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| ID | Type | Description | Link |
|---|---|---|---|
| CIV-18-07-025065 | Registry Identifier | Eudamed |
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| Name | Class |
|---|---|
| CRO Dr. med Kottmann GmbH & Co. KG | INDUSTRY |
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The purpose of this study is to evaluate both the safety and feasibility of the surgical implantation of the ARGOS-SC implant during non-penetrating glaucoma surgery and the safety and usability of the ARGOS-SC implant and system in the year following the implantation.
This study is designed as a prospective, open-label, multicenter, single-arm clinical investigation. Subjects will be followed up at regular intervals for one year following implantation to collect safety and performance information. Enrollment will be halted at every serious adverse device event (SADE).
The sensor device is intended to be permanently implanted suprachoroidal in the human eye during non-penetrating glaucoma surgery and is used in conjunction with the hand-held MESOGRAPH reading device to telemetrically measure the intraocular pressure (IOP) of the implanted eye.
The sample size calculation was based on the study's dual purpose of establishing safety and comparability of IOP measurements with the ARGOS-SC system to those made with GAT and DCT. IOP measurements will be made with all devices at various time points, resulting in a within individual control for IOP variables. Based on these calculations (performance, safety) and considering possible drop-outs, the exploratory investigation will enroll 24 patients. The minimum number of measurements required to hold the performance claim is approx. 120. With multiple (>8) measurements with either method (ARGOS, GAT) per patient, a sufficient number of paired measurements (in total >>120 measurement pairs) will be available to show equivalence of the methods (primary objective).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ARGOS-SC Sensor | Experimental | In this prospective, multicenter, open-label, single-arm, interventional clinical trial, 24 eyes of 24 POAG patients who were due to undergo NPGS (canaloplasty or deep sclerectomy) were enrolled. An ARGOS-SC sensor was implanted during NPGS. Goldmann applanation tonometry (GAT) measures were compared with the sensors' IOP measures at all post-operative visits through 12 months. Device position and adverse events were recorded throughout the follow-up. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ARGOS-SC suprachoroidal pressure sensor | Device | The sensor device is intended to be permanently implanted suprachoroidal in the human eye during non-penetrating glaucoma surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Performance: Level of Agreement Between GAT and the ARGOS-SC System | Level of Agreement between intraocular pressure (IOP) measurements made using GAT & the ARGOS-SC system (IOP in mmHg) following the Bland-Altman method. | Day 1 to Day 360 (V02 to V09) |
| Measure | Description | Time Frame |
|---|---|---|
| Safety: Number of Patients Experiencing a Device-related SAE (SADE) | Number of patients experiencing a device-related SAE (SADE). | Day 0 to Day 360 (V01 [Implantation] to V09) |
| Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) |
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Inclusion Criteria:
Exclusion Criteria:
Contraindications for a non-penetrating glaucoma surgery
Myopia (> -6 dpt) or hypermetropia (> +4 dpt)
Axis length < 22 mm or > 26 mm
Exudative age-related macular degeneration, instable macular degeneration 30 days prior to inclusion, or macular edema
Acute retinal detachment
Uncontrolled Diabetes Mellitus (DM) with manifestation of moderate to severe non-proliferative diabetic Retinopathy (DR) or proliferative DR.
History or evidence of severe active inflammatory eye diseases (i.e. uveitis, retinitis, scleritis) in one or both eyes within 6 months prior to ARGOS-SC implantation
Ocular surgery procedure(s) (excluding selective laser trabeculoplasty and peripheral iridotomy) within 6 months (cataract surgery within 3 months) prior to ARGOS-SC implantation in the study eye that can affect the assessment of IOP by Goldmann Applanation tonometry
Ocular disease other than glaucoma that may affect assessment of visual acuity and/or IOP by Goldmann Applanation tonometry/Pascal Dynamic Contour Tonometry (e.g. choroidal hemorrhage or detachment, lens subluxation, thyroid ophthalmopathy)
Existence of other active medical eye implant and/or other active medical implants in the head/neck region
Difficulties or complications during NPGS procedure or implantation of ARGOS-SC sensor, as assessed by surgeon (e.g. perforation of trabeculo-descement's membrane; excessive aqueous filtration through TDM leading to shallow anterior chamber; excessive bleeding; choroidal detachment)
Severe generalized disease resulting in a life expectancy shorter than a year
Currently pregnant or breastfeeding
Participation in any study involving an investigational drug or device within the past 30 days or ongoing participation in a study with an investigational drug or device
Patients who are not suitable for the study based on the surgeon's evaluation
Patients unable or unwilling to understand or comply with required study procedures
Patients with psychiatric disorders influencing their judgement or autonomy
Subject and/or an immediate family member is an employee of the investigational site directly affiliated with this study, the sponsor or the contract research organization.
