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A Comparison of Bimatoprost SR to Selective Laser Trabeculoplasty in Patients 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
NCT02636946
Lead Sponsor
Allergan
Brief Summary

This study will evaluate the intraocular pressure (IOP)-lowering effect and safety of Bimatoprost SR compared with selective laser trabeculoplasty in participants 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
144
Inclusion Criteria
  • Diagnosis of either Open-Angle Glaucoma or Ocular Hypertension in each eye that require IOP lowering treatment.
Exclusion Criteria
  • Eye surgery (including cataract surgery) and or eye laser surgery within the past 6 months.
  • Enrollment in other studies using Bimatoprost SR.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SLT (Primary Eye) / Bim SR 15 µg (Contralateral Eye)Sham Bimatoprost SRPrimary Eye: Selective Laser Trabeculoplasty (SLT) administered on Day 1 followed by up to three Sham Bimatoprost sustained release (Bim SR) administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants enrolled under Protocol Amendment 2 or later.
SLT (Primary Eye) / Bim SR 15 µg (Contralateral Eye)Selective Laser TrabeculoplastyPrimary Eye: Selective Laser Trabeculoplasty (SLT) administered on Day 1 followed by up to three Sham Bimatoprost sustained release (Bim SR) administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants enrolled under Protocol Amendment 2 or later.
SLT (Primary Eye) / Bim SR 15 µg (Contralateral Eye)Sham Selective Laser TrabeculoplastyPrimary Eye: Selective Laser Trabeculoplasty (SLT) administered on Day 1 followed by up to three Sham Bimatoprost sustained release (Bim SR) administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants enrolled under Protocol Amendment 2 or later.
Bim SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Selective Laser TrabeculoplastyPrimary Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: SLT administered on Day 1 followed by up to three Sham Bimatoprost SR administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later.
Bim SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Sham Selective Laser TrabeculoplastyPrimary Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: SLT administered on Day 1 followed by up to three Sham Bimatoprost SR administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later.
SLT (Primary Eye) / Bim SR 15 µg (Contralateral Eye)Bimatoprost SRPrimary Eye: Selective Laser Trabeculoplasty (SLT) administered on Day 1 followed by up to three Sham Bimatoprost sustained release (Bim SR) administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants enrolled under Protocol Amendment 2 or later.
Bim SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Bimatoprost SRPrimary Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: SLT administered on Day 1 followed by up to three Sham Bimatoprost SR administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later.
Bim SR 15 µg (Primary Eye) / SLT (Contralateral Eye)Sham Bimatoprost SRPrimary Eye: Sham SLT administered on Day 1 followed by up to three Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Bimatoprost SR 15 μg administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later. Contralateral (Other) Eye: SLT administered on Day 1 followed by up to three Sham Bimatoprost SR administrations at Day 4 (Cycle 1), Weeks 16 (Cycle 2) and 32 (Cycle 3) or two Sham Bimatoprost SR administrations at Day 4 (Cycle 1) and Week 16 (Cycle 2) for participants who were enrolled under Protocol Amendment 2 or later.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in IOP at Week 12Baseline (prior to treatment) to Week 12

IOP is a measurement of the fluid pressure inside the eye. Measurements were taken at Hour 0. A negative change from Baseline indicates an improvement and a positive change from Baseline indicates a worsening. A MMRM was used for analyses.

Change From Baseline in IOP at Week 4Baseline (prior to treatment) to Week 4

IOP is a measurement of the fluid pressure inside the eye. Measurements were taken at Hour 0. A negative change from Baseline indicates an improvement and a positive change from Baseline indicates a worsening. A mixed-effects model with repeated measures (MMRM) was used for analyses.

Intraocular Pressure (IOP) at BaselineBaseline (prior to treatment)

IOP is a measurement of the fluid pressure inside the eye. Measurements were taken at Hour 0.

Change From Baseline in Intraocular Pressure (IOP) at Week 24Baseline (prior to treatment) to Week 24

IOP is a measurement of the fluid pressure inside the eye. Measurements were taken at Hour 0. A negative change from Baseline indicates an improvement and a positive change from Baseline indicates a worsening. A MMRM was used for analyses.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in IOP at Weeks 8, 15, and 20Baseline (prior to treatment) to Weeks 8, 15 and 20

IOP is a measurement of the fluid pressure inside the eye. Measurements were taken at Hour 0. A negative change from Baseline indicates an improvement and a positive change from Baseline indicates a worsening.

