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. 2023 Sep 19;2023(9):CD014791. doi: 10.1002/14651858.CD014791.pub2

Diec 2012.

Study characteristics
Methods Study design: RCT, parallel‐group design, 3 arms
Numbers randomized (total and per group): total 126 participants enrolled, 120 were dispensed lenses, 40 in each group
Unit of randomization: person
Masking: not masked, "open‐label"
Exclusions and losses to follow‐up (total and per group): 6 participants failed to meet the exclusion criteria overall, and there were no dropouts
Number analyzed (total and per group): total 120 (40 in each group)
Unit of analysis (person or eye): person
Study duration (planned and actual): 3 months
Intervention duration: 3 months
How were missing data handled: not reported
Sample size and power calculation: "A sample size of 40 participants for each lens type was required to have 80% power to detect a statistically significant difference of 0.5 ± 0.7 units in the 0 to 4 grading scale and a 10 ± 15 units in the subjective ratings between the lens types."
Participants Country: Australia
Setting: Brien Holden Vision Institute
Inclusion criteria: age 18 years and up, willing to comply with contact lens schedule, normal ocular health, vision correctable to at least 6/12 (20/40) or better in each eye, may be experienced or inexperienced with contact lenses
Exclusion criteria: pre‐existing injury, irritation, or conditions of the cornea, conjunctiva, or eyelids precluding wearing of contact lenses; systemic diseases that impact eye health (diabetes, Graves disease, autoimmune disorders); use of ocular medications (category S3 and above) within 12 weeks prior to trial; use of systemic or topical medications that may alter eye health; eye surgery within 12 weeks prior to trial; previous corneal refractive surgery; allergy to topical anesthesia; pregnant; currently enrolled in another trial; previously participated in a clinical trial within 2 weeks (or 48 hours for "short term" trials) prior to this trial
Baseline characteristicsRefractive condition: myopia
Etafilcon A (N = 40)
  • women (n, %): 22 (55%)

  • age (mean, SD): 29.0 ± 10.7 years

  • race/ethnicity (n, %): not reported

  • habitual wearers (n, %): 32 to 34 (80% to 85%)


Narafilcon A (N = 40)
  • women (n, %): 22 (55%)

  • age (mean, SD): 29.9 ± 12.0 years

  • race/ethnicity (n, %): not reported

  • habitual wearers (n, %): 32 to 34 (80% to 85%)


Senofilcon A (N = 40)
  • women (n, %): 22 (55%)

  • age (mean, SD): 31.0 ± 13.8 years

  • race/ethnicity (n, %): not reported

  • habitual wearers (n, %): 32 to 34 (80% to 85%)


Overall (N = 120)
  • women (n, %): 66 (55%)

  • age (mean, SD): 29.97 ± 12.16 years (calculated)

  • race/ethnicity (n, %): not reported

  • habitual wearers (n, %): 16 to 22 (13% to 18%)

Interventions Etafilcon A
  • material: hydrogel

  • replacement frequency: daily


Narafilcon A
  • material: silicone hydrogel

  • replacement frequency: daily


Senofilcon A
  • material: silicone hydrogel

  • replacement frequency: daily


Notes: participants were instructed to wear a minimum of 6 days per week and 8 hours per day
Outcomes Primary outcome:
  • corneal and conjunctival staining (CCLRU 0‐to‐4 grading scale in 0.1 increments; 0 = none, 4 = severe)


Secondary outcomes:
  • bulbar, limbal, and palpebral redness, indentation (CCLRU 0 to 4 grading scale)

  • contact lens variables such as lens fit

  • hours of average and comfortable wear time

  • subjective variables of comfort overall, on insertion, during day, end of day, and dryness at the end of day (1‐to‐100 scale; 1 = extremely uncomfortable and 100 = extremely comfortable)

  • subjective symptoms including blurred vision, dryness, discomfort, and lens awareness for subsequent lens wearing visits (5 options; none = I do not have this symptom, trace = I seldom notice this symptom, mild = I sometimes notice this symptom, moderate = I frequently notice this symptom, and severe = I always notice this symptom)


Adverse outcomes (Y/N), if yes, please describe: Y, serious and non‐serious adverse events
Measurement time points: baseline, 2 weeks, 1 month, and 3 months
Notes Sponsorship source: Alcon Labs and Brien Holden Vision Institute
Author's name: Jennie Diec
Institution: Brien Holden Vision Institute
Conflicts of interest : not reported
Publication language: English
Trial register: ACTRN12609000812291