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The Clinical Comparison of Somofilcon A 1 Day and Nelfilcon A Daily Disposable Contact Lenses

The Clinical Comparison of the Clariti 1 Day and DAILIES AquaComfort PLUS Daily Disposable Contact Lenses

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04067141
Enrollment
70
Registered
2019-08-26
Start date
2019-07-04
Completion date
2019-11-20
Last updated
2020-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ametropia

Brief summary

This subject-masked, randomized, bilateral crossover study will compare the clinical performance and subjective acceptance of the somofilcon A 1 day soft contact lens with the nelfilcon A daily disposable lens when used on a daily wear, daily disposable basis.

Detailed description

This will be a randomized, subject-masked, crossover, bilateral study, controlled by cross-comparison. This will compare the clinical performance and subjective acceptance of the somofilcon A 1 day soft contact lens with the nelfilcon A daily disposable lens when used on a daily wear, daily disposable basis. Subjects will use each lens type for a week in random sequence. Follow-up visits for each lens will be performed after one week of wear. Lenses will be worn on a daily wear, daily disposable wear schedule.

Interventions

Contact Lens

Contact Lens

Sponsors

CooperVision, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
SINGLE (Subject)

Intervention model description

This is a bilateral crossover study

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* They are of legal age (18) and capacity to volunteer. * They understand their rights as a research subject and are willing and able to sign a Statement of Informed Consent. * They are willing and able to follow the protocol. * They agree not to participate in other clinical research for the duration of this study. * They have a contact lens spherical prescription between -1.00 to - 6.00D (inclusive) * They have a maximum of -1.00DC ocular astigmatism in each eye. * They can be satisfactorily fitted with the study lens types. * At dispensing, they can attain at least 0.20 logMAR distance high contrast visual acuity in each eye with the study lenses within the available power range. * They currently use soft contact lenses or have done so in the previous six months. * They are willing to comply with the wear schedule (at least five days per week and for at least eight hours per day). * They own a wearable pair of spectacles.

Exclusion criteria

* They have an ocular disorder which would normally contra-indicate contact lens wear. * They have a systemic disorder which would normally contra-indicate contact lens wear. * They are using any topical medication such as eye drops or ointment. * They have had cataract surgery. * They have had corneal refractive surgery. * They have any corneal distortion resulting from previous hard or rigid lens wear or have keratoconus. * They are pregnant or breast-feeding. * They have any ocular abnormality which would, in the opinion of the investigator, normally contraindicate contact lens wear. * They have any infectious disease which would, in the opinion of the investigator, contraindicate contact lens wear or pose a risk to study personnel, or they have any immunosuppressive disease (e.g. HIV), or a history of anaphylaxis or severe allergic reaction. * They have taken part in any other contact lens or care solution clinical trial or research, within two weeks prior to starting this study. * They currently wear either the clariti 1day or the DAILIES AquaComfort Plus lens.

Design outcomes

Primary

MeasureTime frameDescription
Subjective Comfort at Lens DispensingBaseline (after 5 minutes of lens dispense)Subjective comfort at lens dispensing on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).
Subjective Comfort at Start of Day1 weekSubjective comfort at start of day on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).
Subjective Comfort at End of Day1 weekSubjective comfort at end of day on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).
Overall Subjective ComfortBaseline (after 5 minutes of lens dispense)Overall subjective comfort on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).
Subjective VisionBaseline (after 5 minutes of lens dispense)Subjective Vision rated on scale 0-100 (0=unacceptable, lens cannot be worn to 100=excellent, unaware of an visual loss.)

Secondary

MeasureTime frameDescription
Horizontal Centration - Lens FitBaseline (after 5 minutes of lens dispense)Horizontal centration graded by -2 to 2 (-2= Extremely nasal, -1 slightly nasal, 0=optimum, 1=slightly temporal, 2=extremely temporal).
Vertical Centration Grade - Lens FitBaseline (after 5 minutes of lens dispense)Vertical centration graded by -2 to 2 (-2= Extremely inferior, -1 slightly inferior, 0=optimum, 1=slightly superior, 2=extremely superior).
Biomicroscopy - Conjunctival Redness ScoreOne WeekConjunctival redness - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).
Post-Blink Movement GradeBaseline (after 5 minutes of lens dispense)Post-blink movement graded by -2 to 2 (-2=extremely inadequate, -1=slightly inadequate, but acceptable, 0=optimum, 1=slightly excessive, but acceptable, 2=extremely excessive).
Ocular Redness Rating1 weekOcular redness rating rated on a scale 0-100 (0=extremely poor, intolerable levels of redness to 100 = excellent, no redness)
Corneal Coverage GradeBaseline (after 5 minutes of lens dispense)Corneal coverage graded by -2 to 2 (-2=extremely inadequate, -1=slightly inadequate, but acceptable, 0=optimum, 1=slightly excessive, but acceptable, 2=extremely excessive).
Biomicroscopy - Limbal Redness ScoreOne weekLimbal redness - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).
Biomicroscopy - Corneal Staining ScoreOne weekCorneal staining - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).
Biomicroscopy - Conjunctival Staining ScoreOne weekConjunctival staining - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).
Biomicroscopy - Papillary Conjunctivitis ScoreOne weekPapillary conjunctivitis- slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).

