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A Phase III Study Assessing the Efficacy and Safety of DE-117 Ophthalmic Solution Compared With Timolol Maleate Ophthalmic Solution 0.5% in Subjects With Glaucoma or Ocular Hypertension - Spectrum 3 Study

Phase 3
Completed
Conditions
Glaucoma and Ocular Hypertension
Interventions
Drug: DE-117 Ophthalmic Solution
Registration Number
NCT03691649
Lead Sponsor
Santen Inc.
Brief Summary

This is a Phase III, randomized, double-masked, active-controlled, parallel-group, multi-center study. Subjects diagnosed with glaucoma or OHT who meet eligibility criteria at Visit 1 (Screening) will washout of their current topical IOP-lowering medication(s), if any. After completing the required washout period, subjects will return for Visit 2 (Baseline, Day 1). Subjects who meet all eligibility criteria at baseline will be randomized to receive double-masked treatment for 3 months. Adult subjects will receive open-label DE-117 Ophthalmic Solution for an additional 9 months.

Approximately 400 adult subjects and up to 30 pediatric subjects with glaucoma or OHT who meet all eligibility criteria will be randomized in a 1:1 ratio to receive either:

* DE-117 Ophthalmic Solution once daily and Vehicle once daily, or

* Timolol Maleate Ophthalmic Solution 0.5% twice daily. The study will evaluate the efficacy and safety of DE-117 Ophthalmic Solution compared with Timolol Maleate Ophthalmic Solution 0.5% in subjects with glaucoma or OHT through Month 3 and will provide additional safety data through Month 12 for subjects receiving DE-117.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
426
Inclusion Criteria

• glaucoma or ocular hypertension

Exclusion Criteria
  • Females who are pregnant, nursing, or planning a pregnancy
  • Any corneal abnormality or other condition interfering with or preventing reliable tonometric measurements

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Timolol Maleate Ophthalmic Solution 0.5%Timolol Maleate Ophthalmic Solution 0.5%Topical Timolol Maleate Ophthalmic Solution 0.5% twice daily for 3 months for all subjects, followed by DE-117 Ophthalmic Solution once daily for additional 9 month for adult subjects only
DE-117 Ophthalmic SolutionDE-117 Ophthalmic SolutionTopical DE-117 Ophthalmic Solution once daily and Vehicle once daily for 3 months for all subjects, followed by DE-117 Ophthalmic Solution once daily for additional 9 month for adult subjects only
Primary Outcome Measures
NameTimeMethod
Intraocular Pressure at Week 608:00, 10:00 and 16:00 at Week 6

Intraocular Pressure (IOP), the fluid pressure inside the eye was measured with calibrated Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time points throughout the day. Analysis using Mixed-Effects Model for Repeated Measures (MMRM)

Intraocular Pressure at Month 308:00, 10:00 and 16:00 at Month 3

Intraocular Pressure (IOP), the fluid pressure inside the eye was measured with calibrated Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time points throughout the day. Analysis using Mixed-Effects Model for Repeated Measures (MMRM)

Intraocular Pressure at Week 108:00, 10:00 and 16:00 at Week 1

Intraocular Pressure (IOP), the fluid pressure inside the eye was measured with calibrated Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time points throughout the day. Analysis using Mixed-Effects Model for Repeated Measures (MMRM)

Secondary Outcome Measures
NameTimeMethod
Mean Diurnal Intraocular Pressure (IOP) at Month 3 (First Key Secondary Endpoint)Month 3

Mean Diurnal Intraocular Pressure (IOP) at Month 3: Analysis using Mixed-Effects Model for Repeated Measures (MMRM) on observed cases.

Intraocular Pressure (IOP) at Week 1 With Baseline Mean Diurnal IOP Less Than 25 mmHg (Second Key Secondary Endpoint)08:00, 10:00 and 16:00 at Week 1

Intraocular Pressure (IOP) at Week 1 with baseline mean diurnal IOP less than 25 mmHg (Second Key Secondary Endpoint)

Intraocular Pressure (IOP) at Month 3 With Baseline Mean Diurnal IOP Less Than 25 mmHg (Second Key Secondary Endpoint)08:00, 10:00 and 16:00 at Month 3

Intraocular Pressure (IOP) at Month 3 with baseline mean diurnal IOP less than 25 mmHg (Second Key Secondary Endpoint)

Mean Diurnal Intraocular Pressure (IOP) at Week 1 (Third Key Secondary Endpoint)Week 1

Mean Diurnal Intraocular Pressure (IOP) at Week 1: Analysis using Mixed-Effects Model for Repeated Measures (MMRM) on observed cases.

