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CTRI Number  CTRI/2023/04/052103 [Registered on: 28/04/2023] Trial Registered Prospectively
Last Modified On: 01/12/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study
Modification(s)  
An implant designed to be placed into the posterior chamber for cataract surgery, suitable for replacing the crystalline lens in the correction of aphakia during surgical procedures in which the crystalline lens is removed.  
Scientific Title of Study
Modification(s)  
Study to evaluate safety and performance of Hydrophobic acrylic foldable Intraocular lens (IOL) 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
TMVI/CIP-IND Rev No:01, DATE: 12/01/2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Venkatesh Shyam Sundar  
Designation  Ophthalmologist 
Affiliation  Jothi Laser Eye Hospital,Tamil Nadu 
Address  Jothi Laser Eye Hospital,ground floor,Room No 2, 110, Duraisamy Naidu St, Dharmapuri, Tamil Nadu 636701, India

Dharmapuri
TAMIL NADU
636701
India 
Phone  9345146646   
Fax    
Email  drv2772@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Venkatesh Shyam Sundar  
Designation  Ophthalmologist 
Affiliation  Jothi Laser Eye Hospital,Tamil Nadu 
Address  Jothi Laser Eye Hospital,ground floor,Room No 2, 110, Duraisamy Naidu St, Dharmapuri, Tamil Nadu 636701, India

Dharmapuri
TAMIL NADU
636701
India 
Phone  9345146646   
Fax    
Email  drv2772@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mrs Linu Thommi 
Designation  CRO 
Affiliation  Dr.Klinisch Research Pvt Ltd 
Address  Dr.Klinisch Research Pvt Ltd,3rd floor, No: 1035 Prihan Plaza, 12th Main Road, AECS ‘B’ Block, Singasandra Bengaluru

Bangalore Rural
KARNATAKA
560068
India 
Phone    
Fax    
Email  linu@drklinisch.com  
 
Source of Monetary or Material Support  
Trillium MediVision Inc,1707 Sismet Road Unit #9 Mississauga, ON L4W2K8 Canada  
 
Primary Sponsor
Modification(s)  
Name  Trillium MediVision Inc 
Address  1707 Sismet Road Unit #9 Mississauga, ON L4W2K8 Canada. 
Type of Sponsor  Other [Private Medical Device Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Jananee Rajendran  Jothi Laser Eye Hospital  Ground floor,Room No 2, Jothi Laser Eye Hospital 110, Duraisamy Naidu St, Dharmapuri, Tamil Nadu 636701, India
Dharmapuri
TAMIL NADU 
9655776667

janeraj95@gmail.com 
Dr Venkatesh Shyam Sundar   Jothi Laser Eye Hospital   Ground floor,Room No 2, Jothi Laser Eye Hospital 110, Duraisamy Naidu St, Dharmapuri, Tamil Nadu 636701, India
Dharmapuri
TAMIL NADU 
9345146646

drv2772@gmail.com 
Dr Aruna S K  Jothi Laser Eye Hospital, Krishnagiri  Ground floor 107, Salem Main Road, 1, Krishnagiri, Tamil Nadu 635001, India
Dharmapuri
TAMIL NADU 
91 9962929070

aruna.srk@gmail.com 
Dr Mohammed Sayee  Vellore Eye Hospital  Ground floor No.683/2, 3Rd, East Coast Rd, Nehru Nagar, Phase 2, Sathuvachari, Vellore, Tamil Nadu 632009
Vellore
TAMIL NADU 
9843052176

docsayee@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
RIPON INDEPENDENT ETHICS COMMITTEE  Approved 
RIPON INDEPENDENT ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H25||Age-related cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  adult; - cataract; - calculated IOL power is within the range of the investigational IOL; - signed informed consent form; and - clear intraocular media other than cataract
 
 
ExclusionCriteria 
Details  previous intraocular or corneal surgery,
traumatic cataract,
pregnancy or lactation,
concurrent participation in another drug or device investigation,
instability of keratometry or biometry measurements,
irregular astigmatism.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
To Assess the intraoperative Safety and Performance of the IOL.   Timepoints-3 years
There will be 5 follow up visits expected after the implantation of Intraocular Lens:
1st Visit - After 1d to 2d post operatively
2nd Visit - After 7d to 14d post operatively
3rd Visit - After 30d to 60d post operatively
4th Visit - After 120d to 180d post operatively
5th visit - After 330 days of implantation 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
To determine the presence of lens related adverse events/residual risks in the individuals on whom the device was implanted. The following adverse events/residual risks shall be considered for the clinical investigation.   Timepoints-3 years
There will be 5 follow up visits expected after the implantation of Intraocular Lens:
1st Visit ? After 1d to 2d post operatively
2nd Visit - After 7d to 14d post operatively
3rd Visit - After 30d to 60d post operatively
4th Visit - After 120d to 180d post operatively
5th visit - After 330 days of implantation 
 
