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CTRI Number  CTRI/2024/04/065250 [Registered on: 05/04/2024] Trial Registered Prospectively
Last Modified On: 27/04/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   This clinical trial is to study the digital method for eye lens to be placed during cataract surgery by comparing with the manual method 
Scientific Title of Study   An Open-label, Prospective, Randomized, Multi-Center, Clinical Trial Designed to Evaluate the Clinical Outcomes with Digital Workflow Solution Versus Conventional Workflow Solution Refractive Outcomes Among Patients Undergoing Cataract Surgery with Toric Intraocular Lens 
Trial Acronym  TORBI-CARIN-2024 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Merle Fernandes 
Designation  Principal Investigator 
Affiliation  LV Prasad Eye Institute 
Address  Room no 606A, 6th Floor, LV Prasad Eye Institute, LV Prasad Marg, Banjara Hills

Hyderabad
TELANGANA
500034
India 
Phone  7730020304  
Fax    
Email  merle@lvpei.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Channa Basavanna G Halasagi 
Designation  Medical Monitor 
Affiliation  Invitro Research Solutions Pvt. Ltd. 
Address  Invitro Research Solutions Pvt.Ltd. Clinical Development Department, Medical Monitoring Divison, Room No.301,3rd Floor, No.22&23, Kodigehalli Main Road, Sahakar Nagar Post, Hebbal, Bangalore

Bangalore
KARNATAKA
560092
India 
Phone  6366947473  
Fax    
Email  channa@ivrs.org.in  
 
Details of Contact Person
Public Query
 
Name  T Vijay Bhaskar 
Designation  Director- Clinical Development 
Affiliation  Invitro Research Solutions Pvt. Ltd. 
Address  Invitro Research Solutions Pvt. Ltd. Clinical Development Department, Clinical Operations Divison, 3rd Floor No. 22 & 23, Kodigehalli Main Road, Sahakar Nagar Post, Hebbal, Bangalore

Bangalore
KARNATAKA
560092
India 
Phone  636675282  
Fax    
Email  vijay@ivrs.org.in  
 
Source of Monetary or Material Support  
Center for Application Research in India (CARIn) Carl Zeiss India 
 
Primary Sponsor  
Name  Center for Application Research in India (CARIn) Carl Zeiss India 
Address  Carl Zeiss India (Bangalore) Pvt Ltd. Plot No. 3, Jigan Link Road, Bommasandra Industrial Area Bangalore 560 099. India. 
Type of Sponsor  Other [Medical Technology Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Merle Fernandes  L V Prasad Eye Institute, Kallam Anji Reddy Campus  L V Prasad Eye Institute, Kallam Anji Reddy Campus, L V Prasad Marg, Road No.02, Banjara Hills, Hyderabad- 500034
Hyderabad
TELANGANA 
7730020304

merle@lvpei.org 
Dr Naren Shetty   Narayana Nethralaya   121/C,Chord Road,Near Iskcon Temple, 1st Block,Rajajinagar, Bangalore, Karnataka 560010
Bangalore
KARNATAKA 
9900900204

drnarenshetty@narayananethralaya.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
L V Prasad Eye Institute Ethics Committee  Approved 
Narayana Nethralaya Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H252||Age-related cataract, morgagnian type, (2) ICD-10 Condition: H259||Unspecified age-related cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Digital axis overlay for Toric IOL orientation  The CALLISTO® Eye within the digital cataract workflow allows for digital overlay of the axis to enable Toric IOL orientation inside the capsular bag without the need for manual axis marking. In this study we compare the postoperative refractive outcome following use of CALLISTO® Eye digital overlay versus the conventional manual axis marking for Toric IOL orientation. The time duration will be 5-10 minutes. 
Comparator Agent  Manual axis marking for Toric IOL orientation   The CALLISTO® Eye within the digital cataract workflow allows for digital overlay of the axis to enable Toric IOL orientation inside the capsular bag without the need for manual axis marking. In this study we compare the postoperative refractive outcome following use of CALLISTO® Eye digital overlay versus the conventional manual axis marking for Toric IOL orientation. The time duration will be 5-10 minutes. 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Subjects with regular corneal astigmatism greater than 0.75D willing to undergo cataract extraction. Patient willing to undergo cataract surgery with implantation of an Toric intraocular lenses. Patient giving full and free consent for involvement in the study. Patient willing to come for follow up study visits and measurements. 
 
ExclusionCriteria 
Details  Any ocular pathology or degeneration that could have impact on vision and/or a contradiction to Toric IOL implantation.
Any surgical complication felt to in any way impact upon the quality of visual outcome.
Any other comorbid conditions or risk factors that may affect the surgical procedure. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
One-month postoperative refraction  1 week and 1 month 
 
Secondary Outcome  
Outcome  TimePoints 
Uncorrected & best corrected visual acuity by log MAR visual acuity 1 month. IOL axis alignment, immediate postop, 1 day postop & 1 month postop.  1 week & 1 month. 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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 4 
Date of First Enrollment (India)
Modification(s)  
11/04/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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  
An Open-label, Prospective, Randomized, Multi-Center, Clinical Trial Designed to Evaluate the Clinical Outcomes with Digital Workflow Solution Versus Conventional Workflow Solution Refractive Outcomes Among Patients Undergoing Cataract Surgery with Toric Intraocular Lens, Sponsor name-Center for Application Research in India (CARIn) Carl Zeiss India (Bangalore) Pvt Ltd Bangalore, India. Sample size is 80 subjects of which 40 subjects will receive Digital Workflow Solution and rest 40 subjects will receive Conventional Workflow Solution, Where the primary end point is Primary endpoints: One-month postoperative manifest refraction. Secondary Endpoints: Uncorrected and best-corrected visual acuity by log MAR visual acuity: 1 month, IOL axis alignment: immediate postop; 1-day postop, and 1 month postop.
The Exploratory Endpoints: Time to manually mark IOL axis prior to surgery by the surgeon, before drops used (patient prep time, # drops, time for axis marking at slit lamp, patient transport to OR), Total surgery time for cataract extraction and Toric IOL implantation, Time for IOL alignment during surgery.
 
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