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This study will be a prospective, multicenter, bilateral, comparative, three-way masked (Sponsor, subject and evaluator), randomized clinical investigation conducted at up to 15 sites. Up to 300 subjects will be enrolled to achieve approximately 270 bilaterally implanted subjects, resulting in approximately 244 evaluable subjects (122 per lens group) at 6 months. After informed consent is obtained and confirmation that all eligibility criteria are met, the eye(s) may be treated according to randomization.
After signing the informed consent form, subjects meeting all eligibility criteria will be randomized in a masked fashion to a treatment group: either the investigational IOL Model ZFR00V or the control IOL Model ZCB00. Prior to randomization, the investigator will choose which eye to operate on first for each subject at his/her discretion based on his/her standard clinical practice (e.g., the eye with the worse cataract, poorer best corrected distance vision and/or more severe optical/visual complaints). All subjects are intended to have bilateral cataract surgery with the second eye surgery occurring after the 1-week postoperative exam for the first eye, but no more than 30 days after the first eye surgery. All subjects will be examined through 6 months postoperatively according to the visit schedule
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Investigational | Experimental | Bilateral implantation with investigational IOL Model ZFR00V |
|
| Control | Active Comparator | Bilateral implantation with control IOL Model ZCB00 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IOL Model ZFR00V | Device | Bilateral implantation with Investigational IOL Model ZFR00V |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Distance-Corrected Near Visual Acuity (DCNVA) at 40 cm | mean photopic monocular Distance Corrected Near Visual Acuity results at 40 cm for ZFR00 and control first eyes in the safety population at 6 months | 6 months (postoperative) |
| Measure | Description | Time Frame |
|---|---|---|
| Monocular Distance-Corrected Intermediate Visual Acuity at 66 cm | mean photopic monocular Distance-Corrected Intermediate Visual Acuity results at 6 months for ZFR00 and control first eyes in the safety population | 6 months (postoperative) |
| Monocular Distance-Corrected Near Visual Acuity at 33 cm |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Johnson & Johnson Surgical Vision Clinical Trials | Johnson & Johnson Surgical Vision | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Empire Eye & Laser Center | Bakersfield | California | 93309 | United States | ||
| Wolstan & Goldberg Eye Associates |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37097283 | Derived | Chang DH, Hu JG, Lehmann RP, Thompson VM, Tsai LH, Thomas EK. Clinical performance of a hybrid presbyopia-correcting intraocular lens in patients undergoing cataract surgery in a multicenter trial. J Cataract Refract Surg. 2023 Aug 1;49(8):840-847. doi: 10.1097/j.jcrs.0000000000001205. |
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Johnson & Johnson Medical Device Companies have an agreement with the Yale Open Data Access (YODA) Project to serve as the independent review panel for evaluation of requests for clinical study reports and participant level data from investigators and physicians for scientific research that will advance medical knowledge and public health. Requests for access to the study data can be submitted through the YODA Project site at http://yoda.yale.edu.
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272 subjects were bilaterally implanted with either the study or control lens. 135 subjects were bilaterally implanted with the study lens and 137 subjects were bilaterally implanted with the control lens. All 272 subjects were bilaterally implanted with the same IOL model in both eyes.
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| ID | Title | Description |
|---|---|---|
| FG000 | ZFR00V | Study Lens |
| FG001 | ZCB00 | Control Lens |
| 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 | May 12, 2020 | Jun 16, 2021 |
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Only the surgeon and the operative staff will know which lens type is implanted and will be unmasked throughout the study. There may also be site coordinators and other site study staff, such as those performing slit-lamp exams, who will be unmasked. Unmasked study staff and study subjects will be instructed not to disclose the lens type the subject received or to talk about the lens to any subjects or masked evaluators.
