Myopia
Conditions
Brief summary
The aim of this study is to determine the clinical performance of comfilcon A in comparison to senofilcon C.
Detailed description
This is a prospective, multi-center, bilateral, double-masked, randomized, cross-over, daily wear, two month dispensing study comparing the clinical performance of comfilcon A and senofilcon C lenses after one month of wear.
Interventions
contact lens
contact lens
Sponsors
Study design
Eligibility
Inclusion criteria
A person is eligible for inclusion in the study if he/she: * Is between 18 and 34 years of age (inclusive) * Has had a self-reported eye exam in the last two years * Is a spherical soft contact lens wearer * Has a contact lens spherical prescription between -1.00 to -6.00 (inclusive) * Has a spectacle cylinder no greater than 0.75D (Diopters) in each eye. * Can achieve best corrected spectacle distance visual acuity of 20/25 (0.10 logMAR) or better in each eye. * Can achieve a distance visual acuity of 20/30 (0.18 logMAR) or better in each eye with the study contact lenses. * Has clear corneas and no active ocular disease * Has read, understood and signed the information consent letter. * Has a contact lens prescription that fits within the available parameters of the study lenses. * Is willing and anticipated to be able to comply with the wear schedule (at least 6 days per week, 12 hours/day assuming there are no contraindications for doing so). * Is willing to comply with the visit schedule
Exclusion criteria
A person will be excluded from the study if he/she: * Has a history of not achieving comfortable CL (contact lens) wear (defined as 6 days per week; \> 10 hours/day) * Presents with clinically significant anterior segment abnormalities * Presents with ocular or systemic disease or need of medications which might interfere with contact lens wear. * Presents with slit lamp findings that would contraindicate contact lens wear such as: * Pathological dry eye or associated findings * Significant pterygium, pinguecula, or corneal scars within the visual axis * Neovascularization \> 0.75 mm in from of the limbus * Giant papillary conjunctivitis (GCP) worse than grade 1 * Anterior uveitis or iritis (or history in past year) * Seborrheic eczema of eyelid region, Seborrheic conjunctivitis * History of corneal ulcers or fungal infections * Poor personal hygiene * Has a known history of corneal hypoesthesia (reduced corneal sensitivity) * Has aphakia, keratoconus or a highly irregular cornea. * Has presbyopia or has dependence on spectacles for near work over the contact lenses. * Has undergone corneal refractive surgery. * Is participating in any other type of eye related clinical or research study. * Is habitually using rewetting/ lubricating eye drops more than once per day * Is currently wearing daily disposable lenses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Lens Fit Acceptance | Up to 1 month | Investigator fit acceptability for comfilcon A and senofilcon C lenses. Scale 0-4, 0=should not be worn, 1=borderline but unacceptable, 2=minimally acceptable, early review, 3=not perfect but OK to dispense, 4=perfect. |
| Corneal Coverage | Up to 1 month | Corneal coverage for comfilcon A and senofilcon C lenses. (yes/no) |
| Lens Centration | Up to 1 month | Lens centration for comfilcon A and senofilcon C lenses. (optimum/ decentration acceptable/ decentration unacceptable) |
| Tightness on Push up | Up to 1 month | Tightness on push up for comfilcon A and senofilcon C lenses. Scale 0%-100%, 0%=falls from cornea, 50%=optimum, 100%=no movement) |
| Post-blink Movement | Up to 1 month | Post-blink movement for comfilcon A and senofilcon C lenses. Scale 0-4, (1 step size) (0=Insufficient, 4=Excessive, unacceptable movement) |
| Lens Lag at Primary Gaze | Up to 1 month | Lens lag at primary gaze for comfilcon A and senofilcon C lenses. (mm, 0.1 step size) |
| Lens Wettability | Up to 1 month | Lens wettability for comfilcon A and senofilcon C lenses. Scale 0-4, (0.5 step size) (0=very poor, 4=excellent) |
| Deposit Grading | Up to 1 month | Deposit grading for comfilcon A and senofilcon C lenses. Scale 0-4 (0.5 step size) (0=no deposits, 4=severe deposits) |
Countries
United States
Participant flow
Pre-assignment details
There were 88 participants enrolled for this study, with 1 participant failed the screening leading to 87 who were fitted with and dispensed contact lenses.
