MedPath

Comparison of Bimatoprost Sustained Release (SR) to Selective Laser Trabeculoplasty (SLT) in Adults With Open-Angle Glaucoma or Ocular Hypertension

Phase 3
Completed
Conditions
Glaucoma, Open-Angle
Ocular Hypertension
Interventions
Procedure: Selective Laser Trabeculoplasty
Procedure: Sham Selective Laser Trabeculoplasty
Registration Number
NCT02507687
Lead Sponsor
AbbVie
Brief Summary

This study will evaluate the intraocular pressure (IOP)-lowering effect and safety of bimatoprost SR compared with selective laser trabeculoplasty in patients with open-angle glaucoma or ocular hypertension who are not adequately managed with topical IOP-lowering medication for reasons other than medication efficacy (e.g., due to intolerance or nonadherence).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Diagnosis of either open-angle glaucoma or ocular hypertension in each eye that require IOP lowering treatment.
  • In the investigator's opinion, patient's IOP is not adequately managed with topical medication for reasons other than medication efficacy (eg, due to intolerance or nonadherence).
  • In the investigator's opinion, both eyes can be treated adequately with topical prostamide, prostaglandin, or prostaglandin analog eye drops as the sole therapy if medication was taken as directed, or with SLT monotherapy.
Exclusion Criteria
  • History of previous laser trabeculoplasty
  • History or evidence of complicated cataract surgery: eg, surgery resulting in complicated lens placement (such as anterior chamber intraocular lens implant [IOL], sulcus IOL, aphakia, etc) or intraoperative complications (such as a posterior capsular tear [with or without vitreous loss], substantial iris trauma, etc) or history of phakic IOL insertion for refractive error correction
  • Intraocular surgery (including cataract surgery) and/or any ocular laser surgery within the 6 months prior to treatment
  • Previous use of commercially available Bimatoprost SR; concurrent enrollment in another Allergan Bimatoprost SR study; or previous enrollment in which an implant was received.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye)Sham Bimatoprost SRParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Selective laser trabeculoplasty (SLT) administered on Day 1 followed by up to three sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye)Selective Laser TrabeculoplastyParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Selective laser trabeculoplasty (SLT) administered on Day 1 followed by up to three sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye)Sham Selective Laser TrabeculoplastyParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Selective laser trabeculoplasty (SLT) administered on Day 1 followed by up to three sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Sham Bimatoprost SRParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to three sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Selective Laser TrabeculoplastyParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to three sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Sham Selective Laser TrabeculoplastyParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to three sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye)Sham Bimatoprost SRParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria are met.
Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye)Selective Laser TrabeculoplastyParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria are met.
Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye)Sham Selective Laser TrabeculoplastyParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria are met.
Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye)Sham Bimatoprost SRParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria were met.
Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye)Selective Laser TrabeculoplastyParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria were met.
Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye)Sham Selective Laser TrabeculoplastyParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria were met.
Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Bimatoprost SRParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to three sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye)Bimatoprost SRParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Selective laser trabeculoplasty (SLT) administered on Day 1 followed by up to three sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only).
Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye)Bimatoprost SRParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria are met.
Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye)Bimatoprost SRParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria were met.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Intraocular Pressure at Week 4Baseline and Week 4

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. A mixed-effects model with repeated measures (MMRM) was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Change From Baseline in Intraocular Pressure at Week 12Baseline and Week 12

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Change From Baseline in Intraocular Pressure at Week 24Baseline and Week 24

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Secondary Outcome Measures
NameTimeMethod
Time to Initial Use of Non-study IOP-lowering TreatmentFrom first administration of study treatment to the end of study; overall median follow-up time of 728 days.

The time from the date of initial treatment to the date date of first use of non-study IOP-lowering treatment (rescue) was analyzed using the Kaplan-Meier method.

If a participant did not use any non-study IOP-lowering treatment in an eye, then the event (initial use of non-study IOP-lowering treatment) time was censored at the study exit date or the last visit date if the study exit date was not available.

Percentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleBaseline, Day 2, Weeks 4, 8, 12, 15, 20, 24, 28, 31, 36, 40, 44, 47, 52, Months 13, 14, 15, 16, 18, 20, 22, 24

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer.

For by-cycle analyses, cycle number refers to the administration cycle for bimatoprost SR, or sham bimatoprost SR administration in SLT-treated eyes. For SLT-treated eyes cycle number does not refer to SLT administrations, because SLT was only performed once (Day 1). The Day/Week number refers to the number of days/weeks after bimatoprost SR/sham bimatoprost SR administration.

IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Change From Baseline in IOP at Weeks 8, 15, and 20Baseline and Weeks 8, 15, and 20

IOP was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Trial Locations

Locations (95)

Wolstan & Goldberg Eye Associates /ID# 235166

🇺🇸

Torrance, California, United States

Trinity Research Group /ID# 234598

🇺🇸

Dothan, Alabama, United States

Houston Eye Associates /ID# 237883

🇺🇸

Houston, Texas, United States

Queen Mary's Hospital /ID# 234899

🇬🇧

Greater London, Kent, United Kingdom

Arizona Glaucoma Specialists /ID# 235066

🇺🇸

Phoenix, Arizona, United States

Pacific Eye Associates /ID# 235326

🇺🇸

San Francisco, California, United States

San Antonio Eye Center /ID# 235632

🇺🇸

San Antonio, Texas, United States

Medical Center Ophthalmology Associates /ID# 235016

🇺🇸

San Antonio, Texas, United States

Speciality Eye Care Medical Group /ID# 236001

🇺🇸

Glendale, California, United States

Segal Drug Trials Inc. /ID# 235169

🇺🇸

Delray Beach, Florida, United States

Levenson Eye Associates Inc. /ID# 235021

🇺🇸

Jacksonville, Florida, United States

Clayton Eye Clinical Research, LLC /ID# 236678

🇺🇸

Morrow, Georgia, United States

Eye Care Specialists /ID# 235129

🇺🇸

Kingston, Pennsylvania, United States

Baylor College of Medicine - Baylor Medical Center /ID# 237148

🇺🇸

Houston, Texas, United States

Albemarle Clinical Trials LLC /ID# 235144

🇺🇸

Elizabeth City, North Carolina, United States

Scott and Christie and Associates /ID# 234594

🇺🇸

Cranberry Township, Pennsylvania, United States

Emerson Clinical Research Institute /ID# 235977

🇺🇸

Falls Church, Virginia, United States

Oklahoma Eye Surgeons /ID# 235848

🇺🇸

Oklahoma City, Oklahoma, United States

Eye associates /ID# 236501

🇺🇸

San Antonio, Texas, United States

Eye Associates of New Mexico /ID# 235115

🇺🇸

Albuquerque, New Mexico, United States

Wills Eye Hospital /ID# 236487

🇺🇸

Philadelphia, Pennsylvania, United States

Eye Surgery Associates /ID# 235872

🇦🇺

East Melbourne, Victoria, Australia

Rabin Medical Center /ID# 237698

🇮🇱

Petakh Tikva, Israel

Southern Eye Specialists /ID# 236081

🇳🇿

Christchurch, Canterbury, New Zealand

Polyclinique de la Baie /ID# 235842

🇫🇷

Avranches, France

CHU Strasbourg - Hopital Civil /ID# 237837

🇫🇷

Strasbourg cedex, France

Chu Angers /Id# 237805

🇫🇷

Angers, France

The Lions Eye Institute /ID# 236832

🇦🇺

Nedlands, Western Australia, Australia

Geelong Eye Clinic /ID# 236118

🇦🇺

Geelong, Australia

Vision Eye Institute /ID# 236003

🇦🇺

Melbourne, Australia

Tel Aviv Sourasky Medical Center /ID# 237211

🇮🇱

Tel Aviv-Yafo, Tel-Aviv, Israel

Clinique Honore Cave - Pharmacie /ID# 235925

🇫🇷

Montauban, France

CHU de Nice - Hospital Pasteur 2 /ID# 235844

🇫🇷

Nice, France

Cambridge University Hospitals NHS Foundation Trust /ID# 238315

🇬🇧

Cambridge, United Kingdom

Rigshospitalet Glostrup /ID# 237709

🇩🇰

Glostrup, Hovedstaden, Denmark

Ophthalmology Clinic Bellevue /ID# 234631

🇨🇦

Montreal, Quebec, Canada

Moorfields Eye Hospital NHS Foundation Trust /ID# 237708

🇬🇧

London, United Kingdom

NHS Lothian /ID# 237450

🇬🇧

Edinburgh, United Kingdom

Imperial College Healthcare NHS Trust /ID# 234777

🇬🇧

London, United Kingdom

Manchester University NHS Foundation Trust /ID# 237318

🇬🇧

Manchester, United Kingdom

Chu Toulouse Purpan - Hopital Pierre Paul Riquet /ID# 235841

🇫🇷

Toulouse, France

Arizona Advanced Eye Research Institute /ID# 234947

🇺🇸

Glendale, Arizona, United States

M&M Eye Institute /ID# 235391

🇺🇸

Prescott, Arizona, United States

Orange County Ophthalmology /ID# 235995

🇺🇸

Garden Grove, California, United States

Lakeside Vision Center /ID# 234971

🇺🇸

Irvine, California, United States

Walman Eye Center /ID# 236054

🇺🇸

Sun City, Arizona, United States

California Center for Clin Res /ID# 237412

🇺🇸

Arcadia, California, United States

Lugene Eye Institute /ID# 237042

🇺🇸

