Published 12th November 2021

iSTAR Medical present final results from STAR-II European trial for MINIject in glaucoma patients at AAO

Data from STAR-II trial show consistently outstanding performance and safety in patients with primary open-angle glaucoma up to two-years post implantation

WAVRE, Belgium — 12 November 2021iSTAR Medical, a medtech company pioneering novel minimally-invasive implants for glaucoma surgery (MIGS), today announced final results of the STAR-II European trial for its MIGS device, MINIjectTM. These data show consistently outstanding performance and a favourable safety profile in patients with primary open-angle glaucoma up to two years of follow-up. The trial results will be presented at the 125th American Academy of Ophthalmology (AAO) meeting in New Orleans, LA (USA), from 12 to 15 November 2021.


Two-year results from STAR-II


The two-year results from the MINIject STAR-II European trial indicated sustained, powerful efficacy and favourable safety outcomes in patients with primary open-angle glaucoma. Consistent with all MINIject trial outcomes to date, mean intraocular pressure (IOP) was remarkably reduced by 36% from 24.6mmHg at baseline to 15.5mmHg at two-year follow-up, with a 52% reduction in glaucoma medication use from 2.9 at baseline to 1.4 at trial completion. Furthermore, corneal health results in this study were outstanding, which is of pivotal importance for long-term safety.[1],[2],[3]

The remarkable outcomes observed throughout the European trial keep adding to a significant body of evidence showing how MINIject offers a powerful, bleb-free option for the treatment of patients with primary open-angle glaucoma. This may enable more effective glaucoma management and better quality of life for patients that need lower IOP and who are uncontrolled or struggling to comply with multiple medications. , said Dr I. Paul Singh, The Eye Centres of Racine & Kenosha, WI (USA), who is presenting the trial results at AAO.

In the STAR-II trial, 29 patients with open-angle glaucoma were implanted with MINIject across eight centres in Germany, France and Spain. These patients were followed for two years post-intervention.


Three-year data from STAR-GLOBAL


In addition, interim data from the STAR-GLOBAL trial indicate that MINIject’s sustained efficacy and safety results, including the limited need for reoperations, have now been maintained for up to three years, with favourable results for corneal health.

These preliminary longer-term data on MINIject are particularly encouraging, as they show a very solid sustained performance and safety profile, which are consistent throughout this trial so far and across all trials with the device to date. , said Dr Steven Vold, Vold Vision, Fayetteville, AR (USA) who is presenting the STAR-GLOBAL data at AAO.

STAR-GLOBAL is a prospective, long-term follow-up trial, which enrolls patients already implanted with MINIject and followed for two years as part of previous STAR trials, to evaluate long-term efficacy and safety up to five years.


MINIject leverages the advantages of the supraciliary space


Unlike MIGS devices commercially available, MINIject is implanted into the supraciliary space, a natural fluid-drainage pathway for powerful reduction of eye pressure. Unlike previous supraciliary MIGS devices, MINIject has not seen issues with scarring around the implant (fibrosis) nor substantial reductions of corneal cell health.[1],[2],[3],[4],[5]

The antifibrotic properties and flexible structure of the MINIject porous proprietary STAR material are enabling a safe use of the supraciliary space while unlocking unprecedented MIGS results in patients with glaucoma. These results indicate a balance of sustained efficacy and favourable safety, and may conclusively demonstrate in time that MINIject outperforms alternative MIGS options. , said iSTAR Medical CEO, Michel Vanbrabant.

The STAR-II and STAR-GLOBAL outcomes will be available as on-demand posters throughout the AAO meeting, starting from Friday 12 November.


About iSTAR Medical

iSTAR Medical SA is a medtech company developing minimally invasive ophthalmic implants for the treatment of glaucoma patients. iSTAR Medical has exclusive rights for ophthalmic use of the STAR® material, developed by the University of Washington, Seattle (USA). STAR has outstanding anti-fibrotic and anti-inflammatory properties and a unique porous structure that enhances natural fluid outflow. iSTAR Medical was founded in 2011 and is headquartered in Wavre, Belgium.


About MINIject

MINIject is iSTAR Medical’s revolutionary MIGS device for patients with primary open-angle glaucoma. MINIject combines the unique porous structure of its proprietary STAR material with the power offered by the supraciliary space. As a result, it is designed to enhance natural fluid outflow, reducing intraocular pressure (IOP) and the need for medication, while bio-integrating with surrounding tissue, limiting inflammation, fibrosis and subsequent complications.


About Glaucoma

Glaucoma is a progressive disease and the leading cause of irreversible blindness, affecting over 100 million people globally, of which primary open-angle glaucoma is the most common form.[6,7] IOP reduction, through medication or surgery, helps delay disease progression.[8] Medication is generally the first line treatment, but the progressive addition of multiple drops can burden patients with side effects, compliance challenges and costs.[6,8] Invasive surgery can present risks with irreversible complications.[6,8] MIGS is the most promising and fastest-growing glaucoma therapy due to its enhanced safety profile.[8] MINIject is potentially best-in-class for its promising long-term efficacy and safety.


[1] Lass, J.H., Benetz, B.A., He, J., et al. Corneal Endothelial Cell Loss and Morphometric Changes 5 Years after Phacoemulsification with or without CyPass Micro-Stent. Am J Ophthalmol, 2019; 208: 211–218, doi: 10.1016/j/ajo.2019.07.016.

[2] HORIZON data submitted to FDA:

[3] iStent inject data submitted to FDA:

[4] Grierson, I., Minckler, D., Rippy, M.K., et al. A novel suprachoroidal microinvasive glaucoma implant: in vivo biocompatibility and biointegration. BMC Biomed Eng, 2020; 2, 10, doi: 10.1186/s42490-020-00045-1.

[5] Denis, P., Hirneiß, C., Durr, G.M., et al. Two-year outcomes of the MINIject drainage system for uncontrolled glaucoma from the STAR-I first-in-human trial. Br J Ophthalmol. 2020; 0:1–6, doi: 10.1136/bjophthalmol-2020-316888

[6] Market Scope, “Glaucoma Surgical Device Market Report”, August 2020.

[7] Jonas JB, Aung T, Bourne RR et al. “Glaucoma”. Lancet 2017; 390: 2083–93

[8] European Glaucoma Society, “Terminology and Guidelines for Glaucoma”, 4th Edition: B J Ophthalmol. 2017; 101:1-195, doi: 10.1136/bjophthalmol-2016-EGSguideline.002



Download PDF download_iconEN
Share this entry
scroll to up
Sign up to receive company news alerts