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The objective of the study is to evaluate the safety and effectiveness of the enVista trifocal intraocular lens when implanted in the capsular bag.
Cataracts are a common condition in adults over 40 years of age, and surgical replacement of the cataractous lens with an intraocular lens (IOL) remains an effective way to restore vision to cataract patients.The objective of the study is to evaluate the safety and effectiveness of the enVista trifocal intraocular lens when implanted in the capsular bag.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| enVista MX60EF | Experimental | enVista MX60EF (trifocal) multifocal IOL (MIOL) |
|
| enVista MX60E | Active Comparator | enVista MX60E monofocal IOL |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| enVista MX60E | Device | enVista MX60E monofocal IOL |
| |
| enVista MX60EF |
| Measure | Description | Time Frame |
|---|---|---|
| Photopic Monocular Best-corrected Distance Visual Acuity (BCDVA) | Photopic monocular best-corrected distance visual acuity (BCDVA) in first eyes at Post-Operative Visit 4 (Day 120 to 180 after second eye implantation eyes at Post-Operative Visit 4 (Day 120 to 180 after second eye implantation) | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
| Photopic Monocular Distance-corrected Near Visual Acuity (DCNVA) | Photopic monocular distance-corrected near visual acuity (DCNVA) in first eyes at 40 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
| Photopic Monocular Distance-corrected Intermediate Visual Acuity (DCIVA) | Photopic monocular distance-corrected intermediate visual acuity (DCIVA) in first eyes at 66 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
| Serious Adverse Events | All ocular SAEs, including secondary surgical interventions (SSIs) related to the optical properties of the IOL, in first eyes through study exit | Assessed through study exit, 330 - 450 days after second eye implantation, up to 480 days from first eye implantation at baseline |
| The Rate of SSIs Due to the Optical Properties of the Lens for First Eyes Through Study Exit | The cumulative rate of secondary surgical interventions (SSI) due to the optical properties of the lens for first eyes through study exit. The rate was determined as the number of first eyes with an SSI related to the optical properties of the IOL divided by the total number of first eyes. |
| Measure | Description | Time Frame |
|---|---|---|
| Photopic Binocular DCNVA at 40 cm at Postoperative Visit 4 | Photopic binocular distance-corrected near visual acuity (DCNVA) at 40 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rosangela Nolasco | Bausch & Lomb Incorporated | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bausch Site 108 | Fayetteville | Arkansas | 72703 | United States | ||
| Bausch Site 113 |
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| ID | Title | Description |
|---|---|---|
| FG000 | enVista MX60EF | enVista MX60EF (trifocal) multifocal IOL (MIOL) enVista MX60EF: enVista MX60EF (trifocal) multifocal IOL (MIOL) |
| FG001 | enVista MX60E | enVista MX60E monofocal IOL enVista MX60E: enVista MX60E monofocal IOL |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 24, 2023 | Oct 11, 2024 |
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Approximately 334 subjects will be implanted bilaterally with the enVista MX60EF trifocal MIOL, and approximately 167 control subjects will be implanted bilaterally with the enVista MX60E monofocal IOL
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The Investigator implanting the IOL and designated site personnel will be unmasked to the assignment of IOLs. Subjects and designated postoperative evaluator(s) will be masked to the IOLs assigned.
| Device |
enVista MX60EF (trifocal) multifocal IOL (MIOL) |
|
| Assessed through study exit, 330 - 450 days after second eye implantation, up to 480 days from first eye implantation at baseline |
| The Incidence of AEs in First Eyes Compared to ISO Safety and Performance Endpoint | The cumulative rate of secondary surgical interventions (SSI) due to the optical properties of the lens for first eyes through study exit. The rate was determined as the number of first eyes with an SSI related to the optical properties of the IOL divided by the total number of first eyes | Assessed through study exit, 330 - 450 days after second eye implantation, up to 480 days from first eye implantation at baseline |
| Photopic Binocular UNVA at 40 cm at Postoperative Visit 4 |
Photopic binocular uncorrected near visual acuity (UNVA) at 40 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) |
| Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
| Photopic Binocular DCIVA at 66 cm at Postoperative Visit 4 | Photopic binocular distance-corrected intermediate visual acuity (DCIVA) at 66 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
| Photopic Binocular UIVA at 66 cm at Postoperative Visit 4 | Photopic binocular uncorrected intermediate visual acuity (UIVA) at 66 cm at Postoperative Visit 4 (Day 120 to Day 180 after second eye implantation) | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
| First-eye BCDVA Evaluated at Postoperative Visit 5 | First-eye BCDVA evaluated at Postoperative Visit 5 (Day 330 to Day 420 after second eye implantation) | Day 330 to Day 420 after second eye implantation, up to 450 days from first eye implantation at baseline |
| First-eye DCNVA Evaluated at Postoperative Visit 5 | First-eye DCNVA evaluated at Postoperative Visit 5 (Day 330 to Day 420 after second eye implantation) | Day 330 to Day 420 after second eye implantation, up to 450 days from first eye implantation at baseline |
| First-eye DCIVA Evaluated at Postoperative Visit 5 | First-eye DCIVA evaluated at Postoperative Visit 5 (Day 330 to Day 420 after second eye implantation) | Day 330 to Day 420 after second eye implantation, up to 450 days from first eye implantation at baseline |
| Garden Grove |
| California |
| 02843 |
| United States |
| Bausch Site 120 | Northridge | California | 91325 | United States |
| Bausch Site 115 | Redding | California | 96002 | United States |
| Bausch Site 103 | Torrance | California | 90505 | United States |
| Bausch Site 107 | Mt. Dora | Florida | 32757 | United States |
| Bausch Site 117 | Lake Villa | Illinois | 60046 | United States |
| Bausch Site 101 | Bloomington | Minnesota | 55420 | United States |
| Bausch Site 119 | Birmingham | Mississippi | 49009 | United States |
| Bausch Site 102 | St Louis | Missouri | 63131 | United States |
| Bausch Site 124 | Omaha | Nebraska | 68137 | United States |
| Bausch Site 118 | Las Vegas | Nevada | 89145 | United States |
| Bausch Site 106 | Brecksville | Ohio | 44141 | United States |
| Bausch Site 109 | Columbus | Ohio | 43215 | United States |
| Bausch Site 116 | Pittsburgh | Pennsylvania | 16066 | United States |
| Bausch Site 121 | Sioux Falls | South Dakota | 57108 | United States |
| Bausch Site 112 | Memphis | Tennessee | 38119 | United States |
| Bausch Site 110 | Nashville | Tennessee | 37205 | United States |
| Bausch Site 104 | Cedar Park | Texas | 78613 | United States |
| Bausch Site 105 | Dallas | Texas | 75243 | United States |
| Bausch Site 111 | Houston | Texas | 77008 | United States |
| Bausch Site 122 | San Antonio | Texas | 78215 | United States |
| Bausch Site 123 | San Antonio | Texas | 78229 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | enVista MX60EF | enVista MX60EF (trifocal) multifocal IOL (MIOL) enVista MX60EF: enVista MX60EF (trifocal) multifocal IOL (MIOL) |
| BG001 | enVista MX60E | enVista MX60E monofocal IOL enVista MX60E: enVista MX60E monofocal IOL |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Photopic Monocular Best-corrected Distance Visual Acuity (BCDVA) | Photopic monocular best-corrected distance visual acuity (BCDVA) in first eyes at Post-Operative Visit 4 (Day 120 to 180 after second eye implantation eyes at Post-Operative Visit 4 (Day 120 to 180 after second eye implantation) | Posted | Mean | Standard Deviation | logMAR | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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| Primary | Photopic Monocular Distance-corrected Near Visual Acuity (DCNVA) | Photopic monocular distance-corrected near visual acuity (DCNVA) in first eyes at 40 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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| Primary | Photopic Monocular Distance-corrected Intermediate Visual Acuity (DCIVA) | Photopic monocular distance-corrected intermediate visual acuity (DCIVA) in first eyes at 66 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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| Primary | Serious Adverse Events | All ocular SAEs, including secondary surgical interventions (SSIs) related to the optical properties of the IOL, in first eyes through study exit | Modified Safety Set: The Modified Safety Set included all subjects with at least 1 eye in which the IOL touched the eye with a study lens. | Posted | Count of Participants | Participants | Assessed through study exit, 330 - 450 days after second eye implantation, up to 480 days from first eye implantation at baseline |
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| Primary | The Rate of SSIs Due to the Optical Properties of the Lens for First Eyes Through Study Exit | The cumulative rate of secondary surgical interventions (SSI) due to the optical properties of the lens for first eyes through study exit. The rate was determined as the number of first eyes with an SSI related to the optical properties of the IOL divided by the total number of first eyes. | Modified Safety Set: The Modified Safety Set included all subjects with at least 1 eye in which the IOL touched the eye with a study lens. | Posted | Number | first eyes | Assessed through study exit, 330 - 450 days after second eye implantation, up to 480 days from first eye implantation at baseline |
|
| ||||||||||||||||||||||||||||||
| Primary | The Incidence of AEs in First Eyes Compared to ISO Safety and Performance Endpoint | The cumulative rate of secondary surgical interventions (SSI) due to the optical properties of the lens for first eyes through study exit. The rate was determined as the number of first eyes with an SSI related to the optical properties of the IOL divided by the total number of first eyes | The measure was not assessed for the control arm. | Posted | Number | first eyes | Assessed through study exit, 330 - 450 days after second eye implantation, up to 480 days from first eye implantation at baseline |
|
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| Secondary | Photopic Binocular DCNVA at 40 cm at Postoperative Visit 4 | Photopic binocular distance-corrected near visual acuity (DCNVA) at 40 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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| Secondary | Photopic Binocular UNVA at 40 cm at Postoperative Visit 4 | Photopic binocular uncorrected near visual acuity (UNVA) at 40 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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| Secondary | Photopic Binocular DCIVA at 66 cm at Postoperative Visit 4 | Photopic binocular distance-corrected intermediate visual acuity (DCIVA) at 66 cm at Post-Operative Visit 4 (Day 120 to 180 after second eye IOL implantation) | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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| Secondary | Photopic Binocular UIVA at 66 cm at Postoperative Visit 4 | Photopic binocular uncorrected intermediate visual acuity (UIVA) at 66 cm at Postoperative Visit 4 (Day 120 to Day 180 after second eye implantation) | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 120 to Day 180 after second eye implantation, up to 210 days from first eye implantation at Baseline. |
