NCT04454190

Brief Summary

  1. 1.The purpose of this study is to obtain genetic data on a well-defined population of patients with glaucoma that had accurate measurements of rates of structural and functional change over time.
  2. 2.The investigators aim to recruit 5,000 patients for Phase I and 100 patients for Phase II over a period of 2 years for obtaining blood samples which will be processed for extraction of DNA and genotyping. Phase II also includes eye examination. Patients will be selected from the Duke Glaucoma Registry (DGR) database and will be contacted by phone, mail or email using a standardized script and procedure.
  3. 3.Data analysis, based on patient-blind (no personal health information) data will take place at Duke and Genentech. No protected health information (PHI) will leave Duke. Standard statistical methods will be used to analyze the collected data and to develop predictive statistical models for fast progression in glaucoma. Risks from participating in the study are low and include loss of confidentiality and inherent issues related to drawing blood.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
1,152

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2021

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

June 29, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 1, 2020

Completed
1.1 years until next milestone

Study Start

First participant enrolled

July 20, 2021

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 24, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 24, 2023

Completed
Last Updated

March 25, 2024

Status Verified

March 1, 2024

Enrollment Period

1.8 years

First QC Date

June 29, 2020

Last Update Submit

March 21, 2024

Conditions

Keywords

glaucoma

Outcome Measures

Primary Outcomes (1)

  • Rates of change

    Rates of change in SAP MD (dB/year) and SD OCT RNFL (µm/year)

    1 year

Study Arms (3)

Glaucoma - Slow progressors

Rates of MD change slower than -0.50 dB/year Rates of global RNFL thickness change slower than -1.0 µm/year

Diagnostic Test: Collection of genetic material

Glaucoma - Fast progressors

Rates of MD change faster -0.50 to -2.00 dB/year Rates of global RNFL thickness change -1.0 to -4.0 µm/year

Diagnostic Test: Collection of genetic material

Glaucoma - Catastrophic progressors

Rates of MD change faster than -2.00 dB/year Rates of global RNFL thickness change faster than -4.0 µm/year

Diagnostic Test: Collection of genetic material

Interventions

Blood samples will be processed for extraction of DNA and genotyping. 10 ml of blood will be collected using standard procedures. The samples will be de-identified and receive a masked ID which will correspond to the existing masked ID in the DGR database. 2 ml will be sent to Genentech using frozen samples for genotyping using the Illumina Global Screening Array (GSA) kit. The remaining will be processed and stored at the Duke Eye Center. These samples may be maintained indefinitely or until they are exhausted. These samples will not be available for diagnostic or therapeutic purposes.

Also known as: Genetic test
Glaucoma - Catastrophic progressorsGlaucoma - Fast progressorsGlaucoma - Slow progressors

Eligibility Criteria

Age40 Years - 90 Years
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study will involve two phases. Phase I will include patients selected from the Duke Glaucoma Registry (DGR), a database of electronic medical records developed by the Vision, Imaging and Performance (VIP) Laboratory of Dr. Medeiros. The database consists of adults at least 18 years of age with glaucoma or glaucoma suspect diagnoses who were evaluated at the Duke Eye Center or its satellite clinics between 2009 and 2018. Phase II of this study will involve prospective recruitment of subjects with glaucoma for testing and validation of the predictive model from Dr Medeiros's clinic.

You may qualify if:

  • \. Subjects will be identified from a previous database search (PRO00103899) with glaucoma or suspicion of glaucoma based on International Classification of Diseases (ICD) codes at baseline.
  • Phase II:
  • Subjects must be between the ages of 40 and 90 years old;
  • Both males and females will be included.
  • Be able and willing to provide signed informed consent and follow study instructions

You may not qualify if:

  • Subjects will be excluded if they present with any systemic or ocular conditions that in the opinion of the Principal Investigator may prevent them from completing the tests (e.g. history of seizures or pathologies affecting the vestibular system or lower limbs).
  • Women of child-bearing potential will be excluded from tests that require pupil dilation, unless they have already received dilating drops as part of their standard of care.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Duke University Eye Center

Durham, North Carolina, 27705, United States

Location

Biospecimen

Retention: SAMPLES WITH DNA

10 ml of blood will be collected using standard procedures. The samples will be de-identified and receive a masked ID which will correspond to the existing masked ID in the DGR database. 2 ml will be sent to Genentech using frozen samples for genotyping using the Illumina Global Screening Array (GSA) kit. The remaining will be processed and stored at the Duke Eye Center. These samples may be maintained indefinitely or until they are exhausted. These samples will not be available for diagnostic or therapeutic purposes.

MeSH Terms

Conditions

GlaucomaGlaucoma, Open-AngleOcular Hypertension

Interventions

Genetic Testing

Condition Hierarchy (Ancestors)

Eye Diseases

Intervention Hierarchy (Ancestors)

Clinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative TechniquesGenetic TechniquesGenetic ServicesHealth ServicesHealth Care Facilities Workforce and ServicesDiagnostic ServicesPreventive Health Services

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 29, 2020

First Posted

July 1, 2020

Study Start

July 20, 2021

Primary Completion

April 24, 2023

Study Completion

April 24, 2023

Last Updated

March 25, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations