Study to Evaluate the Safety and Effectiveness of the enVista® Beyond (EY) EDF Intraocular Lens in Subjects Undergoing Cataract Extraction

Last updated: February 4, 2025
Sponsor: Bausch & Lomb Incorporated
Overall Status: Active - Recruiting

Phase

N/A

Condition

Eye Disorders/infections

Vision Loss

Eye Disease

Treatment

enVista MX60E monofocal IOL

TECNIS 1-Piece monofocal IOL

enVista EY Beyond IOL

Clinical Study ID

NCT06333015
924
  • Ages > 22
  • All Genders

Study Summary

This research study is evaluating the safety and efficacy (performance) of the Bausch + Lomb enVista Beyond Hydrophobic Acrylic Extended Depth of Focus Intraocular Lens (IOL) in subjects who receive this IOL in both eyes.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Subjects must be 22 years of age or older on the date the Informed Consent Form (ICF) is signed.

  2. Subjects must have the capability to understand and provide written informed consenton the Institutional Review Board (IRB)/Research Ethics Board (REB) approved ICF andauthorization as appropriate for local privacy regulations.

  3. Subjects must have a BCDVA equal to or worse than 20/40 in each eye, with or withouta glare source present (Brightness Acuity Tester), or have significantcataract-related visual symptoms, due to a clinically significant cataract (cortical, nuclear, subcapsular, or combination) that is considered amenable totreatment with standard phacoemulsification cataract extraction and capsular IOLimplantation.

  4. Subjects must have preoperative corneal astigmatism less than 1.0 D for each eye.

  5. Subjects must have a BCDVA projected to be better than 20/30 after cataract removaland IOL implantation in each eye, as determined by the medical judgment of theInvestigator or measured by potential acuity meter (PAM) testing, if necessary.

  6. Subjects must have clear intraocular media other than the cataract in both eyes.

  7. Contact lens wearers must demonstrate a stable refraction (within ±0.50 D inmagnitude for both sphere and cylinder and within ±15° in axis) in both eyes, asdetermined by distance manifest refraction on two consecutive examination dates (both refractions performed at least 7 days apart) after discontinuation of contactlens wear (Rigid or Toric lenses discontinued for at least 2 weeks and soft contactlenses discontinued for at least 3 days prior to the first refraction used toestablish stability and through the day of surgery).

  8. Subjects must require an IOL power from + 16.0 diopter (D) to + 24.0 D for each eye.

  9. Subjects must be willing and able to comply with all treatment and follow-up studyvisits and procedures, and to undergo second eye surgery within 7-30 days of thefirst eye surgery.

Exclusion

Exclusion Criteria:

  1. Subjects who have used an investigational drug or device within 30 days prior to theplanned first surgery date and/or will participate in another investigation duringthe period of study participation.

  2. Subjects who have any corneal pathology (e.g., significant scarring, guttata,inflammation, edema, dystrophy, etc.) in either eye.

  3. Subjects with conditions that increase the risk of zonular rupture during cataractextraction procedure that may affect the postoperative centration or tilt of thelens

  4. Subjects who have uncontrolled glaucoma in either eye. Uncontrolled glaucoma isdefined as intraocular pressure (IOP)>21 mm Hg in spite of maximally toleratedmedications (with more than 3 topical drugs for IOP control).

  5. Subjects with previous retinal detachment or clinically significant retinalpathology involving the macula in either eye.

  6. Subjects who have proliferative or non-proliferative diabetic retinopathy in eithereye.

  7. Subjects who have a congenital ocular anomaly (e.g., aniridia, congenital cataract)in either eye.

  8. Subjects using any systemic or topical drug known to interfere with visualperformance, pupil dilation, or iris structure within 30 days of randomization (refer to the relevant attachment of the Study Reference Manual).

  9. Subjects who have a history of chronic or recurrent inflammatory eye disease (e.g.,iritis, scleritis, iridocyclitis, or rubeosis iridis) in either eye.

  10. Subjects with diagnosed degenerative visual disorders (e.g., macular degeneration orother retinal disorders) that are expected to cause future visual acuity losses to alevel of 20/30 or worse in either eye.

  11. Subjects who have had previous intraocular or corneal surgery in either eye thatmight confound the outcome of the investigation or increase the risk to the subject

  12. Subjects with any infectious conjunctivitis, keratitis, or uveitis in either eye.

  13. Subjects who have irregular astigmatism or skewed radial axis for either eye.

  14. Subjects who cannot achieve a minimum pharmacologic pupil dilation of at least 5.0mm in both eyes.

  15. Subjects who may be expected to require a combined or other secondary surgicalprocedure in either eye (note: corneal incisions intended specifically to reduceastigmatism are not allowed during the study).

  16. Females of childbearing potential (those who are not surgically sterilized or atleast 12 months postmenopausal) are excluded from enrollment in the study if theyare currently pregnant or plan to become pregnant during the study, lactating orhave a condition associated with fluctuation hormones that could lead to refractivechanges. Females of childbearing potential must be willing to practice effectivecontraception for the duration of their participation in the study.

  17. Subjects with any other serious ocular pathology or underlying systemic medicaldisease (e.g., uncontrolled diabetes) or circumstance that, based on theInvestigator's judgment, poses a concern for the subjects' safety, increases theoperative risk or could confound the results of the study.

  18. Subjects who have current or previous usage of systemic medications that mayconfound the outcome or increase the risk to the subject based on the Investigator'sjudgement. For example; subjects on an alpha-1-selective adrenoceptor blocking agentor an antagonist of alpha 1A adrenoceptor (e.g., tamsulosin hyrdrochloride (Flomax®), Terazosin, Rapaflo or Cardura) or other medications with similar sideeffects (floppy iris syndrome).

  19. Subjects who are expected to require retinal laser treatment

Study Design

Total Participants: 224
Treatment Group(s): 3
Primary Treatment: enVista MX60E monofocal IOL
Phase:
Study Start date:
August 07, 2024
Estimated Completion Date:
October 31, 2025

Study Description

The study will evaluate the safety and effectiveness of the enVista Beyond (EY) EDF IOL in providing increased depth of focus, comparable distance and improved near and intermediate visual acuity compared to the parent enVista monofocal IOL. This is a prospective, multicenter, randomized, controlled, subject and visual acuity assessor masked, parallel-group study in subjects bilaterally implanted with either EY or enVista MX60E monofocal IOL following cataract surgery.

Connect with a study center

  • Site 110

    Calgary, Alberta T2N 1N4
    Canada

    Site Not Available

  • Site 104

    Montréal, Quebec H1V 1G5
    Canada

    Site Not Available

  • Site 108

    Northridge, California 91325
    United States

    Active - Recruiting

  • Site 107

    Bloomington, Minnesota 55420
    United States

    Active - Recruiting

  • Site 101

    Omaha, Nebraska 68137
    United States

    Active - Recruiting

  • Site 109

    Las Vegas, Nevada 89145
    United States

    Active - Recruiting

  • Site 113

    Garden City, New York 11530
    United States

    Site Not Available

  • Site 102

    Brecksville, Ohio 44141
    United States

    Active - Recruiting

  • Site 105

    North Charleston, South Carolina 29406
    United States

    Active - Recruiting

  • Site 106

    Sioux Falls, South Dakota 57108
    United States

    Active - Recruiting

  • Site 103

    Dallas, Texas 75243
    United States

    Active - Recruiting

  • Site 112

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Site 111

    Mount Pleasant, Wisconsin 53405
    United States

    Active - Recruiting

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