Restoration of Central Vision With the PRIMA System in Patients With Atrophic AMD

NCT ID: NCT04676854

Last Updated: 2024-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-24

Study Completion Date

2028-02-29

Brief Summary

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The objective of this study is to evaluate the efficacy and safety of the PRIMA System in patients with atrophic AMD. Eligible subjects will be implanted with the PRIMA Implant. The subjects will be assessed with various visual function and functional vision tests at defined timepoints throughout the clinical investigation with the PRIMA System (Implant and Visual Processor).

Detailed Description

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Conditions

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Geographic Atrophy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PRIMA Bionic Vision System

Group Type EXPERIMENTAL

PRIMA Bionic Vision System

Intervention Type DEVICE

Implantation of PRIMA, Vision training, follow up

Interventions

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PRIMA Bionic Vision System

Implantation of PRIMA, Vision training, follow up

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Is 60 years or older at the date of inclusion;
* Has a confirmed diagnosis of geographic atrophy due to AMD in both eyes;
* The study eye has best corrected visual acuity of logMAR 1.2 (20/320) or worse as measured by ETDRS test;
* Has an atrophic patch in the study eye including the fovea of at least the implant size (\>4.5 mm2 and \>2.4 mm in minimum diameter);
* Understands the constraints of the study and accepts to present for all scheduled follow-up visits;
* Patient signed informed consent

Exclusion Criteria

* Has cataract in the study eye (with LOCS III scale NO, NC, C or P\>1); (these patients will be asked to have cataract surgery performed prior to enrollment; all other patients will get IOL replacement during the PRIMA implantation);
* Underwent intra ocular lens implantation in the study eye within the last month ;
* Has a highly myopic study eye (\>26 mm AP);
* Has a highly hyperopic study eye (\<20 mm AP);
* Has no light perception in either eye;
* Has a history of documented choroidal neovascularization in either eye;
* Has any signs of exudative AMD including exudative AMD with detachment of retinal pigment epithelium in the central visual field of the study eye;
* Has an implanted telescope in one eye;
* Has a black IOL in the study eye;
* Has any disease (other than study allowed diseases) or condition that affects retinal function of the study eye or the visual system (e.g., central retinal artery/vein occlusion, end-stage diabetic retinopathy, Proliferative Diabetic Retinopathy (PDR), diabetic macular edema (DME), severe Non-Proliferative Diabetic Retinopathy (NPDR), retinal detachment, infectious or inflammatory retinal disease, severe glaucoma, optic neuropathy, etc.) ;
* Has any disease or condition that prevents adequate examination (including OCT) of the study eye including, but not limited to media opacities that cannot be resolved prior to implantation. Note, that this criterion is also important for the function of the implant;
* Has a corneal endothelial cell count of less than 1000 cells/mm² in the study eye;
* Suffers from nystagmus or other ocular motility disorders;
* Has any disease or condition that precludes the understanding or communication of the informed consent, study requirements or test protocols (e.g., deafness, severe multiple sclerosis, amyotrophic lateral sclerosis, severe neuritis, etc.);
* Has epileptic seizures;
* Has a known sensitivity to the contact materials of the implant (iridium oxide, silicon-carbide and titanium);
* Has a known allergy to anesthetic drugs;
* Presents with hypotonia in the study eye (\<8 mmHg);
* Presents with hypertonia in the study eye (\>23 mmHg with treatment);
* Has active cancer or a history of intraocular, optic nerve or brain cancer and metastasis;
* Is an immune-suppressed subject (e.g., due to HIV positive diagnosis, etc.);
* Is a known carrier of multi-resistant microorganisms;
* Is receiving anticoagulation therapy that cannot be adapted to allow eye surgery;
* Is participating in another investigational drug or device study that may interfere with the PRIMAvera study;
* Has a history of chronic or recurrent infection or inflammation that would preclude participation in the study;
* Has significant recurrent or chronic inflammations or infections. Specifically, patients with the following disorders are excluded:

