STAR-I: MINIject in Patients With Open Angle Glaucoma Uncontrolled by Topical Hypotensive Medications

Sponsor
iSTAR Medical (Industry)
Overall Status
Completed
CT.gov ID
NCT03193736
Collaborator
(none)
26
2
1
29.2
13
0.4

Study Details

Study Description

Brief Summary

The study will evaluate the efficacy and safety of the implant and intra-ocular pressure (IOP) lowering effects with or without glaucoma medications. The procedure will be a stand-alone surgery. Overall, the patient will be asked to perform several examinations up to 24 months after surgery.

The primary efficacy objective of the present study is to show the IOP reduction under medication 6 months after surgery compared to medicated diurnal IOP at screening.

Condition or Disease Intervention/Treatment Phase
  • Device: MINIject implant
N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
26 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Prospective, Open, Multicenter Clinical Trial With One Cohort Analysing the Efficacy and Safety of MINIject in Patients With Open Angle Glaucoma Uncontrolled by Topical Hypotensive Medications
Actual Study Start Date :
Jun 19, 2017
Actual Primary Completion Date :
Apr 16, 2018
Actual Study Completion Date :
Nov 25, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: implant

Device: MINIject implant
MINIject implant is used to reduce intra-ocular pressure (IOP) in the eye through a minimally-invasive Glaucoma surgical intervention. The intervention is to be performed as stand-alone surgery.

Outcome Measures

Primary Outcome Measures

  1. Change in Medicated Diurnal Intra-ocular Pressure (IOP) at 6 Months Post-implantation [6 months after implantation surgery]

    Change of Medicated diurnal IOP [mmHg] from pre-implantation Baseline to 6 months post-implantation, with or without the use of the allowed concomitant glaucoma hypotensive medication

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Diagnosis of primary or secondary open angle glaucoma during screening/baseline visit or earlier.

  • Grade 3 (open, 20-35 degrees) or grade 4 (wide open, 35-45 degrees) according to Shaffer Angle Grading System.

  • Glaucoma not adequately controlled

Exclusion Criteria:
  • Diagnosis of glaucoma other than open angle glaucoma

  • Grade 2, grade 1 and grade 0 according to Shaffer Angle Grading System.

  • Neovascular glaucoma in the study eye

  • Prior glaucoma surgery in the study eye

  • Clinically significant corneal disease

  • Patients with poor vision

Contacts and Locations

Locations

Site City State Country Postal Code
1 Maxivision Eye Hospital Hyderabad Telangana India 500034
2 Clinica de ojos Orillac-Calvo Panama city Panama

Sponsors and Collaborators

  • iSTAR Medical

Investigators

  • Study Director: Zubair Hussain, PhD, iSTAR Medical

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
iSTAR Medical
ClinicalTrials.gov Identifier:
NCT03193736
Other Study ID Numbers:
  • ISM04
First Posted:
Jun 21, 2017
Last Update Posted:
Feb 17, 2021
Last Verified:
Feb 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Implant
Arm/Group Description MINIject implant: MINIject implant is used to reduce intra-ocular pressure in the eye through a minimally-invasive Glaucoma surgical intervention. The intervention is to be performed as stand-alone surgery.
Period Title: Overall Study
STARTED 26
Received Implant 25
COMPLETED 21
NOT COMPLETED 5

Baseline Characteristics

Arm/Group Title Implant
Arm/Group Description MINIject implant: MINIject implant is used to reduce intra-ocular pressure in the eye through a minimally-invasive Glaucoma surgical intervention. The intervention is to be performed as stand-alone surgery.
Overall Participants 26
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
69.4
(11.1)
Sex: Female, Male (Count of Participants)
Female
12
46.2%
Male
14
53.8%
Race/Ethnicity, Customized (Count of Participants)
Black
9
34.6%
Asian
10
38.5%
Caucasian
0
0%
Other
7
26.9%
Region of Enrollment (participants) [Number]
Panama
16
61.5%
India
10
38.5%
primary open-angle glaucoma (Count of Participants)
Count of Participants [Participants]
26
100%

Outcome Measures

1. Primary Outcome
Title Change in Medicated Diurnal Intra-ocular Pressure (IOP) at 6 Months Post-implantation
Description Change of Medicated diurnal IOP [mmHg] from pre-implantation Baseline to 6 months post-implantation, with or without the use of the allowed concomitant glaucoma hypotensive medication
Time Frame 6 months after implantation surgery

Outcome Measure Data

Analysis Population Description
patients who received MINIject implant and were present at both Baseline and 6-month follow-up visit
Arm/Group Title Implant
Arm/Group Description MINIject implant: MINIject implant is used to reduce intra-ocular pressure in the eye through a minimally-invasive Glaucoma surgical intervention. The intervention is to be performed as stand-alone surgery.
Measure Participants 24
Mean (Standard Deviation) [mmHg]
-8.95
(3.7)

Adverse Events

Time Frame 2 years post-implantation
Adverse Event Reporting Description
Arm/Group Title Implant
Arm/Group Description MINIject implant: MINIject implant is used to reduce intra-ocular pressure in the eye through a minimally-invasive Glaucoma surgical intervention. The intervention is to be performed as stand-alone surgery.
All Cause Mortality
Implant
Affected / at Risk (%) # Events
Total 2/26 (7.7%)
Serious Adverse Events
Implant
Affected / at Risk (%) # Events
Total 2/26 (7.7%)
General disorders
death 1/26 (3.8%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
pancreatic carcinoma 1/26 (3.8%) 1
Other (Not Including Serious) Adverse Events
Implant
Affected / at Risk (%) # Events
Total 21/26 (80.8%)
Eye disorders
Anterior Chamber inflammation 8/26 (30.8%) 8
Visual acuity reduced 8/26 (30.8%) 9
Lenticular opacities 5/26 (19.2%) 5
Conjunctival haemorrhage 2/26 (7.7%) 2
eye pain 2/26 (7.7%) 2
eye pruritus 2/26 (7.7%) 2
Injury, poisoning and procedural complications
Hyphaema 3/26 (11.5%) 4
Investigations
Intraocular Pressure increased 5/26 (19.2%) 6
Nervous system disorders
Visual Field Defect 7/26 (26.9%) 7

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

first publication to be made by Sponsor as part of publication of results obtained from all sites participating in the study intended manuscript to be submitted to Sponsor for review min 60 days in advance, proposals for changes submitted by Sponsor to be taken into consideration by Principal Investigator, unless they interfere with scientific nature or neutrality of the publication Sponsor may demand postponement of publication by max 90 days to protect intellectual property rights

Results Point of Contact

Name/Title Zubair Hussain, VP Clinical and Regulatory Affairs
Organization iSTAR Medical
Phone +3210771658
Email zubair@istarmed.com
Responsible Party:
iSTAR Medical
ClinicalTrials.gov Identifier:
NCT03193736
Other Study ID Numbers:
  • ISM04
First Posted:
Jun 21, 2017
Last Update Posted:
Feb 17, 2021
Last Verified:
Feb 1, 2021