Trial Outcomes & Findings for PRESERFLO® MicroShunt Extension Study (NCT NCT04333433)

NCT ID: NCT04333433

Last Updated: 2024-03-22

Results Overview

Sight-threatening Adverse events (AEs) that were started after enrollment in the INN-005-EXT study through Month 60.

Recruitment status

COMPLETED

Target enrollment

279 participants

Primary outcome timeframe

Month 36 thru Month 60

Results posted on

2024-03-22

Participant Flow

This report presents data for 279 of subjects that completed the INN-005 Month 24 visit in the Phase II Pivotal Study who were enrolled in the INN-005 EXT study.

Participant milestones

Participant milestones
Measure
MicroShunt Treatment Group
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 were implanted with the device PRESERFLO® MicroShunt: Device surgically implanted
Trabeculectomy Control Arm
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 underwent trabeculectomy procedure Trabeculectomy: The procedure involves removal of a small portion of the trabecular meshwork and adjacent scleral tissue. Aqueous humor then drains into the subconjunctival space, creating a bleb on the external part of the eye, where it diffuses away.
Overall Study
STARTED
217
62
Overall Study
COMPLETED
198
58
Overall Study
NOT COMPLETED
19
4

Reasons for withdrawal

Reasons for withdrawal
Measure
MicroShunt Treatment Group
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 were implanted with the device PRESERFLO® MicroShunt: Device surgically implanted
Trabeculectomy Control Arm
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 underwent trabeculectomy procedure Trabeculectomy: The procedure involves removal of a small portion of the trabecular meshwork and adjacent scleral tissue. Aqueous humor then drains into the subconjunctival space, creating a bleb on the external part of the eye, where it diffuses away.
Overall Study
Withdrawal by Subject
6
3
Overall Study
Death
3
0
Overall Study
Lost to Follow-up
6
1
Overall Study
2 PRESERFLO Early Exit 1 PRESERFLO PI decision 1 PRESERFLO Study Exit
4
0

Baseline Characteristics

PRESERFLO® MicroShunt Extension Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MicroShunt Treatment Group
n=217 Participants
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 were implanted with the device PRESERFLO® MicroShunt: Device surgically implanted
Trabeculectomy Control Arm
n=62 Participants
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 underwent trabeculectomy procedure Trabeculectomy: The procedure involves removal of a small portion of the trabecular meshwork and adjacent scleral tissue. Aqueous humor then drains into the subconjunctival space, creating a bleb on the external part of the eye, where it diffuses away.
Total
n=279 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
103 Participants
n=5 Participants
25 Participants
n=7 Participants
128 Participants
n=5 Participants
Age, Categorical
>=65 years
114 Participants
n=5 Participants
37 Participants
n=7 Participants
151 Participants
n=5 Participants
Sex: Female, Male
Female
111 Participants
n=5 Participants
27 Participants
n=7 Participants
138 Participants
n=5 Participants
Sex: Female, Male
Male
106 Participants
n=5 Participants
35 Participants
n=7 Participants
141 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
16 Participants
n=5 Participants
8 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
201 Participants
n=5 Participants
54 Participants
n=7 Participants
255 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 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
43 Participants
n=5 Participants
6 Participants
n=7 Participants
49 Participants
n=5 Participants
Race (NIH/OMB)
White
169 Participants
n=5 Participants
52 Participants
n=7 Participants
221 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 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
Region of Enrollment
United States
174 Participants
n=5 Participants
51 Participants
n=7 Participants
225 Participants
n=5 Participants
Region of Enrollment
Italy
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
United Kingdom
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
France
11 Participants
n=5 Participants
1 Participants
n=7 Participants
12 Participants
n=5 Participants
Region of Enrollment
Spain
11 Participants
n=5 Participants
2 Participants
n=7 Participants
13 Participants
n=5 Participants
Region of Enrollment
Netherlands
12 Participants
n=5 Participants
5 Participants
n=7 Participants
17 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Month 36 thru Month 60

Population: Incidence of sight-threatening adverse events

Sight-threatening Adverse events (AEs) that were started after enrollment in the INN-005-EXT study through Month 60.