Enrollment of the fellow eye in this clinical study
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| Name | Affiliation | Role |
|---|---|---|
| Peter Szurman, Prof. | Knappschaftsklinikum Saar GmbH, Augenklinik Sulzbach | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitäts-Augenklinik | Bochum | 44892 | Germany | |||
| Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Augenklinik und Poliklinik |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36202141 | Result | Szurman P, Gillmann K, Seuthe AM, Dick HB, Hoffmann EM, Mermoud A, Mackert MJ, Weinreb RN, Rao HL, Mansouri K; EYEMATE-SC Study Group. EYEMATE-SC Trial: Twelve-Month Safety, Performance, and Accuracy of a Suprachoroidal Sensor for Telemetric Measurement of Intraocular Pressure. Ophthalmology. 2023 Mar;130(3):304-312. doi: 10.1016/j.ophtha.2022.09.021. Epub 2022 Oct 3. | |
| 34772665 |
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Recruitment from November 2018 to January 2020 in medical clinics.
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| ID | Title | Description |
|---|---|---|
| FG000 | ARGOS-SC Sensor | In this prospective, multicenter, open-label, single-arm, interventional clinical trial, 24 eyes of 24 POAG patients who were due to undergo NPGS (canaloplasty or deep sclerectomy) were enrolled. An ARGOS-SC sensor was implanted during NPGS. Goldmann applanation tonometry(GAT) measures were compared with the sensors' IOP measures and comprehensive ophthalmic examinations at all post-operative visits (V02-V09) through 12 months. Device position and adverse events were recorded throughout the follow-up. |
| 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 | Jun 25, 2019 | Mar 7, 2023 |
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Prospective, open-label, single arm, multicenter
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Safety evaluation based on the incidence, nature, severity and seriousness of observed adverse events and adverse device events. |
| Day 0 to Day 360 (V01 [Implantation] to V09) |
| Performance: Percentage of Measurements Within +/- 5 mmHg | Concordance of the ARGOS-SC<>GAT measurement. Method applied: The probability distribution of the difference in the measurements made using GAT & the ARGOS-SC system per visit ("paired measurement") grouped within 1 mmHg was compared to the outcome measure of achieving 70% agreement of the total number of comparisons between +/-5 mmHg. The first column presents the overall data and the second column presents data from 3 months postoperatively onwards. | Day 1 to Day 360 (V02 to V09) |
| Performance: Device Malfunctions | Incidence, nature and seriousness of observed device malfunctions / deficiencies (DDs). | Day 0 to Day 360 (V01 [Implantation] to V09) |
| Usability: Implantation Procedure | User acceptance of the ARGOS-SC implantation procedure by means of evaluation of implantation procedure questionnaires (surgeons) on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). Overall Number of Participant Analyzed represents the 7 surgeons who provided feedback via a structured questionnaire. The score 7 represents a greater user acceptance. | Day 1 (V01 [Implantation]) |
| Usability: User Acceptance at the Investigational Site | User acceptance of the ARGOS-SC system at the investigational site by means of evaluation of Investigator's questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). Overall Number of Participants Analyzed represents the 12 physician investigators who completed the User Acceptance Questionnaire. The score 7 represents a greater user acceptance. | Day 1 to Day 360 (V02 to V09) |
| Usability: User Acceptance at Home | User acceptance of the ARGOS-SC system at home by means of evaluation of patient questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). The score 7 represents a greater user acceptance. | Day 1 to Day 360 (V02 to V09) |
| Mainz |
| 55131 |
| Germany |
| Augenklinik der LMU München | München | 80336 | Germany |
| Knappschaftsklinikum Saar GmbH, Augenklinik Sulzbach | Sulzbach | 66280 | Germany |
| Swiss Glaucoma Research Foundation, Centre du Glaucome, Clinique Montchoisi | Lausanne | 1006 | Switzerland |
| Szurman P, Mansouri K, Dick HB, Mermoud A, Hoffmann EM, Mackert M, Weinreb RN, Rao HL, Seuthe AM; EYEMATE-SC study group. Safety and performance of a suprachoroidal sensor for telemetric measurement of intraocular pressure in the EYEMATE-SC trial. Br J Ophthalmol. 2023 Apr;107(4):518-524. doi: 10.1136/bjophthalmol-2021-320023. Epub 2021 Nov 12. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | ARGOS-SC Sensor | In this prospective, multicenter, open-label, single-arm, interventional clinical trial, 24 eyes of 24 POAG patients who were due to undergo NPGS (canaloplasty or deep sclerectomy) were enrolled. An ARGOS-SC sensor was implanted during NPGS. Goldmann applanation tonometry (GAT) measures were compared with the sensors' IOP measures and comprehensive ophthalmic examinations at all post-operative visits (V02-V09) through 12 months. Device position and adverse events were recorded throughout the follow-up. |
