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CTRI Number  CTRI/2019/06/019564 [Registered on: 06/06/2019] Trial Registered Prospectively
Last Modified On: 22/04/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   Study for reduction of Eye Pressure 
Scientific Title of Study   A PROSPECTIVE, OPEN, MULTICENTRE CLINICAL TRIAL ANALYSING THE EFFECTIVENESS AND SAFETY OF MINIJECT (MINI SO627) IN PATIENTS WITH OPEN ANGLE GLAUCOMA UNCONTROLLED BY TOPICAL HYPOTENSIVE MEDICATIONS USING A SINGLE OPERATOR DELIVERY TOOL 
Trial Acronym  ISM08 
Secondary IDs if Any  
Secondary ID  Identifier 
2019/ISM08 Version 1.0; 08-Jan-2019  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Kasu Prasad Reddy 
Designation  Chief Consultant,Cataract and Refractive Surgery 
Affiliation  Maxivision Super Speciality Eye Hospital 
Address  6-3-903/A/1/1, Behind Yashoda Hospital, Somajiguda Hyderabad ANDHRA PRADESH India

Hyderabad
TELANGANA
500082
India 
Phone    
Fax    
Email  kasuprasadreddy@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kasu Prasad Reddy 
Designation  Chief Consultant,Cataract and Refractive Surgery 
Affiliation  Maxivision Super Speciality Eye Hospital 
Address  6-3-903/A/1/1, Behind Yashoda Hospital, Somajiguda Hyderabad ANDHRA PRADESH India

Hyderabad
TELANGANA
500082
India 
Phone    
Fax    
Email  kasuprasadreddy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Naresh Kumar Pagidimarry 
Designation  CEO & M D 
Affiliation  8C Healthcare Private Limited 
Address  1207, 13th Street, Vijaya Bank Road, Gandhinagar Hyderabad ANDHRA PRADESH India

Hyderabad
TELANGANA
500080
India 
Phone    
Fax    
Email  naresh.pagidimarry@8chealthcare.com  
 
Source of Monetary or Material Support  
iSTAR Medical SA Avenue Sabin, 6 1300 Wavre Belgium 
 
Primary Sponsor  
Name  iSTAR Medical SA 
Address  Avenue Sabin, 6 1300 Wavre Belgium 
Type of Sponsor  Other [Medical Device Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Panama
Colombia
India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kasu Prasad Reddy  Maxivision Super Speciality Eye Hospital  Glaucoma Department, 6-3-903/A/1/1, Behind Yashoda Hospital Somajiguda Hyderabad ANDHRA PRADESH
Hyderabad
TELANGANA 
9848046919

kasuprasadreddy@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
STAR Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H40-H42||Glaucoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  MINI SO627  Glaucoma Drainage Device 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1. Males or females, 18 years of age or older.
2. Diagnosis of primary or secondary open angle glaucoma during screening/baseline visit or earlier.
3. Grade 3 (open, 20-35 degrees) or grade 4 (wide open, 35-45 degrees) according to Shaffer Angle Grading System.
4. Glaucoma not adequately controlled by one to four different topical hypotensive medication(s), given each for at least one month, as confirmed by 21mmHg < IOP < 35 mmHg in the study eye at baseline visit.
5. Patients must be willing and able to return for scheduled study-related examinations.
6. Patients must provide written informed consent. 
 
ExclusionCriteria 
Details  1. Grade 2 (narrow, 20 degrees), grade 1 (extremely narrow, less or equal to 10 degrees) and grade 0 (closed or slit) according to Shaffer Angle Grading System in the study eye.
2. Neovascular glaucoma in the study eye.
3. Corneal opacity or iridocorneal angle not visible through gonioprism in the study eye, preventing correct placement of the implant in the stud eye.
4. Prior glaucoma surgery in the study eye. Patient treated with argon laser trabeculoplasty or selective laser trabeculoplasty in the study eye are eligible if treatment was performed ≥ 90 days before baseline visit in the study eye.
5. Visual field defect in the 10-degree central field in the study eye.
6. Any eye surgery that was performed ≥ 90 days before baseline visit in the study eye.
7. Anticipated need for ocular surgery or retinal laser procedure in the study eye 12 months following surgery in the study eye.
8. Anterior chamber anatomic configuration of high risk for development of angle closure glaucoma in the study eye.
9. Pre-existing ocular or systemic pathology that, in the opinion of the physician, is likely to cause postoperative complications following implantation of the device in the study eye.
10. Clinically significant corneal disease (e.g., corneal dystrophy) in the study eye.
11. Evidence of crystalline lens subluxation or luxation in the study eye.
12. Evidence of vitreous loss in the anterior chamber in the study eye.
13. Clinically significant intra-ocular inflammation or infection, presence of ocular disease such as uveitis, ocular infection, severe dry eye, severe blepharitis, active proliferative/inflammatory retinopathy in the study eye.
14. Presence of silicone oil in the study eye.
15. Patients treated with systemic acetazolamide within 3 days before screening/baseline visit.
16. Patient with poor vision score: +1.0 in non-study eye, unless there is an expected benefit for the study eye in the opinion of the investigator.
17. Participation in any study involving an investigational drug or device within the past 3 months and planned participation to any other study during the present study.
18. Only for women of childbearing potential: positive blood pregnancy test at baseline visit.
19. Individuals under tutorship or trusteeship. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The reduction in medicated mean diurnal IOP at 6 months follow-up compared to medicated diurnal IOP at baseline visit.  The reduction in medicated mean diurnal IOP at 6 months follow-up compared to medicated diurnal IOP at baseline visit. 
 
Secondary Outcome  
Outcome  TimePoints 
To test the absolute and relative (in%) reduction in medicated diurnal IOP between baseline visit and medicated diurnal IOP at 12- and 24 months after surgery.
To assess the ‘complete success’ rate at 12 and at 24 months after surgery.
To assess the ‘qualified success’ rate at 12 and 24 months after surgery.  
Day 1, Week 1, Week 2, Month 1, Month 3,
Month 6, Month 12, Month 18, Month 24 
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="15" 
Final Enrollment numbers achieved (Total)= "25"
Final Enrollment numbers achieved (India)="4" 
Phase of Trial   N/A 
Date of First Enrollment (India)   24/06/2019 
Date of Study Completion (India) 10/01/2022 
Date of First Enrollment (Global)  10/06/2019 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not Yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The aim of this study is to assess the efficacy and safety of the MINIject system in patients diagnosed with primary open angle glaucoma uncontrolled by topical hypotensive medications. MINIject is intended to be used to reduce the intraocular pressure (IOP) by channeling aqueous humour out of the anterior chamber to a sub-scleral location, thus enhancing the physiological uveoscleral outflow.
MINIject is indicated in adult, male and female patients diagnosed with primary or secondary open angle glaucoma, and where the progression of glaucoma is not adequately controlled by topical hypotensive medication(s).
MINIject is an integrated system comprising a minimally-invasive Glaucoma Drainage Implant and a Delivery Tool. The Delivery Tool is configured for inserting the implant into the sub-scleral location through an ab-interno minimally-invasive approach.
The delivery tool is single-use. The intervention is to be performed as stand-alone surgery.
 
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