Myopia
Conditions
Brief summary
The purpose of this study was to evaluate the pre-lens tear film stability of a new CE-marked daily disposable contact lens as compared to a commercially available daily disposable contact lens.
Interventions
CE-marked, silicone hydrogel, single vision, soft contact lens for daily disposable wear
Commercially marketed, silicone hydrogel, single vision, soft contact lens for daily disposable wear.
Sponsors
Study design
Eligibility
Inclusion criteria
* Be of legal age of consent and sign Informed Consent document. * Willing and able to wear spherical contact lenses for 16 hours. * Willing and able to wear spherical contact lenses within the available range of powers. * Best corrected spectacle visual acuity equal or better than 20/25 or 6/7.5. * Other protocol-defined inclusion criteria may apply.
Exclusion criteria
* Anterior segment infection, inflammation, or abnormality. * Any use of systemic medications for which contact lens wear could be contraindicated. * History of refractive surgery or irregular cornea. * Currently enrolled in any clinical trial. * Eye injury within twelve weeks prior to enrollment. * Other protocol-defined
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Corrected Visual Acuity of 0.0 or Better | Up to 16 hours after lens insertion | Corrected visual acuity was measured with a digitized logMAR (logarithm of the minimum angle of resolution) chart. A logMAR acuity of 0.0 is considered normal distance eyesight. |
| Pre-Lens Noninvasive Tear Break-Up Time | Up to 16 hours after lens insertion | The pre-lens tear film is the layer of tears located on top of the contact lens (i.e., between the eye lid and the contact lens). The time required for a dry spot to appear on the corneal surface after blinking is referred to as the tear film break-up time. Circular images were projected onto the corneal surface using a CA-1000 topographer, and the tear film reflection was observed on a 30-inch flat panel monitor. PL-NITBUT was recorded at the first sign of image distortion. Three measurements were taken and averaged together. A higher number represents a lengthening in the tear film break up time. |
| Average Tear Meniscus Height | Up to 16 hours after lens insertion | The tear meniscus height, i.e., the distance between the line of reflection along the top of the tear prism to the edge of the eyelid, was measured by the investigator using a digital slit lamp. |
| Average Ocular Surface Temperature | Up to 16 hours after lens insertion | Ocular surface temperature (OST) was recorded by the investigator using a dynamic, non-contact, infrared thermography camera. The average OST (encompassing the wear of a contact lens) was taken at the center of the cornea, at the temporal upper limbal area, and over the central 5 mm2 of the cornea, 2 seconds post-blink. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Subjective Vision | Up to 16 hours after lens insertion | Overall vision was assessed by the participant on scale from 0 (poor) to 10 (excellent) in response to the question, What is the quality of your vision with the lens at present? |
| Number of Participants With Adequate Lens Fit | Up to 16 hours after lens insertion | Lens fit was assessed by the investigator with a biomicroscope (slit lamp). |
| Subjective Comfort | Up to 16 hours after lens insertion | Overall comfort was assessed by the participant and recorded on a scale from 0 (poor) to 10 (excellent) in response to the question, How comfortable is the lens feeling at present? |
Countries
United Kingdom
Participant flow
Recruitment details
Participants were recruited from one study center in the UK.
Participants by arm
| Arm | Count |
|---|---|
| Overall Study All enrolled participants | 9 |
| Total | 9 |
Baseline characteristics
| Characteristic | Overall Study |
|---|---|
| Age Continuous | 31 years STANDARD_DEVIATION 7 |
| Sex: Female, Male Female | 4 Participants |
| Sex: Female, Male Male | 5 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 9 | 0 / 9 |
| serious Total, serious adverse events | 0 / 9 | 0 / 9 |
Outcome results
Average Ocular Surface Temperature
Ocular surface temperature (OST) was recorded by the investigator using a dynamic, non-contact, infrared thermography camera. The average OST (encompassing the wear of a contact lens) was taken at the center of the cornea, at the temporal upper limbal area, and over the central 5 mm2 of the cornea, 2 seconds post-blink.
