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Evaluation of A Marketed Silicone Hydrogel Spherical Lens Used for Monovision Correction of Presbyopia

Evaluation of A Marketed Silicone Hydrogel Spherical Lens Used for Monovision Correction of Presbyopia

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04073186
Enrollment
91
Registered
2019-08-29
Start date
2019-08-07
Completion date
2020-03-20
Last updated
2022-08-10

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

Conditions

Visual Acuity

Brief summary

This is a single-masked, dispensing clinical trial. A total of approximately 48 myopic and 32 hyperopic eligible subjects will be targeted to complete the study. Subjects will be fit in the study lens, optimized if required and worn for approximately 2 weeks. Subjects will then have a washout period of approximately 1 week and be refit in the lenses and be dispensed for an additional 2 weeks of wear.

Interventions

JJVC Marketed Contact Lens

Sponsors

Johnson & Johnson Vision Care, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
Yes

Inclusion criteria

* Potential subjects must satisfy all the following criteria to be enrolled in the study: 1. The subject must read, understand, and sign the STATEMENT OF INFORMED CONSENT and receive a fully executed copy of the form. 2. The subject must appear able and willing to adhere to the instructions set forth in this clinical protocol. 3. The subject must be between 40 and 70 years of age at the time of screening. 4. Subjects must own a wearable pair of spectacles if required for their distance vision. 5. The subject must be an adapted monovision soft contact lens wearer in both eyes (i.e., worn lenses a minimum of 2 days per week for at least 8 hours per wear day, for 1 month of more duration). 6. The subject's distance spherical equivalent refraction must be in the range of +3.50 D to -4.00 D in each eye. 7. The subject's refractive cylinder must be ≤1.00 D in each eye. 8. The subject's ADD power must be in the range of +0.75 D to +2.50 D. 9. The subject must have best corrected distance visual acuity of 20/20-3 or better in each eye.

Exclusion criteria

* Potential subjects who meet any of the following criteria will be excluded from participating in the study: 1. Currently Pregnant or lactating. 2. Any active or ongoing systemic disease, autoimmune disease, or use of medication, which may interfere with contact lens wear. This may include, but not be limited to, diabetes, hyperthyroidism, recurrent herpes simplex/zoster, Sjögren's syndrome, xerophthalmia, acne rosacea, Stevens-Johnson syndrome, and immunosuppressive diseases or any infectious diseases (e.g., hepatitis, tuberculosis). 3. Use of any of the following medications within 1 week prior to enrollment: oral retinoid isotretinoin (e.g. Accutane), oral tetracyclines, oral phenothiazines (e.g., Haldol, Mellaril, Thorazine, Elavil, Pamelor, Compazine), systemic steroids. 4. Any previous, or planned, ocular or intraocular surgery (e.g., radial keratotomy, PRK, LASIK, lid procedures, cataract surgery, retinal surgery, dacryocystorhinostomy, etc.). 5. Use of any ocular medication, with the exception of rewetting drops. 6. Participation in any contact lens or lens care product clinical trial within 7 days prior to study enrollment. 7. Employee or immediate family member of an employee of clinical site (e.g., Investigator, Coordinator, Technician). 8. Any known hypersensitivity or allergic reaction to OPTI-FREE® Puremoist® care cleaning solution, non-preserved rewetting drop solution or sodium fluorescein. 9. History of herpetic keratitis. 10. Entropion, ectropion, chalazia, glaucoma, history of recurrent corneal erosions. 11. A history of amblyopia, strabismus or binocular vision abnormality. 12. Clinically significant (Grade 3 or 4) corneal edema, corneal vascularization, corneal staining, tarsal abnormalities or bulbar injection, or any other corneal or ocular abnormalities which would contraindicate contact lens wear. 13. Any ocular infection or inflammation. 14. Any ocular abnormality that may interfere with contact lens wear. 15. Any active or ongoing ocular or systemic allergies that may interfere with contact lens wear.

