NCT07641296

Brief Summary

The goal of this clinical trial is to learn if two different doses of the SpyGlass Bimatoprost-Drug Ring System (BIM-DRS) work to treat adult pseudophakic patients with either glaucoma or ocular hypertension. The main question it aims to answer is: Does the BIM-DRS lower the pressure inside the eye to treat glaucoma or ocular hypertension? Researchers will compare two different doses of the BIM-DRS implanted either with a pre-existing commercially available monofocal intraocular lens (IOL) or concurrently with the SpyGlass IOL (IOL with silicone pads (no drug)). Participants will:

  • Upon providing informed consent and successfully completing the screening visit, stop taking their IOP lowering medications in the eye to be treated.
  • Complete a baseline visit to further evaluate eligibility in the study eye.
  • Undergo surgery to implant the BIM-DRS (BIM-DRS and SpyGlass IOL for Cohorts 3 and 4). Only one eye of each participant will be treated.
  • Complete post-operative follow-up visits for evaluation at Day 1, Week 2, Week 6, Month 3, Month 6, Month 12, Month 18, Month 24, Month 30, and Month 36 (last study visit).

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
24

participants targeted

Target at P25-P50 for phase_1

Timeline
45mo left

Started Jul 2026

Typical duration for phase_1

Status
not yet 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

First Submitted

Initial submission to the registry

May 27, 2026

Completed
15 days until next milestone

First Posted

Study publicly available on registry

June 11, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

July 31, 2026

Expected
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2027

3.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2030

Last Updated

June 11, 2026

Status Verified

June 1, 2026

Enrollment Period

7 months

First QC Date

May 27, 2026

Last Update Submit

June 8, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean IOP change from Baseline (mmHg)

    Postoperative Week 2, Week 6, and Month 3.

Secondary Outcomes (5)

  • Mean IOP (mmHg)

    Postoperative Week 2, Week 6, and Months 3, 6, 12, 18, 24, 30, and 36

  • Mean IOP change from Baseline (mmHg)

    Postoperative Months 6, 12, 18, 24, 30, and 36

  • Mean IOP change from Baseline

    Postoperative Months 6, 12, 18, 24, 30, and 36

  • Time to postoperative introduction of additional IOP-lowering medication

    Postoperative Day 1, Week 2, Week 6, Month 3, Month 6, Month 12, Month 18, Month 24, Month 30, and Month 36

  • Number of additional IOP-lowering medications introduced

    Postoperative Months 3, 6, 12, 18, 24, 30, and 36

Study Arms (4)

Bimatoprost-Drug Ring System Low Dose and Previously Implanted Commercially Available Monofocal IOL

EXPERIMENTAL
Drug: BIM-DRS Low Dose

Bimatoprost-Drug Ring System High Dose and Previously Implanted Commercially Available Monofocal IOL

EXPERIMENTAL
Drug: BIM-DRS High Dose

Bimatoprost-Drug Ring System Low Dose with SpyGlass IOL (IOL with silicone pads (no drug))

EXPERIMENTAL
Drug: BIM-DRS Low DoseDevice: SpyGlass IOL with silicone pads (no drug)

Bimatoprost-Drug Ring System High Dose with SpyGlass IOL (IOL with silicone pads (no drug))

EXPERIMENTAL
Drug: BIM-DRS High DoseDevice: SpyGlass IOL with silicone pads (no drug)

Interventions

Bimatoprost-Drug Ring System Low Dose

Bimatoprost-Drug Ring System Low Dose and Previously Implanted Commercially Available Monofocal IOLBimatoprost-Drug Ring System Low Dose with SpyGlass IOL (IOL with silicone pads (no drug))

Bimatoprost-Drug Ring System High Dose

Bimatoprost-Drug Ring System High Dose and Previously Implanted Commercially Available Monofocal IOLBimatoprost-Drug Ring System High Dose with SpyGlass IOL (IOL with silicone pads (no drug))

SpyGlass Intraocular Lens with silicone pads (no drug)

Bimatoprost-Drug Ring System High Dose with SpyGlass IOL (IOL with silicone pads (no drug))Bimatoprost-Drug Ring System Low Dose with SpyGlass IOL (IOL with silicone pads (no drug))

Eligibility Criteria

Age22 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of mild to moderate open-angle glaucoma or ocular hypertension
  • Pseudophakic or planned removal of cataract
  • Female participants of childbearing potential must have a negative urine pregnancy test at the baseline visit and agree to the use of contraception

You may not qualify if:

  • Uncontrolled systemic disease
  • History of incisional/refractive corneal surgery
  • Any glaucoma diagnosis other than OHT, open-angle, or pigmentary glaucoma
  • History of incisional glaucoma surgery
  • Other ocular diseases, pathology, or conditions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

GlaucomaOcular Hypertension

Condition Hierarchy (Ancestors)

Eye Diseases

Central Study Contacts

Sr. Vice President, Clinical Development

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
To minimize bias, IOP will be measured by 2 observers - one observer will perform measurements (unmasked to treatment), while the second observer will record the measurements (masked to treatment)
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 27, 2026

First Posted

June 11, 2026

Study Start (Estimated)

July 31, 2026

Primary Completion (Estimated)

February 28, 2027

Study Completion (Estimated)

March 31, 2030

Last Updated

June 11, 2026

Record last verified: 2026-06