The Diurnal and Nocturnal Effect of Pilocarpine on Intraocular Pressure and Ocular Perfusion Pressure
2 other identifiers
interventional
27
1 country
1
Brief Summary
The aim of this study will be to determine the effects of pilocarpine as an adjunct medication to latanoprost monotherapy at multiple intervals throughout a 24-hour period and compare these effects to latanoprost alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jul 2016
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
First Submitted
Initial submission to the registry
April 20, 2016
CompletedFirst Posted
Study publicly available on registry
April 28, 2016
CompletedStudy Start
First participant enrolled
July 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
February 21, 2018
CompletedResults Posted
Study results publicly available
November 7, 2019
CompletedNovember 7, 2019
October 1, 2019
1.4 years
April 20, 2016
June 26, 2019
October 16, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Intraocular Pressure From Baseline at Visit 3
Subjects will be enrolled at the first visit. Patients already on latanoprost may proceed immediately with the second visit. Patients on a different prostaglandin analog medication will be switched to latanoprost for at least 6 weeks. At second visit, intraocular pressure and blood pressure will be measured every 2 hours for a 24-hour period. At any point over the next 4 weeks, another 24-hour visit will be performed. This time, a dose of pilocarpine 2% will be administered at 4 different times in addition to the latanoprost . As before, intraocular pressure and blood pressure will be measured every 2 hours. After visit 3, subjects will return to their prior treatment regimen. Change in the intraocular pressure from the second and the third visit will be determined. 8 diurnal readings and 4 nocturnal readings were averaged separately during both Visit 2 for the PGA Monotherapy and Visit 3 for Pilocarpine+PGA
Two 24-hour visits: Baseline/Visit 2; Up to week 4/Visit 3
Secondary Outcomes (1)
Change in Ocular Perfusion Pressure
Two 24-hour visits: Baseline/Visit 2; Up to week 4/Visit 3
Study Arms (1)
Pilocarpine group
EXPERIMENTALSubjects with open-angle glaucoma and ocular hypertension that are currently taking latanoprost
Interventions
Pilocarpine will be administered 4 times in addition to latanoprost.
Eligibility Criteria
You may qualify if:
- Current confirmed diagnosis of:
- open angle glaucoma, or
- ocular hypertension including pigment dispersion glaucoma, and
- pseudoexfoliation glaucoma.
- Current use of topical latanoprost once a day in both eyes for at least 6 weeks
- any race/ethnicity
You may not qualify if:
- Females who are currently pregnant or planning to become pregnant during the study period
- Diagnosis of any other form of glaucoma other than open-angle
- Intraocular pressure readings of \<14mmHg in either eye when measured during routine office visit in the past 12 months.
- Schaffer angle grade \< 2 in either eye by gonioscopy
- Intraocular surgery within 6 months or laser within 3 months
- History of retinal tear or detachment in either eye
- Active iritis in either eye as determined by most recent eye examination
- Patients who smoke or have irregular daily sleep patterns
- Patients who have started or changed glucocorticoids therapy in the last 3 months
- Patients who are currently using medical or recreational marijuana
- Any use of a non-FDA approved medication for glaucoma in the last 3 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Colorado Denver Eye Hospital
Denver, Colorado, 80045, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Rachel Gerle
- Organization
- University of Colorado
Study Officials
- PRINCIPAL INVESTIGATOR
Leonard Seibold, MD
University of Colorado, Denver
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 20, 2016
First Posted
April 28, 2016
Study Start
July 1, 2016
Primary Completion
December 1, 2017
Study Completion
February 21, 2018
Last Updated
November 7, 2019
Results First Posted
November 7, 2019
Record last verified: 2019-10
Data Sharing
- IPD Sharing
- Will not share