Time to Initial Use of Nonstudy IOP-lowering Treatment as Determined by the InvestigatorFirst treatment to end of study (up to 525 days)

Median time in days from first treatment to the initial use of non-study IOP-lowering treatment.

Percentage of Participants With Eyes Achieving a ≥ 20% Reduction in IOPBaseline (prior to treatment) to Cycle 1: Day 2, Weeks 4, 8, 12, 15, 20, 24, 28, 31, 36, 40, 44, 47, 52; Cycle 2:Day 2, Weeks 4, 8, 12, 15, 20, 24, 28, 31, 36; Cycle 3: Day 2, Weeks 4, 8, 15, 20

IOP is a measurement of the fluid pressure inside the eye. Measurements were taken at Hour 0. The participants who did not continue in the subsequent cycle were followed up to Week 52 in Cycle 1, Week 36 in Cycle 2, and Week 20 in Cycle 3.

Trial Locations

Locations (33)

Wolstan & Goldberg Eye Associates

🇺🇸

Torrance, California, United States

Asheville Eye Associates

🇺🇸

Asheville, North Carolina, United States

Glostrup Hospital

🇩🇰

Glostrup, Hovedstaden, Denmark

Arizona Eye Center

🇺🇸

Chandler, Arizona, United States

Eye Center South

🇺🇸

Dothan, Alabama, United States

Shasta Eye Medical Group, Inc.

🇺🇸

Redding, California, United States

Walman Eye Center

🇺🇸

Chandler, Arizona, United States

Coastal Research Associates, LLC

🇺🇸

Roswell, Georgia, United States

Eye Associates of Colorado Springs

🇺🇸

Colorado Springs, Colorado, United States

West Coast Eye Institute

🇺🇸

Lecanto, Florida, United States

Emory University Eye Center

🇺🇸

Atlanta, Georgia, United States

Fraser Eye Center

🇺🇸

Fraser, Michigan, United States

Ophthalmic Consultants of Long Island

🇺🇸

Lynbrook, New York, United States

Bergstrom Eye Research, LLC

🇺🇸

Fargo, North Dakota, United States

Scott & Christie and Associates, PC

🇺🇸

Cranberry Township, Pennsylvania, United States

The Cataract & Glaucoma Center

🇺🇸

El Paso, Texas, United States

Vistar Eye Center

🇺🇸

Roanoke, Virginia, United States

Marsden Eye Specialists

🇦🇺

Parramatta, New South Wales, Australia

Centrum Diagnostykii Mikrochirurgii Oka LENS ul.

🇵🇱

Olsztyn, Warmian-Masurian Voivodeship, Poland

CHU de Bordeaux Hopital Pellegrin Service Ophtalmologie

🇫🇷

Bordeaux, France

Prywatna Klinika Okulistyczna OFTALMIKA

🇵🇱

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

S. Fyodorov Eye Microsurgery Federal State Institution, Novosibirsk Branch

🇷🇺

Novosibirsk, Russian Federation

Ophthalmic Clinical Hospital V.P. Vyhodtseva

🇷🇺

Omsk, Russian Federation

Centro de Oftalmologia Barraquer

🇪🇸

Barcelona, Spain

Chiang Mai University CMU - Maharaj Nakhon Chiang Mai Hospital

🇹🇭

Chiang Mai, Thailand

Thammasat University Hospital

🇹🇭

Pathumthani, Thailand

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

DCT- Shah Research

🇺🇸

Mission, Texas, United States

Galanis Cataract and Laser Eye Center

🇺🇸

Saint Louis, Missouri, United States

The Eye Care Institute

🇺🇸

Louisville, Kentucky, United States

James D. Branch MD

🇺🇸

Winston-Salem, North Carolina, United States

San Antonio Eye Center

🇺🇸

San Antonio, Texas, United States

Singapore National Eye Centre

🇸🇬

Singapore, Singapore

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