NCT00323284

Brief Summary

The purpose of this study is to evaluate the safety and efficacy of the iStent trabecular micro-bypass stent in reducing intraocular pressure (IOP) in subjects with open-angle glaucoma or ocular hypertension and co-existing cataract.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
240

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Jun 2005

Longer than P75 for phase_3

Geographic Reach
1 country

31 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2005

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

May 6, 2006

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 9, 2006

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2009

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2010

Completed
2.6 years until next milestone

Results Posted

Study results publicly available

October 4, 2012

Completed
Last Updated

January 12, 2018

Status Verified

March 1, 2016

Enrollment Period

4.1 years

First QC Date

May 6, 2006

Results QC Date

September 4, 2012

Last Update Submit

December 14, 2017

Conditions

Keywords

Open angleGlaucomaCataractSurgery

Outcome Measures

Primary Outcomes (1)

  • Intraocular Pressure (Measured in mm Hg) Less or Equal to 21 mm Hg on no Topical Hypotensive Meds

    Subjects with an intraocular pressure (IOP) less than or equal to 21 mm Hg without use of topical hypotensive medication at 12 months

    12 months

Secondary Outcomes (1)

  • Efficacy

    12 months

Study Arms (2)

A--iStent plus Cataract Surgery

ACTIVE COMPARATOR

iStent plus Cataract Surgery

Device: iStent plus Cataract Surgery

B--Cataract Surgery Only

ACTIVE COMPARATOR

Cataract Surgery only

Procedure: Cataract surgery only

Interventions

ab interno trabecular bypass stent surgery

Also known as: iStent Surgery
A--iStent plus Cataract Surgery

Cataract surgery only

Also known as: Phacoemulsification
B--Cataract Surgery Only

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed with open-angle glaucoma (OAG) in the study eye. Pseudoexfoliative and pigmentary glaucoma are also acceptable diagnoses.
  • Subject on at least one glaucoma medication
  • Able and willing to attend follow up visits for two years post operative
  • Able and willing to sign informed consent

You may not qualify if:

  • Prior glaucoma procedures (eg trabeculectomy, viscocanalostomy, ALT, SLT, shunt implant, collagen implant, cyclo destructive procedures etc)
  • Angle closure glaucoma
  • Fellow eye already enrolled

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (31)

Assil Eye Institute

Beverly Hills, California, 90210, United States

Location

North Bay Eye Associates Inc

Petaluma, California, 94954, United States

Location

Ellison Ambulatory Care Center

Sacramento, California, 95817, United States

Location

Harvard Eye Associates

San Clemente, California, 92673, United States

Location

Shepard Eye Center

Santa Maria, California, 93454, United States

Location

Glaucoma Consultants of Colorado

Littleton, Colorado, 80120, United States

Location

Florida Eye Microsurgical Institute, Inc.

Boynton Beach, Florida, 33426, United States

Location

The Center for Excellence in Eye Care

Miami, Florida, 33176, United States

Location

International Eye Center

Tampa, Florida, 33603, United States

Location

Clayton Eye Center

Morrow, Georgia, 30260, United States

Location

Indiana University

Indianapolis, Indiana, 46260, United States

Location

Stiles Eyecare Excellence

Overland Park, Kansas, 66213, United States

Location

The Eye Care Institute Building

Louisville, Kentucky, 40206, United States

Location

Williamson Nelson Eye Center

Baton Rouge, Louisiana, 70806, United States

Location

Kresge Eye Institute

Detroit, Michigan, 48201, United States

Location

Great Lakes Eye Care

Saint Joseph, Michigan, 49085, United States

Location

Chu Vision Institute

Edina, Minnesota, 55435, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55404, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Discover Vision Centers

Independence, Missouri, 64055, United States

Location

Silverstein Eye Centers

Kansas City, Missouri, 64133, United States

Location

The Shepherd Eye Center

Las Vegas, Nevada, 89121, United States

Location

Glaucoma Consultants of Capital Region

Slingerlands, New York, 12159, United States

Location

Donald J. Digby and Associates

Greensboro, North Carolina, 27408, United States

Location

James Branch MD

Winston-Salem, North Carolina, 27101, United States

Location

Cinicinnati Eye Institute

Cincinnati, Ohio, 45242, United States

Location

Laurel Eye Center

Brookville, Pennsylvania, 15825, United States

Location

Wills Eye Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

Associates in Ophthalmology

Pittsburgh, Pennsylvania, 15122, United States

Location

UPMC Eye Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Southeast Texas Medical Association, L.L.P.

Beaumont, Texas, 77702, United States

Location

Related Publications (2)

  • Samuelson TW, Katz LJ, Wells JM, Duh YJ, Giamporcaro JE; US iStent Study Group. Randomized evaluation of the trabecular micro-bypass stent with phacoemulsification in patients with glaucoma and cataract. Ophthalmology. 2011 Mar;118(3):459-67. doi: 10.1016/j.ophtha.2010.07.007. Epub 2010 Sep 15.

  • Craven ER, Katz LJ, Wells JM, Giamporcaro JE; iStent Study Group. Cataract surgery with trabecular micro-bypass stent implantation in patients with mild-to-moderate open-angle glaucoma and cataract: two-year follow-up. J Cataract Refract Surg. 2012 Aug;38(8):1339-45. doi: 10.1016/j.jcrs.2012.03.025.

MeSH Terms

Conditions

Glaucoma, Open-AngleGlaucomaCataract

Interventions

Cataract ExtractionPhacoemulsification

Condition Hierarchy (Ancestors)

Ocular HypertensionEye DiseasesLens Diseases

Intervention Hierarchy (Ancestors)

Refractive Surgical ProceduresOphthalmologic Surgical ProceduresSurgical Procedures, OperativeUltrasonic Surgical Procedures

Limitations and Caveats

Open label given no way to mask treatment group to surgeon and visibility of iStent device upon gonioscopy.

Results Point of Contact

Title
Jeff Wells, Sr. VP, Clinical, Regulatory, and Quality Affairs
Organization
Glaukos

Study Officials

  • Jeff Wells, PharmD, MBA

    Glaukos Corporation

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
IOP measurement
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 6, 2006

First Posted

May 9, 2006

Study Start

June 1, 2005

Primary Completion

July 1, 2009

Study Completion

March 1, 2010

Last Updated

January 12, 2018

Results First Posted

October 4, 2012

Record last verified: 2016-03

Locations