NCT05821855

Brief Summary

Glaucoma is the second most common cause of blindness in the world, second only to cataracts. The purpose of this study is to assess adverse events (AEs) and changes in disease activity in participants with open-angle glaucoma (OAG) receiving the XEN45 Glaucoma Treatment System (XEN45). XEN45 is an approved device for the treatment of OAG in participants in China who have not achieved satisfactory effectiveness with or are not suitable for intraocular pressure (IOP)-lowering medication, laser surgery, or are not tolerant of traditional filtration surgery. Adult participants with a diagnosis of OAG will be randomized to receive either XEN 45 or trabeculectomy. Around 130 participants will be enrolled in the study at approximately 15 sites in China. Participants will receive XEN45 implanted using the ab interno approach or trabeculectomy on Day 1 and will be followed for 60 months An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for phase_4

Timeline
51mo left

Started Jan 2024

Longer than P75 for phase_4

Geographic Reach
1 country

13 active sites

Status
active not recruiting

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 Progress36%
Jan 2024Jul 2030

First Submitted

Initial submission to the registry

March 23, 2023

Completed
28 days until next milestone

First Posted

Study publicly available on registry

April 20, 2023

Completed
9 months until next milestone

Study Start

First participant enrolled

January 9, 2024

Completed
6.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2030

Last Updated

April 28, 2026

Status Verified

April 1, 2026

Enrollment Period

6.5 years

First QC Date

March 23, 2023

Last Update Submit

April 23, 2026

Conditions

Keywords

Open-angle glaucomaOAGXEN45Intraocular pressureIOP

Outcome Measures

Primary Outcomes (2)

  • Change from Baseline in Intraocular Pressure (IOP)

    IOP is a measurement of the fluid pressure inside the study eye. A negative change from baseline indicates an improvement and a positive change from baseline indicates a worsening.

    Baseline to Month 12

  • Number of Participants with Adverse Events (AEs)

    An AE is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

    Baseline to Month 60

Secondary Outcomes (5)

  • Percentage of Participants with Treatment Response of Achieving => 20% IOP Reduction

    Baseline to Month 12

  • Change from Baseline in IOP by Visit

    Baseline to Month 12

  • Change from Baseline in Number of Topical IOP-Lowering Medications

    Baseline to Month 12

  • Percentage of Participants Achieving IOP <= 18 mm Hg and => 20% mean IOP reduction from Baseline Without Topical IOP-lowering Medications

    Baseline to Month 12

  • Percentage of Participants Achieving IOP <= 18 mm Hg and => 20% mean IOP Reduction from Baseline With Any Topical IOP-Lowering Medications

    Baseline to Month 12

Study Arms (2)

XEN45

EXPERIMENTAL

Participants will be implanted with the XEN45 glaucoma treatment system in the study eye on Day 1 and followed for 60 months.

Device: XEN45 Glaucoma Treatment System

Trabeculectomy

ACTIVE COMPARATOR

Participants will undergo trabeculectomy in the study eye on Day 1 and followed for 60 months.

Procedure: Trabeculectomy

Interventions

Ab interno implantation

XEN45

Surgical Intervention

Trabeculectomy

Eligibility Criteria

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

You may qualify if:

  • Area of healthy, free, and mobile conjunctiva in the target area in the study eye, i.e., superior bulbar conjunctiva.
  • Visible trabecular meshwork with Shaffer angle grade =\> 3 in the study eye at the Screening Visit.
  • IOP =\> 20 mm Hg and \<= 44 mm Hg for the study eye, measured by Goldmann applanation tonometer, at the Screening Visit and Baseline Visit.

You may not qualify if:

  • Active neovascular, uveitic, or angle-recession glaucoma or any glaucoma-associated vascular disorders within 6 months of the Screening Visit in the study eye.
  • Prior XEN45, transscleral cycloablative procedures (such as cyclophotocoagulation, micropulse cyclophotocoagulation, cryotherapy, ultrasonic circular cyclocoagulation \[UC3\], etc.) or prior major conjunctival surgery (i.e., scleral buckle) in the study eye.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

Peking University people s hospital /ID# 265493

Beijing, Beijing Municipality, 100044, China

Location

Peking University Third Hospital /ID# 243994

Beijing, Beijing Municipality, 100191, China

Location

Beijing Tongren Hospital Affiliated To Capital Medical University /ID# 244055

Beijing, Beijing Municipality, 100730, China

Location

The First Affiliated Hospital Of Fujian Medical University /ID# 244004

Fuzhou, Fujian, 350005, China

Location

Xiamen Eye Center of Xiamen University /ID# 244000

Xiamen, Fujian, 390000, China

Location

The Second Affiliated Hospital of Guangzhou Medical University /ID# 275493

Guangzhou, Guangdong, 510260, China

Location

Shenzhen Eye Hospital /ID# 244001

Shenzhen, Guangdong, 518034, China

Location

Tongji Hospital Tongji Medical College of HUST /ID# 243998

Wuhan, Hubei, 430030, China

Location

Qingdao Eye Hospital Of Shandong First Medical University /ID# 243992

Qingdao, Shandong, 266071, China

Location

West China Hospital, Sichuan University /ID# 243999

Chengdu, Sichuan, 610041, China

Location

Tianjin Eye Hospital /ID# 243997

Tianjin, Tianjin Municipality, 300070, China

Location

The Second Affiliated Hospital of Zhejiang University School of Medicine /ID# 243996

Hangzhou, Zhejiang, 310009, China

Location

Zhongshan Ophthalmic Center,SunYat-Sen University /ID# 243843

Guangzhou, 510623, China

Location

Related Links

MeSH Terms

Conditions

Glaucoma, Open-Angle

Interventions

Trabeculectomy

Condition Hierarchy (Ancestors)

GlaucomaOcular HypertensionEye Diseases

Intervention Hierarchy (Ancestors)

Filtering SurgeryOphthalmologic Surgical ProceduresSurgical Procedures, Operative

Study Officials

  • ABBVIE INC.

    AbbVie

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 23, 2023

First Posted

April 20, 2023

Study Start

January 9, 2024

Primary Completion (Estimated)

July 1, 2030

Study Completion (Estimated)

July 1, 2030

Last Updated

April 28, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Access Criteria
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
More information

Locations