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Efficacy and Safety Study of Combigan and 0.5% Timoptic in Normal Tension Glaucoma

Phase 4
Conditions
Normal Tension Glaucoma
Interventions
Drug: Brimonidine/Timolol mixed combination
Drug: Timolol
Registration Number
NCT01446497
Lead Sponsor
Seoul National University Hospital
Brief Summary

Purpose To evaluate efficacy and safety of combigan(Brimonidine/Timolol) and 0.5% Timoptic (Timolol) ophthalmic solutions in normal tension glaucoma patients.

Detailed Description

* Normal tension glaucoma (NTG) is the major type of glaucoma in Korea. (over 90% of glaucoma type)

* Brimonidine (selective alpha 2 adrenergic agonist): neuroprotection effect by suppression of aqueous humor production and increasement of uveoscleral outflow

* Timolol (non selective beta blocker): suppression effect of aqueous humor production

* Combigan (fixed combination of brimonidine \& timolol): more lowering effect of intraocular pressure and enhancing the compliance of glaucoma patients

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
22
Inclusion Criteria
  • over 18 years old
  • baseline IOP under 22 mmHg,both anterior chamber angle > Grade 3~4 by Shaffer grading system
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Exclusion Criteria
  • IOP over 22 mmHg by Goldmann applanation tonometer
  • other types of glaucoma except open angle
  • other IOP lowering treatment
  • chronic or recurrent Hx. of ocular inflammation
  • using contact lens
  • any other ocular disease that could affect visual field examination (diabetic retinopathy, macular disease, uveitis, scleritis, optic neuritis, anterior ischemic optic neuropathy)
  • intraocular or glaucoma surgery within 6 months
  • Hx. of allergic reaction to timolol or brimonidine
  • bronchial asthma
  • moderate to severe chronic obstructive pulmonary disease
  • heart failure
  • 2~3 degree A-V block,
  • MAO inhibitor use
  • anti depressant use
  • untreated pheochromocytoma
  • pregnant
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TimololBrimonidine/Timolol mixed combinationnon selective beta blocker, aqueous humor suppressant ophthalmic solution
Combigan (Timolol/Brimonidine) combination drugTimololBrimonidine: alpha-2 agonist
Primary Outcome Measures
NameTimeMethod
Change from baseline in intraocular pressure at 12 weeks12 weeks after the initial treatment

Intraocular pressure (IOP) check by Goldmann applanation tonometry with topical anesthetic eyedrop

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

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