| CTRI Number |
CTRI/2024/09/074516 [Registered on: 27/09/2024] Trial Registered Prospectively |
| Last Modified On: |
26/09/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Medical Device Surgical/Anesthesia |
| Study Design |
Other |
|
Public Title of Study
|
Research study to evaluate the benefit, safety and effectiveness of an eye implant to rectify blindness. |
|
Scientific Title of Study
|
A Single Arm, Open Label, Multicenter Clinical Investigation to Evaluate the Clinical Safety and Performance of the CorNeat Keratoprosthesis, for Treatment of Corneal Blindness |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| DMS-41100, Version B-2, Date 14-02-2024 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Virender Singh Sangwan |
| Designation |
Director, Innovation |
| Affiliation |
Dr Shroffs Charity Eye Hospital |
| Address |
Vitreoretina Department First Floor Room No. 1 Dr Shroffs Charity Eye Hospital
5027 Kedar Nath Road Daryaganj New Delhi
New Delhi DELHI 110002 India |
| Phone |
9849294656 |
| Fax |
|
| Email |
virender.sangwan@sceh.net |
|
Details of Contact Person Scientific Query
|
| Name |
Mala Srivastava |
| Designation |
Co-founder & Managing Partner |
| Affiliation |
Nextvel Consulting LLP |
| Address |
Nextvel Consulting LLP Novel Business Park, # 57, Salarpuria
Triton, 13th Cross, Anepalya
Bangalore
KARNATAKA
560030
India
Bangalore KARNATAKA 560030 India |
| Phone |
9845238384 |
| Fax |
|
| Email |
malas@nextvel.com |
|
Details of Contact Person Public Query
|
| Name |
Mala Srivastava |
| Designation |
Co-founder & Managing Partner |
| Affiliation |
Nextvel Consulting LLP |
| Address |
Nextvel Consulting LLP Novel Business Park, # 57, Salarpuria
Triton, 13th Cross, Anepalya
Bangalore
KARNATAKA
560030
India
Bangalore KARNATAKA 560030 India |
| Phone |
9845238384 |
| Fax |
|
| Email |
malas@nextvel.com |
|
|
Source of Monetary or Material Support
|
| Nextvel Consulting LLP
Novel Business Park No 57, Salarpuria Triton, 13th Cross Anepalya
Bengaluru Bengaluru (Bangalore) Urban Karnataka - 560030 |
|
|
Primary Sponsor
|
| Name |
CorNeat Vision Ltd |
| Address |
4 Hasheizaf St. Raanana, Israel |
| Type of Sponsor |
Pharmaceutical industry-Global |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
Canada France Israel Netherlands Peru India |
|
Sites of Study
|
| No of Sites = 2 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Namrata Sharma |
All India Institute of Medical Sciences |
4th Floor Room No 494, 495 Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi-110048 New Delhi DELHI |
9810856988
namrata.sharma@gmail.com |
| Dr Virender Singh Sangwan |
Dr Shroffs Charity Eye Hospital |
Vitreoretina Department First Floor Room No. 1 Dr Shroffs Charity Eye Hospital
5027 Kedar Nath Road Daryaganj New Delhi New Delhi DELHI |
9849294656
virender.sangwan@sceh.net |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 2 |
| Name of Committee |
Approval Status |
| All India Institute of Medical Sciences Ethics Committee |
Approved |
| Dr Shroffs Charity Eye Hospital |
Submittted/Under Review |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: H540||Blindness, both eyes, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
CorNeat KPro |
The CorNeat KPro is a patented synthetic corneal implant (keratoprosthesis) developed to provide a long-lasting medical solution for corneal blindness, pathology, and injury. The investigational device will be unilaterally implanted where the optical component of the CorNeat KPro will be implanted into a circular disc of the cornea (as performed in standard penetrating keratoplasty surgery) and the skirt component will be embedded under a 360º conjunctival flap. The implantation is done once. The CorNeat KPro is designed to provide an accessible, efficient, effective, and reliable remedy for people with cornea-related visual impairments. The CorNeat KPro utilizes a novel polymeric bio-integrating skirt to assimilate synthetic optics within resident ocular tissue. Other currently available solutions rely either on donor tissue (keratoplasty), or synthetic implants mounted on biological carrier tissues and then attached to the native corneal tissue – a tissue lacking blood vessels and healing capacity. In contrast, the CorNeat KPro integrates seamlessly with the eyewall, underneath the conjunctiva, and over the sclera where scarring potential is maximal. The CorNeat KPro Implantation Kit (“the deviceâ€) comprises the CorNeat KPro and a toolset.
