Glaucoma, Open Angle Glaucoma
Conditions
Keywords
Non-penetrating glaucoma surgery, Open angle glaucoma, Intraocular pressure measurements, Suprachoroidal pressure sensor, ARGOS-SC
Brief summary
The purpose of this study is to evaluate the long-term safety and performance of the ARGOS-SC system.
Detailed description
This study is designed as a prospective, open-label, multicenter, single-arm clinical investigation. This study is a follow-up study to the ARGOS-SC01 study (NCT03756662). Patients who have graduated the ARGOS-SC01 study after 12 month follow-up will be asked to enroll in this study for an additional 24 month follow-up (month 12-36 post implantation). This study will be solely observational, as only patients who had implanted the device within the earlier study will be invited to join this ARGOS-SC01\_FU study. The sensor was always implanted in one eye only which will be the study eye.
Interventions
The ARGOS-SC pressure sensor was additionally implanted during routine local intraocular pressure lowering procedures in patients with glaucoma undergoing non-penetrating glaucoma surgery in the earlier ARGOS-SC01 study.
Sponsors
Study design
Eligibility
Inclusion criteria
\- Subjects of the ARGOS-SC01 study with an implanted ARGOS-SC suprachoroidal pressure sensor.
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Performance: Level of Agreement Between GAT and the ARGOS-SC System | Day 360 to Day 1080 (V09 to V13) | Level of Agreement between intraocular pressure (IOP) measurements made using GAT & the ARGOS-SC system (IOP in mmHg) following the Bland-Altman method. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) | Day 360 to Day 1080 (V09 to V13) | Safety evaluation based on the incidence, nature, severity and seriousness of observed adverse events and adverse device events. |
| Performance: Percentage of Measurements Within +/- 5 mmHg | Day 360 to Day 1080 (V09 to V13) | Concordance of the ARGOS-SC\<\>GAT measurement. Method applied: The probability distribution of the difference in the measurements made using GAT & the ARGOS-SC system per visit (paired measurement) grouped within 1 mmHg was compared to the outcome measure of achieving 65% agreement of the total number of comparisons between +/-5 mmHg. |
| Safety: Number of Patients Experiencing a Device-related SAE (SADE) | Day 360 to Day 1080 (V09 to V13) | Number of patients experiencing a device-related SAE (SADE) |
| Usability: User Acceptance at the Investigational Site | Day 1080 (V13) | User acceptance of the ARGOS-SC system at the investigational site by means of evaluation of Investigator's questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). Overall Number of Participants Analyzed represents the 8 physician investigators who completed the User Acceptance Questionnaire. The score 7 represents a greater user acceptance. |
| Usability: User Acceptance at Home | Day 1080 (V13) | User acceptance of the ARGOS-SC system at home by means of evaluation of patient questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). The score 7 represents a greater user acceptance. |
| Performance: Device Malfunctions | Day 360 to Day 1080 (V09 to V13) | The number of observed device malfunctions / deficiencies (DDs) related to the ARGOS-SC system, consisting of the ARGOS-SC implant and an external handheld reader device for the activation, power supply, and readout of the implanted sensor. |
Countries
Germany, Switzerland
Participant flow
Recruitment details
Recruitment from December 2019 to February 2021 in medical clinics.
Pre-assignment details
Of the ARGOS-SC01 subjects, 22 patients consented to the ARGOS-SC01 follow-up study.
Participants by arm
| Arm | Count |
|---|---|
| ARGOS-SC Sensor ARGOS-SC pressure sensor previously implanted in the ARGOS-SC01 study during routine local intraocular pressure lowering procedures in patients with glaucoma undergoing non-penetrating glaucoma surgery.
ARGOS-SC system: An active implantable intraocular pressure sensor implanted in the suprachoriodal space of the human eye, in combination with non-penetrating glaucoma surgery. | 22 |
| Total | 22 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Death | 1 |
| Overall Study | Withdrawal by Subject | 3 |
Baseline characteristics
| Characteristic | ARGOS-SC Sensor |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 13 Participants |
| Age, Categorical Between 18 and 65 years | 9 Participants |
| Age, Continuous | 65.0 years STANDARD_DEVIATION 10.6 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 20 Participants |
| Region of Enrollment Germany | 18 participants |
| Region of Enrollment Switzerland | 4 participants |
| Sex: Female, Male Female | 12 Participants |
| Sex: Female, Male Male | 10 Participants |
| Type of Glaucoma Ocular hypertension (OHT)/Glaucoma suspect | 2 Participants |
| Type of Glaucoma Other | 3 Participants |
| Type of Glaucoma Primary open-angle glaucoma (POAG) | 15 Participants |
| Type of Glaucoma Pseudoexfoliative (PEX) glauoma | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 1 / 22 |
| other Total, other adverse events | 13 / 22 |
| serious Total, serious adverse events | 7 / 22 |
Outcome results
Performance: Level of Agreement Between GAT and the ARGOS-SC System
Level of Agreement between intraocular pressure (IOP) measurements made using GAT & the ARGOS-SC system (IOP in mmHg) following the Bland-Altman method.
