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A Pilot Study for the Evaluation of the Safety and Performance of a Combined OCT System (Hydra01)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03419390
Recruitment Status : Completed
First Posted : February 5, 2018
Last Update Posted : April 1, 2020
Sponsor:
Information provided by (Responsible Party):
University Hospital, Basel, Switzerland

Brief Summary:

The novel Coaxial Optical Coherence Tomography (OCT) System is designed to visualize both structures of the retina and choroid.

The purpose of this research is the safety and evaluation of a combined coaxial optical coherence tomography (OCT) system, to image diseases of the posterior and anterior segment of the eye.


Condition or disease Intervention/treatment Phase
Healthy Device: combined Coaxial Optical Coherence Tomography (OCT) System Not Applicable

Detailed Description:

Background and Rationale:

Many posterior segment ocular diseases involve the retinal and choroidal vasculature. A new technology to noninvasively and simultaneously visualize vascular pathology is of utmost importance to reduce patient exposure to different diagnosis methods like e.g. fluorescence angiography. The novel Coaxial Optical Coherence Tomography (OCT) System is designed to visualize both structures of the retina and choroid.

Furthermore, it may be used to image other structures of the eye.

Objective(s):

The purpose of this research is the safety and evaluation of a combined coaxial optical coherence tomography (OCT) system, to image diseases of the posterior and anterior segment of the eye. This device may be useful for the early diagnosis and monitoring of a variety of diseases involving the eye, such as Glaucoma, Diabetic Retinopathy or Age-Related Macular Degeneration. Measurements are compared to normal controls.

Measurements and procedures:

After screening, all participants will undergo a scanning procedure on the same day.

Only one eye of each participant will be scanned with the investigational device. For patients, the eye showing the disease will be chosen, for healthy volunteers, the left or right eye will be scanned according to a randomisation list.

The image quality is rated by the investigator and an independent assessor on a VAS (visual analogue scale). A subgroup of each stratum will have a comparative measurement of the choroid thickness against a SS-OCT (swept-source-OCT) device (Topcon) and a retina thickness against the Spectralis data. The subgroup will consist of half planned sample size. The measurement is taken from one eye, ie. every second participant per stratum will be attributed to the thickness measurement subgroup. The endpoint is a true/false criterion on whether the measurement of the retina and choroid thickness was successful. The thickness is measured in μm. The measurement is considered a "success" if the value is no more than +/- 10% off the reference measurement.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Intervention Model Description: Proof of concept study, medical device investigation
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: A Prospective,Open Label,Non-randomized,Single-centre,Exploratory,Stratified Pilot Study for the Evaluation of the Safety and Performance of a Combined Coaxial Optical Coherence Tomography (OCT) System,to Image Diseases of the Posterior and Anterior Segment of the Eye
Actual Study Start Date : December 1, 2016
Actual Primary Completion Date : March 2017
Actual Study Completion Date : December 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Safety

Arm Intervention/treatment
Healthy subjects
One eye of each participant will be scanned with the investigational device (= combined Coaxial Optical Coherence Tomography (OCT) System)
Device: combined Coaxial Optical Coherence Tomography (OCT) System
The investigational device is an OCT scanner prototype with two different wavelengths developed based on a CE marked OCT device (Spectralis® Heidelberg) at the Berner Fachhochschule, Biel

Diseased groups
lf one eye is affected, this will be chosen. lf both eyes are be affected, the eye with the severest symptoms will be chosen. Scanning with the investigational device (= combined Coaxial Optical Coherence Tomography (OCT) System)
Device: combined Coaxial Optical Coherence Tomography (OCT) System
The investigational device is an OCT scanner prototype with two different wavelengths developed based on a CE marked OCT device (Spectralis® Heidelberg) at the Berner Fachhochschule, Biel

Diseased subgroups

Every second subject will be allocated to the subgroup.

  1. Scanning with the investigational device (= combined Coaxial Optical Coherence Tomography (OCT) System)
  2. Thickness measurement with reference medical device.
Device: combined Coaxial Optical Coherence Tomography (OCT) System
The investigational device is an OCT scanner prototype with two different wavelengths developed based on a CE marked OCT device (Spectralis® Heidelberg) at the Berner Fachhochschule, Biel




Primary Outcome Measures :
  1. Visual acuity (VA) after investigation [ Time Frame: Within 1 hour after investigation ]
    Safety of the imaging investigation expressed as visual acuity before (baseline) and after imaging, and tolerability assessment questionnaire.


Secondary Outcome Measures :
  1. Scan quality [ Time Frame: After completion of all measurement, an average of 2 years. ]
    Comparing scan quality of investigational device to scan quality of a reference device, expressed as thickness of the retina and the thickness of the choroid

  2. Procedural success [ Time Frame: After completion of all measurement, an average of 2 years. ]
    Procedural success that is defined as: Image Quality of anterior and posterior eye structures

  3. Procedural safety and comfort assessed by questionnaire [ Time Frame: Within 1 hour after investigation ]
    Procedural comfort in the opinion of the patients assessed with a questionnaire



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Subjects with healthy eye, or has been diagnosed already with eye disease
  • Patients > 18 years of age
  • Informed Consent as documented by date and signature

Exclusion Criteria:

  • Clinically significant concomitant disease that impair measurement
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, late stage Alzheimer disease, etc. of the participant,
  • Subjects using implanted electronic medical devices (e.g. cochlear implant, pacemaker, defibrillator, infusion pump).
  • Participation in another study with investigational drug within the 30 days preceding and during the present study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03419390


Sponsors and Collaborators
University Hospital, Basel, Switzerland
Investigators
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Study Director: Hendrik PN Scholl, MD University Hospital Basel, Dept. of Ophthalmology
Principal Investigator: Pascal Hasler, MD University Hospital Basel, Dept. of Ophthalmology
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Responsible Party: University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier: NCT03419390    
Other Study ID Numbers: 085-HAP-2017-001
First Posted: February 5, 2018    Key Record Dates
Last Update Posted: April 1, 2020
Last Verified: March 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by University Hospital, Basel, Switzerland:
Hydra01