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CTRI Number  CTRI/2022/02/040590 [Registered on: 24/02/2022] Trial Registered Prospectively
Last Modified On: 27/10/2025
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   A trial comparing two trifocal toric intraocular lens 
Scientific Title of Study   A prospective, multicenter clinical study comparing outcomes of two trifocal toric intraocular lens 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
BTVCPL-TRITORIC-2019-18 version 1.2 dated 26-Apr-2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sri Ganesh 
Designation  Chairman and Managing director, Netradhama Superspeciality Eye Hospital 
Affiliation  Netradhama Superspeciality Eye Hospital  
Address  Netradhama Superspeciality Eye Hospital 256/14, Kanakapura Main Road 7th Block, Jayanagar, Bangalore-560 082

Bangalore
KARNATAKA
560082
India 
Phone  9845195898  
Fax    
Email  phacomaverick@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mr Devendrapalsingh Khalsa  
Designation  Head – Marketing & Clinical Affairs  
Affiliation  BIOTECH VISION CARE PVT. LTD 
Address  BIOTECH VISION CARE PVT. LTD Block 1, Abhishree Corporate Park, Opp. Swagat Bunglow BRTS Stop Bopal - Ambli Road, Ahmedabad - 380 058, Gujarat - India. Ahmadabad GUJARAT 380058 India

Ahmadabad
GUJARAT
380058
India 
Phone  9376178887  
Fax    
Email  devendra@biotechhealthcare.com  
 
Details of Contact Person
Public Query
 
Name  Mr Devendrapalsingh Khalsa  
Designation  Head – Marketing & Clinical Affairs  
Affiliation  BIOTECH VISION CARE PVT. LTD 
Address  BIOTECH VISION CARE PVT. LTD Block 1, Abhishree Corporate Park, Opp. Swagat Bunglow BRTS Stop Bopal - Ambli Road, Ahmedabad - 380 058, Gujarat - India. Ahmadabad GUJARAT 380058 India


GUJARAT
380058
India 
Phone  9376178887  
Fax    
Email  devendra@biotechhealthcare.com  
 
Source of Monetary or Material Support  
Biotech Healthcare Holdings GmbH 
 
Primary Sponsor  
Name  Biotech Healthcare Holdings GmbH 
Address  Obergrundsrasse 17, 6002 Luzern, Switzerland 
Type of Sponsor  Other [Medical Device Industry] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Germany
India  
Sites of Study
Modification(s)  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ashvin Agarwal  Dr. Agarwal Eye Hospital  2nd Floor, Clinical research department,No.222, TTK Road, Alwarpet, Near Raj Park Hotel, Chennai, Tamil Nadu 600018.
Chennai
TAMIL NADU 
9840430100

agarwal_ashvin@dragarwal.com 
Dr Sri Ganesh  Netradhama Superspeciality Eye Hospital  BlOCK 2 PHACO REFRACTIVE DEPARTMENT 256/14, Kanakapura Main Road 7th Block, Jayanagar, Bangalore-560 082 Bangalore KARNATAKA
Bangalore
KARNATAKA 
9845195898

phacomaverick@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Dr. Agarwal eye hospital- IEC  Approved 
Ethics Committee, Nethradhama Super Speciality Eye Hospital, (ECR/218/Indt/KA/2014 )  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H251||Age-related nuclear cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  AcrySof® IQ PanOptix® (Alcon Laboratories)  Acrysof IQ Panoptix is trifocal lens. It also provides all near, distance and intermediate vision. It is manufactured by Alcon Laboratories, Inc. 
Intervention  OPTIFLEX TRIO (Hydrophobic Aspheric Foldable IOL)  This lenses are designed to provide all near, distance and intermediate vision and thereby reduce spectacle dependency. It is manufactured by Biotech Europe meditech Inc Limited 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  1.Age of patient >21 years
2.Patient diagnosed with cataract
3.Patient must have preoperative regular corneal astigmatism between 0.75 to 4.5D as per corneal topography or keratometry
4.Calculated IOL Power is within the range of the investigational IOLs
5.Patient willing to sing informed consent form
6.Clear intraocular media other than cataract
7.Female participants of child bearing potential must be willing to ensure that they use effective contraception during the study
 
 
ExclusionCriteria 
Details  1.Previous intraocular or corneal surgery
2.Traumatic Cataract.
3.Pregnancy (as stated by patient) or lactation
4.Concurrent participation in another drug or device investigation
5.Irregular Astigmatism
6.Patient receiving chlorquine treatment
7.Subjects with any systemic disease that could increase operative risk or confound the outcome
8.Active ocular disease in the operative eye other than cataract
9.Vulnerable subjects
10.Corneal Astigmatism >4.5D
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the distance-corrected intermediate visual acuity between the two trifocal toric intraocular lenses  ➢ Post-operative 1 Day
➢ Post-operative 1 Week ± 2 Days
➢ Post-operative 1 Month ± 7 Days
➢ Post-operative 3 Months ± 7 Days
➢ Post-operative 6 Months ± 14 Days
➢ Post-operative 12 Months ± 30 Days
 
 
Secondary Outcome  
Outcome  TimePoints 
To assess and compare the safety of two trifocal toric intraocular lenses  ➢ Post-operative 1 Day
➢ Post-operative 1 Week ± 2 Days
➢ Post-operative 1 Month ± 7 Days
➢ Post-operative 3 Months ± 7 Days
➢ Post-operative 6 Months ± 14 Days
➢ Post-operative 12 Months ± 30 Days
 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="20" 
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)   15/03/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  02/02/2022 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   OPTIFLEX TRIO Intraocular Lenses (IOLs) are Trifocal Toric hydrophobic aspheric foldable single piece posterior chamber IOLs. These IOLs are designed to be surgically implanted into the human eye as a replacement for the natural crystalline lens. These IOLs are manufactured from medical implantable grade hydrophobic material with less than 4% water content. This material has a refractive index of 1.48 at 35°C and natural yellow chromophore which blocks the UV light and filter violet light that are harmful to retina and passes desired light essential for better contrast sensitivity. It has < 2% transmission at 400 nm and ≤ 10% Cut-off at 405 nm wavelength.
This global phase IV Clinical trial will compare two trifocal lenses in patients with cataract and coexisting astigmatism wishing to be treated for presbyopia. Investigational product is OPTIFLEX TRIO (Hydrophobic Aspheric Foldable IOL) and Comparator product is AcrySof® IQ PanOptix® (Alcon Laboratories). 
Primary objective of the study is to compare the distance-corrected intermediate visual acuity between the two trifocal toric intraocular lenses.
Following efficacy and safety parameters will be measured:

Efficacy Parameter

1.Visual Acuity

2. Contrast Sensitivity

3. Dysphotopsia

4. Patient Satisfaction Questionnaire

5. Manifest Refraction

6. Rotational Stability

7. Astigmatism

8. Spherical Equivalent

9. High Order Aberration/Internal and Total Aberration

10. Defocus Curve

11. Reading Speed

12. Pupil Size under photopic as well as Mesopic condition

13. IOL Tilt

14. IOL Decentration

15. IOL Discoloration

16. Ophthalmoscopy

17. Slit Lamp Examination

Safety Parameter: Cumulative and persistent rates of adverse events in first operative eyes in comparison to ISO 11979-7:2018 SPE historical control grid rates.

1. Cystoid macular oedema

2. Hypopyon

3. Endophthalmitis

4. Lens dislocation

5. Pupillary Block

6. Retinal Detachment

7. Secondary Surgical intervention

8. Corneal stroma oedema

9.   9. Raised IOP requiring treatment

 
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