| 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, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | 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 of Glaucoma | Count of Participants | 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 | Performance: Level of Agreement Between GAT and the ARGOS-SC System | Level of Agreement between intraocular pressure (IOP) measurements made using GAT & the ARGOS-SC system (IOP in mmHg) following the Bland-Altman method. | All available GAT and ARGOS-SC measurements. | Posted | Mean | 95% Confidence Interval | mmHg | Day 1 to Day 360 (V02 to V09) | comparisons | comparisons |
|
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| Secondary | Safety: Number of Patients Experiencing a Device-related SAE (SADE) | Number of patients experiencing a device-related SAE (SADE). | Posted | Number | participants | Day 0 to Day 360 (V01 [Implantation] to V09) |
|
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| Secondary | Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) | Safety evaluation based on the incidence, nature, severity and seriousness of observed adverse events and adverse device events. | A total of 98 AEs in 22 patients were reported in the ARGOS-SC study. In overall 54 adverse events were documented in 20 patients affecting the study eye. 11 out of 98 AEs in 7 Patients fulfilled at least one criterion for "serious adverse event" (SAE) and were reported as such. All of these SAEs were unrelated to the medical device or implantation procedure. | Posted | Number | A(D)Es | Day 0 to Day 360 (V01 [Implantation] to V09) | Total number of AEs | Total number of AEs |
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| Secondary | Performance: Percentage of Measurements Within +/- 5 mmHg | Concordance of the ARGOS-SC<>GAT measurement. Method applied: The probability distribution of the difference in the measurements made using GAT & the ARGOS-SC system per visit ("paired measurement") grouped within 1 mmHg was compared to the outcome measure of achieving 70% agreement of the total number of comparisons between +/-5 mmHg. The first column presents the overall data and the second column presents data from 3 months postoperatively onwards. | All available GAT<>ARGOS-SC comparisons. | Posted | Number | percentage of measurements | Day 1 to Day 360 (V02 to V09) | comparisons | comparisons |
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| Secondary | Performance: Device Malfunctions | Incidence, nature and seriousness of observed device malfunctions / deficiencies (DDs). | 24 device deficiencies in 14 patients have been documented and were analyzed. The safety and well-being was not affected (or had the potential to affect) in any patient. | Posted | Number | DDs | Day 0 to Day 360 (V01 [Implantation] to V09) | DDs | DDs |
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| Secondary | Usability: Implantation Procedure | User acceptance of the ARGOS-SC implantation procedure by means of evaluation of implantation procedure questionnaires (surgeons) on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). Overall Number of Participant Analyzed represents the 7 surgeons who provided feedback via a structured questionnaire. The score 7 represents a greater user acceptance. | After each implantation procedure, the surgeon performing the implantation procedure was asked to provide feedback on the implantation procedure and the handling of the investigational device. A total of 7 surgeons performed the implantation procedure and provided feedback via a structured questionnaire. | Posted | Mean | Standard Deviation | score on a scale | Day 1 (V01 [Implantation]) |
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| Secondary | Usability: User Acceptance at the Investigational Site | User acceptance of the ARGOS-SC system at the investigational site by means of evaluation of Investigator's questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). Overall Number of Participants Analyzed represents the 12 physician investigators who completed the User Acceptance Questionnaire. The score 7 represents a greater user acceptance. | The user acceptance questionnaire for physicians was collected from 12 investigators. | Posted | Mean | Standard Deviation | score on a scale | Day 1 to Day 360 (V02 to V09) |
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| Secondary | Usability: User Acceptance at Home | User acceptance of the ARGOS-SC system at home by means of evaluation of patient questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). The score 7 represents a greater user acceptance. | Each patient was asked to provide feedback on the user acceptance of the ARGOS-SC system at home. A total of 19 patients provided feedback via a structured questionnaire. | Posted | Mean | Standard Deviation | score on a scale | Day 1 to Day 360 (V02 to V09) |
|
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Evaluation over 12 months follow-up period. Within the timeframe of the ARGOS-SC01 Study: In Germany the term SAE is defined according to §2 Section 5 MPSV.
