The eyeWatch system as first-line treatment in the surgical management of glaucoma compared to trabeculectomy with MMC
Résumé de l'étude
This study aims to determine whether the eyeWatch implant can be a safer and more effective alternative to trabeculectomy in the first-line treatment of glaucoma. The eyeWatch system has the advantage of adjusting the fluid resistance of the eye and thus regulating the intraocular pressure of the patient.
(BASEC)
Intervention étudiée
The eyeWatch implant that allows for non-invasive regulation of the patient's intraocular pressure compared to traditional filtering surgery for the treatment of glaucoma, trabeculectomy.
(BASEC)
Maladie en cours d'investigation
Surgical treatment of glaucoma
(BASEC)
Participation is open to all individuals suffering from open-angle glaucoma whose intraocular pressure is no longer controlled by hypotensive medications and who have not yet undergone filtering surgery. (BASEC)
Critères d'exclusion
It is closed to individuals who have previously undergone glaucoma surgery (trabeculectomy, SPIC, tube, etc.). Also excluded from the study are individuals who are pregnant or who are already participating in another clinical trial. (BASEC)
Lieu de l’étude
Lausanne
(BASEC)
Sponsor
SwissVisio SA
(BASEC)
Contact pour plus d'informations sur l'étude
Personne de contact en Suisse
Adan Villamarin
+41786752491
adan.villamarin@clutterrheonmedical.comEcole Polytechnique Fédérale de Lausanne (EPFL)
(BASEC)
Informations scientifiques
non disponible
Nom du comité d'éthique approbateur (pour les études multicentriques, uniquement le comité principal)
Commission cantonale d'éthique du Vaud
(BASEC)
Date d'approbation du comité d'éthique
09.03.2021
(BASEC)
Identifiant de l'essai ICTRP
NCT04323930 (ICTRP)
Titre officiel (approuvé par le comité d'éthique)
Randomized control trial of the eyeWatch system as a first-line surgical treatment of glaucoma vs. MMC-Trabeculectomy. (BASEC)
Titre académique
Randomized Control Trial of the eyeWatch System as a First-Line Surgical Treatment of Glaucoma vs. MMC-Trabeculectomy (ICTRP)
Titre public
eyeWatch vs. Trabeculectomy RCT (evT) (ICTRP)
Maladie en cours d'investigation
Primary Glaucoma
(ICTRP)
Intervention étudiée
Device: eyeWatch
(ICTRP)
Type d'essai
Interventional (ICTRP)
Plan de l'étude
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: Double (Participant, Investigator). (ICTRP)
Critères d'inclusion/exclusion
Inclusion Criteria: - Aged between 18 and 95 years, - Diagnosis of primary open-angle glaucoma, pseudo-exfoliative glaucoma or pigmentary glaucoma in the study eye (based on [1] glaucomatous optic neuropathy and [2] visual field defects in keeping with optic disc appearance), - Phakic or pseudophakic study eye, - Indication for primary filtering surgery (defined as a corrected IOP = 20 mmHg in the study eye, under maximally tolerated therapy on 2 consecutive measurements made on different days prior to surgery), - Undergoing surgery and post-operative follow-up at one of the investigations centres: Montchoisi Clinic, Swiss Visio, Lausanne, Switzerland OR Manchester Royal Eye Hospital, Manchester, United-Kingdom, - Patient agreed to sign the written inform consent prior to entering the study, - Patient is able and willing to complete post-operative follow-up requirements. Exclusion Criteria: - Diagnosis of secondary glaucoma except for pseudo-exfoliative or pigmentary glaucoma (neovascular glaucoma, congenital glaucoma, uveitic glaucoma…), - Previous filtering or tube surgery in the same eye (including trabeculectomy, deep-sclerectomy and all GDDs / excluding XEN gel stents, angle surgery, cataract surgery and all MIGS), - Recent ophthalmic surgery (less than 3 months prior to inclusion) or indication for a combined procedure (no combined surgeries will be performed), - Narrow iridocorneal angles defined as a Shaffer grade = 2 or presence of iris bombé, - Endothelial cell density < 1500 cells/mm², - Presence of other significant pathologies in the study eye (including extensive conjunctival thinning or scarring, optic neuropathy of non-glaucomatous etiology, retinal vein occlusion, retinal artery occlusion, corneal opacification or irregularities, ocular malformations such as microphthalmia, concurrent inflammation/infection), - Proliferative or severe non-proliferative retinopathy in either eye, - Any sign of past or present uveitis, - Severe systemic disease or disabling conditions (including chronic renal failure, history of organ transplantation), - Current or recent participation in another clinical trial (less than 3 months prior to inclusion), - Pregnancy or breast-feeding, - Inability to give informed consent to participate to a clinical investigation.
Minimum age: 18 Years
Maximum age: 95 Years
Sex: All (ICTRP)
non disponible
Critères d'évaluation principaux et secondaires
Intraocular pressure (mmHg)
number of anti glaucoma medications
(ICTRP)
endothelial cell density
Visual acuity
visual field mean deviation
(ICTRP)
Date d'enregistrement
20.03.2020 (ICTRP)
Inclusion du premier participant
30.05.2020 (ICTRP)
Sponsors secondaires
Manchester Royal Eye Hospital
(ICTRP)
Contacts supplémentaires
non disponible
ID secondaires
evT-2020 (ICTRP)
Résultats-Données individuelles des participants
non disponible
Informations complémentaires sur l'essai
http://www.who.int/trialsearch/Trial2.aspx?TrialID=NCT04323930 (ICTRP)
Résultats de l'essai
Résumé des résultats
non disponible
Lien vers les résultats dans le registre primaire
non disponible