NCT01978015

Brief Summary

Glaucoma, a progressive optic disc neuropathy causing visual field reduction, is the second leading cause of world blindness. The treatment of glaucoma is mainly based in reducing intraocular pressure (IOP) with topical medications. Many patients required two or more medications to achieve a target IOP. Combinations of B-blockers and prostaglandin analogs (PGA) are frequently used in clinical practice because their additive effect in lowering IOP levels. The aim of this study was to investigate the effects of fixed combinations of timolol maleate and PGA on the blood-aqueous barrier and evaluate the measurement of foveal thickness in pseudophakic patients with primary open-angle glaucoma (POAG).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
69

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Oct 2011

Geographic Reach
1 country

1 active site

Status
completed

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

October 1, 2011

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2012

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2013

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

October 25, 2013

Completed
13 days until next milestone

First Posted

Study publicly available on registry

November 7, 2013

Completed
Last Updated

November 7, 2013

Status Verified

October 1, 2013

Enrollment Period

9 months

First QC Date

October 25, 2013

Last Update Submit

October 31, 2013

Conditions

Keywords

primary open angle glaucomatimololprostaglandin analogues

Outcome Measures

Primary Outcomes (1)

  • Change of mean flare values from baseline at 6 months

    A flare measure of a laser flare meter (FM 500; Kowa Co Ltd, Tokyo, Japan) was used to determine the status of the blood-aqueous barrier at all follow-up visits. According to information provided by the manufacturer, flare readings greater than 26 photon counts per millisecond (p/ms) are indicative of a disruption in the blood-aqueous barrier.

    Flare measurements occurred at baseline; after 15 days; and after 1, 2, 3, 4, 5, and 6 months of treatment

Secondary Outcomes (1)

  • Change of mean macular thickness values from baseline at 6 months

    Macular optical coherence tomography images were taken at baseline, after one month and six months of treatment, or if a patient has reduced visual acuity during follow-up

Study Arms (4)

latanoprost and timolol maleate fixed combination

EXPERIMENTAL

Latanoprost 0.005% and timolol maleate 0,5% fixed combination was dropped once daily at 8 p.m. for 6 months

Drug: latanoprost and maleate timolol fixed combination

bimatoprost and timolol maleate fixed combination

EXPERIMENTAL

bimatoprost 0.03% and timolol maleate 0,5% fixed combination was dropped once daily at 8 p.m. for 6 months

Drug: bimatoprost and timolol maleate fixed combination

dextran and hypromellose

PLACEBO COMPARATOR

A control group of patients with POAG and pseudophakic after trabeculectomy without medication. These patients received a lubricant drop twice daily at 8 a.m. and 8 p.m. for 6 months

Drug: dextran and hypromellose

travoprost and timolol maleate fixed combination

EXPERIMENTAL

Travoprost 0.004% and timolol maleate 0,5% fixed combination was dropped once daily at 8 p.m. for 6 months

Drug: travoprost and timolol maleate fixed combination

Interventions

travoprost 0.004% and timolol maleate 0,5%, 1 eye drop at 8p.m. for 6 months

Also known as: Duo-travatan
travoprost and timolol maleate fixed combination

Latanoprost 0.005% and timolol maleate 0,5%, 1 eye drop at 8 p.m for 6 months

Also known as: Xalacom
latanoprost and timolol maleate fixed combination

bimatoprost0.03% and timolol maleate 0,5%, 1 eye drop at 8 p.m for 6 months

Also known as: Ganfort
bimatoprost and timolol maleate fixed combination

Dextran 70 and hypromellose, lubricant eye drop at 8 a.m and 8 p.m for 6 months

Also known as: Lacribell
dextran and hypromellose

Eligibility Criteria

Age18 Years - 95 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital de Clínicas, UNICAMP

Campinas, São Paulo, 13083-888, Brazil

Location

MeSH Terms

Conditions

Uveitis, AnteriorMacular EdemaGlaucoma, Open-Angle

Interventions

TravoprostLatanoprostXalacomBimatoprostGanfortDextransHypromellose Derivatives

Condition Hierarchy (Ancestors)

PanuveitisUveitisUveal DiseasesEye DiseasesMacular DegenerationRetinal DegenerationRetinal DiseasesGlaucomaOcular Hypertension

Intervention Hierarchy (Ancestors)

CloprostenolProstaglandins F, SyntheticProstaglandins, SyntheticProstaglandinsEicosanoidsFatty Acids, UnsaturatedFatty AcidsLipidsAutacoidsInflammation MediatorsBiological FactorsAmidesOrganic ChemicalsGlucansBiopolymersPolymersMacromolecular SubstancesPolysaccharidesCarbohydratesCelluloseBiomedical and Dental MaterialsManufactured MaterialsTechnology, Industry, and Agriculture

Study Officials

  • Alana M Santana, MD

    University of Campinas, Brazil

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Santana AM

Study Record Dates

First Submitted

October 25, 2013

First Posted

November 7, 2013

Study Start

October 1, 2011

Primary Completion

July 1, 2012

Study Completion

January 1, 2013

Last Updated

November 7, 2013

Record last verified: 2013-10

Locations