Time frame: Day 360 to Day 1080 (V09 to V13)
Population: All available GAT and ARGOS-SC measurements.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ARGOS-SC Sensor | Performance: Level of Agreement Between GAT and the ARGOS-SC System | -0.3 mmHg |
Performance: Device Malfunctions
The number of observed device malfunctions / deficiencies (DDs) related to the ARGOS-SC system, consisting of the ARGOS-SC implant and an external handheld reader device for the activation, power supply, and readout of the implanted sensor.
Time frame: Day 360 to Day 1080 (V09 to V13)
Population: Of the 22 patients, device deficiencies (all related to the Reader device (external handheld device)) have been documented for 10 patients, hence the 10 participants analyzed.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ARGOS-SC Sensor | Performance: Device Malfunctions | 13 DDs |
Performance: Percentage of Measurements Within +/- 5 mmHg
Concordance of the ARGOS-SC\<\>GAT measurement. Method applied: The probability distribution of the difference in the measurements made using GAT & the ARGOS-SC system per visit (paired measurement) grouped within 1 mmHg was compared to the outcome measure of achieving 65% agreement of the total number of comparisons between +/-5 mmHg.
Time frame: Day 360 to Day 1080 (V09 to V13)
Population: All available GAT\<\>ARGOS-SC comparisons.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ARGOS-SC Sensor | Performance: Percentage of Measurements Within +/- 5 mmHg | 94 percentage of comparisons |
Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs)
Safety evaluation based on the incidence, nature, severity and seriousness of observed adverse events and adverse device events.
Time frame: Day 360 to Day 1080 (V09 to V13)
Population: A total of 50 AEs in 16 patients were reported in the ARGOS-SC follow-up study. In overall 15 adverse events were documented in 14 patients affecting the study eye. 12 out of 50 AEs in 7 patients fulfilled at least one criterion for serious adverse event (SAE) and were reported as such. All of these SAEs were unrelated to the medical device.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| ARGOS-SC Sensor | Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) | Overall number of AEs/ADEs | 50 A(D)Es |
| ARGOS-SC Sensor | Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) | Overall number of AEs/ADEs affecting the study eye, of which | 15 A(D)Es |
| ARGOS-SC Sensor | Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) | AEs related to medical procedure and/or | 1 A(D)Es |
| ARGOS-SC Sensor | Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) | AEs related to medical device and/or | 1 A(D)Es |
| ARGOS-SC Sensor | Safety: Incidence, Nature, Severity and Seriousness of Observed Adverse Events (AEs) and Adverse Device Events (ADEs) | AEs related to other | 7 A(D)Es |
Safety: Number of Patients Experiencing a Device-related SAE (SADE)
Number of patients experiencing a device-related SAE (SADE)
Time frame: Day 360 to Day 1080 (V09 to V13)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| ARGOS-SC Sensor | Safety: Number of Patients Experiencing a Device-related SAE (SADE) | 0 Participants |
Usability: User Acceptance at Home
User acceptance of the ARGOS-SC system at home by means of evaluation of patient questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). The score 7 represents a greater user acceptance.
Time frame: Day 1080 (V13)
Population: Each patient was asked to provide feedback on the user acceptance of the ARGOS-SC system at home. A total of 15 patients provided feedback via a structured questionnaire
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ARGOS-SC Sensor | Usability: User Acceptance at Home | 5.6 score on a scale | Standard Deviation 3.6 |
Usability: User Acceptance at the Investigational Site
User acceptance of the ARGOS-SC system at the investigational site by means of evaluation of Investigator's questionnaires on a scale of 1 to 7 how strongly they agree to given statements (1 = totally disagree, 7 = totally agree). Overall Number of Participants Analyzed represents the 8 physician investigators who completed the User Acceptance Questionnaire. The score 7 represents a greater user acceptance.
Time frame: Day 1080 (V13)
Population: The user acceptance questionnaire for physicians was collected from 8 investigators.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ARGOS-SC Sensor | Usability: User Acceptance at the Investigational Site | 4.7 score on a scale | Standard Deviation 3.9 |