Mean Diurnal IOP at week 1 is defined as the average IOP of all three timepoints (8AM, 10AM and 4PM) at week 1.

Intraocular Pressure (IOP) at Week 6 With Baseline Mean Diurnal IOP Less Than 25 mmHg (Second Key Secondary Endpoint)08:00, 10:00 and 16:00 at Week 6

Intraocular Pressure (IOP) at Week 6 with baseline mean diurnal IOP less than 25 mmHg (Second Key Secondary Endpoint)

Trial Locations

Locations (47)

Heart of America Eye Care, P.A.

🇺🇸

Shawnee Mission, Kansas, United States

Eye Associates of Fort Myers

🇺🇸

Fort Myers, Florida, United States

Shettle Eye Research

🇺🇸

Largo, Florida, United States

Northern New Jersey Eye Institute

🇺🇸

South Orange, New Jersey, United States

DocTrials Walman Eye Center

🇺🇸

Sun City, Arizona, United States

Hernando Eye Institute

🇺🇸

Brooksville, Florida, United States

Bowden Eye & Associates

🇺🇸

Jacksonville, Florida, United States

Clinical Eye Research of Boston, LLC

🇺🇸

Winchester, Massachusetts, United States

Black Hills Regional Eye Institute, LLP

🇺🇸

Rapid City, South Dakota, United States

University Eye Specialists

🇺🇸

Maryville, Tennessee, United States

North Valley Eye Medical Group

🇺🇸

Mission Hills, California, United States

Martel Eye Medical Group

🇺🇸

Rancho Cordova, California, United States

North Bay Eye Associates, Inc

🇺🇸

Petaluma, California, United States

MCB Clinical Research Centers LLC

🇺🇸

Colorado Springs, Colorado, United States

Dixophthal PC Dba. Dixon Eye Care

🇺🇸

Albany, Georgia, United States

Coastal Research Associates

🇺🇸

Alpharetta, Georgia, United States

Clayton Eye Clinical Research, LLC

🇺🇸

Morrow, Georgia, United States

Indiana University

🇺🇸

Bloomington, Indiana, United States

NY Eye & ear Infirmary of Mt Sinai (NYEE)

🇺🇸

New York, New York, United States

South Shore Eye Care, LLP

🇺🇸

Wantagh, New York, United States

Asheville Eye Associates

🇺🇸

Asheville, North Carolina, United States

Charlotte Eye Ear Nose & Throat Associates, PA

🇺🇸

Charlotte, North Carolina, United States

Cornerstone Eye Care

🇺🇸

High Point, North Carolina, United States

Scott & Christie and Associates PC

🇺🇸

Cranberry Township, Pennsylvania, United States

Glaucoma Consultants and Center for Eye Research PA

🇺🇸

Mount Pleasant, South Carolina, United States

Ophthalmology Associates

🇺🇸

Fort Worth, Texas, United States

Total Eye Care PA

🇺🇸

Memphis, Tennessee, United States

The Cataract and Glaucoma Center

🇺🇸

El Paso, Texas, United States

Shah Research LLC dba Discovery Clinical Trials

🇺🇸

Mission, Texas, United States

Specialty Eye Care Centre

🇺🇸

Bellevue, Washington, United States

Emerson Clinical Research Institute

🇺🇸

Falls Church, Virginia, United States

Office of Mark J. Weiss MD

🇺🇸

Tulsa, Oklahoma, United States

Arizona Glaucoma Specialists

🇺🇸

Phoenix, Arizona, United States

Havana Research Institute

🇺🇸

Burbank, California, United States

Macy Eye Center

🇺🇸

Los Angeles, California, United States

Samsum Clinic (DocTrials)

🇺🇸

Santa Barbara, California, United States

Tauber Eye Center

🇺🇸

Kansas City, Missouri, United States

Nevada Eye Care Professionals

🇺🇸

Las Vegas, Nevada, United States

Wellish Vision Institute

🇺🇸

Las Vegas, Nevada, United States

AdvanceMed Clinical Research-Las Vegas

🇺🇸

Las Vegas, Nevada, United States

Apex Eye Clinical Research, LLC

🇺🇸

Cincinnati, Ohio, United States

Ophthalmic Surgeons & Consultants of Ohio, Inc.

🇺🇸

Columbus, Ohio, United States

San Antonio Eye Center

🇺🇸

San Antonio, Texas, United States

R and R Eye Research LLC

🇺🇸

San Antonio, Texas, United States

Delay Winter Eye Consultants LLC

🇺🇸

San Antonio, Texas, United States

Stacy R. Smith M.D. P.C.

🇺🇸

Salt Lake City, Utah, United States

Keystone Research Ltd. Texan Eye PA

🇺🇸

Austin, Texas, United States

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