Design outcomes

Primary

MeasureTime frameDescription
Vision Scores2-Week Follow-upVision Scores were assessed using the Contact Lens User Experience™ (CLUE) questionnaire. CLUE is a validated patient-reported outcomes (PRO) questionnaire to assess patient experience attributes of soft contact lenses (comfort, vision, handling, and packaging) in a contact-lens wearing population in the US, ages 18-65. Derived CLUE scores using Item Response Theory (IRT) follow a normal distribution with a population average score of 60 (SD 20), where higher scores indicate a more favorable/positive response with a range of 0-120.
Visual Performance (logMAR)2-Week Follow-upBinocular visual performance on logMAR (Logarithm of Minimal Angle of Resolution) scale was evaluated at distance (4 meters), intermediate (64 centimeters) and near (40 centimeters) under high luminance high contrast lighting condition using ETDRS (Early Treatment Diabetic Retinopathy Study) charts. The room illuminance was required to be etween 7.3 and 7.9 EV (394-597 lux). For Distance (4 meters), the acceptable range for the chart luminance was 10.5-10.7 EV (181-208 cd/m2). For Intermediate (64 cm) and Near (40cm), the acceptable range for the chart luminance 10.8-11.1 EV (223-274 cd/m2). Letter-by-letter results calculated the visual performance score for each chart read. logMAR scores closer to zero, or below zero, indicate a better visual acuity. A logMAR visual performance score of 0.0 is equivalent to Snellen visual acuity of 20/20.

Secondary

MeasureTime frameDescription
CLUE Vision Comparison Between First Wearing Cycle and Second Wearing CycleUp to 2-Week Follow-upVision Scores wwere assessed using the Contact Lens User Experience™ (CLUE) questionnaire. CLUE is a validated patient-reported outcomes (PRO) questionnaire to assess patient experience attributes of soft contact lenses (comfort, vision, handling, and packaging) in a contact-lens wearing population in the US, ages 18-65. Derived CLUE scores using Item Response Theory (IRT) follow a normal distribution with a population average score of 60 (SD 20), where higher scores indicate a more favorable/positive response with a range of 0-120.

Countries

United States

Participant flow

Recruitment details

A total of 91 subjects were enrolled in this study. Of those enrolled, 86 subjects were dispensed a least one study lens while 5 subjects failed to meet all eligibility criteria. Of those dispensed, 79 subjects completed the study, while 7 were discontinued.

Participants by arm

ArmCount
Test
Subjects received the Test lens throughout the study. Subjects wore the Test lens twice for a period of approximately 2 weeks each.
86
Total86

Withdrawals & dropouts

PeriodReasonFG000
First Wearing CycleLens Discomfort2
First Wearing CycleProtocol Violation1
First Wearing CycleTime required to complete last two study visits exceeds study deadline1
First Wearing CycleUnsatisfactory Visual Response due to Test Article1
First Wearing CycleWithdrawal by Subject1
Second Wearing CycleAdverse Event1

Baseline characteristics

CharacteristicTest
Age, Continuous54.8 Years
STANDARD_DEVIATION 6.24
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
5 Participants
Race (NIH/OMB)
Black or African American
13 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
67 Participants
Region of Enrollment
United States
86 Participants
Sex: Female, Male
Female
69 Participants
Sex: Female, Male
Male
17 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 86
other
Total, other adverse events
0 / 86
serious
Total, serious adverse events
1 / 86

Outcome results

Primary

Vision Scores

Vision Scores were assessed using the Contact Lens User Experience™ (CLUE) questionnaire. CLUE is a validated patient-reported outcomes (PRO) questionnaire to assess patient experience attributes of soft contact lenses (comfort, vision, handling, and packaging) in a contact-lens wearing population in the US, ages 18-65. Derived CLUE scores using Item Response Theory (IRT) follow a normal distribution with a population average score of 60 (SD 20), where higher scores indicate a more favorable/positive response with a range of 0-120.

