Evidence map›Paper›PMID 32769736›Full record

Trial reportJournal of glaucoma2020

A European Study of the Performance and Safety of MINIject in Patients With Medically Uncontrolled Open-angle Glaucoma (STAR-II).

Julián García Feijoó, Philippe Denis, Christoph Hirneiß, Florent Aptel, Lucía Perucho González, Zubair Hussain, Katrin Lorenz, Norbert Pfeiffer, STAR-II Investigators

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of glaucoma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03624361 (A Prospective, Open, Multicentre Clinical Trial With One Cohort Analysing the Efficacy and Safety of MINIject in European Patients With Open Angle Glaucoma Uncontrolled by Topical Hypotensive Medications), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03624361 nacompletednot on this map

A Prospective, Open, Multicentre Clinical Trial With One Cohort Analysing the Efficacy and Safety of MINIject in European Patients With Open Angle Glaucoma Uncontrolled by Topical Hypotensive Medications

TypeinterventionalSponsoriSTAR MedicalRan2018 to 2021Enrolled29ConditionsGlaucoma, Open-Angle, Glaucoma Eye, Intraocular PressureArmsGlaucoma device implantation in a stand-alone procedure
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Anterior-Segment Optical Coherence Tomography Imaging of Patients Undergoing Supraciliary Glaucoma Drainage Device Implantation.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  4. Article
  5. Preliminary Short-Term Results of Supraciliary Ab-Interno MINIjectClinical ophthalmology (Auckland, N.Z.) · 2025
    Article
  6. Review
  7. Article
  8. Recent Advancements in Glaucoma Surgery-A Review.Bioengineering (Basel, Switzerland) · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Can We Ever Win with a Suprachoroidal Implant?Journal of current glaucoma practice
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Julián García FeijoóDepartamento de Oftalmologia, Hospital Clinico San Carlos, Universidad Complutense, OFTARED, Madrid, Spain.
Philippe DenisDepartment of Ophthalmology, Hôpital de la Croix-Rousse, Lyon.
Christoph HirneißKlinikum der Universität München, Ludwig-Maximilians-Universität, Munich.
Florent AptelClinique Universitaire d'Ophtalmologie, CHU de Grenoble-Alpes, Grenoble, France.
Lucía Perucho GonzálezDepartamento de Oftalmologia, Hospital Clinico San Carlos, Universidad Complutense, OFTARED, Madrid, Spain.
Zubair HussainiSTAR Medical, Wavre, Belgium.
Katrin LorenzDepartment of Ophthalmology, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Norbert PfeifferDepartment of Ophthalmology, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
STAR-II Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

precisIn this European study (STAR-II), MINIject, a novel, ab-interno, supraciliary minimally invasive glaucoma surgery device, effectively lowered intraocular pressure (IOP) and the need for IOP-lowering medications in patients with primary open-angle glaucoma. PURPOSE: This study evaluates the safety and performance of a minimally invasive supraciliary glaucoma drainage device (MINIject DO627) for surgical treatment of primary open-angle glaucoma in patients refractory to topical hypotensive medications.

methodsIn a prospective, interventional, single-arm, multicenter, European study (STAR-II), MINIject was successfully implanted in a stand-alone procedure in 29 of 31 patients in 8 sites in 3 countries. The primary endpoint was the success rate 6 months after surgery >60% (defined as diurnal IOP ≤21 and >5 mm Hg with ≥20% IOP reduction from baseline, with/without glaucoma hypotensive medication). ClinicalTrials.gov: NCT03624361.

resultsAt the 6-month follow-up, the primary endpoint was fulfilled, with 75.9% of patients reaching prospectively defined success. The mean IOP was reduced by 40.2% (9.9 mm Hg) to 14.7±6.0 mm Hg at 6 months from 24.6±3.8 mm Hg at baseline. The use of IOP-lowering medication ingredients was reduced by 63.4% from 2.9±1.2 at baseline to 1.0±1.3. Furthermore, 79.3% of the patients had mean IOP ≤18 mm Hg, 82.8% achieved a ≥20% IOP reduction, and 55.2% were medication free at 6 months. Six device-related serious adverse events were reported in the study eye: IOP increase (3/31 patients, 9.7%), and single reports of eye pain, corneal erosion, and chorioretinal folds (1/31, 3.2%), all of which resolved. There was minimal change to corneal endothelial cell density.

conclusionAb-interno supraciliary surgical implantation using MINIject DO627 in a stand-alone procedure significantly lowers IOP by 40% at the 6-month follow-up, while reducing the need for IOP-lowering medication.

Indexed as

Glaucoma Drainage ImplantsAdultAgedAged, 80 and overAntihypertensive AgentsEquipment SafetyEuropean UnionFemaleGlaucoma, Open-AngleHumansIntraocular PressureMiddle AgedMinimally Invasive Surgical ProceduresProspective StudiesProsthesis ImplantationSingle-Blind MethodAntihypertensive Agents

Identifiers

PMID32769736
PMCPMC7647427

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.