Countries

United Kingdom

Participant flow

Participants by arm

ArmCount
Overall Study
Subjects were randomized to wear somofilcon A 1 day and nelfilcon A for one week in this cross-over study.
70
Total70

Withdrawals & dropouts

PeriodReasonFG000FG001
First InterventionWithdrawal by Subject01
Second InterventionAdverse Event02

Baseline characteristics

CharacteristicOverall Study
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
70 Participants
Age, Continuous31.6 years
STANDARD_DEVIATION 10
Race and Ethnicity Not Collected— Participants
Region of Enrollment
United Kingdom
70 participants
Sex: Female, Male
Female
55 Participants
Sex: Female, Male
Male
15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 700 / 70
other
Total, other adverse events
2 / 700 / 70
serious
Total, serious adverse events
0 / 700 / 70

Outcome results

Primary

Overall Subjective Comfort

Overall subjective comfort on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).

Time frame: Baseline (after 5 minutes of lens dispense)

ArmMeasureValue (MEAN)Dispersion
Somofilcon AOverall Subjective Comfort90.4 units on a scaleStandard Deviation 10.1
Nelfilcon AOverall Subjective Comfort90.9 units on a scaleStandard Deviation 10.8
Primary

Overall Subjective Comfort

Overall subjective comfort on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).

Time frame: 1 week

ArmMeasureValue (MEAN)Dispersion
Somofilcon AOverall Subjective Comfort86.1 units on a scaleStandard Deviation 14.1
Nelfilcon AOverall Subjective Comfort78.8 units on a scaleStandard Deviation 19.8
Primary

Subjective Comfort at End of Day

Subjective comfort at end of day on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).

Time frame: 1 week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ASubjective Comfort at End of Day75.9 units on a scaleStandard Deviation 22.1
Nelfilcon ASubjective Comfort at End of Day68.0 units on a scaleStandard Deviation 25.5
Primary

Subjective Comfort at Lens Dispensing

Subjective comfort at lens dispensing on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).

Time frame: Baseline (after 5 minutes of lens dispense)

ArmMeasureValue (MEAN)Dispersion
Somofilcon ASubjective Comfort at Lens Dispensing90.9 units on a scaleStandard Deviation 11.6
Nelfilcon ASubjective Comfort at Lens Dispensing88.5 units on a scaleStandard Deviation 12.8
Primary

Subjective Comfort at Start of Day

Subjective comfort at start of day on scale 0-100 (0=Causes pain. Cannot be tolerated to 100=Excellent. Cannot be felt.).

Time frame: 1 week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ASubjective Comfort at Start of Day89.9 units on a scaleStandard Deviation 13.8
Nelfilcon ASubjective Comfort at Start of Day87.0 units on a scaleStandard Deviation 14.7
Primary

Subjective Vision

Subjective Vision rated on scale 0-100 (0=unacceptable, lens cannot be worn to 100=excellent, unaware of an visual loss.)

Time frame: Baseline (after 5 minutes of lens dispense)

ArmMeasureValue (MEAN)Dispersion
Somofilcon ASubjective Vision92.8 units on a scaleStandard Deviation 10.1
Nelfilcon ASubjective Vision94.2 units on a scaleStandard Deviation 7.8
Primary

Subjective Vision

Subjective Vision rated on scale 0-100 (0=unacceptable, lens cannot be worn to 100=excellent, unaware of an visual loss.)

Time frame: 1 week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ASubjective Vision90.9 units on a scaleStandard Deviation 12.1
Nelfilcon ASubjective Vision92.1 units on a scaleStandard Deviation 13.2
Secondary

Biomicroscopy - Conjunctival Redness Score

Conjunctival redness - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).

Time frame: One Week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ABiomicroscopy - Conjunctival Redness Score0.85 units on a scaleStandard Deviation 0.25
Nelfilcon ABiomicroscopy - Conjunctival Redness Score0.87 units on a scaleStandard Deviation 0.25
Secondary

Biomicroscopy - Conjunctival Staining Score

Conjunctival staining - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).

Time frame: One week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ABiomicroscopy - Conjunctival Staining Score1.46 units on a scaleStandard Deviation 0.71
Nelfilcon ABiomicroscopy - Conjunctival Staining Score0.35 units on a scaleStandard Deviation 0.36
Secondary

Biomicroscopy - Corneal Staining Score

Corneal staining - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).