The subjects and the study technicians performing the postoperative vision tests are to be masked through study completion. To maintain subject/technician-masking through the 6-month study exams, a masking plan will be tailored for each site to detail how lens assignment information will be concealed from masked technicians.
| IOL Model ZCB00 |
| Device |
Bilateral Implantation with control IOL Model ZCB00 |
|
mean photopic monocular Distance-Corrected Near Visual Acuity results at 33 cm for ZFR00 and control first eyes in the safety population at 6 months |
| 6 months postoperative |
| Monocular Photopic Best-Corrected Distance Visual Acuity | mean monocular Best-Corrected Distance Visual Acuity results at 6 months for ZFR00 and control first eyes in the safety population. | 6 months postoperative |
| Monocular Distance-Corrected Defocus Curve | Mean monocular (first eye) distance-corrected defocus curve for each lens group at 6 months in the safety population | 6 months postoperative |
| Spectacle Wear | Spectacle wear is determined via the PRO questionnaire instrument and defined as wearing glasses or contacts "none of the time" in all 4 conditions (distance vision, intermediate vision, near vision and overall vision) at 6 months postoperative. | 6 months postoperative |
| Torrance |
| California |
| 90505 |
| United States |
| Katzen Eye Care & Laser Center | West Palm Beach | Florida | 33401 | United States |
| Jones Eye Clinic | Sioux City | Iowa | 51104 | United States |
| Chesapeake Eye Care & Laser Center | Annapolis | Maryland | 21401 | United States |
| Cincinnati Eye Institute | Blue Ash | Ohio | 45242 | United States |
| Scott & Christie and Associates, PC | Cranberry Township | Pennsylvania | 16066 | United States |
| Carolina EyeCare Physicians | Mt. Pleasant | South Carolina | 29464 | United States |
| Vance Thompson Vision | Sioux Falls | South Dakota | 57108 | United States |
| Key-Whitman Eye Center | Dallas | Texas | 75243 | United States |
| Berkeley Eye Institute | Houston | Texas | 77027 | United States |
| Texas Eye and Laser Center | Hurst | Texas | 76054 | United States |
| Lehmann Eye Center | Nacogdoches | Texas | 75965 | United States |
| Focal Point Vision | San Antonio | Texas | 78209 | United States |
| Clarus Eye Centre | Lacey | Washington | 98503 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | ZFR00V | Study Lens |
| BG001 | ZCB00 | Control Lens |
| 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, Customized | Number | Participants |
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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/Ethnicity, Customized | 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 | Distance-Corrected Near Visual Acuity (DCNVA) at 40 cm | mean photopic monocular Distance Corrected Near Visual Acuity results at 40 cm for ZFR00 and control first eyes in the safety population at 6 months | The safety (SP) population for monocular Distance-Corrected Near Visual Acuity include all first eyes implanted with either a test or control IOL with data available at 6 months postoperative (i.e., no data imputation) | Posted | Mean | Standard Deviation | LogMAR | 6 months (postoperative) | Eyes | Eyes |
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| Secondary | Monocular Distance-Corrected Intermediate Visual Acuity at 66 cm | mean photopic monocular Distance-Corrected Intermediate Visual Acuity results at 6 months for ZFR00 and control first eyes in the safety population | The safety (SP) population for monocular Distance-Corrected Intermediate Visual Acuity include all first eyes implanted with either a test or control IOL with data available at 6 months postoperative (i.e., no data imputation) | Posted | Mean | Standard Deviation | LogMAR | 6 months (postoperative) | Eyes | Eyes |
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| Secondary | Monocular Distance-Corrected Near Visual Acuity at 33 cm | mean photopic monocular Distance-Corrected Near Visual Acuity results at 33 cm for ZFR00 and control first eyes in the safety population at 6 months | The safety (SP) population for monocular Distance-Corrected Near Visual Acuity include all first eyes implanted with either a test or control IOL with data available at 6 months postoperative (i.e., no data imputation) | Posted | Mean | Standard Deviation | LogMAR | 6 months postoperative | Eyes | Eyes |
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| Secondary | Monocular Photopic Best-Corrected Distance Visual Acuity | mean monocular Best-Corrected Distance Visual Acuity results at 6 months for ZFR00 and control first eyes in the safety population. | The safety (SP) population for monocular Best-Corrected Distance Visual Acuity include all first eyes implanted with either a test or control IOL with data available at 6 months postoperative (i.e., no data imputation) | Posted | Mean | Standard Deviation | LogMAR | 6 months postoperative | Eyes | Eyes |