Time frame: Up to 16 hours after lens insertion
Population: All enrolled participants
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Delefilcon A | Average Ocular Surface Temperature | 8 hours after lens insertion | 35.6 Degrees Celsius | Standard Deviation 0.8 |
| Delefilcon A | Average Ocular Surface Temperature | 12 hours after lens insertion | 35.2 Degrees Celsius | Standard Deviation 0.8 |
| Delefilcon A | Average Ocular Surface Temperature | 16 hours after lens insertion | 35.5 Degrees Celsius | Standard Deviation 0.8 |
| Narafilcon A | Average Ocular Surface Temperature | 8 hours after lens insertion | 35.3 Degrees Celsius | Standard Deviation 0.8 |
| Narafilcon A | Average Ocular Surface Temperature | 12 hours after lens insertion | 35.2 Degrees Celsius | Standard Deviation 0.9 |
| Narafilcon A | Average Ocular Surface Temperature | 16 hours after lens insertion | 35.3 Degrees Celsius | Standard Deviation 1.3 |
Average Tear Meniscus Height
The tear meniscus height, i.e., the distance between the line of reflection along the top of the tear prism to the edge of the eyelid, was measured by the investigator using a digital slit lamp.
Time frame: Up to 16 hours after lens insertion
Population: All enrolled participants
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Delefilcon A | Average Tear Meniscus Height | 8 hours after lens insertion | 28.0 pixels | Standard Deviation 6.9 |
| Delefilcon A | Average Tear Meniscus Height | 12 hours after lens insertion | 26.0 pixels | Standard Deviation 5.2 |
| Delefilcon A | Average Tear Meniscus Height | 16 hours after lens insertion | 28.7 pixels | Standard Deviation 11.1 |
| Narafilcon A | Average Tear Meniscus Height | 8 hours after lens insertion | 26.7 pixels | Standard Deviation 8.2 |
| Narafilcon A | Average Tear Meniscus Height | 12 hours after lens insertion | 24.0 pixels | Standard Deviation 7.7 |
| Narafilcon A | Average Tear Meniscus Height | 16 hours after lens insertion | 27.1 pixels | Standard Deviation 10.8 |
Number of Participants With Corrected Visual Acuity of 0.0 or Better
Corrected visual acuity was measured with a digitized logMAR (logarithm of the minimum angle of resolution) chart. A logMAR acuity of 0.0 is considered normal distance eyesight.
Time frame: Up to 16 hours after lens insertion
Population: All enrolled participants
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Delefilcon A | Number of Participants With Corrected Visual Acuity of 0.0 or Better | 8 hours after lens insertion | 9 participants | 0.079 |
| Delefilcon A | Number of Participants With Corrected Visual Acuity of 0.0 or Better | 12 hours after lens insertion | 9 participants | 0.058 |
| Delefilcon A | Number of Participants With Corrected Visual Acuity of 0.0 or Better | 16 hours after lens insertion | 9 participants | 0.079 |
| Narafilcon A | Number of Participants With Corrected Visual Acuity of 0.0 or Better | 8 hours after lens insertion | 9 participants | 0.089 |
| Narafilcon A | Number of Participants With Corrected Visual Acuity of 0.0 or Better | 12 hours after lens insertion | 9 participants | 0.078 |
| Narafilcon A | Number of Participants With Corrected Visual Acuity of 0.0 or Better | 16 hours after lens insertion | 9 participants | 0.063 |
Pre-Lens Noninvasive Tear Break-Up Time
The pre-lens tear film is the layer of tears located on top of the contact lens (i.e., between the eye lid and the contact lens). The time required for a dry spot to appear on the corneal surface after blinking is referred to as the tear film break-up time. Circular images were projected onto the corneal surface using a CA-1000 topographer, and the tear film reflection was observed on a 30-inch flat panel monitor. PL-NITBUT was recorded at the first sign of image distortion. Three measurements were taken and averaged together. A higher number represents a lengthening in the tear film break up time.