Glendale, California, United States

North Bay Eye Associates Inc. /ID# 235429

🇺🇸

Petaluma, California, United States

California Eye Specialists Medical Group Inc. /ID# 235999

🇺🇸

Pasadena, California, United States

University of Florida /ID# 236876

🇺🇸

Jacksonville, Florida, United States

Eye Associates of South West Florida /ID# 235424

🇺🇸

Fort Myers, Florida, United States

Ocala Eye PA /ID# 235431

🇺🇸

Ocala, Florida, United States

Cincinnati Eye Institute- Edgewood /ID# 236714

🇺🇸

Edgewood, Kentucky, United States

University of Illinois at Chicago Illinois Eye and Ear Infirmary /ID# 234875

🇺🇸

Chicago, Illinois, United States

Sabates Eye Centers /ID# 234868

🇺🇸

Leawood, Kansas, United States

Advanced Glaucoma Specialists /ID# 234799

🇺🇸

Reading, Massachusetts, United States

Fraser Eye Center /ID# 235791

🇺🇸

Fraser, Michigan, United States

Northern New Jersey Eye Institute PA /ID# 234944

🇺🇸

South Orange, New Jersey, United States

Bagan Strinden Vision /ID# 234898

🇺🇸

Fargo, North Dakota, United States

Midwest Vision Research Foundation at Pepose Vision Institute /ID# 235879

🇺🇸

Chesterfield, Missouri, United States

Family Eye Group P.C. /ID# 236114

🇺🇸

Lancaster, Pennsylvania, United States

Chattanooga Eye Institute /ID# 235250

🇺🇸

Chattanooga, Tennessee, United States

Piedmont Eye Center /ID# 234533

🇺🇸

Lynchburg, Virginia, United States

West Virginia University Eye Institute /ID# 235174

🇺🇸

Morgantown, West Virginia, United States

Melbourne Eye Specialists /ID# 234614

🇦🇺

Fitzroy, Victoria, Australia

Waverley Eye Clinic /ID# 234997

🇦🇺

Glen Waverley, Victoria, Australia

Essendon Eye Clinic /ID# 235433

🇦🇺

Essendon, Australia

CHU Bordeaux - Hopital Pellegrin /ID# 237705

🇫🇷

Bordeaux, France

Internationale Innovative Ophthalmochirurgie /ID# 235263

🇩🇪

Dusseldorf, Nordrhein-Westfalen, Germany

Universitaetsklinikum Magdeburg /ID# 237284

🇩🇪

Magdeburg, Germany

Rambam Health Care Campus /ID# 237741

🇮🇱

Haifa, Israel

Capital Eye Specialists /ID# 236111

🇳🇿

Wellington, New Zealand

Galilee Medical Center /ID# 235742

🇮🇱

Nahariya, Israel

Auckland Eye Hospital /ID# 235253

🇳🇿

Remuera, Auckland, New Zealand

Peregrine Eye and Laser Institute /ID# 236220

🇵🇭

Makati City, Philippines

American Eye Center /ID# 235320

🇵🇭

Makati City, Philippines

Asian Eye Institute /ID# 235092

🇵🇭

Makati City, Philippines

Cardinal Santos Medical Center /ID# 235325

🇵🇭

San Juan City, Philippines

Clinical ophthalmology hospital n.a. V.P. Vihodtsev. /ID# 236041

🇷🇺

Omsk, Russian Federation

Samara State Medical University /ID# 236997

🇷🇺

Samara, Russian Federation

Guys and St Thomas NHS Foundation Trust /ID# 236806

🇬🇧

London, London, City Of, United Kingdom

University Hospital of Derby and Burton NHS Foundation Trust /ID# 237129

🇬🇧

Derby, Derbyshire, United Kingdom

Epsom & St Helier University Hospital NHS Trust /ID# 236902

🇬🇧

Carshalton, Surrey, United Kingdom

Duplicate_Cornerstone Eye Care /ID# 235047

🇺🇸

High Point, North Carolina, United States

Carolinas Centers for Sight,PC /ID# 237017

🇺🇸

Florence, South Carolina, United States

Cross Eye Center /ID# 236116

🇺🇸

Bellaire, Texas, United States

Queensland Eye Institute /ID# 236074

🇦🇺

South Brisbane, Queensland, Australia

The Lady Davis Carmel Medical Center /ID# 236757

🇮🇱

Haifa, Israel

Dr. Andrew Gardner Logan, FL /ID# 236946

🇺🇸

Tamarac, Florida, United States

Charite Universitaetsklinikum Berlin - Campus Virchow /ID# 235966

🇩🇪

Berlin, Germany

Centrum Diagnostyki i Mikrochirurgii Oka - LENS dr n. med. Slawomir Zalewski /ID# 235929

🇵🇱

Olsztyn, Poland

University of South Florida /ID# 237737

🇺🇸

Tampa, Florida, United States

The Eye Care Institute /ID# 236690

🇺🇸

Louisville, Kentucky, United States

ATX Clinical Trials Inc. dba Keystone Research /ID# 235869

🇺🇸

Austin, Texas, United States

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