* Severe chronic and consuming diseases that frequently associated with infection (e.g. Crohn disease, Whipple's disease);
* Active inflammation in the area of the eye (e.g. herpes of cornea and/or conjunctiva, recurrent blepharoconjunctivitis, hordeolum, chalazion);
* Has a severe psychological disorder;
* Does not have the mental capacity to legally sign the informed consent;
* Has severe renal, cardiac, hepatic, etc. organ diseases (ASA IV or worse);
* Has head dimensions that are incompatible with the PRIMA Glasses;
* Has a refraction of study eye higher than + 4 dpt or lower than - 4 dpt for patients with IOL (there is no refraction criteria for phakic patients, since they get an IOL during PRIMA implantation);
* Has too high and/or unrealistic expectations (e.g., believes that a benefit is guaranteed or expects normal vision after surgery).


* Is a protected person per French law (e.g. is under guardianship, person deprived of their liberty);
* Is not affiliated to a mandatory social security program (health insurance).
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Science Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hôpital Pellegrin

Bordeaux, , France

Site Status

Centre hospitalier intercommunal de Créteil - Service Ophtalmologie

Créteil, , France

Site Status

Hôpital de la Croix-Rousse CHU de LYON

Lyon, , France

Site Status

Centre Monticelli Paradis

Marseille, , France

Site Status

CHU de Nantes

Nantes, , France

Site Status

Hopital des Quinze Vingts

Paris, , France

Site Status

Fondation Ophtalmologique A. De Rothschild

Paris, , France

Site Status

Universitätsklinikum Aachen, Klinik fuer Augenheilkunde

Aachen, , Germany

Site Status

Universitäts-Augenklinik Bonn

Bonn, , Germany

Site Status

Universitätsklinikum Hamburg-Eppendorf (UKE), Augenklinik

Hamburg, , Germany

Site Status

Klinikum Ludwigshafen -Augenklinik

Ludwigshafen am Rhein, , Germany

Site Status

Universitätsklinikum Schleswig-Holstein Klinik für Augenheilkunde

Lübeck, , Germany

Site Status

Augenklinik der Ludwig-Maximilian Universität München

Munich, , Germany

Site Status

Universitäts-Augenklinik Münster

Münster, , Germany

Site Status

KNAPPSCHAFTSKLINIKUM SAAR GMBH Augenklinik Sulzbach

Sulzbach, , Germany

Site Status

Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

Università di Roma Tor Vergata - Policlinico Tor Vergata (PTV), Dipartimento di Medicina Sperimentale - Oftalmologia

Roma, , Italy

Site Status

Rotterdam Eye Hospital

Rotterdam, Schiedamse Vest 160, Netherlands

Site Status

Instituto de Microcirugía Ocular de Barcelona

Barcelona, , Spain

Site Status

Moorfields Eye Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Countries

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France Germany Italy Netherlands Spain United Kingdom

References

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Palanker D, Le Mer Y, Mohand-Said S, Muqit M, Sahel JA. Photovoltaic Restoration of Central Vision in Atrophic Age-Related Macular Degeneration. Ophthalmology. 2020 Aug;127(8):1097-1104. doi: 10.1016/j.ophtha.2020.02.024. Epub 2020 Feb 25.

Reference Type BACKGROUND
PMID: 32249038 (View on PubMed)

Holz FG, Le Mer Y, Muqit MMK, Hattenbach LO, Cusumano A, Grisanti S, Kodjikian L, Pileri MA, Matonti F, Souied E, Stanzel BV, Szurman P, Weber M, Bartz-Schmidt KU, Eter N, Delyfer MN, Girmens JF, van Overdam KA, Wolf A, Hornig R, Corazzol M, Brodie F, Olmos de Koo L, Palanker D, Sahel JA. Subretinal Photovoltaic Implant to Restore Vision in Geographic Atrophy Due to AMD. N Engl J Med. 2025 Oct 20. doi: 10.1056/NEJMoa2501396. Online ahead of print.

Reference Type DERIVED
PMID: 41124203 (View on PubMed)

Related Links

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Other Identifiers

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CIP-PV-M

Identifier Type: -

Identifier Source: org_study_id