Time frame: One week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ABiomicroscopy - Corneal Staining Score0.33 units on a scaleStandard Deviation 0.43
Nelfilcon ABiomicroscopy - Corneal Staining Score0.32 units on a scaleStandard Deviation 0.4
Secondary

Biomicroscopy - Limbal Redness Score

Limbal redness - slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).

Time frame: One week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ABiomicroscopy - Limbal Redness Score0.74 units on a scaleStandard Deviation 0.27
Nelfilcon ABiomicroscopy - Limbal Redness Score0.79 units on a scaleStandard Deviation 0.28
Secondary

Biomicroscopy - Papillary Conjunctivitis Score

Papillary conjunctivitis- slit lamp biomicroscopy using Efron Grading Scale, 0 - 4 (0=normal, 1=trace, 2=mild, 3=moderate, 4=severe).

Time frame: One week

ArmMeasureValue (MEAN)Dispersion
Somofilcon ABiomicroscopy - Papillary Conjunctivitis Score1.02 units on a scaleStandard Deviation 0.2
Nelfilcon ABiomicroscopy - Papillary Conjunctivitis Score1.03 units on a scaleStandard Deviation 0.18
Secondary

Corneal Coverage Grade

Corneal coverage graded by -2 to 2 (-2=extremely inadequate, -1=slightly inadequate, but acceptable, 0=optimum, 1=slightly excessive, but acceptable, 2=extremely excessive).

Time frame: One week

ArmMeasureGroupValue (NUMBER)
Somofilcon ACorneal Coverage GradeSlightly inadequate36 percentage of lenses
Somofilcon ACorneal Coverage GradeSlightly excessive0 percentage of lenses
Somofilcon ACorneal Coverage GradeOptimum64 percentage of lenses
Somofilcon ACorneal Coverage GradeExtremely excessive0 percentage of lenses
Somofilcon ACorneal Coverage GradeExtremely inadequate0 percentage of lenses
Nelfilcon ACorneal Coverage GradeExtremely excessive0 percentage of lenses
Nelfilcon ACorneal Coverage GradeExtremely inadequate1 percentage of lenses
Nelfilcon ACorneal Coverage GradeSlightly inadequate26 percentage of lenses
Nelfilcon ACorneal Coverage GradeOptimum71 percentage of lenses
Nelfilcon ACorneal Coverage GradeSlightly excessive1 percentage of lenses
Secondary

Corneal Coverage Grade

Corneal coverage graded by -2 to 2 (-2=extremely inadequate, -1=slightly inadequate, but acceptable, 0=optimum, 1=slightly excessive, but acceptable, 2=extremely excessive).

Time frame: Baseline (after 5 minutes of lens dispense)

ArmMeasureGroupValue (NUMBER)
Somofilcon ACorneal Coverage GradeExtremely excessive0 percentage of lenses
Somofilcon ACorneal Coverage GradeExtremely inadequate1 percentage of lenses
Somofilcon ACorneal Coverage GradeSlightly inadequate28 percentage of lenses
Somofilcon ACorneal Coverage GradeOptimum71 percentage of lenses
Somofilcon ACorneal Coverage GradeSlightly excessive0 percentage of lenses
Nelfilcon ACorneal Coverage GradeSlightly excessive3 percentage of lenses
Nelfilcon ACorneal Coverage GradeOptimum74 percentage of lenses
Nelfilcon ACorneal Coverage GradeExtremely inadequate0 percentage of lenses
Nelfilcon ACorneal Coverage GradeExtremely excessive0 percentage of lenses
Nelfilcon ACorneal Coverage GradeSlightly inadequate23 percentage of lenses
Secondary

Horizontal Centration - Lens Fit

Horizontal centration graded by -2 to 2 (-2= Extremely nasal, -1 slightly nasal, 0=optimum, 1=slightly temporal, 2=extremely temporal).

Time frame: Baseline (after 5 minutes of lens dispense)

ArmMeasureGroupValue (NUMBER)
Somofilcon AHorizontal Centration - Lens FitSlightly nasal6 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitSlightly temporal43 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitOptimum51 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitExtremely temporal0 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitExtremely nasal0 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitExtremely temporal0 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitExtremely nasal0 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitSlightly nasal6 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitOptimum63 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitSlightly temporal31 percentage of lenses
Secondary

Horizontal Centration - Lens Fit

Horizontal centration graded by -2 to 2 (-2= Extremely nasal, -1 slightly nasal, 0=optimum, 1=slightly temporal, 2=extremely temporal).

