RETINA IMPLANT Alpha AMS in Blind Patients With Retinitis Pigmentosa

Withdrawn before enrolling · Not applicable

Conditions studied: Retinitis Pigmentosa

In brief

The goal of this study is to transfer the surgical implantation technique and evaluate the safety and effectiveness of the RETINA IMPLANT Alpha AMS to restore limited visual function and functional vision in blind Retinitis Pigmentosa (RP) patients who are at the Light Perception (LP) or No Light Perception vision level (NLP). The safety of the implantation procedure and the long-term presence of the RETINA IMPLANT Alpha AMS will be assessed with clinical exams and objective clinical tests for the absence of any new permanent damage to the structure and function of the implanted eye with no permanent injury to the health and/or well being of the implanted patient as a result of the surgical procedure or presence of the implant. The effectiveness of the RETINA IMPLANT Alpha AMS will be evaluated by measuring limited visual function and functional vision in implanted subjects with the device "ON" and "OFF" in a randomized order. The ability to restore limited vision in blind RP patients with LP vision or NLP will reduce their disability and morbidity and provide a viable option to combat their disease and improve their lives.

Key facts

Study ID: NCT03629899
Run by: Wills Eye
People needed: 0
Starts: 2019-03-01
Expected to finish: 2025-07-01
Last updated by the study team: 2019-05-10

Who can join

Age: 50 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Blind RP patients with LP or NLP identified in both eyes using a photoflash test.
(NLP inclusion is defined as participants who at screening give less than 9 correct answers out of 20 trials to the photoflash test; LP inclusion is defined as participants who at screening give 9 or more correct answers out of 20 trials to the photoflash test)
Pseudophakia for at least 3 months prior to entrance into study.
Central visual function of 12 years / lifetime or greater with a history of reading vision in the eye to be implanted.
Fluorescein angiography showing retinal vascular perfusion in all four quadrants of macula.
Fifty (50) years of age or older at time of enrollment.
Evidence of inner retinal function (ganglion cells and optic nerve function) by EEP test identified by the ability to elicit phosphene thresholds.
ERG showing rod and cone non-function.
Willing and able to give written informed consent and participate in ongoing follow-up.

You may not qualify if…

Ophthalmic conditions other than RP with relevant effect upon visual function (e.g., glaucoma, optic neuropathies, trauma, diabetic retinopathy, retinal detachment, macular degeneration, cystoid macular edema, MS) with the addition of tobacco, alcohol abuse and retinotoxic drugs e.g. plaquenil and thorazine.
Any other ocular disease that affects retina and / or optic nerve function.
Opacification of ocular structures that prevent clear image transmission.
Nystagmus.
Cystoid macular edema within target region for implantation shown via Optical Coherence Tomography (OCT).
Retina detected as too thin as shown via OCT (<100 μm) to expect required functionality of inner retina and /or OCT shows no layering of the inner retina in the central region.
Scar tissue (e.g., epiretinal, intraretinal, subretinal, macular pucker) within target region for implantation.
Heavily clumped pigmentation at posterior pole (would interfere with image transmission to vision chip).
Anterior segment pathology that interferes with clear visualization of the retina (e.g., presence of cloudy or scarred cornea and / or papillary membrane) that cannot be resolved prior to entrance into study.
Amblyopia reported earlier in life for eye to be implanted.
Systemic diseases that might imply considerable risks with regard to the surgical interventions and anesthesia (e.g., cardiovascular / pulmonary diseases, severe metabolic diseases).
Any condition and / or allergic contraindication to pre-operative, intra-operative, and post-operative medication.
Health problems where general anesthesia is contraindicated.
Disease or conditions that would probably limit life expectancy to less than 1 year from screening.
Orbital deformity that would interfere with surgical implantation that could not be resolved prior to entrance into study.
Patients with plastic intra-ocular lenses, or other materials, that would interact with silicone oil.
Women who are pregnant or nursing, or women of childbearing potential who are not willing to use a medically acceptable means of birth control for the duration of the study, or women unwilling to perform a pregnancy test before entering the study.
Neurological and / or psychiatric diseases (e.g., Parkinson, epilepsy, MS, depression or severe anxiety).
Lack of cognitive and / or emotional ability (e.g., depression or severe anxiety) limiting participation as assessed by psychiatric evaluation.
Participation in another interventional clinical trial within the past 30 days.
The need for regular administration of anticoagulants, platelet aggregation inhibitors or analgesics containing acetylsalicylic acid.
Disease or conditions that likely require regular use of MRI or other similar imaging technology that emits electromagnetic radiation.
Patients unwilling to avoid participating in vigorous sports or activities with a high risk of a head injury.
Patients unwilling to avoid security-scanning devices that would result in a full body, manual search.
Ability to perceive form or motion under optimal conditions (largest size, brightest lighting, highest contrast, etc.) of form and motion testing as tested by BaLM, BaGA, and Landolt C.

Where it is running

Wills Eye Hospital — Philadelphia, Pennsylvania, United States

Full record on ClinicalTrials.gov

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