Trial Outcomes & Findings for Clinical Assessment of Two Daily Wear Monthly Replacement Soft Silicone Hydrogel Contact Lenses (NCT NCT04980456)

NCT ID: NCT04980456

Last Updated: 2023-01-06

Results Overview

Distance visual acuity (VA) was assessed with study lenses in place. VA was collected for each eye separately using logarithmic of the Minimum Angle of Resolution (logMAR) charts. A logMAR acuity of 0.0 corresponds to 20/20 Snellen acuity (normal visual acuity), with a negative value denoting better than 20/20 visual acuity.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

257 participants

Primary outcome timeframe

Day 30, each study product

Results posted on

2023-01-06

Participant Flow

This study was conducted at 14 investigative sites located in the United States.

Of the 257 enrolled, 8 subjects were exited prior to randomization as screen failures. This reporting group includes all subjects exposed to the study lenses, as treated (249). Note: One subject randomized to TOTAL30, then Biofinity was exposed to the incorrect study lenses in the sequence (Biofinity, then TOTAL30).

Unit of analysis: eyes

Participant milestones

Participant milestones
Measure
TOTAL30, Then Biofinity
Lehfilcon A contact lenses worn first, followed by comfilcon A contact lenses as randomized. Each study product was worn bilaterally (in both eyes) for approximately 30 days for at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Biofinity, Then TOTAL30
Comfilcon A contact lenses worn first, followed by lehfilcon A contact lenses, as randomized. Each study product was worn bilaterally (in both eyes) for approximately 30 days for at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Period 1 (Approximately 30 Days)
STARTED
122 244
127 254
Period 1 (Approximately 30 Days)
COMPLETED
119 238
124 248
Period 1 (Approximately 30 Days)
NOT COMPLETED
3 6
3 6
Period 2 (Approximately 30 Days)
STARTED
119 238
123 246
Period 2 (Approximately 30 Days)
COMPLETED
119 238
122 244
Period 2 (Approximately 30 Days)
NOT COMPLETED
0 0
1 2

Reasons for withdrawal

Reasons for withdrawal
Measure
TOTAL30, Then Biofinity
Lehfilcon A contact lenses worn first, followed by comfilcon A contact lenses as randomized. Each study product was worn bilaterally (in both eyes) for approximately 30 days for at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Biofinity, Then TOTAL30
Comfilcon A contact lenses worn first, followed by lehfilcon A contact lenses, as randomized. Each study product was worn bilaterally (in both eyes) for approximately 30 days for at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Period 1 (Approximately 30 Days)
Adverse Event
2
0
Period 1 (Approximately 30 Days)
Lost to Follow-up
0
1
Period 1 (Approximately 30 Days)
Withdrawal by Subject
1
2
Period 2 (Approximately 30 Days)
Adverse Event
0
1

Baseline Characteristics

Clinical Assessment of Two Daily Wear Monthly Replacement Soft Silicone Hydrogel Contact Lenses

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TOTAL30, Then Biofinity
n=123 Participants
Lehfilcon A contact lenses worn first, followed by comfilcon A contact lenses, as randomized. Comfilcon A contact lenses worn first, followed by lehfilcon A contact lenses, as randomized. Each study product was worn bilaterally (in both eyes) for approximately 30 days for at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Biofinity, Then TOTAL30
n=126 Participants
Comfilcon A contact lenses worn first, followed by lehfilcon A contact lenses, as randomized. Comfilcon A contact lenses worn first, followed by lehfilcon A contact lenses, as randomized. Each study product was worn bilaterally (in both eyes) for approximately 30 days for at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Total
n=249 Participants
Total of all reporting groups
Age, Continuous
32.1 years
STANDARD_DEVIATION 7.7 • n=5 Participants
33.1 years
STANDARD_DEVIATION 8.7 • n=7 Participants
32.6 years
STANDARD_DEVIATION 8.2 • n=5 Participants
Sex: Female, Male
Female
91 Participants
n=5 Participants
87 Participants
n=7 Participants
178 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
39 Participants
n=7 Participants
71 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
114 Participants
n=5 Participants
118 Participants
n=7 Participants
232 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/Ethnicity, Customized
White
80 Participants
n=5 Participants
79 Participants
n=7 Participants
159 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
37 Participants
n=5 Participants
41 Participants
n=7 Participants
78 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Multi-racial
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
123 participants
n=5 Participants
126 participants
n=7 Participants
249 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 30, each study product

Population: All subjects exposed to any study lenses evaluated in this study, as randomized, with non-missing response (eye)

Distance visual acuity (VA) was assessed with study lenses in place. VA was collected for each eye separately using logarithmic of the Minimum Angle of Resolution (logMAR) charts. A logMAR acuity of 0.0 corresponds to 20/20 Snellen acuity (normal visual acuity), with a negative value denoting better than 20/20 visual acuity.

Outcome measures

Outcome measures
Measure
TOTAL30
n=480 eyes
Lehfilcon A contact lenses worn bilaterally (in both eyes) during Period 1 or Period 2, as randomized, for approximately 30 days at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Biofinity
n=486 eyes
Comfilcon A contact lenses worn bilaterally (in both eyes) during Period 1 or Period 2, as randomized, for approximately 30 days at least 10 hours per day during waking hours only. CLEAR CARE was used for daily cleaning and disinfection.
Least Squares Mean Distance VA (logMAR) With Study Lenses
-0.07 logMAR
Standard Error 0.005
-0.08 logMAR
Standard Error 0.005

Adverse Events

Pretreatment

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

TOTAL30 Ocular

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

TOTAL30 Nonocular

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

Biofinity Ocular

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

Biofinity Nonocular

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

Serious adverse events

Serious adverse events
Measure
Pretreatment
n=249 participants at risk
Events reported in this group occurred prior to exposure to the study contact lenses
TOTAL30 Ocular
n=490 participants at risk
Events reported in this group occurred while exposed to the lehfilcon A contact lenses
TOTAL30 Nonocular
n=245 participants at risk
Events reported in this group occurred while exposed to the lehfilcon A contact lenses
Biofinity Ocular
n=492 participants at risk
Events reported in this group occurred while exposed to the comfilcon A contact lenses
Biofinity Nonocular
n=246 participants at risk
Events reported in this group occurred while exposed to the comfilcon A contact lenses
Infections and infestations
COVID-19 pneumonia
0.00%
0/249 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/490 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.41%
1/245 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/492 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/246 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
Renal and urinary disorders
Acute kidney injury
0.00%
0/249 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/490 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.41%
1/245 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/492 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/246 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
Vascular disorders
Hypotension
0.00%
0/249 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/490 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.41%
1/245 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/492 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study
0.00%
0/246 • Adverse events (AE's) were collected from time of consent to study exit, approximately 65 days.
AE's were obtained through solicited and spontaneous comments from 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 exposed to any study lenses evaluated in this study

Other adverse events

Adverse event data not reported

Additional Information

CDMA Project Lead, Vision Care

Alcon Research, LLC

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