Multicenter Clinical Study of the SING-IMT in Patients with Late-stage AMD

NCT ID: NCT05438732

Last Updated: 2024-12-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

125 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-16

Study Completion Date

2025-12-31

Brief Summary

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The objective of this study is to determine the safety and effectiveness of the smaller incision, new generation (SING), implantable miniature telescope (IMT) in patients with moderate-severe central vision loss due to late-stage age-related macular degeneration (AMD).

Detailed Description

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Following completion of informed consent, patients will be evaluated for eligibility to enroll into the study, including assessment of their best-corrected distance- and near- visual acuity with and without refraction, and also when using an external telescope simulator (ETS) to determine if they are likely to benefit from receiving the IMT. If eligible, they will be scheduled for out-patient surgery to implant the IMT during routine cataract surgery. Following implantation, patients will return for 5 post-operative follow-up visits over a period of approximately 12 months. Additionally, patients will have up to 12 rehabilitation/training visits with a low vision specialist

Conditions

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Age-Related Macular Degeneration Geographic Atrophy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Effectiveness: one-sided asymptotic normal test Safety: one-sided t-test
Primary Study Purpose

OTHER

Blinding Strategy

NONE

since the IMT has a unique appearance in the eye, it cannot be masked to the Investigator or to the patient

Study Groups

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SING-IMT Implanted

the implanted eye will be the study eye which receives the SING-IMT. Implantation will occur during routine cataract surgery using a proprietary delivery system (loading cartridge and injector), via an approximately 6.5mm incision

Group Type EXPERIMENTAL

smaller incision, new generation implantable miniature telescope (SING-IMT)

Intervention Type DEVICE

The IMT (model SING) is an intraocular implant comprised of 2 micro lenses in a glass tube (optics) in a flexible silicone carrier (haptics)

Interventions

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smaller incision, new generation implantable miniature telescope (SING-IMT)

The IMT (model SING) is an intraocular implant comprised of 2 micro lenses in a glass tube (optics) in a flexible silicone carrier (haptics)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Be at least 65 years of age at the Pre-operative Visit;
2. Have ETDRS BCDVA 0.9 to 1.6 logMAR (20/160 to 20/800) at the Pre-operative Visit caused by bilateral central scotomas associated with end-stage AMD;
3. Have bilateral retinal findings of geographic atrophy or disciform scar with foveal involvement, as determined by standard of care fluorescein angiography (FA) prior to the Pre-operative Visit;
4. Have been monitored by an eye care professional over the 6-month (or longer) period immediately prior to the Pre-operative Visit and have demonstrated no evidence of active choroidal neovascularization (CNV) prior to the Pre-operative Visit as demonstrated by the following:

1. lack of need of treatment for CNV over the past 6 months, and
2. lack of active exudative fluid on optical coherence tomography (OCT) over the past 6 months, and
3. lack of Retinal hemorrhage on exam over a 6-month period or longer
5. Agree to participate in post-operative visual training

For the Implanted Eye:
6. Have evidence of visually significant cataract at the Pre-operative Visit;
7. Agree to undergo pre-operative training and assessment (1 or more sessions) with low vision specialists (optometrist or occupational therapist) in the use of an external telescope model sufficient for patient assessment and patient must achieve at least a 5-letter ETDRS BCDVA improvement (0.1 logMAR) in the final assessment

For the Non-Implanted Eye:
8. Have adequate peripheral vision at the Pre-operative Visit to allow navigation

Exclusion Criteria

1. Have cognitive impairment that would interfere with the ability to understand and provide Informed Consent or prevent proper visual training/rehabilitation with the device;
2. Have any of the following conditions at the Pre-operative Visit:

1. Stargardt macular dystrophy;
2. Diabetic retinopathy;
3. Untreated retinal tears;
4. Retinal vascular disease;
5. Optic nerve disease;
6. History of retinal detachment;
7. Intraocular tumor;
8. Retinitis pigmentosa;
3. History of steroid-induced rise in intraocular pressure (IOP), uncontrolled glaucoma, or IOP \>22 mmHg at the Pre-operative Visit;
4. Have known allergy to post-operative medications;
5. History of eye rubbing or an ocular condition that predisposes subject to eye rubbing;
6. Have had prior or expected ophthalmic surgery within 30 days of the Operative Visit;
7. Have any circumstance that, based on the Investigator's judgment, poses a concern for the subject's safety;
8. Any systemic disease or clinical evidence of any condition at the Pre-operative Visit which would make the subject in the opinion of the investigator unsuitable for the study;
9. Concurrent participation or prior participation in any investigative drug or device study within last 30 days prior to Pre-operative Visit