SAE defined as AE that
Led to death
Led to a serious deterioration in health of a subject that:
a Resulted in life-threatening illness or injury b Resulted in permanent impairment of a body-structure or function c Required in-patient hospitalization or prolongation of existing hospitalization d Required medical or surgical intervention to prevent permanent impairment to body-structure or a -function
Led to fetal distress, fetal death or a congenital abnormality or birth defect
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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 | ARGOS-SC Sensor | In this prospective, multicenter, open-label, single-arm, interventional clinical trial, 24 eyes of 24 POAG patients who were due to undergo NPGS (canaloplasty or deep sclerectomy) were enrolled. An ARGOS-SC sensor was implanted during NPGS. Goldmann applanation tonometry(GAT) measures were compared with the sensors' IOP measures and comprehensive ophthalmic examinations at all post-operative visits (V02-V09) through 12 months. Device position and adverse events were recorded throughout the follow-up. | 0 | 24 | 7 | 24 | 24 | 24 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| acute dyspnoe | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Cerebral ischemia, left, suspected | Nervous system disorders | Systematic Assessment |
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| chronic sleep apnoe | General disorders | Systematic Assessment |
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| Hallux Valux Surgery | Surgical and medical procedures | Systematic Assessment |
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| Pneumonia | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Spinal Fracture | Injury, poisoning and procedural complications | Systematic Assessment |
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| Stomach ache | Gastrointestinal disorders | Systematic Assessment |
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| Syncope | General disorders | Systematic Assessment |
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| Syncope, retrograd amnesie and fracture of vertebrae | General disorders | Systematic Assessment |
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| intestinak surgery (removal of carcinoma) | Surgical and medical procedures | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Conjunctival Wound leak | Eye disorders | Systematic Assessment |
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| Endothelium, Erythrocytes | Eye disorders | Systematic Assessment |
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| Eye Pain | Eye disorders | Systematic Assessment |
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| Hyphema | Eye disorders | Systematic Assessment | most common AE was hyphema which was related to medical procedure 7 times in 7 patients, in one patient as probable related to the medical procedure&in another patient as possible related to the medical procedure |
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| Hyposphagma | Eye disorders | Systematic Assessment |
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| Reduction of retinal nerve fibre thickness | Eye disorders | Systematic Assessment |
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| Secondary Cataract | Eye disorders | Systematic Assessment |
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| Thygeson's superficial punctate keratooathy | Eye disorders | Systematic Assessment |
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| Touch sensitivity of the eye | Eye disorders | Systematic Assessment |
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| Intraocular pressure increased non-study eye | Eye disorders | Systematic Assessment |
| ||
| surgical intervention non-study eye | Eye disorders | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Study Manager | Implandata Ophthalmic Products | +49 (0) 511 - 2204 2580 | clinical@implandata.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 15, 2020 | Mar 7, 2023 | SAP_001.pdf |
| ID | Term |
|---|---|
| D005901 | Glaucoma |
| D005902 | Glaucoma, Open-Angle |
| ID | Term |
|---|---|
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
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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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| Pseudoexfoliative (PEX) glauoma |
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| Other |
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| Total number of AEs |
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| comparisons |
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| DDs |
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| Participants |
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