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
    Scientific Title Safety and Efficacy of Subretinal Implants for Partial Restoration of Vision in Blind Patients: A Prospective Multicenter Clinical Study Based on Randomized Intra-individual Implant Activation in Patients With Degenerative Retinal Diseases
    Acronym Sorry, not currently available
    Primary Trial Identifying Number NCT01024803
    Secondary Identifying Number Sorry, not currently available
    Source of Record Information obtained from ClinicalTrials.gov on April 14, 2013
    Source of Record URL http://clinicaltrials.gov/show/NCT01024803
    Date of Registration 2009-11-26
    Date Last Updated 2011-12-19
    Date Record Refreshed on UKCTG 2013-04-16
  • Trial

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    Research Question 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)
    Ethics Approval Sorry, not currently available
    Study Design Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
    Design Type Sorry, not currently available
    Design Details Sorry, not currently available
    Health Condition(s) or Problem Retinitis Pigmentosa; Retinal Degeneration
    Participants Inclusion Criteria 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.
    Participants Exclusion Criteria 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.
    Participant Sex Sorry, not currently available
    Participant Age Range Sorry, not currently available
    Participant Type Sorry, not currently available
    Target Sample Size 45
    Date of First Enrolment Sorry, not currently available
    Date of Recruitment End Sorry, not currently available
    Date of End of Follow-up Sorry, not currently available
    Trial End Date Sorry, not currently available
    Recruitment Status Recruiting
    Overall Trial Status Sorry, not currently available
    Countries of Recruitment Germany; Hungary; Italy; United Kingdom
    Nation England
    Location London, Oxford
    Interventions 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 Outcome Measures 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 Outcome Measures 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
    Website Sorry, not currently available
  • Results

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    Results Reporting Sorry, not currently available
    Publications Sorry, not currently available
  • 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
  • Sponsor

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    Study sponsored by Retina Implant AG
    Study also sponsored by Sorry, not currently available
    Primary Sponsor Type Sorry, not currently available
    Secondary Sponsor Type Sorry, not currently available
  • Funder

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    Study funded by Retina Implant AG
    Funder Type Sorry, not currently available
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