24-Hour Intraocular Pressure Control With Bimatoprost/Timolol Versus Latanoprost as First Choice
1 other identifier
interventional
37
1 country
1
Brief Summary
The primary objective of this crossover 24-hour Intraocular Pressure (IOP) trial is to compare the control obtained after 3 months of therapy with the bimatoprost/timolol fixed combination (BTFC, Ganfort) given once in the evening (20:00) versus latanoprost (Xalatan) administered once in the evening (20:00) in newly-diagnosed patients with exfoliation syndrome (XFS) and ocular hypertension, or exfoliative glaucoma (XFG) previously untreated and IOP greater than 29 mm Hg.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Apr 2010
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2011
CompletedFirst Submitted
Initial submission to the registry
September 26, 2011
CompletedFirst Posted
Study publicly available on registry
October 7, 2011
CompletedMay 12, 2014
May 1, 2014
11 months
September 26, 2011
May 9, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
24-hour IOP reduction between the two medications
Bimatoprost/Timolol will obtain a statistically greater 24-hour IOP reduction than latanoprost and the mean 24-hour IOP difference between the two medications will be clinically meaningful (at least 2 mm Hg).
3 months
Study Arms (2)
Bimatoprost/Timolol drops
ACTIVE COMPARATORThe patients will be treated with bimatoprost/timolol fixed combination therapy
Latanoprost drops
ACTIVE COMPARATORThe patients will be crossed over to therapy with latanoprost
Interventions
Administered once in the evening
assessment of 24-hour efficacy for the two drugs after 3 months of chronic dosing
Eligibility Criteria
You may qualify if:
- Patient has exfoliation syndrome with ocular hypertension, or exfoliative glaucoma and is older than 29 years
- Patient is newly diagnosed, or currently untreated and exhibits untreated morning IOP (2 separate IOP readings at 10:00)greater than 29 mm Hg in the study eye
- Study patients should have mild to moderate exfoliative glaucoma (VF loss \<12 dB; cupping 0.8 or less)
- Patient with exfoliation syndrome should fulfill the IOP criterion (IOP \> 29 mm Hg at 10:00)
- Patient deemed by investigator to require significant IOP reduction to obtain desired target IOP
- Patient agrees to be treated for at least 3 months with latanoprost and bimatoprost/timolol fixed combination drops dosed in the evening
- In study eye distance best corrected Snelen visual acuity greater than 1/10
You may not qualify if:
- Contraindications to therapy with latanoprost, bimatoprost, or β-blockers
- History of non-adherence or previously recorded evidence of lack of response (\<10% morning IOP reduction) to any antiglaucoma medication
- Patient can not understand the instructions and adhere to medications
- Patient is a female of childbearing potential or lactating mother
- Past history of trauma, inflammation, surgery, past use of steroids (within 2 months), severe dry eyes and use of contact lenses
- Signs of ocular infection, except blepharitis, or corneal abnormality that may affect IOP measurements
- The other eye can not receive the same therapy, or remain without medical therapy
- Closed angles
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Glaucoma Unit, 1st University Department of Ophthalmology
Thessaloniki, Greece
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Anastasios G Konstas, MD, PhD
Glaucoma Unit, 1st University Department of Ophthalmology
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor in Ophthalmology
Study Record Dates
First Submitted
September 26, 2011
First Posted
October 7, 2011
Study Start
April 1, 2010
Primary Completion
March 1, 2011
Study Completion
March 1, 2011
Last Updated
May 12, 2014
Record last verified: 2014-05