Clinical Evaluation of a Daily Wear Monthly Replacement Silicone Hydrogel Lens

Sponsor
Alcon Research (Industry)
Overall Status
Completed
CT.gov ID
NCT04178720
Collaborator
(none)
119
8
2
4.4
14.9
3.4

Study Details

Study Description

Brief Summary

The purpose of this clinical study is to evaluate the safety and effectiveness of an investigational soft contact lens compared to a commercially available soft contact lens when worn for daily wear and replaced monthly.

Condition or Disease Intervention/Treatment Phase
  • Device: Lehfilcon A contact lenses
  • Device: Comfilcon A contact lenses
  • Device: CLEAR CARE
N/A

Detailed Description

Subjects are expected to attend 6 study visits. The expected duration of study lens exposure is approximately 3 months.

Study Design

Study Type:
Interventional
Actual Enrollment :
119 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Clinical Evaluation of a Daily Wear Monthly Replacement Silicone Hydrogel Lens
Actual Study Start Date :
Jan 28, 2020
Actual Primary Completion Date :
Jun 10, 2020
Actual Study Completion Date :
Jun 10, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: LID018869

Lehfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only. The lenses will be removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period.

Device: Lehfilcon A contact lenses
Investigational silicone hydrogel contact lenses
Other Names:
  • LID018869
  • Device: CLEAR CARE
    Hydrogen peroxide-based system for cleaning and disinfecting silicone hydrogel contact lenses
    Other Names:
  • CLEAR CARE® Cleaning & Disinfecting Solution
  • Active Comparator: Biofinity

    Comfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only. The lenses will be removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period.

    Device: Comfilcon A contact lenses
    Commercially available silicone hydrogel contact lenses
    Other Names:
  • CooperVision® BIOFINITY®
  • Biofinity
  • Device: CLEAR CARE
    Hydrogen peroxide-based system for cleaning and disinfecting silicone hydrogel contact lenses
    Other Names:
  • CLEAR CARE® Cleaning & Disinfecting Solution
  • Outcome Measures

    Primary Outcome Measures

    1. Distance VA (logMAR) With Study Lenses - Completed Eyes [Dispense, Week 1 follow-up, Week 2 follow-up, Month 1 follow-up, Month 2 follow-up, Month 3 follow-up (at least 4 hours after lens insertion at each follow-up assessment visit)]

      Visual acuity (VA) was assessed for each eye individually with study lenses in place at a distance of 6 meters using a letter chart. VA was collected in Snellen and converted to logarithm minimum angle of resolution (logMAR). A logMAR value of 0 equates to 20/20 Snellen visual acuity (normal distance eyesight), with a lower logMAR value indicating better visual acuity. No formal hypothesis testing was planned.

    2. Distance VA (logMAR) With Study Lenses - Discontinued Eyes [Dispense, Week 1 follow-up, Week 2 follow-up, Month 1 follow-up]

      Visual acuity (VA) was assessed for each eye individually with study lenses in place at a distance of 6 meters using a letter chart. VA was collected in Snellen and converted to logarithm minimum angle of resolution (logMAR). A logMAR value of 0 equates to 20/20 Snellen visual acuity (normal distance eyesight), with a lower logMAR value indicating better visual acuity. No formal hypothesis testing was planned.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria:
    • Successful wear of spherical daily wear frequent replacement soft contact lenses for distance correction in both eyes during the past 3 months for a minimum of 5 days per week and 8 hours per day.

    • Manifest cylinder equal to or less than 0.75 diopter (D) in each eye.

    • Other protocol-specified inclusion criteria may apply.

    Key Exclusion Criteria:
    • Wearing habitual contact lenses in an extended wear modality (routinely sleeping in lenses for at least 1 night per week) over the last 3 months prior to enrollment.

    • Habitually wearing Biofinity contact lenses.

    • Monovision contact lens wearers.