Participants by arm
| Arm | Count |
|---|---|
| Overall Baseline Characteristics Includes groups randomized to wear comfilcon A lens first and senofilcon C lens first. | 87 |
| Total | 87 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| First Intervention : 1 Month | Adverse Event | 1 | 0 |
| First Intervention : 1 Month | Lost to Follow-up | 1 | 0 |
| First Intervention : 1 Month | Withdrawal by Subject | 2 | 0 |
| Second Intervention: 1 Month | Lost to Follow-up | 0 | 1 |
Baseline characteristics
| Characteristic | Overall Baseline Characteristics |
|---|---|
| Age, Continuous Age | 27.9 years STANDARD_DEVIATION 4.3 |
| Sex: Female, Male Female | 50 Participants |
| Sex: Female, Male Male | 37 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 87 | 0 / 83 |
| serious Total, serious adverse events | 1 / 87 | 0 / 83 |
Outcome results
Corneal Coverage
Corneal coverage for comfilcon A and senofilcon C lenses. (yes/no)
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Comfilcon A at Dispense | Corneal Coverage | Yes | 85 participants |
| Comfilcon A at Dispense | Corneal Coverage | No | 0 participants |
| Comfilcon A After 2 Weeks | Corneal Coverage | Yes | 84 participants |
| Comfilcon A After 2 Weeks | Corneal Coverage | No | 0 participants |
| Comfilcon A After 1 Month | Corneal Coverage | Yes | 82 participants |
| Comfilcon A After 1 Month | Corneal Coverage | No | 0 participants |
| Senofilcon C at Dispense | Corneal Coverage | Yes | 83 participants |
| Senofilcon C at Dispense | Corneal Coverage | No | 0 participants |
| Senofilcon C After 2 Weeks | Corneal Coverage | Yes | 82 participants |
| Senofilcon C After 2 Weeks | Corneal Coverage | No | 0 participants |
| Senofilcon C After 1 Month | Corneal Coverage | Yes | 83 participants |
| Senofilcon C After 1 Month | Corneal Coverage | No | 0 participants |
Deposit Grading
Deposit grading for comfilcon A and senofilcon C lenses. Scale 0-4 (0.5 step size) (0=no deposits, 4=severe deposits)
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Comfilcon A at Dispense | Deposit Grading | 0.0 units on a scale | Standard Deviation 0.2 |
| Comfilcon A After 2 Weeks | Deposit Grading | 0.3 units on a scale | Standard Deviation 0.6 |
| Comfilcon A After 1 Month | Deposit Grading | 0.5 units on a scale | Standard Deviation 0.7 |
| Senofilcon C at Dispense | Deposit Grading | 0.1 units on a scale | Standard Deviation 0.3 |
| Senofilcon C After 2 Weeks | Deposit Grading | 0.4 units on a scale | Standard Deviation 0.7 |
| Senofilcon C After 1 Month | Deposit Grading | 0.7 units on a scale | Standard Deviation 0.8 |
Lens Centration
Lens centration for comfilcon A and senofilcon C lenses. (optimum/ decentration acceptable/ decentration unacceptable)
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Comfilcon A at Dispense | Lens Centration | Acceptable | 7 participants |
| Comfilcon A at Dispense | Lens Centration | Optimum | 77 participants |
| Comfilcon A at Dispense | Lens Centration | Unacceptable | 1 participants |
| Comfilcon A After 2 Weeks | Lens Centration | Acceptable | 6 participants |
| Comfilcon A After 2 Weeks | Lens Centration | Optimum | 78 participants |
| Comfilcon A After 2 Weeks | Lens Centration | Unacceptable | 0 participants |
| Comfilcon A After 1 Month | Lens Centration | Acceptable | 5 participants |
| Comfilcon A After 1 Month | Lens Centration | Optimum | 76 participants |
| Comfilcon A After 1 Month | Lens Centration | Unacceptable | 1 participants |
| Senofilcon C at Dispense | Lens Centration | Acceptable | 11 participants |
| Senofilcon C at Dispense | Lens Centration | Optimum | 71 participants |
| Senofilcon C at Dispense | Lens Centration | Unacceptable | 1 participants |
| Senofilcon C After 2 Weeks | Lens Centration | Acceptable | 10 participants |
| Senofilcon C After 2 Weeks | Lens Centration | Optimum | 71 participants |
| Senofilcon C After 2 Weeks | Lens Centration | Unacceptable | 1 participants |
| Senofilcon C After 1 Month | Lens Centration | Optimum | 76 participants |
| Senofilcon C After 1 Month | Lens Centration | Unacceptable | 2 participants |
| Senofilcon C After 1 Month | Lens Centration | Acceptable | 5 participants |