|
| Comparator Agent |
NA |
NA |
|
|
Inclusion Criteria
|
| Age From |
21.00 Year(s) |
| Age To |
80.00 Year(s) |
| Gender |
Both |
| Details |
1. Male or female aged ≥ 21 and ≤ 80 years on the day of screening
2. Candidates must have the ability and willingness to attend all scheduled visits and
comply with all study procedures
3. Legally blind (BCVA of 6/120 or worse in the better eye) in one or two eyes. In case of
unilateral blindness – BCVA of Counting Fingers (CF) from 1 meter or worse in the
operated eye
4. Keratoprosthesis surgery is indicated in cases when keratoplasty is not a reasonable
option or following a verifiable history of prior failed corneal transplantation
5. Indications that fall under poor candidate for keratoplasty include but are not limited
to scarred cornea following transplantation failure, which can be either vascularized,
limbal stem cell-deficient and/or following burn/trauma
6. Adequate tear film and lid function
7. Perception of light in all quadrants
8. Female patients of childbearing age must have a negative pregnancy test at screening
and agree to use an effective method of contraception throughout the study |
|
| ExclusionCriteria |
| Details |
1. Reasonable chance of success with traditional keratoplasty
2. Current retinal detachment
3. Connective tissue diseases or severely scarred conjunctiva in the target eye
4. End-stage glaucoma or evidence of current uncontrolled glaucoma
5. History or evidence of severe inflammatory eye diseases (i.e., conjunctivitis, uveitis,
retinitis, scleritis)
6. Active inflammation of the conjunctiva in one or both eyes
7. History of ocular or periocular malignancy
8. History of extensive keloid formation
9. Any known intolerance or hypersensitivity to topical anesthetics, mydriatics, or
components of the device
10. Ocular ischemic syndrome |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
The anatomical retention rate will be calculated and presented as the number of
patients with retained device out of the total number of patients at the respective
follow up visit. To clarify, anatomical retention refers to whether the device remains in
place and intact within the eye. This will be evaluated by the presence or absence of
complications such as device extrusion, endophthalmitis, or glaucoma. |
Throughout 24 months post-op |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Best Corrected Distant Visual Acuity will be determined using ETDRS visual acuity chart,
where applicable, at each of the follow up visits throughout the trial’s duration and will
be compared to that measured before KPro’s implantation.
Additionally, if applicable, mean BCVA at each time point and the percentage of eyes
with ≥6/120 vision will be calculated. |
Throughout 24 months post-op |
|
|
Target Sample Size
|
Total Sample Size="40" Sample Size from India="10"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 2 |
|
Date of First Enrollment (India)
|
10/10/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
06/03/2024 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Open to Recruitment |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
The CorNeat KPro is a patented synthetic corneal implant (keratoprosthesis) developed to provide a long-lasting medical solution for corneal blindness, pathology, and injury. The CorNeat KPro is designed to provide an accessible, efficient, effective, and reliable remedy for people with cornea-related visual impairments. The CorNeat KPro utilizes a novel polymeric bio-integrating skirt to assimilate synthetic optics within resident ocular tissue. Other currently available solutions rely either on donor tissue (keratoplasty), or synthetic implants mounted on biological carrier tissues and then attached to the native corneal tissue – a tissue lacking blood vessels and healing capacity. In contrast, the CorNeat KPro integrates seamlessly with the eyewall, underneath the conjunctiva, and over the sclera where scarring potential is maximal. The CorNeat KPro Implantation Kit (“the deviceâ€) comprises the CorNeat KPro and a toolset. This product is under clinical investigation worldwide and is risk classified as, Class C (Sterile). As per Indian Regulations, also it falls under the High-Risk classification of Class C since it is a permanent ocular implant |