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| Secondary | Monocular Distance-Corrected Defocus Curve | Mean monocular (first eye) distance-corrected defocus curve for each lens group at 6 months in the safety population | The safety (SP) population for monocular Distance-Corrected Defocus Curve include all first eyes implanted with either a test or control IOL with data available at 6 months postoperative (i.e., no data imputation) | Posted | Mean | Full Range | diopter | 6 months postoperative | Eyes | Eyes |
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| Secondary | Spectacle Wear | Spectacle wear is determined via the PRO questionnaire instrument and defined as wearing glasses or contacts "none of the time" in all 4 conditions (distance vision, intermediate vision, near vision and overall vision) at 6 months postoperative. | The safety (SP) population for spectacle independence include all subjects implanted bilaterally with either a test or control IOL with data available at 6 months postoperative (i.e., no data imputation) | Posted | Count of Participants | Participants | 6 months postoperative |
|
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6 months
Adverse events (AEs) were planned to be reported for each eye separately and AEs not related to eyes were counted and represented in both the eyes.
The total number of participants affected by SAE is total number of unique eyes. If an eye has multiple SAEs, the number of affected participant is one (1) but list multiple number of SAEs.
Only other (not including serious) adverse events that exceed the frequency threshold of 5% are reported.
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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 | ZFR00V First Eye | Study Lens | 0 | 135 | 6 | 135 | 10 | 135 |
| EG001 | ZCB00 First Eye | Control Lens | 0 | 137 | 2 | 137 | 0 | 137 |
| EG002 | ZFR00V Second Eye | Study Lens | 0 | 135 | 8 | 135 | 0 | 135 |
| EG003 | ZCB00 Second Eye | Control Lens | 0 | 137 | 3 | 137 | 0 | 137 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cystoid Macular Edema | Eye disorders | Non-systematic Assessment |
| ||
| Undesirable Optical Phenomena | Product Issues | Non-systematic Assessment |
| ||
| Retinal Detachment/tear | Eye disorders | Non-systematic Assessment |
| ||
| Macular Hole | Eye disorders | Non-systematic Assessment |
| ||
| Herpes Simplex Virus Keratitis | Eye disorders | Non-systematic Assessment |
| ||
| Toxic Anterior Segment Syndrome | Product Issues | Non-systematic Assessment |
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| Corneal Ulcers | Eye disorders | Non-systematic Assessment |
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| Hypopyon | Product Issues | Non-systematic Assessment |
| ||
| Retained lens material resulting in secondary surgical intervention | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Hospitalization | General disorders | Non-systematic Assessment | Due to high blood pressure and high blood sugar |
| |
| Fractured right fibula and dislocated ankle requiring surgery | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Hospitalization | Cardiac disorders | Non-systematic Assessment | Exacerbation of congestive heart failure and atrial fibrillation |
| |
| Abdominal Hernia requiring surgical repair | General disorders | Non-systematic Assessment |
| ||
| Hospitalization | Infections and infestations | Non-systematic Assessment | Due to pneumonia due to influenza |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Undesirable Optical Phenomena | Product Issues | Non-systematic Assessment |
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The sponsor must review results communication prior to public release and can embargo communications regarding trial results at anytime.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eugenia Thomas, OD | Johnson & Johnson Surgical Vision | +1 657 2903260 | ethoma39@its.jnj.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 12, 2020 | Jun 16, 2021 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D002386 | Cataract |
| D001251 | Astigmatism |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
| D012030 | Refractive Errors |
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| Title | Measurements |
|---|---|
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| 70 to 79 |
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| > or = 80 |
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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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| Black |
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| Native Hawaiian/Pacific Islander |
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| Caucasian |
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| Other Race |
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| Not Reported |
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| Eyes |
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| Eyes |
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| Eyes |
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| Eyes |
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