Time frame: 2-Week Follow-up

Population: Subjects that completed all study visits without a major protocol deviation impacting a primary endpoint.

ArmMeasureValue (MEAN)Dispersion
Test (First Wearing Cycle)Vision Scores59.38 Units on a ScaleStandard Deviation 19.7
Test (Second Wearing Cycle)Vision Scores56.19 Units on a ScaleStandard Deviation 23.387
95% CI: [54.6, 64]Linear Mixed Model
Primary

Visual Performance (logMAR)

Binocular visual performance on logMAR (Logarithm of Minimal Angle of Resolution) scale was evaluated at distance (4 meters), intermediate (64 centimeters) and near (40 centimeters) under high luminance high contrast lighting condition using ETDRS (Early Treatment Diabetic Retinopathy Study) charts. The room illuminance was required to be etween 7.3 and 7.9 EV (394-597 lux). For Distance (4 meters), the acceptable range for the chart luminance was 10.5-10.7 EV (181-208 cd/m2). For Intermediate (64 cm) and Near (40cm), the acceptable range for the chart luminance 10.8-11.1 EV (223-274 cd/m2). Letter-by-letter results calculated the visual performance score for each chart read. logMAR scores closer to zero, or below zero, indicate a better visual acuity. A logMAR visual performance score of 0.0 is equivalent to Snellen visual acuity of 20/20.

Time frame: 2-Week Follow-up

Population: Subjects that completed all study visits without a major prtocol deviation impacting a primary endpoint

ArmMeasureGroupValue (MEAN)Dispersion
Test (First Wearing Cycle)Visual Performance (logMAR)Distance (4 Meter)-0.08 logMARStandard Deviation 0.097
Test (First Wearing Cycle)Visual Performance (logMAR)Intermediate (64 CM)-0.02 logMARStandard Deviation 0.096
Test (First Wearing Cycle)Visual Performance (logMAR)Near (40 CM)0.04 logMARStandard Deviation 0.085
Test (Second Wearing Cycle)Visual Performance (logMAR)Distance (4 Meter)-0.08 logMARStandard Deviation 0.1
Test (Second Wearing Cycle)Visual Performance (logMAR)Intermediate (64 CM)-0.03 logMARStandard Deviation 0.095
Test (Second Wearing Cycle)Visual Performance (logMAR)Near (40 CM)0.02 logMARStandard Deviation 0.081
95% CI: [-0.124, -0.044]Linear Mixed Model
Comparison: Intermediate (64 CM)95% CI: [-0.068, 0.012]Linear Mixed Model
Comparison: Near (40 CM)95% CI: [-0.003, 0.077]Linear Mixed Model
Secondary

CLUE Vision Comparison Between First Wearing Cycle and Second Wearing Cycle

Vision Scores wwere assessed using the Contact Lens User Experience™ (CLUE) questionnaire. CLUE is a validated patient-reported outcomes (PRO) questionnaire to assess patient experience attributes of soft contact lenses (comfort, vision, handling, and packaging) in a contact-lens wearing population in the US, ages 18-65. Derived CLUE scores using Item Response Theory (IRT) follow a normal distribution with a population average score of 60 (SD 20), where higher scores indicate a more favorable/positive response with a range of 0-120.

Time frame: Up to 2-Week Follow-up

Population: Subjects that completed all study visits without a major protocol deviation impacting a primary endpoint.

ArmMeasureValue (MEAN)Dispersion
Test (First Wearing Cycle)CLUE Vision Comparison Between First Wearing Cycle and Second Wearing Cycle59.38 Units on a ScaleStandard Deviation 19.7
Test (Second Wearing Cycle)CLUE Vision Comparison Between First Wearing Cycle and Second Wearing Cycle56.19 Units on a ScaleStandard Deviation 23.387
95% CI: [-8.1, -0.1]Linear Mixed Model

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