    • Other protocol-specified exclusion criteria may apply.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Alcon Investigative Site Longwood Florida United States 32779
    2 Alcon Investigative Site Maitland Florida United States 32751
    3 Alcon Investigative Site Orlando Florida United States 32803
    4 Alcon Investigative Site Bloomington Illinois United States 61704
    5 Alcon Investigative Site Medina Minnesota United States 55340
    6 Alcon Investigative Site Granville Ohio United States 43023
    7 Alcon Investigative Site Memphis Tennessee United States 38111
    8 Alcon Investigative Site Memphis Tennessee United States 38119

    Sponsors and Collaborators

    • Alcon Research

    Investigators

    • Study Director: CDMA Project Lead, Vision Care, Alcon Research, LLC

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Alcon Research
    ClinicalTrials.gov Identifier:
    NCT04178720
    Other Study ID Numbers:
    • CLY935-C010
    First Posted:
    Nov 26, 2019
    Last Update Posted:
    Oct 19, 2021
    Last Verified:
    Sep 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:
    Yes
    Keywords provided by Alcon Research
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Subjects were enrolled at 8 investigative sites located in the US.
    Pre-assignment Detail Of the 119 enrolled, 1 subject was screen failed. This reporting group includes all enrolled and dispensed subjects/eyes (118/236).
    Arm/Group Title Biofinity LID018869
    Arm/Group Description Comfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period. Lehfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period.
    Period Title: Overall Study
    STARTED 40 78
    COMPLETED 38 77
    NOT COMPLETED 2 1

    Baseline Characteristics

    Arm/Group Title Biofinity LID018869 Total
    Arm/Group Description Comfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period. Lehfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period. Total of all reporting groups
    Overall Participants 40 78 118
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    32.9
    (7.3)
    34.4
    (7.6)
    33.9
    (7.5)
    Sex: Female, Male (Count of Participants)
    Female
    31
    77.5%
    57
    73.1%
    88
    74.6%
    Male
    9
    22.5%
    21
    26.9%
    30
    25.4%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    2
    5%
    4
    5.1%
    6
    5.1%
    Not Hispanic or Latino
    38
    95%
    74
    94.9%
    112
    94.9%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    Asian
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    1
    2.5%
    0
    0%
    1
    0.8%
    Black or African American
    2
    5%
    12
    15.4%
    14
    11.9%
    White
    36
    90%
    65
    83.3%
    101
    85.6%
    More than one race
    0
    0%
    1
    1.3%
    1
    0.8%
    Unknown or Not Reported
    1
    2.5%
    0
    0%
    1
    0.8%
    Region of Enrollment (participants) [Number]
    United States
    40
    100%
    78
    100%
    118
    100%

    Outcome Measures

    1. Primary Outcome
    Title Distance VA (logMAR) With Study Lenses - Completed Eyes
    Description Visual acuity (VA) was assessed for each eye individually with study lenses in place at a distance of 6 meters using a letter chart. VA was collected in Snellen and converted to logarithm minimum angle of resolution (logMAR). A logMAR value of 0 equates to 20/20 Snellen visual acuity (normal distance eyesight), with a lower logMAR value indicating better visual acuity. No formal hypothesis testing was planned.
    Time Frame Dispense, Week 1 follow-up, Week 2 follow-up, Month 1 follow-up, Month 2 follow-up, Month 3 follow-up (at least 4 hours after lens insertion at each follow-up assessment visit)

