FDA recommends approval for Second Sight's Argus II retinal prosthesis system in the USA

October 03, 2012

Lausanne, Switzerland., October 3 - On Friday September 28th, a U.S. Food and Drug Administration (FDA) Ophthalmic Devices Advisory Panel unanimously voted 19-0 that the probable benefit of the Argus II Retinal Prosthesis System outweighs the risks to health, an important step toward the FDA market approval of this product manufactured by Second Sight Medical Products, Inc. In making this determination, the panel spent ten hours carefully reviewing and discussing data submitted from the international clinical trial of this innovative retinal implant that, for the first time ever, partially restores vision to patients who are blind due to Retinitis Pigmentosa (RP).

"We are very pleased with the panel recommendation today. The panel deliberations were well informed and thorough and their decision validated over two decades of work by Second Sight and our collaborators," said Robert Greenberg, MD, PhD, President and CEO of Second Sight. "We would also like to thank all of the people around the world with Retinitis Pigmentosa who volunteered to participate in our clinical trials, and the doctors who treated them. Without their pioneering efforts, today's result would not have been possible."

The panel, which was comprised of 19 voting members with expertise in ophthalmology, retinal disease, low vision, electrophysiology and other specialties heard testimony from Second Sight, the US Food and Drug Administration, and several doctors and participants involved in the most recent clinical trial that began in 2007. After hearing the testimony, asking questions, discussing concerns, and carefully deliberating, the panel voted unanimously that the probable benefit of the Argus II Retinal Prosthesis System outweighs the risks to health. This recommendation came after more than 20 years of work in the field, $200M of public and private investment, and 10 years after the first person received Second Sight's first Bionic Eye in the clinical trial of the first generation Argus I retinal implant which began in 2002. Many of the hundreds of people that have played instrumental roles in the development of Argus II were moved by the panel recommendation.

"While the European Approval last year was based on the safety and the long term performance of the Argus II Retinal Prosthesis System, the FDA panel required the demonstration of probable benefit as well. This recommendation will now give us the chance to improve the quality of life of thousands of blind patients who have absolutely no other treatment options", said Dr. Lyndon da Cruz, MD PhD Consultant Retinal Surgeon at Moorfields Eye Hospital in London, UK who presented the international trial data to the FDA panel in Washington. "The landmark nature of the moment was reflected by one of the largest FDA panels ever convened and there were numerous patients who had benefitted from the device giving moving testimonies of how the device had changed their lives".

"With seven patients treated in Moorfields Eye Hospital, the largest clinical site in the world, I am very proud to have participated in the world's biggest trial of any retinal implant, and that our research work in the NHS has been seminal in allowing blind patients around the world to get access to this unique and life changing treatment. With both European and recommended US market approval of Second Sight's Argus II bionic eye an historical first has been achieved. We can now begin to see great hope in the future development of this field and the promise of restoration of sight for those who need it most".

Professor Paulo Stanga, Vitreoretinal Surgeon at Manchester Royal Eye Hospital and Director of the Manchester Vision Regeneration (MVR) Lab, UK, added, "In Manchester, we enrolled three subjects in this trial, and obtained some tremendous results. In further research, we have been able to demonstrate that patients blinded by retinitis pigmentosa could consistently perceive different colors at the same time using Argus II. This data is very encouraging because it suggests the possibility that Argus II with its software capability could be upgraded to one day restore color vision for these blind patients."

"I think it's a terrific system, it's wonderful, it's changed my life. I just like to be part of something that does something for other patients with retinitis pigmentosa" said Keith from Manchester, user of the system since 2009, in a statement to the FDA panel.

"This is a truly exciting and historic moment for people with advanced inherited retinal degenerations such as retinitis pigmentosa," said Dr. Stephen Rose, chief research officer, Foundation Fighting Blindness, which helped get the project started with early support.

RP, an inherited retinal degenerative disease that often results in nearly complete blindness, affects roughly 200,000 Europeans and has been designated by the World Health Organization as an orphan disease. In 2011, the Argus II, which is intended to help the RP patients with complete blindness, received a CE Mark, making it the first approved treatment for severe retinitis pigmentosa anywhere in the world. "We have seen a tremendous acceptance from the German and Italian government to bring Argus II to Retinitis Pigmentosa patients at no cost for patients, and we hope to see a similar level of support from England, France and other European countries", said Dr Gregoire Cosendai, head of Europe for Second Sight.
-end-
About Argus II

The Argus II system works by converting video images captured by a miniature camera, housed in the patient's glasses, into a series of small electrical pulses that are transmitted wirelessly to an array of electrodes on the surface of the retina. These pulses are intended to stimulate the retina's remaining cells resulting in the corresponding perception of patterns of light in the brain. Patients then learn to interpret these visual patterns thereby regaining some visual function. Second Sight gained European approval (CE Mark) for the system in 2011 - the first and only approval of a retinal prosthesis anywhere in the world. With this overwhelming vote of confidence from the medical community, the company will now turn its attention to ensuring that Argus II becomes the first ever approved retinal prosthesis in the US.

About Second Sight

Second Sight Medical Products Inc., located in Los Angeles, California, was founded in 1998 to create a retinal prosthesis to provide sight to patients blinded from outer retinal degenerations, such as Retinitis Pigmentosa. Through dedication and innovation, Second Sight's mission is to develop, manufacture and market implantable visual prosthetics to enable blind individuals to achieve greater independence. While the Argus II system is CE-marked in Europe it is not yet approved for sale in the United States. European Headquarters are in Lausanne, Switzerland. For more information, go to www.2-sight.com.

European Science Foundation

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