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CTRI Number  CTRI/2025/06/088660 [Registered on: 11/06/2025] Trial Registered Prospectively
Last Modified On: 06/05/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Other 
Public Title of Study   Study to see the Performance of Custom-Made Porcine lens named as XENIA™ Corneal Implant to improve near vision in patients having presbyopia (age-related farsightedness). 
Scientific Title of Study   Prospective Post-Marketing Clinical Follow-Up (PMCF) Study to Evaluate the Performance of Custom-Made XENIA™ Corneal Implants for The Treatment of Presbyopia  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
HERF-XENIA-P-01 Version 1.0 Dated January 31, 2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pravin Krishna V 
Designation  Ophthalmologist 
Affiliation  Hyderabad Eye Research Foundation, L V Prasad Eye Institute 
Address  Department of Ophthalmology, L V Prasad Eye Institute, L V Prasad Marg Road No. 2, Banjara Hills Hyderabad, - 500034 Telangana, India

Hyderabad
TELANGANA
500034
India 
Phone  9849094245  
Fax    
Email  pravin@lvpei.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pravin Krishna V 
Designation  Ophthalmologist 
Affiliation  Hyderabad Eye Research Foundation, L V Prasad Eye Institute 
Address  Department of Ophthalmology, L V Prasad Eye Institute, L V Prasad Marg Road No. 2, Banjara Hills Hyderabad, - 500034 Telangana, India


TELANGANA
500034
India 
Phone  9849094245  
Fax    
Email  pravin@lvpei.org  
 
Details of Contact Person
Public Query
 
Name  Dr Pravin Krishna V 
Designation  Ophthalmologist 
Affiliation  Hyderabad Eye Research Foundation, L V Prasad Eye Institute 
Address  Department of Ophthalmology, V Prasad Eye Institute, L V Prasad Marg Road No. 2, Banjara Hills Hyderabad, - 500034 Telangana, India


TELANGANA
500034
India 
Phone  9849094245  
Fax    
Email  pravin@lvpei.org  
 
Source of Monetary or Material Support  
Gebauer Medizintechnik GmbH, Monbachstraße 7/1, Neuhausen, Germany - 75242  
 
Primary Sponsor  
Name  Mr Steffen Gebauer 
Address  GEBAUER MEDIZINTECHNIK GmbH Monbachstrasse 7/1, Neuhausen, Germany - 75242  
Type of Sponsor  Other [Medical Technology Manufacturer] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pravin Krishna V  L V Prasad Eye Institute  Department of Ophthalmology, Kallam Anji Reddy Campus, L V Prasad Marg, Road No. 2, Banjara Hills, Hyderabad, - 500034 Telangana, India.
Hyderabad
TELANGANA 
9849094245

pravin@lvpei.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
L V Prasad EyeInstitute EthicsCommittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H524||Presbyopia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Xenia Corneal Implant  Xenia for Presbyopia is a custom-made corneal Implant made of collagen of porcine origin having a diameter of 1.8mm Maximum thickness of about 35micrometer. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Male or Female Subjects having Age between 40 years and above.
2.Willing to provide voluntary written consent.
3.No diagnosis of glaucoma, ocular hypertension, and severe dry eye disease
4.Having Presbyopia and having no or very marginal remaining accommodation capability or Pseudophake patients with standard (mono-focal) IOL
5.Emmetropic patients (or minimally myopic patients)
6.Needing about +1.5 diopters add for near vision
7.Must be able to tolerate Monovision of at least 1.5 diopters
8.Must be accessible and willing to attend all follow-up visits 
 
ExclusionCriteria 
Details  1.Patients with IOP less than 10 mmHg or more than 21 mmHg.
2.Implanted with presbyopia-correcting IOLs (EDOF or Multifocal)
3.Prior LASIK or other corneal surgery
4.History or presence of any ocular pathologies that may interfere with the planned surgical treatment, including corneal epithelial problems.
5.Metabolic problems, e.g., diabetes or inflammatory concerns
6.Corneal scarring
7.Active infection of the cornea
8.Subject with history of neurotrophic cornea.
9.Subject with history of persistent corneal erosion difficulties with epithelial growth (re-epithelization)
10.Pregnancy and lactation.
11.History of previous ophthalmologic surgery on the operative eye.
12.Patients with amblyopia (VA less than 20/200 for the contralateral eye).
13.Patients with an uncooperative disposition.
14.Subject who is currently participating or have participated in an investigational study, other than this study, within the past 60 days.
15.Other factors considered unsuitable by Investigator.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary Safety Outcome- The frequency and severity of all treatment-related adverse events, during and post implantation of Xenia™ and throughout the 6- month follow-up period. Adverse events will be assessed on a continuous basis from the procedure through the study completion at 6 months. Related adverse events include corneal perforation, melting, uncontrolled inflammation, severe infection.

Primary Effectiveness Outcome- Change in Distance-corrected near visual acuity (DCNVA) compared to baseline (Achievement of a greater or equal to 3-line (15 letters) gain from baseline in DCNVA at 40 cm with no loss in CDVA greater or equal to 1-line (5 letters) at 4 m Month 1 post implantation) 
Day 1-3, 7, 14
Month 1, 3, 6, 12 
 
Secondary Outcome  
Outcome  TimePoints 
1.No significant change in keratometry parameters (measured on pentacam) [Time Frame: 3 Months]
2.Subjective corneal clarity
3.No change in BDVA (Best Distance Visual Acuity)
4.Patient satisfaction 
Day 1-3, 7, 14
Month 1, 3, 6, 12 
 
Target Sample Size   Total Sample Size="8"
Sample Size from India="8" 
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)   01/07/2025 
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="1"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  

Gebauer Medizintechnik GmbH has developed Xenia™ custom made corneal implant that will be used to treat presbyopia. Xenia™ is an acellular porcine corneal stromal collagen scaffold which has been cleared of all donor’s cells and its cellular remnants, as for example lipids, peptides, sugars or kernel content as DNA.

Previous studies have shown immunological safety of the Xenia™ material (natural corneal collagen of porcine origin).

Patients taking part in the study can significantly benefit from the procedure in that their near vision is restored with a minimally invasive surgical procedure (much less invasive as compared to implantation of presbyopia-correcting IOL).

The double rationale of using Xenia™ is

1.              thicken the pathological cornea using material which is almost identical in structure and composition to the corneal stroma improving the BCVA.

2.              support the cornea as a whole preventing the progression of presbyopia.

 

The procedure is an additive procedure as well as reversible, i.e., the implant can be removed and the initial vision from before the implantation is restored. Due to the transparency of the cornea, the implant can be always visualized, which is beneficial for monitoring purposes.

This is a Post Marketing Clinical Follow Up (PMCF) to study the safety and indicative effectiveness of Xenia™, which is a custom-made corneal Implant  
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