    Outcome Measure Data

    Analysis Population Description
    This analysis population includes all enrolled and dispensed subjects/eyes that completed the study with data at corresponding in-person visit.
    Arm/Group Title Biofinity LID018869
    Arm/Group Description Comfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours onl, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period. Lehfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period.
    Measure Participants 38 77
    Measure eyes 76 154
    Dispense
    -0.07
    (0.06)
    -0.07
    (0.06)
    Week 1 follow-up
    -0.08
    (0.06)
    -0.07
    (0.06)
    Week 2 follow-up Snellen
    -0.07
    (0.06)
    -0.07
    (0.06)
    Month 1 follow-up
    -0.07
    (0.06)
    -0.07
    (0.06)
    Month 2 follow-up
    -0.06
    (0.06)
    -0.07
    (0.07)
    Month 3 follow-up
    -0.07
    (0.06)
    -0.06
    (0.11)
    2. Primary Outcome
    Title Distance VA (logMAR) With Study Lenses - Discontinued Eyes
    Description Visual acuity (VA) was assessed for each eye individually with study lenses in place at a distance of 6 meters using a letter chart. VA was collected in Snellen and converted to logarithm minimum angle of resolution (logMAR). A logMAR value of 0 equates to 20/20 Snellen visual acuity (normal distance eyesight), with a lower logMAR value indicating better visual acuity. No formal hypothesis testing was planned.
    Time Frame Dispense, Week 1 follow-up, Week 2 follow-up, Month 1 follow-up

    Outcome Measure Data

    Analysis Population Description
    This analysis population includes all enrolled and dispensed subjects/eyes that discontinued the study early with data at corresponding in-person visit.
    Arm/Group Title Biofinity LID018869
    Arm/Group Description Comfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours onl, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period. Lehfilcon A contact lenses worn in both eyes at least approximately 8 hours per day and approximately 5 days per week during waking hours only, as randomized. Lenses were removed nightly for cleaning and disinfection and replaced monthly over the 3-month wear period.
    Measure Participants 2 1
    Measure eyes 4 2
    Dispense
    -0.06
    (0.07)
    0.00
    (0.00)
    Week 1 follow-up
    -0.12
    (0.00)
    -0.12
    (0.00)
    Week 2 follow-up
    0.00
    (0.00)
    -0.12
    (0.00)
    Month 1 follow-up
    -0.12
    (0.00)

    Adverse Events

    Time Frame Adverse events (AE's) were collected from time of consent to study exit, approximately 3 months.
    Adverse Event Reporting Description 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 participants. This analysis population includes all enrolled and dispensed subjects.
    Arm/Group Title Pre-treatment LID018869 Ocular LID018869 Nonocular/Systemic Biofinity Ocular Biofinity Nonocular/Systemic
    Arm/Group Description Events reported in this group occurred prior to exposure to the study contact lenses Events reported in this group occurred while exposed to lehfilcon A contact lenses Events reported in this group occurred while exposed to lehfilcon A contact lenses Events reported in this group occurred while exposed to comfilcon A contact lenses Events reported in this group occurred while exposed to comfilcon A contact lenses
    All Cause Mortality
    Pre-treatment LID018869 Ocular LID018869 Nonocular/Systemic Biofinity Ocular Biofinity Nonocular/Systemic
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/118 (0%) 0/156 (0%) 0/78 (0%) 0/80 (0%) 0/40 (0%)
    Serious Adverse Events
    Pre-treatment LID018869 Ocular LID018869 Nonocular/Systemic Biofinity Ocular Biofinity Nonocular/Systemic
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/118 (0%) 0/156 (0%) 0/78 (0%) 0/80 (0%) 0/40 (0%)
    Other (Not Including Serious) Adverse Events
    Pre-treatment LID018869 Ocular LID018869 Nonocular/Systemic Biofinity Ocular Biofinity Nonocular/Systemic
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/118 (0%) 0/156 (0%) 0/78 (0%) 0/80 (0%) 0/40 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    Sponsor reserves the right of prior review of any publication or presentation of information related to the study.

    Results Point of Contact

    Name/Title CDMA Project Lead, Vision Care
    Organization Alcon Research, LLC
    Phone 1-888-451-3937
    Email alcon.medinfo@alcon.com
    Responsible Party:
    Alcon Research
    ClinicalTrials.gov Identifier:
    NCT04178720
    Other Study ID Numbers:
    • CLY935-C010
    First Posted:
    Nov 26, 2019
    Last Update Posted:
    Oct 19, 2021
    Last Verified:
    Sep 1, 2021