Target Sample Size
Modification(s)  
Total Sample Size="405"
Sample Size from India="405" 
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   N/A 
Date of First Enrollment (India)   22/05/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  22/05/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial
Modification(s)  
Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   No 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

Phase I — The duration of the study was one year

Primary Endpoint:  To Assess the intraoperative Safety and Performance of the Hydrophobic acrylic foldable Intraocular lens (IOL).
Secondary Endpoint: To determine the presence of lens related adverse events/residual risks in the individuals on whom the devices were implanted. 
Inclusion Criteria 
Adult;
cataract; 
calculated IOL power is within the range of the investigational IOL; 
signed informed consent form; and 
clear intraocular media other than cataract. 
Exclusion Criteria 
Previous intraocular or corneal surgery; 
traumatic cataract; 
pregnancy or lactation; 
concurrent participation in another drug or device investigation; 
instability of keratometry or biometry measurements; and 
irregular astigmatism. 

There will be 5 follow up visits expected after the implantation of Intraocular Lens:

1st Visit – After 1d to 2d post operatively

2nd Visit - After 7d to 14d post operatively

3rd Visit - After 30d to 60d post operatively

4th Visit - After 120d to 180d post operatively

5th visit - After 330 days of implantation

Subject selection: 
Subjects who were indicated for cataract surgery were selected for the study
Sample Size for Phase I: 150 subjects were recruited in India.

Results of phase I study-
Overall, 150 eyes were implanted with Hydrophobic acrylic foldable Intraocular lens (IOL) – Monofocal.  
Among 150 eyes, 101 were female and 49 were male. The population at risk for developing visually-disabling cataracts and needing cataract surgery is typically the elderly. Out of 150 eyes, two were dropped out due to lost to follow up in Visit 3 (Day 60). 
There was an improvement in Uncorrected Distance Visual Acuity and Best Corrected Distance Visual Acuity of the eyes after the implantation of Hydrophobic acrylic foldable Intraocular lens (IOL) – Monofocal. There was an improvement in the clarity of vision at a distance with the implantation of Hydrophobic foldable Intra Ocular Lens without the use of glasses or contact lenses. Good patient satisfaction was shown in quality of vision. 
The curvature of the anterior surface of the cornea was not affected by insertion of IOL. 
IOL Decentration, IOL tilt, IOL discoloration and IOL opacity were not observed. Hydrophobic acrylic foldable Intraocular lens (IOL) - Monofocal have not caused any negative impact on visual performance by inducing optical aberrations and decreasing visual acuity and it does not cause any significant deterioration of visual performance and there was no requirement of IOL exchange. 
The normal range for IOP is between 10 and 21mmHg. It has been observed that IOP remained within the normal range after the implantation of Hydrophobic foldable Intra Ocular Lens, hence proving the product safety and efficacy. 
The analysis of safety parameter was based on adverse event rates compared to historical controls, specifically the FDA "Grid" of cataract surgery results. The adverse event rate was lower than FDA historic control grids. There were no safety related complications after the implantation of Hydrophobic foldable Intra Ocular Lens, which proves the safety of using our device. 
None of the eyes participating in the study had experienced any safety issues related to eyes and benefitted after using the Hydrophobic acrylic foldable Intraocular lens (IOL) - Monofocal which shows the safety of using the device on the eyes. 
The incidence of cumulative adverse events for the Hydrophobic acrylic foldable Intraocular lens (IOL) - Monofocal compared favorably to the FDA historical grid rates. No occurrences of cumulative adverse events were observed in any patients implanted with the Hydrophobic acrylic foldable Intraocular lens (IOL) – Monofocal. 
The incidence of persistent adverse events for the Hydrophobic acrylic foldable Intraocular lens (IOL) - Monofocal compared favorably to the FDA historical grid rates. No occurrences of persistent adverse events were observed in any patients implanted with the Hydrophobic acrylic foldable Intraocular lens (IOL) – Monofocal. 
There was no requirement of exchanging, removing or repositioning of IOL. 
In all the eyes implanted with IOL, no residual risks were observed. The Hydrophobic acrylic foldable Intraocular lens (IOL) – Monofocal restore the sight of the eye which was previously obstructed by a cataractous lens. The benefits of use of the lens for the target population outweigh the risk when used as indicated in accordance with the directions for use.

Phase II study- sufficient number of subjects will be screened to randomize a total of 255 subjects in india.

 
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