Time frame: One Week

ArmMeasureGroupValue (NUMBER)
Somofilcon AHorizontal Centration - Lens FitSlightly nasal3 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitSlightly temporal56 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitOptimum41 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitExtremely temporal0 percentage of lenses
Somofilcon AHorizontal Centration - Lens FitExtremely nasal0 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitExtremely temporal0 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitExtremely nasal0 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitSlightly nasal1 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitOptimum57 percentage of lenses
Nelfilcon AHorizontal Centration - Lens FitSlightly temporal41 percentage of lenses
Secondary

Ocular Redness Rating

Ocular redness rating rated on a scale 0-100 (0=extremely poor, intolerable levels of redness to 100 = excellent, no redness)

Time frame: 1 week

ArmMeasureValue (MEAN)Dispersion
Somofilcon AOcular Redness Rating94.1 units on a scaleStandard Deviation 8.9
Nelfilcon AOcular Redness Rating92.8 units on a scaleStandard Deviation 12.7
Secondary

Post-Blink Movement Grade

Post-blink movement graded by -2 to 2 (-2=extremely inadequate, -1=slightly inadequate, but acceptable, 0=optimum, 1=slightly excessive, but acceptable, 2=extremely excessive).

Time frame: Baseline (after 5 minutes of lens dispense)

ArmMeasureGroupValue (NUMBER)
Somofilcon APost-Blink Movement GradeSlightly inadequate17 percentage of lenses
Somofilcon APost-Blink Movement GradeSlightly Excessive16 percentage of lenses
Somofilcon APost-Blink Movement GradeOptimum65 percentage of lenses
Somofilcon APost-Blink Movement GradeExtremely Excessive1 percentage of lenses
Somofilcon APost-Blink Movement GradeExtremely inadequate0 percentage of lenses
Nelfilcon APost-Blink Movement GradeExtremely Excessive0 percentage of lenses
Nelfilcon APost-Blink Movement GradeExtremely inadequate0 percentage of lenses
Nelfilcon APost-Blink Movement GradeSlightly inadequate19 percentage of lenses
Nelfilcon APost-Blink Movement GradeOptimum57 percentage of lenses
Nelfilcon APost-Blink Movement GradeSlightly Excessive24 percentage of lenses
Secondary

Post-Blink Movement Grade

Post-blink movement graded by -2 to 2 (-2=extremely inadequate, -1=slightly inadequate, but acceptable, 0=optimum, 1=slightly excessive, but acceptable, 2=extremely excessive).

Time frame: 1 week

ArmMeasureGroupValue (NUMBER)
Somofilcon APost-Blink Movement GradeSlightly inadequate21 percentage of lenses
Somofilcon APost-Blink Movement GradeSlightly Excessive12 percentage of lenses
Somofilcon APost-Blink Movement GradeOptimum67 percentage of lenses
Somofilcon APost-Blink Movement GradeExtremely Excessive0 percentage of lenses
Somofilcon APost-Blink Movement GradeExtremely inadequate0 percentage of lenses
Nelfilcon APost-Blink Movement GradeExtremely Excessive1 percentage of lenses
Nelfilcon APost-Blink Movement GradeExtremely inadequate0 percentage of lenses
Nelfilcon APost-Blink Movement GradeSlightly inadequate26 percentage of lenses
Nelfilcon APost-Blink Movement GradeOptimum46 percentage of lenses
Nelfilcon APost-Blink Movement GradeSlightly Excessive26 percentage of lenses
Secondary

Vertical Centration Grade - Lens Fit

Vertical centration graded by -2 to 2 (-2= Extremely inferior, -1 slightly inferior, 0=optimum, 1=slightly superior, 2=extremely superior).

Time frame: One week

ArmMeasureGroupValue (NUMBER)
Somofilcon AVertical Centration Grade - Lens FitSlightly inferior23 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitSlightly superior33 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitOptimum44 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitExtremely superior0 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitExtremely inferior0 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitExtremely superior0 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitExtremely inferior0 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitSlightly inferior50 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitOptimum44 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitSlightly superior6 percentage of lenses
Secondary

Vertical Centration Grade - Lens Fit

Vertical centration graded by -2 to 2 (-2= Extremely inferior, -1 slightly inferior, 0=optimum, 1=slightly superior, 2=extremely superior).

Time frame: Baseline (after 5 minutes of lens dispense)

ArmMeasureGroupValue (NUMBER)
Somofilcon AVertical Centration Grade - Lens FitSlightly inferior17 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitSlightly superior32 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitOptimum49 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitExtremely superior0 percentage of lenses
Somofilcon AVertical Centration Grade - Lens FitExtremely inferior1 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitExtremely superior0 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitExtremely inferior0 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitSlightly inferior43 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitOptimum49 percentage of lenses
Nelfilcon AVertical Centration Grade - Lens FitSlightly superior9 percentage of lenses

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026