Lens Lag at Primary Gaze
Lens lag at primary gaze for comfilcon A and senofilcon C lenses. (mm, 0.1 step size)
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Comfilcon A at Dispense | Lens Lag at Primary Gaze | 0.2 millimeters | Standard Deviation 0.2 |
| Comfilcon A After 2 Weeks | Lens Lag at Primary Gaze | 0.2 millimeters | Standard Deviation 0.1 |
| Comfilcon A After 1 Month | Lens Lag at Primary Gaze | 0.2 millimeters | Standard Deviation 0.1 |
| Senofilcon C at Dispense | Lens Lag at Primary Gaze | 0.2 millimeters | Standard Deviation 0.1 |
| Senofilcon C After 2 Weeks | Lens Lag at Primary Gaze | 0.2 millimeters | Standard Deviation 0.1 |
| Senofilcon C After 1 Month | Lens Lag at Primary Gaze | 0.2 millimeters | Standard Deviation 0.1 |
Lens Wettability
Lens wettability for comfilcon A and senofilcon C lenses. Scale 0-4, (0.5 step size) (0=very poor, 4=excellent)
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Comfilcon A at Dispense | Lens Wettability | 3.8 units on a scale | Standard Deviation 0.4 |
| Comfilcon A After 2 Weeks | Lens Wettability | 3.5 units on a scale | Standard Deviation 0.6 |
| Comfilcon A After 1 Month | Lens Wettability | 3.4 units on a scale | Standard Deviation 0.8 |
| Senofilcon C at Dispense | Lens Wettability | 3.7 units on a scale | Standard Deviation 0.4 |
| Senofilcon C After 2 Weeks | Lens Wettability | 3.3 units on a scale | Standard Deviation 0.7 |
| Senofilcon C After 1 Month | Lens Wettability | 3.3 units on a scale | Standard Deviation 0.6 |
Overall Lens Fit Acceptance
Investigator fit acceptability for comfilcon A and senofilcon C lenses. Scale 0-4, 0=should not be worn, 1=borderline but unacceptable, 2=minimally acceptable, early review, 3=not perfect but OK to dispense, 4=perfect.
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Comfilcon A at Dispense | Overall Lens Fit Acceptance | 3.6 units on a scale | Standard Deviation 0.5 |
| Comfilcon A After 2 Weeks | Overall Lens Fit Acceptance | 3.5 units on a scale | Standard Deviation 0.6 |
| Comfilcon A After 1 Month | Overall Lens Fit Acceptance | 3.5 units on a scale | Standard Deviation 0.7 |
| Senofilcon C at Dispense | Overall Lens Fit Acceptance | 3.5 units on a scale | Standard Deviation 0.7 |
| Senofilcon C After 2 Weeks | Overall Lens Fit Acceptance | 3.5 units on a scale | Standard Deviation 0.6 |
| Senofilcon C After 1 Month | Overall Lens Fit Acceptance | 3.3 units on a scale | Standard Deviation 0.8 |
Post-blink Movement
Post-blink movement for comfilcon A and senofilcon C lenses. Scale 0-4, (1 step size) (0=Insufficient, 4=Excessive, unacceptable movement)
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Comfilcon A at Dispense | Post-blink Movement | 1.8 units on a scale | Standard Deviation 0.5 |
| Comfilcon A After 2 Weeks | Post-blink Movement | 1.9 units on a scale | Standard Deviation 0.5 |
| Comfilcon A After 1 Month | Post-blink Movement | 1.9 units on a scale | Standard Deviation 0.5 |
| Senofilcon C at Dispense | Post-blink Movement | 1.9 units on a scale | Standard Deviation 0.6 |
| Senofilcon C After 2 Weeks | Post-blink Movement | 1.9 units on a scale | Standard Deviation 0.4 |
| Senofilcon C After 1 Month | Post-blink Movement | 1.8 units on a scale | Standard Deviation 0.6 |
Tightness on Push up
Tightness on push up for comfilcon A and senofilcon C lenses. Scale 0%-100%, 0%=falls from cornea, 50%=optimum, 100%=no movement)
Time frame: Up to 1 month
Population: Analysis numbers differ from baseline due to protocol deviation and exclusion of subjects lost after only 1 visit.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Comfilcon A at Dispense | Tightness on Push up | 54 units on a scale | Standard Deviation 10 |
| Comfilcon A After 2 Weeks | Tightness on Push up | 51 units on a scale | Standard Deviation 9 |
| Comfilcon A After 1 Month | Tightness on Push up | 51 units on a scale | Standard Deviation 8 |
| Senofilcon C at Dispense | Tightness on Push up | 54 units on a scale | Standard Deviation 9 |
| Senofilcon C After 2 Weeks | Tightness on Push up | 53 units on a scale | Standard Deviation 9 |
| Senofilcon C After 1 Month | Tightness on Push up | 53 units on a scale | Standard Deviation 9 |