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临床试验/NCT06792422
NCT06792422招募中4 期

Additive Benefits of Semaglutide for Open-AngLe Glaucoma - an Opportunity for Neuroprotection

Glostrup University Hospital, Copenhagen1 个研究点 分布在 1 个国家目标入组 126 人开始时间: 2025年1月最近更新:
适应症
干预措施

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
126
试验地点
1
主要终点
Photopic negative response of the electroretinogram after 6 months

研究概览

简要总结

The aim of this clinical trial is to investigate whether oral semaglutide can be used to treat open-angle glaucoma. The main question it aims to answer is: Does oral semaglutide safely improve inner retinal function in patients with open-angle glaucoma as measured by the photopic negative response of the electroretinogram.

Researchers will compare oral semaglutide to a placebo (a look-alike substance that contains no drug).

Participants will:

  • Take semaglutide or a placebo every day for 6 months.
  • Visit the clinic 5 times in total for tests and interviews: At baseline (the first day they are included in the study), after 1 month, after 2 months, after 3 months, and after 6 months (the last day they are included in the study).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
45 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Ability to read and speak Danish
  • 45 years or older at the time of inclusion
  • Visual acuity equal to or above 0.5 in the study eye
  • Diagnosis of POAG with MD ≤ 16 dB with repeatable and reliable (false positive less than 15 %) VF loss measured by standard automated perimetry on at least one eye
  • Receiving IOP-lowering glaucoma treatment
  • Nerve fiber layer defects identified by OCT

排除标准

  • Diabetes or renal impairment
  • Medical history of significant eye disease (including ocular trauma) other than glaucoma
  • Ocular inflammation/infection within three months from inclusion
  • Intraocular surgery 3 months before inclusion
  • Smoker at the time of inclusion
  • Pregnant or breast-feeding
  • Females of childbearing potential who are not using adequate contraceptive, which includes the following: Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation: oral, intravaginal, or transdermal, progestogen-only hormonal contraception associated with inhibition of ovulation: oral, injectable, or implantable; Intrauterine device (IUD); Intrauterine hormone-releasing system (IUS); Bilateral tubal occlusion; Vasectomised partner; Sexual abstinence
  • Subjects allergic to drug ingredients administered during the trial
  • Subjects with untreated severe systemic disease or malignancies
  • Previous history of pancreatitis
  • BMI < 18.5
  • Subjects receiving treatment with: Dipeptidyl peptidase-4 inhibitors; Other GLP-1RAs; Insulin; Insulin analogues; Sulfonylurea; Systemic corticosteroids; Immunosuppressants

研究组 & 干预措施

Oral Semaglutide

Experimental

Participants are given oral semaglutide once daily.

干预措施: Oral semaglutide (Drug)

Placebo

Placebo Comparator

Participants are given oral placebo once daily.

干预措施: Placebo (Drug)

结局指标

主要结局

Photopic negative response of the electroretinogram after 6 months

时间窗: From baseline to month 6.

Change in the inner retinal function assessed by mean change in the photopic negative response of the electroretinogram.

次要结局

  • Photopic negative response of the electroretinogram after 3 months(From baseline to month 3.)
  • Pelli-Robson chart contrast sensitivity test(From baseline to month 6.)
  • Health-related quality of life (HRQoL)(From baseline to month 6.)
  • Number of treatment-related adverse events as assessed by CTCAE v5.0(From baseline to month 6.)

研究者

发起方
Glostrup University Hospital, Copenhagen
申办方类型
Other
责任方
Principal Investigator
主要研究者

Miriam Kolko

Professor in Translational Eye Research, Chief Physician.

Rigshospitalet, Denmark

研究点 (1)

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