For the Implanted Eye:
10. Have central anterior chamber depth (ACD) \<3.0 mm from the posterior surface of the cornea (endothelium) to the anterior surface of the crystalline lens at the Pre-operative Visit;
11. Have an Endothelial Cell Density (ECD) below:

1. 2,000 cells per millimeter, if 65-84 years old;
2. 1,800 cells per millimeter, if 85 years old or greater (based on the lowest value of the three cell counts performed by technician at investigative site at the Pre-operative Visit)
12. Have a history of corneal stromal or endothelial dystrophies, including guttata;
13. Have Myopia \> 6.0 D or Hyperopia \> 4.0 D by Manifest Refraction at the Pre-operative Visit;
14. Have an Axial Length (AL) \< 21 mm at the Pre-operative Visit;
15. Have a narrow angle defined as \< grade 2 on the Schaffer scale at the Pre-operative Visit;
16. Ongoing Inflammatory ocular disease at the Pre-operative Visit;
17. Zonular weakness/instability of crystalline lens, or pseudoexfoliation at the Pre-operative Visit;
18. Have any condition at the Pre-operative Visit which in the judgement of the Investigator indicates that the haptics cannot be placed within the capsular bag during surgery;
19. Have had previous intraocular or corneal surgery, including any type of surgery for refractive or therapeutic purposes;

For the Non-Implanted Eye:
20. Have ophthalmic pathology at the Pre-operative Visit that compromises the patient's peripheral vision based on the Investigator's judgment.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ORA, Inc.

INDUSTRY

Sponsor Role collaborator

VisionCare, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rebecca J Kammer, OD, PhD

Role: STUDY_DIRECTOR

Samsara Vision Inc.

Locations

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Loma Linda University

Loma Linda, California, United States

Site Status RECRUITING

Eye Physicians of Long Beach

Long Beach, California, United States

Site Status RECRUITING

Sarasota Retina Institute

Sarasota, Florida, United States

Site Status RECRUITING

Tallman Eye Associates

Lawrence, Massachusetts, United States

Site Status RECRUITING

Oakland Ophthalmic Surgery

Birmingham, Michigan, United States

Site Status RECRUITING

Vance Thompson Vision

Omaha, Nebraska, United States

Site Status RECRUITING

Atlantic Eye Physicians

Eatontown, New Jersey, United States

Site Status RECRUITING

Western Carolina Retinal Associates

Asheville, North Carolina, United States

Site Status RECRUITING

Cleveland Clinic | Cole Eye Institute

Cleveland, Ohio, United States

Site Status RECRUITING

Methodist Eye Associates | Houston Methodist

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Rebecca Kammer, OD, PhD

Role: CONTACT

+1 (714) 728-1575

Colleen Collier

Role: CONTACT

+1 (609) 213-9420

Facility Contacts

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Rebecca Pereyra, Study Coordinator

Role: primary

+1 (909) 558--2168 ext. 22168

Norlisha Borntrager, Study Director

Role: backup

+1 (909) 558-2233 ext. 22230

Michael Rauser, MD

Role: backup

Lisa Bejarano, Study Coordinator

Role: primary

+1 (562) 799-2020

Carlos Martinez, MD

Role: backup

Peggy Jelemensky, Study Coordinator

Role: primary

+1 (941) 921-5335 ext. 232

Marc Levy, MD

Role: backup

Flor Flores, Study Coordinator

Role: primary

+1 (617) 470-5080

Justine St. Croix, VP of Operations

Role: backup

+1 (978) 688-6182 ext. 1170

Tomasz Stryjewski, MD

Role: backup

Jessica Samuel, Study Coordinator

Role: primary

+1 (248) 644-8060

Timothy Page, MD

Role: backup

Amanda Aparo, Study Coordinator

Role: primary

+1 (402) 506-9968

Tiffany Facile, MBA, MHA, BS, RN, Research Director

Role: backup

+1 (605) 371-7075

Brandon Baartman, MD

Role: backup

Joseph Valeri, Study Coordinator

Role: primary

+1 (201) 705-7139

Ravi Patel, MD

Role: backup

Amy Moore, Study Coordinator

Role: primary

+1 (828) 258-1586 ext. 2505

Lea Raymer, Director of Research

Role: backup

W. Zachery Bridges, Jr., MD

Role: backup

Jessica Wolfe, OD, MS, Research Coordinator

Role: primary

+1 (216) 445-5248

Aleksandra Rachitskaya, MD

Role: backup

Valentina Villarroel, Study Coordinator

Role: primary

+1 (346) 238-4384

Jennifer Garrett, BSN, CCRP, Clinical Trials Manager

Role: backup

+1 (346) 238-4516

Rahul Pandit, MD

Role: backup

Other Identifiers

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CDV-SNG-21-001

Identifier Type: -

Identifier Source: org_study_id