COMPASS XXT: Additional Long-Term Follow-up for Subjects Implanted With a CyPass® Micro-Stent

Sponsor
Alcon Research (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04629521
Collaborator
(none)
374
3
1
31.3
124.7
4

Study Details

Study Description

Brief Summary

The purpose of this study is to assess long-term (10 years post-CyPass implantation) status of the corneal endothelium in subjects who were implanted with the CyPass Micro-Stent in the COMPASS trial.

Condition or Disease Intervention/Treatment Phase
  • Device: CyPass Micro-Stent
N/A

Detailed Description

The COMPASS Trial (TMI-09-01/NCT01085357) was a prospective, randomized, comparative multicenter study to assess the safety and effectiveness of the CyPass Micro-Stent in subjects with primary open angle glaucoma who were undergoing cataract surgery. In the COMPASS Trial, 374 subjects undergoing cataract surgery were randomized to the CyPass group and received the CyPass Micro-Stent, whereas 131 subjects underwent cataract surgery alone. All subjects were to be followed for 2 years postoperatively. Four hundred eighty (480) subjects completed this study.

The COMPASS XT Trial (TMI-09-01E/GLD122b-C001/NCT02700984) was designed to collect safety data beyond 24 months postoperatively for subjects who completed the COMPASS Trial. In COMPASS-XT, clinical data was collected at 36 months, 48 months, and 60 months postoperatively for a total of 5-year follow-up across the 2 studies.

In this trial, COMPASS XXT, clinical data will be collected annually for the subjects who were implanted with the CyPass Micro-Stent in the COMPASS TRIAL until the subject reaches 10 years post-CyPass implantation. For some subjects, the first visit will be at or after 10 years post-CyPass implantation, and therefore the first visit may coincide with the Exit visit.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
374 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Other
Official Title:
An Observational Multicenter Clinical Study to Provide Additional Long-Term Follow-up Beyond 60 Months for Subjects Implanted With a CyPass Micro-Stent in the COMPASS Trial
Actual Study Start Date :
Dec 21, 2020
Anticipated Primary Completion Date :
Aug 1, 2023
Anticipated Study Completion Date :
Aug 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: CyPass Micro-Stent

CyPass Micro-Stent placed in the angle of the eye at the conclusion of cataract surgery (COMPASS trial)

Device: CyPass Micro-Stent
The CyPass Micro-Stent is a small tube with a through-lumen designed to redirect aqueous fluid from the front into the back of the eye. The device is implanted after completion of cataract surgery.

Outcome Measures

Primary Outcome Measures

  1. Rate of occurrence of sight-threatening adverse events (AEs) [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study. Sight-threatening adverse events as specified in the protocol will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval for each.

  2. Rate of occurrence of ocular AEs [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study. Ocular adverse events will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval for each.

  3. Central Endothelial Cell Density (ECD) reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  4. Central ECD reported by mean and 95 percent confidence interval [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  5. Central ECD reported by percentile [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  6. Peripheral ECD reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  7. Peripheral ECD reported by mean and 95 percent confidence interval [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  8. Peripheral ECD reported by percentile [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  9. Central Endothelial Cell Coefficient of Variation reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  10. Central Endothelial Cell Coefficient of Variation reported by percentile [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  11. Central Endothelial Hexagonality reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  12. Central Endothelial Hexagonality reported by percentile [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  13. Change in Central ECD from COMPASS Trial Baseline Visit reported by mean and standard deviation [COMPASS Trial Baseline Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  14. Change in Central ECD from COMPASS Trial Baseline Visit reported by mean and confidence interval [COMPASS Trial Baseline Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  15. Change in Central ECD from COMPASS Trial Baseline Visit reported by percentile [COMPASS Trial Baseline Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  16. Percent change in central ECD from COMPASS Trial Baseline Visit reported by mean and standard deviation [COMPASS Trial Baseline Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  17. Percent change in central ECD from COMPASS Trial Baseline Visit reported by mean and 95% confidence interval [COMPASS Trial Baseline Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  18. Percent change in central ECD from COMPASS Trial Baseline Visit reported by percentile [COMPASS Trial Baseline Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  19. Percentage of Eyes According to Central Endothelial Cell Density <1000 cells per millimeter squared [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.

