Astigmatism
Conditions
Brief summary
This is a prospective, multi-center, subject-masked, bilateral, daily wear, two-month dispensing study
Detailed description
The aim of this study is to determine if adapted contact lens wearers enfilcon A toric lenses can be confidently refit into fanfilcon A toric lenses and can be successful after one month of daily wear.
Interventions
contact lens
Sponsors
Study design
Eligibility
Inclusion criteria
A person is eligible for inclusion in the study if he/she: * Is between 18 and 40 years of age (inclusive) * Has had a self-reported eye exam in the last two years * Is a habitual soft toric lens wearer * Can be successfully fit with study lenses (≥ grade 2 fit acceptance) * Has a contact lens spherical prescription between -1.00 to -6.00D with a cylinder between -0.75 and -1.75D (Diopters) (inclusive) * Has a spectacle cylinder of at least 0.75D in each eye. * Can achieve best corrected spectacle refraction 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 refraction that fits within the available parameters of the study lenses * Is willing to comply with the wear schedule (at least 5 days per week, \> 8 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 (5 days per week; \> 8 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 * 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 frequently using rewetting/ lubricating eye drops (more than once per day)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-blink Movement | baseline, 2 weeks, 1 month | Post-blink lens movement assessed using the following evaluations (0-4): 0=Insufficient, unacceptable, 1=Minimal, acceptable, 2=Optimal, 3=Moderate, acceptable, 4=Excessive, unacceptable) |
| Visual Acuity | baseline, 2 weeks, 1 month | High contrast distance visual acuity is measured by LogMAR. |
| Centration | baseline, 2 weeks, 1 month | Lens centration is assessed (optimum, decentration acceptable, decentration unacceptable). |
| Corneal Coverage | baseline, 2 weeks, 1 month | Corneal coverage will be assessed (yes/no) |
| Fit Acceptability | baseline, 2 weeks, 1 month | Investigator fit acceptability for each lens pair. 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) |
Countries
United States
Participant flow
Pre-assignment details
37 participants were initially enrolled (assigned a study ID), with 1 failing the screening. A total of 36 participants wore the control lens (enfilcon A toric) first and then refitted and dispensed the test lenses (fanfilcon A toric) at baseline visit. There were no discontinuations.
Participants by arm
| Arm | Count |
|---|---|
| Enfilcon A Toric / Fanfilcon A Toric All participants wear enfilcon A toric lens (habitual) and then refitted with fanfilcon A toric lenses at baseline visit. | 36 |
| Total | 36 |
Baseline characteristics
| Characteristic | Enfilcon A Toric / Fanfilcon A Toric | — |
|---|---|---|
| Age, Continuous | 29.4 years STANDARD_DEVIATION 6.7 | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment United States | 36 Participants | — |
| Sex: Female, Male Female | 25 Participants | — |
| Sex: Female, Male Male | 11 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 36 |
| other Total, other adverse events | 0 / 36 |
| serious Total, serious adverse events | 0 / 36 |
Outcome results
Centration
Lens centration is assessed (optimum, decentration acceptable, decentration unacceptable).
Time frame: baseline, 2 weeks, 1 month
Population: Analysis was performed prior to one participant completing the 2 week and 1 month visits.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Enfilcon A Toric (Baseline) | Centration | Optimum | 34 Participants |
| Enfilcon A Toric (Baseline) | Centration | Unacceptable | 1 Participants |
| Enfilcon A Toric (Baseline) | Centration | Acceptable | 1 Participants |
| Fanfilcon A Toric (Dispense) | Centration | Optimum | 35 Participants |
| Fanfilcon A Toric (Dispense) | Centration | Unacceptable | 0 Participants |
| Fanfilcon A Toric (Dispense) | Centration | Acceptable | 1 Participants |
| Fanfilcon A Toric (2 Weeks) | Centration | Acceptable | 5 Participants |
| Fanfilcon A Toric (2 Weeks) | Centration | Optimum | 30 Participants |
| Fanfilcon A Toric (2 Weeks) | Centration | Unacceptable | 0 Participants |
| Fanfilcon A Toric (1 Month) | Centration | Optimum | 33 Participants |
| Fanfilcon A Toric (1 Month) | Centration | Unacceptable | 0 Participants |
| Fanfilcon A Toric (1 Month) | Centration | Acceptable | 2 Participants |
Corneal Coverage
Corneal coverage will be assessed (yes/no)
Time frame: baseline, 2 weeks, 1 month
Population: Analysis was performed prior to one participant completing the 2 week and 1 month visits.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Enfilcon A Toric (Baseline) | Corneal Coverage | Yes | 36 Participants |
| Enfilcon A Toric (Baseline) | Corneal Coverage | No | 0 Participants |
| Fanfilcon A Toric (Dispense) | Corneal Coverage | No | 0 Participants |
| Fanfilcon A Toric (Dispense) | Corneal Coverage | Yes | 36 Participants |
| Fanfilcon A Toric (2 Weeks) | Corneal Coverage | Yes | 35 Participants |
| Fanfilcon A Toric (2 Weeks) | Corneal Coverage | No | 0 Participants |
| Fanfilcon A Toric (1 Month) | Corneal Coverage | Yes | 35 Participants |
| Fanfilcon A Toric (1 Month) | Corneal Coverage | No | 0 Participants |
Fit Acceptability
Investigator fit acceptability for each lens pair. 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: baseline, 2 weeks, 1 month
Population: Analysis was performed prior to one participant completing the 2 week and 1 month visits.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Enfilcon A Toric (Baseline) | Fit Acceptability | 3.3 units on a scale | Standard Deviation 0.6 |
| Fanfilcon A Toric (Dispense) | Fit Acceptability | 3.3 units on a scale | Standard Deviation 0.5 |
| Fanfilcon A Toric (2 Weeks) | Fit Acceptability | 3.1 units on a scale | Standard Deviation 0.8 |
| Fanfilcon A Toric (1 Month) | Fit Acceptability | 3.1 units on a scale | Standard Deviation 0.6 |
Post-blink Movement
Post-blink lens movement assessed using the following evaluations (0-4): 0=Insufficient, unacceptable, 1=Minimal, acceptable, 2=Optimal, 3=Moderate, acceptable, 4=Excessive, unacceptable)
Time frame: baseline, 2 weeks, 1 month
Population: Analysis was performed prior to one participant completing the 2 week and 1 month visits.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Enfilcon A Toric (Baseline) | Post-blink Movement | 1.83 units on a scale | Standard Deviation 0.51 |
| Fanfilcon A Toric (Dispense) | Post-blink Movement | 1.92 units on a scale | Standard Deviation 0.5 |
| Fanfilcon A Toric (2 Weeks) | Post-blink Movement | 1.69 units on a scale | Standard Deviation 0.47 |
| Fanfilcon A Toric (1 Month) | Post-blink Movement | 1.86 units on a scale | Standard Deviation 0.49 |
Visual Acuity
High contrast distance visual acuity is measured by LogMAR.
Time frame: baseline, 2 weeks, 1 month
Population: Analysis was performed prior to one participant completing the 2 week and 1 month visits.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Enfilcon A Toric (Baseline) | Visual Acuity | -0.05 logMAR | Standard Deviation 0.05 |
| Fanfilcon A Toric (Dispense) | Visual Acuity | -0.05 logMAR | Standard Deviation 0.05 |
| Fanfilcon A Toric (2 Weeks) | Visual Acuity | -0.05 logMAR | Standard Deviation 0.05 |
| Fanfilcon A Toric (1 Month) | Visual Acuity | -0.04 logMAR | Standard Deviation 0.04 |