Time frame: Up to 16 hours after lens insertion
Population: All enrolled participants
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Delefilcon A | Pre-Lens Noninvasive Tear Break-Up Time | 8 hours after lens insertion | 12.7 seconds | Standard Deviation 5.3 |
| Delefilcon A | Pre-Lens Noninvasive Tear Break-Up Time | 12 hours after lens insertion | 12.2 seconds | Standard Deviation 5.9 |
| Delefilcon A | Pre-Lens Noninvasive Tear Break-Up Time | 16 hours after lens insertion | 10.5 seconds | Standard Deviation 4.5 |
| Narafilcon A | Pre-Lens Noninvasive Tear Break-Up Time | 8 hours after lens insertion | 11.3 seconds | Standard Deviation 3.5 |
| Narafilcon A | Pre-Lens Noninvasive Tear Break-Up Time | 12 hours after lens insertion | 13.8 seconds | Standard Deviation 5.4 |
| Narafilcon A | Pre-Lens Noninvasive Tear Break-Up Time | 16 hours after lens insertion | 10.1 seconds | Standard Deviation 2.9 |
Number of Participants With Adequate Lens Fit
Lens fit was assessed by the investigator with a biomicroscope (slit lamp).
Time frame: Up to 16 hours after lens insertion
Population: All enrolled participants
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Delefilcon A | Number of Participants With Adequate Lens Fit | 8 hours after lens insertion | 9 Participants |
| Delefilcon A | Number of Participants With Adequate Lens Fit | 12 hours after lens insertion | 9 Participants |
| Delefilcon A | Number of Participants With Adequate Lens Fit | 16 hours after lens insertion | 9 Participants |
| Narafilcon A | Number of Participants With Adequate Lens Fit | 8 hours after lens insertion | 9 Participants |
| Narafilcon A | Number of Participants With Adequate Lens Fit | 12 hours after lens insertion | 9 Participants |
| Narafilcon A | Number of Participants With Adequate Lens Fit | 16 hours after lens insertion | 9 Participants |
Subjective Comfort
Overall comfort was assessed by the participant and recorded on a scale from 0 (poor) to 10 (excellent) in response to the question, How comfortable is the lens feeling at present?
Time frame: Up to 16 hours after lens insertion
Population: All enrolled participants
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Delefilcon A | Subjective Comfort | 8 hours after lens insertion | 9.1 Units on a scale | Standard Deviation 0.8 |
| Delefilcon A | Subjective Comfort | 12 hours after lens insertion | 9.0 Units on a scale | Standard Deviation 0.9 |
| Delefilcon A | Subjective Comfort | 16 hours after lens insertion | 9.1 Units on a scale | Standard Deviation 0.8 |
| Narafilcon A | Subjective Comfort | 8 hours after lens insertion | 6.8 Units on a scale | Standard Deviation 2.3 |
| Narafilcon A | Subjective Comfort | 12 hours after lens insertion | 6.7 Units on a scale | Standard Deviation 2.1 |
| Narafilcon A | Subjective Comfort | 16 hours after lens insertion | 6.3 Units on a scale | Standard Deviation 2.5 |
Subjective Vision
Overall vision was assessed by the participant on scale from 0 (poor) to 10 (excellent) in response to the question, What is the quality of your vision with the lens at present?
Time frame: Up to 16 hours after lens insertion
Population: All enrolled participants
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Delefilcon A | Subjective Vision | 8 hours after lens insertion | 9.0 Units on a scale | Standard Deviation 1.3 |
| Delefilcon A | Subjective Vision | 12 hours after lens insertion | 8.7 Units on a scale | Standard Deviation 1.4 |
| Delefilcon A | Subjective Vision | 16 hours after lens insertion | 8.7 Units on a scale | Standard Deviation 1.3 |
| Narafilcon A | Subjective Vision | 16 hours after lens insertion | 8.0 Units on a scale | Standard Deviation 1.1 |
| Narafilcon A | Subjective Vision | 8 hours after lens insertion | 7.8 Units on a scale | Standard Deviation 1.9 |
| Narafilcon A | Subjective Vision | 12 hours after lens insertion | 7.8 Units on a scale | Standard Deviation 1.6 |