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| Secondary | First-eye BCDVA Evaluated at Postoperative Visit 5 | First-eye BCDVA evaluated at Postoperative Visit 5 (Day 330 to Day 420 after second eye implantation) | Modified Intent to Treat Set | Posted | Mean | Standard Deviation | logMAR | Day 330 to Day 420 after second eye implantation, up to 450 days from first eye implantation at baseline |
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| Secondary | First-eye DCNVA Evaluated at Postoperative Visit 5 | First-eye DCNVA evaluated at Postoperative Visit 5 (Day 330 to Day 420 after second eye implantation) | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 330 to Day 420 after second eye implantation, up to 450 days from first eye implantation at baseline |
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| Secondary | First-eye DCIVA Evaluated at Postoperative Visit 5 | First-eye DCIVA evaluated at Postoperative Visit 5 (Day 330 to Day 420 after second eye implantation) | Modified Intent to Treat Set Excluding Phase I Subjects | Posted | Mean | Standard Deviation | logMAR | Day 330 to Day 420 after second eye implantation, up to 450 days from first eye implantation at baseline |
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Through study completion, 330 - 450 days after second eye implantation, up to 480 days from first eye implantation at baseline
Ocular Adverse Events
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | enVista MX60EF | enVista MX60EF (trifocal) multifocal IOL (MIOL) Subjects implanted with enVista MX60EF trifocal intraocular lenses (IOLs). For ocular AEs, the number of eyes at risk were 661 for the enVista MX60EF trifocal intraocular lens (IOL) group | 3 | 332 | 17 | 332 | 120 | 332 |
| EG001 | enVista MX60E | enVista MX60E monofocal IOL Subjects implanted with enVista MX60E monofocal intraocular lenses (IOLs). For ocular AEs, the number of eyes at risk were 337 for the enVista MX60E monofocal intraocular lens (IOL) group. | 1 | 169 | 15 | 169 | 47 | 169 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Macular hole | Eye disorders | Non-systematic Assessment |
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| Retinal tear | Eye disorders | Non-systematic Assessment |
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| Retinal vein occlusion | Eye disorders | Non-systematic Assessment |
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| Endophthalmitis | Infections and infestations | Non-systematic Assessment |
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| Ophthalmic herpes zoster | Infections and infestations | Non-systematic Assessment |
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| Cataract operation complication | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| Seidel test positive | Investigations | Non-systematic Assessment |
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| Cerebrovascular accident | Nervous system disorders | Non-systematic Assessment |
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| Myelopathy | Nervous system disorders | Non-systematic Assessment |
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| Presyncope | Nervous system disorders | Non-systematic Assessment |
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| Syncope | Nervous system disorders | Non-systematic Assessment |
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| Transient ischaemic attack | Nervous system disorders | Non-systematic Assessment |
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| Benign neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
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| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
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| Breast cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
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| Metastatic neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
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| Pituitary tumour | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
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| Uterine cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
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| Chest pain | General disorders | Non-systematic Assessment |
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| Multiple organ dysfunction syndrome | Eye disorders | Non-systematic Assessment |
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| Cellulitis | Infections and infestations | Non-systematic Assessment |
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| Coronavirus infection | Infections and infestations | Non-systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Rotator cuff syndrome | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Arteriosclerosis coronary artery | Cardiac disorders | Non-systematic Assessment |
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| Fall | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| Mental status changes | Psychiatric disorders | Non-systematic Assessment |
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| Nephrolithiasis | Renal and urinary disorders | Non-systematic Assessment |
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| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Punctate keratitis | Eye disorders | Non-systematic Assessment |
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| Intraocular pressure increased | Investigations | Non-systematic Assessment |
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| Vitreous detachment | Eye disorders | Non-systematic Assessment |
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Contact Sponsor directly for details
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Johnson Varughese | Bausch & Lomb | 9089271162 | Johnson.Varughese@bausch.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 1, 2023 | Oct 11, 2024 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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