Study of the Beacon Aqueous Microshunt in Patients With Refractory Glaucoma

Glaucoma Clinical Trial

— Beacon  

Official title:

The Beacon Study: A Prospective, Multicenter Study to Evaluate the Safety and Effectiveness of Beacon Aqueous Microshunt for Refractory Glaucoma

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT04072016
• Other study ID #: 4046
• Status: Terminated
• Phase: N/A
• Start date: April 29, 2020
• Est. completion date: November 30, 2022

Study information

• Verified date: January 2023
• Source: MicroOptx
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a prospective, multicenter, single-arm clinical study to evaluate the safety and effectiveness of Beacon Aqueous Microshunt in patients with refractory glaucoma.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 10
• Est. completion date: November 30, 2022
• Est. primary completion date: May 16, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 22 Years to 85 Years

Eligibility

Inclusion Criteria:

1. Age 22-85 years.

2. Refractory glaucoma: Prior failure of filtering/cilioablative procedure and/or uncontrolled IOP on maximum-tolerated medication (i.e. >=4 classes of topical lowering medications, or fewer in the case of tolerability or efficacy issues).

3. Primary open-angle, traumatic or neovascular glaucoma.

4. Medicated DIOP =20 mmHg and =45 mmHg on maximum-tolerated medical therapy. Note: No washout; medications stabilized 30 days prior to assessment.

5. Baseline BCVA of light perception or better in study eye.

6. Visual field defects consistent with glaucomatous optic nerve damage.

7. Glaucomatous optic nerve damage as evidenced by any of the following optic disc or retinal nerve fiber layer structural abnormalities:

• Diffuse thinning, focal narrowing, or notching of the optic disc rim, especially at the inferior or superior poles with or without disc hemorrhage;

• Localized abnormalities of the peripapillary retinal nerve fiber layer, especially at the inferior or superior poles; or

• Optic disc neural rim asymmetry of the two eyes consistent with loss of neural tissue 8. Visual field mean deviation (MD) by Humphrey Visual Field: Visual field defects consistent with glaucomatous optic nerve damage and mean deviation worse than -3 dB in the study eye; and at least one of the following two findings:

• A cluster of 3 or more points in an expected location of the visual field depressed below the 5% level, at least 1 of which is depressed below the 1% level on the pattern deviation (PD) plot; and/or

• Glaucoma hemi-field test "outside normal limits".

9. At least two contiguous clock hours of intact conjunctiva near the limbus between clock hours of 9:00 and 03:00 in the study eye.

10. Adequate space in the anterior chamber by Spaeth Grade C, D or E for iris insertion (with indentation).

11. Participant has the understanding, ability, and willingness to fully comply with study procedures and postoperative care instructions.

12. Participant understands and signs the informed consent.

Exclusion Criteria:

1. No light perception vision.

2. Conditions of active neovascular conditions, such as active iris or corneal neovascularization, or active proliferative retinopathy in study eye.

3. Pigmentary glaucoma in study eye.

4. Pseudoexfoliation syndrome in study eye.

5. Angle-closure glaucoma in study eye.

6. Iridocorneal endothelial syndrome in study eye.

7. Uveitic glaucoma in the study eye.

8. Epithelial or fibrous downgrowth in the study eye.

9. Best corrected visual acuity (BCVA) worse than 20/200 in the non-study eye.

10. Corneal conditions in study eye inhibiting normal incisional healing (e.g. Fuch's dystrophy) or impair visualization of implant inside the anterior chamber.

11. Prior intraocular surgery in study eye within =6 months before the preoperative visit (including phacoemulsification).

12. Central corneal endothelial cell count of less than 1600 cells/mm2 in the study eye.

13. Anticipated need for ocular surgery or retinal laser procedure in the study eye within the 12-month follow-up period.

14. Need for glaucoma surgery combined with other ocular procedures in the study eye at time of implant (e.g. cataract surgery, penetrating keratoplasty, or retinal surgery).

15. Unwilling to discontinue contact lens use in the study eye after surgery.

16. Central corneal thickness =490µm or =620µm.

17. Clinically significant inflammation or infection in the study eye within 60 days prior to the preoperative visit (e.g., blepharitis, conjunctivitis, keratitis, uveitis, herpes simplex infection) or any systemic infection. For purposes of this study, clinically significant is considered any such condition requiring prescription therapy.

18. Any condition that prevents the device implantation in the superior region of the study eye.

19. Vitreous in the anterior chamber for which a vitrectomy is anticipated.

20. Functionally significant cataract in the study eye.

21. Other clinical conditions:

1. Poorly controlled diabetes (Type I or Type II) as determined by HbA1c >8 within 3 months of implant.

2. Cancer requiring treatment during the duration of the study.

3. Any drugs (e.g.: immunosuppressive drugs) or co-morbidity that might inhibit wound healing.

22. Participation in any other clinical study during participation in this study.

23. Engage in activities that involve submerging their head under water, such as diving or swimming.

24. Women who are (i) pregnant, (ii) nursing, (iii) planning a pregnancy and (iv) of childbearing potential not using a reliable method of contraception.

25. Life expectancy <1 year.

If both eyes are eligible, the eye with the worse BCVA will be selected.

Related Conditions & MeSH terms

• Glaucoma

Intervention

Device:
• Beacon Aqueous Microshunt
The Beacon Aqueous Microshunt (BAM) is an implantable device intended to reduce intraocular pressure (IOP) in patients with refractory glaucoma by shunting aqueous humor from the anterior chamber to the surface of the eye.

Locations

Country	Name	City	State
Canada	Institut de l'oeil des Laurentides	Boisbriand	Qubec
United States	Minnesota Eye Consultants	Bloomington	Minnesota
United States	iWorks Laser and Vision Center	Dayton	Ohio
United States	Icon Eye Care	Grand Junction	Colorado

Sponsors (1)

Lead Sponsor	Collaborator
MicroOptx

Countries where clinical trial is conducted

United States,  Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Effectiveness via Intraocular Pressure Reduction	20% mean diurnal IOP reduction from baseline, on the same number or fewer topical IOP-lowering medications	12 Months
Primary	Safety via Serious and Adverse Event Reporting	Rate of occurrence of serious procedure-related and/or device-related adverse events.	12 Months
Secondary	Responder rate defined as achieving at least 20% mean diurnal IOP reduction from baseline		12 Months
Secondary	Mean Change from baseline in IOP		12 Months
Secondary	Schirmer tear test - Mean change from baseline		12 Months
Secondary	Proportion of Eyes Achieving Specific IOP Targets (=18 mmHg, =17 mmHg, =16 mmHg, =15 mmHg, =14 mmHg, =13 mmHg, and =12 mmHg) compared to baseline		12 Months
Secondary	Number of topical IOP-lowering medications - Mean change from baseline		12 Months
Secondary	Kaplan-Meier Analysis of Failure	Glaucoma-related secondary surgical intervention with or without device explant, device explant alone, or not achieving >20% IOP reduction on the same number of medications or fewer	12 Months
Secondary	Rate of ocular and non-ocular adverse events		12 Months