Safety and Efficacy of Subretinal Implants for Partial Restoration of Vision in Blind Patients

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  • Source

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    Public Title Safety and Efficacy of Subretinal Implants for Partial Restoration of Vision in Blind Patients
    Acronym Sorry, not currently available
    Source of Record URL http://clinicaltrials.gov/show/NCT01024803
  • Trial

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    Health Condition(s) or Problem Retinitis Pigmentosa; Retinal Degeneration
    Lay Summary Patients suffering from hereditary retinal degeneration receive a retinal implant to restore sight. Subretinal implant "ON" results in significant visual acuity improvement, when compared to "OFF" condition. (from ClinicalTrials.gov)
    Who can enter the trial Inclusion Criteria: - Hereditary retinal degeneration of the outer retinal layers i.e. photoreceptor rods & cones. - Pseudophakia - Angiography shows retinal vessels adequately perfused, despite pathological RP condition. - Age between 18 and 78 years. - Blindness (at least monocular) i.e. visual functions not appropriate for localization of objects, self sustained navigation and orientation. - Ability to read normal print in earlier life, optically corrected without magnifying glass. - Willing and able to give written informed consent in accordance to EN ISO 14155 (section 6.7) and local legislation prior to participation in the study. Able to perform the study during the full time period of one year for Module-2. Exclusion Criteria: - Period of appropriate visual functions approx. 12 years / lifetime. - Optical Coherence Tomography (OCT) shows significant retina edema &/or scar tissue within target region for implant. - Retina detected as too thin to expect required rest-functionality of inner retina as shown via Optical Coherence Tomography (OCT). - Lack of inner-retinal function, as determined by Electrically Evoked Phosphenes (EEP). - Heavy clumped pigmentation at posterior pole - Any other ophthalmologic disease with relevant effect upon visual function (e.g. glaucoma, optic neuropathies, trauma, diabetic retinopathy, retinal detachment). - Amblyopia reported earlier in life on eye to be implanted - Systemic diseases that might imply considerable risks with regard to the surgical interventions and anaesthesia (e.g. cardiovascular/ pulmonary diseases, severe metabolic diseases). - Neurological and/or psychiatric diseases (e.g. M. Parkinson, epilepsy, depression). - Hyperthyroidism or hypersensitivity to iodine - Women who are pregnant or nursing, or women of childbearing potential who are not willing to use a medically acceptable means of birth control for the duration of the study, or women unwilling to perform a pregnancy test before entering the study. - Participation in another interventional clinical trial within the past 30 days.
    Who cannot enter the trial Inclusion Criteria: - Hereditary retinal degeneration of the outer retinal layers i.e. photoreceptor rods & cones. - Pseudophakia - Angiography shows retinal vessels adequately perfused, despite pathological RP condition. - Age between 18 and 78 years. - Blindness (at least monocular) i.e. visual functions not appropriate for localization of objects, self sustained navigation and orientation. - Ability to read normal print in earlier life, optically corrected without magnifying glass. - Willing and able to give written informed consent in accordance to EN ISO 14155 (section 6.7) and local legislation prior to participation in the study. Able to perform the study during the full time period of one year for Module-2. Exclusion Criteria: - Period of appropriate visual functions approx. 12 years / lifetime. - Optical Coherence Tomography (OCT) shows significant retina edema &/or scar tissue within target region for implant. - Retina detected as too thin to expect required rest-functionality of inner retina as shown via Optical Coherence Tomography (OCT). - Lack of inner-retinal function, as determined by Electrically Evoked Phosphenes (EEP). - Heavy clumped pigmentation at posterior pole - Any other ophthalmologic disease with relevant effect upon visual function (e.g. glaucoma, optic neuropathies, trauma, diabetic retinopathy, retinal detachment). - Amblyopia reported earlier in life on eye to be implanted - Systemic diseases that might imply considerable risks with regard to the surgical interventions and anaesthesia (e.g. cardiovascular/ pulmonary diseases, severe metabolic diseases). - Neurological and/or psychiatric diseases (e.g. M. Parkinson, epilepsy, depression). - Hyperthyroidism or hypersensitivity to iodine - Women who are pregnant or nursing, or women of childbearing potential who are not willing to use a medically acceptable means of birth control for the duration of the study, or women unwilling to perform a pregnancy test before entering the study. - Participation in another interventional clinical trial within the past 30 days.
    What will happen Device; Device name: "Retina Implant model Alpha". Surgical implantation of medical device into eye; Surgical implantation of medical device named "Retina Implant" into eye to restore vision partially. Randomized intra-individual implant activation in patient under test conditions such as: FrACT, BaLM, BaGA, maze, ADL.; retinal implant; bionic eye; artificial vision; artificial eye; restoration of vision; eye chip; vision prosthesis; eye implant; retinal prosthesis
    Primary aim Activities of daily living and mobility significantly improve with implant-ON shown via activities of daily living tasks, recognition tasks, mobility, or a combination thereof.
    Secondary Aim Visual acuity/light-perception and/or object-recognition are significantly improved with implant-ON versus OFF as shown via: FrACT/BaLM/BaGA/VFQ-25 or a combination thereof.; every 3 months for a period of one year; Yes; Patient long term safety and stability of implant function; every 3 months for a period of one year; Yes
    Participant Information Sheet Sorry, not currently available
    Website Sorry, not currently available
    Recruitment Status Recruiting
    Nation England
    Location London, Oxford
  • Contact

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    Contact for Public Queries Anuschirawan HEKMAT, Ph.D. +49 7121 36403 hekmat@retina-implant.de Eberhart Zrenner, Prof. MD; Karl-Ulrich Bartz-Schmidt, Prof. MD; Claus Eckardt, Prof. MD; Timothy L Jackson, PhD FRCOphth; János Németh, Prof. MD PhD; Robert E MacLaren, Prof. DPhil; Stanislao Rizzo, MD; Johann Roider, Prof. MD; Helmut Sachs, PD, MD Study Chair; Principal Investigator; Principal Investigator; Principal Investigator; Principal Investigator; Principal Investigator; Principal Investigator; Principal Investigator; Principal Investigator Centre for Ophthalmology, Institute for Ophthalmic Research, University of Tuebingen, Germany; University Eye Hospital Tuebingen, Germany; Staedtische Kliniken Frankfurt a. M. -Hoechst, Germany; King's College Hospital NHS Trust; Department of Ophthalmology Semmelweis University Budapest; Department of Ophthalmology, John Radcliffe Hospital, Oxford, UK; Chairman U.O.Chirurgia Oftalmica Santa Chiara Hospital, Azienda Ospedaliero Universitaria Pisana, Italy; University Eye Hospital, Kiel, Germany; Eye Hospital Dresden-Friedrichstadt, Germany
    Contact for Scientific Queries Helmut Sachs, MD, PD; Sub-Investigator; János Németh, MD, PhD, DSc; Principal Investigator; Sher Aslam, MD; Sub-Investigator
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