Pivotal Trial for a Synthetic Tissue Substitute for Concealment of Artificial Ocular Implants (EverPatch)

• ClinicalTrials.gov Identifier: NCT05469867
• Recruitment Status: Active, not recruiting
• First Posted: July 22, 2022
• Last Update Posted: February 9, 2023
• Sponsor: CorNeat Vision Ltd.
• Information provided by (Responsible Party): CorNeat Vision Ltd.

Tracking Information

• First Submitted Date: July 18, 2022
• First Posted Date: July 22, 2022
• Last Update Posted Date: February 9, 2023
• Actual Study Start Date: August 16, 2022
• Estimated Primary Completion Date: March 1, 2024 (Final data collection date for primary outcome measure)

Current Primary Outcome Measures (submitted: July 19, 2022)

Safety Assessment [ Time Frame: Up to 12 months ]

The frequency of all Unanticipated Adverse Device-related Events (UADE) during and following implantation will be recorded

• Original Primary Outcome Measures: Same as current

Current Secondary Outcome Measures (submitted: July 19, 2022)

Performance Assessment [ Time Frame: 6 & 12 months post-op. ]

Tube or suture exposure will be detected by slit-lamp Biomicroscopy throughout the entire follow up period and incidence will be calculated. Prevention of tube or suture exposure associated with conjunctival erosion and graft melting should be demonstrated in at least 90% of the patients.

• Original Secondary Outcome Measures: Same as current
• Current Other Pre-specified Outcome Measures: Not Provided
• Original Other Pre-specified Outcome Measures: Not Provided

Descriptive Information

• Brief Title: Pivotal Trial for a Synthetic Tissue Substitute for Concealment of Artificial Ocular Implants
• Official Title: A Single Arm, Pivotal, Open Label, Multi-centre Clinical Investigation to Evaluate the Clinical Safety and Performance of the CorNeat EverPatch, A Synthetic Tissue Substitute for Concealment of Artificial Ocular Implants
• Brief Summary: This clinical trial will assess the clinical safety and performance of the CorNeat EverPatch device used as a tissue substitute for concealment of artificial ocular implants.

Detailed Description

A single arm, pivotal, open label, multi-centre clinical investigation to evaluate the clinical safety and performance of the CorNeat EverPatch, a synthetic tissue substitute for concealment of artificial ocular implants.

Subjects will sign a consent form and will be assessed for eligibility based on clinical examinations and medical history. Upon eligibility verification, subjects will be implanted with the investigational device as part of an ophthalmic surgery in which a concealment of an artificial implant is required. Clinical examinations at follow up will include slit lamp biomicroscopy, assessment of visual acuity and intra ocular pressure, and recording of concomitant medications and any safety issues. Follow up visits will be performed at 1 week, 1-, 2-, 3-, 6-, 9- and 12-months post-op.

• Study Type: Interventional
• Study Phase: Not Applicable
• Study Design: Allocation: N/A; Intervention Model: Single Group Assignment; Masking: None (Open Label); Primary Purpose: Prevention

Condition

• Glaucoma Eye
• Tissue Breakdown

Intervention

Device: CorNeat EverPatch

The CorNeat EverPatch will be implanted subconjunctivally over an ocular implant (e.g. glaucoma shunt, exposed suture tags) and fixed to the eye wall. The overlying conjunctiva will be closed over the patch.

Study Arms

Experimental: Corneat EverPatch - Synthetic Tissue Substitute for Covering Ophthalmic Implants

Intervention: Device: CorNeat EverPatch

• Publications *: Not Provided

Recruitment Information

• Recruitment Status: Active, not recruiting
• Estimated Enrollment (submitted: July 19, 2022): 60
• Original Estimated Enrollment: Same as current
• Estimated Study Completion Date: March 1, 2024
• Estimated Primary Completion Date: March 1, 2024 (Final data collection date for primary outcome measure)

Eligibility Criteria

Inclusion Criteria:

1. Male or female
2. Aged ≥ 18 and ≤ 80 years on screening day
3. Concealment of glaucoma tube shunt or suture tags is indicated
4. Patients with viable and intact conjunctiva
5. Candidates must have the ability and willingness to provide a written informed consent, attend all scheduled visits and comply with study procedures
6. Adequate tear film and lid function as indicated by Tear Film Breakup Time test - more than 5 seconds
7. Visual acuity of light perception or better
8. Female patients of childbearing age must agree to use an acceptable and effective method of contraception throughout the study, including the follow-up period, and have negative pregnancy test at screening.

Exclusion Criteria:

1. Current retinal detachment
2. Active ocular or orbital infection
3. History or evidence of severe inflammatory eye diseases (i.e. uveitis, retinitis, scleritis) in one or both eyes within 6 months prior to planned implantation
4. History of ocular or periocular malignancy
5. History of extensive keloid formation
6. Any known intolerance or hypersensitivity to topical anesthetics, mydriatics, or component of the device, specifically Oxybuprocaine hydrochloride, lidocaine, tropicamide, epinephrine, Iodine solution & aromatic polycarbonate urethane
7. Signs of current infection, including fever and current treatment with antibiotics
8. Severe generalized disease that results in a life expectancy shorter than a year
9. Any clinical evidence that the investigator feels would place the subject at increased risk with the placement of the device
10. Pregnant or breastfeeding female subjects
11. Participation in any study involving an investigational drug or device within 30 days of the study or 5 half-lives of the drug (whichever longer) or ongoing participation in a study with an investigational drug or device
12. Any traumatic perforation of the globe OR tissue gaps/weaknesses, resulting either from traumatic, disease- related or iatrogenic damage OR loss of scleral integrity where use of tissue or substitutes is indicated
13. Vulnerable populations
14. Active drug or alcohol abuse or dependence that, in the opinion of the principle investigator, would interfere with adherence to study requirements
15. Subjects with other concurrent severe and/or uncontrolled medical condition which could compromise participation in the study (e.g. active infection, uncontrolled diabetes, uncontrolled hypertension, congestive heart failure, unstable angina, ventricular arrhythmias, active ischemic heart disease, myocardial infarction within six months, uncompensated cirrhosis, active upper GI tract ulceration, active inflammatory disease, malignancy under active treatment)
16. Subjects who receive anti-coagulation treatment which cannot be interfered during the perioperative period
17. Hemoglobin A1C (HbA1c) higher than 8% at screening indicating unbalanced diabetes and/or target organ damage associated with diabetes
18. Subjects receiving chronic systemic immunosuppressants (e.g. steroids, cyclosporine etc.)

Sex/Gender

• Sexes Eligible for Study: All

• Ages: 18 Years to 80 Years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Contacts: Contact information is only displayed when the study is recruiting subjects
• Listed Location Countries: Canada, France, Georgia

Administrative Information

• NCT Number: NCT05469867
• Other Study ID Numbers: DMS-34948
• Has Data Monitoring Committee: Yes

U.S. FDA-regulated Product

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

IPD Sharing Statement

• Plan to Share IPD: No

• Current Responsible Party: CorNeat Vision Ltd.
• Original Responsible Party: Same as current
• Current Study Sponsor: CorNeat Vision Ltd.
• Original Study Sponsor: Same as current
• Collaborators: Not Provided
• Investigators: Not Provided
• PRS Account: CorNeat Vision Ltd.
• Verification Date: February 2023