Trial Outcomes & Findings for Clinical Investigation of the WaveLight® EX500 Excimer Laser (NCT NCT04805593)

NCT ID: NCT04805593

Last Updated: 2024-08-21

Results Overview

A manifest refraction (manual refraction) was performed using a phoropter. The spherical equivalent was calculated by adding the sum of the sphere power with half of the cylinder power. Refractive stability was defined as the latter of two postoperative manifest refractions performed at least 3 months apart (or at 3 months after surgery when compared with the 1-month visit) that meets all the protocol-specified stability requirements. For this endpoint, change in MRSE by less than or equal to 0.50 D was reported. Both eyes contributed data to this analysis.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

44 participants

Primary outcome timeframe

Up to Month 12 postoperative (Month 1 to Month 3, Month 3 to Month 6, Month 6 to Month 9, and Month 9 to Month 12)

Results posted on

2024-08-21

Participant Flow

Participants were recruited from 5 investigative sites located in 1 country (US).

Of the 44 enrolled, 14 participants were discontinued as screen failures prior to attempted surgery. This reporting group includes all enrolled participants/eyes with attempted surgery (30/60, respectively).

Unit of analysis: eyes

Participant milestones

Participant milestones
Measure
WaveLight EX500 Excimer Laser System
Laser-assisted in situ keratomileusis (LASIK) surgery using the WaveLight EX500 excimer laser system
Overall Study
STARTED
30 60
Overall Study
COMPLETED
30 60
Overall Study
NOT COMPLETED
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clinical Investigation of the WaveLight® EX500 Excimer Laser

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
WaveLight EX500 Excimer Laser System
n=30 Participants
Laser-assisted in situ keratomileusis (LASIK) surgery using the WaveLight EX500 excimer laser system
Age, Continuous
38.6 years
STANDARD_DEVIATION 10.42 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Race/Ethnicity, Customized
White
29 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Multi-Racial
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
26 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to Month 12 postoperative (Month 1 to Month 3, Month 3 to Month 6, Month 6 to Month 9, and Month 9 to Month 12)

Population: Full Analysis Set (FAS) included all eyes with successful refractive surgery having at least 1 postoperative visit.

A manifest refraction (manual refraction) was performed using a phoropter. The spherical equivalent was calculated by adding the sum of the sphere power with half of the cylinder power. Refractive stability was defined as the latter of two postoperative manifest refractions performed at least 3 months apart (or at 3 months after surgery when compared with the 1-month visit) that meets all the protocol-specified stability requirements. For this endpoint, change in MRSE by less than or equal to 0.50 D was reported. Both eyes contributed data to this analysis.

Outcome measures

Outcome measures
Measure
WaveLight EX500 Excimer Laser System
n=60 eyes
Laser-assisted in situ keratomileusis (LASIK) surgery using the WaveLight EX500 excimer laser system
Percentage of Eyes With Manifest Refraction Spherical Equivalent (MRSE) Within ±0.50 Diopter (D) at Refractive Stability
98.3 percentage of eyes

PRIMARY outcome

Timeframe: Up to Month 12 postoperative (Month 1 to Month 3, Month 3 to Month 6, Month 6 to Month 9, and Month 9 to Month 12)

Population: Full Analysis Set (FAS) included all eyes with successful refractive surgery having at least 1 postoperative visit.

A manifest refraction (manual refraction) was performed using a phoropter. The spherical equivalent was calculated by adding the sum of the sphere power with half of the cylinder power. Refractive stability was defined as the latter of two postoperative manifest refractions performed at least 3 months apart (or at 3 months after surgery when compared with the 1-month visit) that meets all the protocol-specified stability requirements. For this endpoint, change in MRSE by less than or equal to 1.00 D was reported. Both eyes contributed data to this analysis.

Outcome measures

Outcome measures
Measure
WaveLight EX500 Excimer Laser System
n=60 eyes
Laser-assisted in situ keratomileusis (LASIK) surgery using the WaveLight EX500 excimer laser system
Percentage of Eyes With MRSE Within ±1.00 D at Refractive Stability
100.0 percentage of eyes

PRIMARY outcome

Timeframe: Up to Month 12 postoperative

Population: Safety Analysis Set: all eyes for which refractive surgery was attempted with the test device (regardless of success or failure).

An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, users, or other persons, whether or not related to the investigational medical device (test product). Ocular adverse events were collected for this outcome measure. No hypothesis testing was prespecified for this endpoint.

Outcome measures

Outcome measures
Measure
WaveLight EX500 Excimer Laser System
n=60 eyes
Laser-assisted in situ keratomileusis (LASIK) surgery using the WaveLight EX500 excimer laser system
Percentage of Eyes Experiencing Ocular Adverse Events (AEs)
Diplopia
11.7 percentage of eyes
Percentage of Eyes Experiencing Ocular Adverse Events (AEs)
Photophobia
6.7 percentage of eyes
Percentage of Eyes Experiencing Ocular Adverse Events (AEs)
Visual acuity reduced
3.3 percentage of eyes
Percentage of Eyes Experiencing Ocular Adverse Events (AEs)
Ocular hyperaemia
1.7 percentage of eyes

Adverse Events

Pretreament

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

WaveLight EX500 Excimer Laser System - Ocular

Serious events: 2 serious events
Other events: 10 other events
Deaths: 0 deaths

WaveLight EX500 Excimer Laser System - Systemic

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

Serious adverse events

Serious adverse events
Measure
Pretreament
n=30 participants at risk
AEs in this group occurred prior to treatment with the WaveLight EX500 excimer laser system.
WaveLight EX500 Excimer Laser System - Ocular
n=60 participants at risk
AEs in this group occurred after attempted treatment with the WaveLight EX500 excimer laser system and include ocular events in the study eye.
WaveLight EX500 Excimer Laser System - Systemic
n=30 participants at risk
AEs in this group occurred after attempted treatment with the WaveLight EX500 excimer laser system and include overall systemic events.
Eye disorders
Visual acuity reduced
0.00%
0/30 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.
3.3%
2/60 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.
0.00%
0/30 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.

Other adverse events

Other adverse events
Measure
Pretreament
n=30 participants at risk
AEs in this group occurred prior to treatment with the WaveLight EX500 excimer laser system.
WaveLight EX500 Excimer Laser System - Ocular
n=60 participants at risk
AEs in this group occurred after attempted treatment with the WaveLight EX500 excimer laser system and include ocular events in the study eye.
WaveLight EX500 Excimer Laser System - Systemic
n=30 participants at risk
AEs in this group occurred after attempted treatment with the WaveLight EX500 excimer laser system and include overall systemic events.
Eye disorders
Diplopia
0.00%
0/30 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.
11.7%
7/60 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.
0.00%
0/30 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.
Eye disorders
Photophobia
0.00%
0/30 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.
6.7%
4/60 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.
0.00%
0/30 • Adverse Events (AEs) were collected from time of consent to study exit, up to approximately 1 year.
AEs were obtained through solicited and spontaneous comments from the subjects and through observations by the investigator. "At Risk" population for ocular AEs is reported in units of eyes; all other populations are reported in units of subjects. This analysis population includes all subjects/eyes.

Additional Information

Clinical Projects Director, Surgical

Alcon Research, LLC

Phone: 18884513937

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 study.
  • Publication restrictions are in place

Restriction type: OTHER