Need for Treatment
1.2%
3/260 • Number of events 3 • 6 months
0.93%
2/215 • Number of events 2 • 6 months
Eye disorders
Corneal Edema
0.38%
1/260 • Number of events 1 • 6 months
0.00%
0/215 • 6 months
Eye disorders
Iritis
0.38%
1/260 • Number of events 1 • 6 months
0.00%
0/215 • 6 months
Eye disorders
IOP Greater than 10mmHg from Screening and More than 25mmHg
0.00%
0/260 • 6 months
0.93%
2/215 • Number of events 2 • 6 months
General disorders
Hospitalization
2.3%
6/260 • Number of events 8 • 6 months
2.3%
5/215 • Number of events 6 • 6 months
Respiratory, thoracic and mediastinal disorders
Difficulty Breathing
0.00%
0/260 • 6 months
0.47%
1/215 • Number of events 1 • 6 months
General disorders
Cancer
0.38%
1/260 • Number of events 1 • 6 months
0.47%
1/215 • Number of events 1 • 6 months
Surgical and medical procedures
Wrist Fracture Surgery
0.00%
0/260 • 6 months
0.47%
1/215 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Pneumonia/COVID-19
0.38%
1/260 • Number of events 1 • 6 months
0.00%
0/215 • 6 months

Other adverse events

Other adverse events
Measure
Higher Cylinder Group
n=260 participants at risk
All subjects implanted with a higher cylinder IOL (ZXT300 or ZXT375) in the primary eye.
Lower Cylinder Group
n=215 participants at risk
All subjects implanted with a lower cylinder IOL (ZXT150) in the primary eye.
Eye disorders
Undesirable Optical Phenomena
4.6%
12/260 • Number of events 12 • 6 months
0.93%
2/215 • Number of events 2 • 6 months

Additional Information

Luis Vargas, MD

Johnson & Johnson Surgical Vision

Phone: 714-247-8200

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor must review results communication prior to public release and can embargo communications regarding trial results at any time.
  • Publication restrictions are in place

Restriction type: OTHER