Outcome measures

Outcome measures
Measure
MicroShunt Treatment Group
n=217 Participants
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 were implanted with the device PRESERFLO® MicroShunt: Device surgically implanted
Trabeculectomy Control Arm
n=62 Participants
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 underwent trabeculectomy procedure Trabeculectomy: The procedure involves removal of a small portion of the trabecular meshwork and adjacent scleral tissue. Aqueous humor then drains into the subconjunctival space, creating a bleb on the external part of the eye, where it diffuses away.
Incidence of Sight-threatening Adverse Events
4 Participants
0 Participants

Adverse Events

MicroShunt Treatment Group

Serious events: 8 serious events
Other events: 172 other events
Deaths: 3 deaths

Trabeculectomy Control Arm

Serious events: 0 serious events
Other events: 47 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MicroShunt Treatment Group
n=217 participants at risk
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 were implanted with the device PRESERFLO® MicroShunt: Device surgically implanted
Trabeculectomy Control Arm
n=62 participants at risk
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 underwent trabeculectomy procedure Trabeculectomy: The procedure involves removal of a small portion of the trabecular meshwork and adjacent scleral tissue. Aqueous humor then drains into the subconjunctival space, creating a bleb on the external part of the eye, where it diffuses away.
Eye disorders
Choroidal Hemorrhage
0.46%
1/217 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
0.00%
0/62 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Erosion of the Device through the Conjunctiva
1.8%
4/217 • Number of events 4 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
0.00%
0/62 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Central Retinal Artery Occlusion
0.46%
1/217 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
0.00%
0/62 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Pseudophakic Bullous Keratopathy
0.46%
1/217 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
0.00%
0/62 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Endothelial Cell Loss
0.46%
1/217 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
0.00%
0/62 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.

Other adverse events

Other adverse events
Measure
MicroShunt Treatment Group
n=217 participants at risk
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 were implanted with the device PRESERFLO® MicroShunt: Device surgically implanted
Trabeculectomy Control Arm
n=62 participants at risk
Subjects previously randomized to this arm in pivotal study conducted under IDE G130028 underwent trabeculectomy procedure Trabeculectomy: The procedure involves removal of a small portion of the trabecular meshwork and adjacent scleral tissue. Aqueous humor then drains into the subconjunctival space, creating a bleb on the external part of the eye, where it diffuses away.
Eye disorders
Worsening in the Visual Field Mean Deviation
24.9%
54/217 • Number of events 54 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
17.7%
11/62 • Number of events 11 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Increased IOP Requiring Treatment
26.3%
57/217 • Number of events 57 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
8.1%
5/62 • Number of events 5 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Cataract Progression
16.1%
35/217 • Number of events 35 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
19.4%
12/62 • Number of events 12 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Loss 2 or More Lines of BCVA
9.2%
20/217 • Number of events 20 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
6.5%
4/62 • Number of events 4 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Posterior Capsule Opacification
5.1%
11/217 • Number of events 11 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
9.7%
6/62 • Number of events 6 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Ptosis
3.7%
8/217 • Number of events 8 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
11.3%
7/62 • Number of events 7 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Bleb Related Complications
5.1%
11/217 • Number of events 11 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
4.8%
3/62 • Number of events 3 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Encapsulated Bleb
4.6%
10/217 • Number of events 10 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
6.5%
4/62 • Number of events 4 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Hypotony
2.8%
6/217 • Number of events 6 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
12.9%
8/62 • Number of events 8 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Diplopia
5.1%
11/217 • Number of events 11 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
1.6%
1/62 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Dry Eye
12.9%
28/217 • Number of events 28 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
22.6%
14/62 • Number of events 14 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Epiretinal Membrane
1.8%
4/217 • Number of events 4 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
8.1%
5/62 • Number of events 5 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
Eye disorders
Meibomian Gland Disease
1.8%
4/217 • Number of events 4 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.
6.5%
4/62 • Number of events 4 • Adverse events (AEs) and Serious Adverse Events (SAEs) were reported for all events that started after enrollment in the INN-005 EXT study through Month 60.
Any untoward medical occurrence, unintended disease orinjury or any untoward clinical signs (including an abnormallaboratory finding) in subjects, users or other personswhether or not related to the investigational medical device.

Additional Information

Edith van Dijkman

Santen, Inc.

Phone: +31683667357

Results disclosure agreements

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