  20. Percentage of Eyes According to Central Endothelial Cell Density <500 cells per millimeter squared [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.

  21. Percentage of Eyes According to Central Endothelial Percent Change from COMPASS Trial Baseline >30% Loss [COMPASS Trial Baseline Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  22. Percentage of Eyes According to Peripheral Endothelial Cell Density <1000 cells per millimeter squared [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.

  23. Percentage of Eyes According to Peripheral Endothelial Cell Density <500 cells per millimeter squared [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study. Percentage of eyes with a 2-sided exact 95 percent confidence interval will be reported.

  24. Annualized rate of change in Central Endothelial Cell Density at each year of observation reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  25. Annualized rate of change in Central Endothelial Cell Density at each year of observation reported by mean and 95 percent confidence interval [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  26. Annualized percent rate of change in Central Endothelial Cell Density at each year of observation reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  27. Annualized percent rate of change in Central Endothelial Cell Density at each year of observation reported by mean and 95 percent confidence interval [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  28. Number of corneal sequelae events associated with Endothelial Cell Loss (ECL) [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  29. Central ECD Count by Number of Rings Observed at the Visit reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Only data for subjects with rings and ECD data will be presented.

  30. Central ECD Count by Number of Rings Observed at the Visit reported by percentile [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available. Only data for subjects with rings and ECD data will be presented.

  31. Peripheral ECD Count by Number of Rings Observed at the Visit reported by mean and standard deviation [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study. Only data for subjects with rings and ECD data will be presented.

  32. Peripheral ECD Count by Number of Rings Observed at the Visit reported by percentile [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study. Only data for subjects with rings and ECD data will be presented.

  33. Number of Secondary Surgical Intervention (SSI) events to modify the device position (eg, repositioning, trimming, explantation) [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  34. CyPass Micro-Stent movement and/or malposition [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study. CyPass Micro-Stent movement and/or malposition will be reported as a percentage of eyes with a 2-sided exact 95 percent confidence interval.

  35. Number of corneal adverse events caused by CyPass MicroStent [Up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS XXT study.

  36. Number of events of Best Corrected Visual Acuity (BCVA) loss of 10 letters or more [COMPASS Trial Screening Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  37. Change in visual field mean deviation from COMPASS Trial Screening Visit reported by mean and standard deviation [COMPASS Trial Screening Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits COMPASS XXT study.

  38. Change in visual field mean deviation from COMPASS Trial Screening Visit reported categorically [COMPASS Trial Screening Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits COMPASS XXT study.

  39. Change in central corneal thickness from COMPASS Trial Screening Visit reported by mean and standard deviation [COMPASS Trial Screening Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

  40. Change in central corneal thickness from COMPASS Trial Screening Visit reported by mean and confidence interval [COMPASS Trial Screening Visit, up to Year 10 postoperative]

    This analysis will be performed using data from visits in the COMPASS, COMPASS XT, and COMPASS XXT studies, where available.

Eligibility Criteria

Criteria

Ages Eligible for Study:
45 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Key Inclusion Criteria:
  • Implantation with a CyPass Micro-Stent as a participant in the COMPASS trial, NCT01085357 (Transcend Medical, Incorporated, Study Number TMI-09-01).

  • Able to understand the requirements of the study and willing to follow study instructions, provide written informed consent, and agree to comply with all study requirements, including the required study follow-up visits.

Key Exclusion Criteria:
  • Inability to comply with the protocol or required follow-up visit/procedures.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Alcon Investigative Site Fort Collins Colorado United States 80528
2 Alcon Investigative Site Batavia Ohio United States 45103
3 Alcon Investigative Site Maryville Tennessee United States 37803

Sponsors and Collaborators

  • Alcon Research

Investigators

  • Study Director: Clinical Operations Lead, Surgical, Alcon Research, LLC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Alcon Research
ClinicalTrials.gov Identifier:
NCT04629521
Other Study ID Numbers:
  • GLD122-P004
First Posted:
Nov 16, 2020
Last Update Posted:
May 3, 2022
Last Verified:
May 1, 2022
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:
Yes
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 3, 2022