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A Study of AR-12286 in Patient With Elevated Intraocular Pressure (IOP)

Primary Purpose

Elevated Intraocular Pressure

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AR-12286
AR-12286 vehicle
Sponsored by
Aerie Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Elevated Intraocular Pressure focused on measuring Glaucoma, Intraocular pressure

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 18 years of age or greater.
  2. Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT). Unmedicated (post-washout, if required) IOP >= 24 mm Hg in one or both eyes at 08:00 hours, >= 21 mm Hg at 10:00, 12:00 and 16:00 hours on post-washout measurement (Visit 1).
  3. Corrected visual acuity in each eye +1.0 logMAR (logarithm mininum angle of resolution) or better by ETDRS (Early Treatment Diabetic Retinopathy Study) in each eye (equivalent to 20/200).
  4. Able and willing to give signed informed consent and follow study instructions.

Exclusion Criteria:

Either eye

  1. Intraocular pressure > 36 mm Hg
  2. Known hypersensitivity to any component of the formulation or to topical anesthetics, (benzalkonium chloride, etc.)
  3. Ocular trauma within the past six months, or ocular surgery or laser treatment within the past three months.
  4. History or evidence of ocular infection inflammation, or of herpes simplex keratitis, or clinically significant blepharitis or conjunctivitis at baseline (Visit 1)..
  5. Contact lens wear within 30 minutes of instillation of study medication.
  6. Ocular medication of any kind within 30 days of Visit 2, with the exception of a) ocular hypotensive medications (which must be washed out according to the provided schedule), b) lid scrubs (which may be used prior to, but not after Visit 2) or c) lubricating drops for dry eye (which may be used throughout the study),
  7. Clinically significant ocular disease (e.g. corneal edema, uveitis, severe keratoconjunctivitis sicca) which might interfere with the study, including glaucomatous damage so severe that washout of ocular hypotensive medications for one month is not judged safe (i.e., cup-disc ratio > 0.8).
  8. Central corneal thickness greater than 600 microns.
  9. Any abnormality preventing reliable applanation tonometry.

    Study eye:

  10. Glaucoma: pseudoexfoliation or pigment dispersion component, history of angle closure.

    Note: Previous laser peripheral iridotomy is acceptable.

  11. Previous glaucoma intraocular surgery or laser procedures in study eye(s).
  12. Refractive surgery in study eye(s) (e.g., radial keratotomy, PRK (photorefractive keratectomy), LASIK (Laser-Assisted in situ Keratomileusis), etc.).

    General/Systemic:

  13. Clinically significant abnormalities in laboratory tests at screening (See Appendix 1).
  14. Clinically significant systemic disease (e.g., uncontrolled diabetes, myasthenia gravis, hepatic, renal, cardiovascular or endocrine disorders) which might interfere with the study.
  15. Participation in any investigational study within the past 30 days.
  16. Changes of systemic medication during the study that could have a substantial effect on IOP within 30 days prior to screening, or anticipated during the study.
  17. Due to status of preclinical safety program, women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control. An adult woman is considered to be of childbearing potential unless she is one year post-menopausal or three months post-surgical sterilization. All females of childbearing potential must have a negative urine pregnancy test result at the screening examination and must not intend to become pregnant during the study.

Sites / Locations

  • Soilsh Practice
  • Bacharach practice
  • Hernando Eye Institute
  • Taustine Eye Center
  • Mundorf Practice
  • Black Hills Regional Eye Institute
  • Texan Eye
  • Medical Center Ophthalmology Associates

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Vehicle

AR-12286 0.05%

AR-12286 0.1%

AR-12286 0.25%

Arm Description

q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.

q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.

q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.

q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.

Outcomes

Primary Outcome Measures

The primary efficacy endpoint will be mean diurnal IOP on each day at which diurnal IOP is measured at each timepoint.

Secondary Outcome Measures

Full Information

First Posted
May 13, 2009
Last Updated
March 25, 2014
Sponsor
Aerie Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00902200
Brief Title
A Study of AR-12286 in Patient With Elevated Intraocular Pressure (IOP)
Official Title
A Phase 2, Double-masked, Randomized, Placebo-controlled, Dose-response Study Assessing the Safety and Ocular Hypotensive Efficacy of AR-12286 Ophthalmic Solution 0.05%, 0.1% and 0.25% in Patients With Elevated Intraocular Pressure
Study Type
Interventional

2. Study Status

Record Verification Date
March 2014
Overall Recruitment Status
Completed
Study Start Date
May 2009 (undefined)
Primary Completion Date
September 2009 (Actual)
Study Completion Date
September 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aerie Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Double-masked, randomized, multi-center, placebo-controlled parallel-comparison of AR-12286.
Detailed Description
Subjects will be randomized to receive AR-12286 Ophthalmic Solution 0.05%, 0.1%, and 0.25% or its vehicle (one eye), q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days. The first dose will be administered in the clinic. Ocular safety and ocular hypotensive efficacy will be evaluated in the clinic throughout this period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Elevated Intraocular Pressure
Keywords
Glaucoma, Intraocular pressure

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
89 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.
Arm Title
AR-12286 0.05%
Arm Type
Experimental
Arm Description
q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.
Arm Title
AR-12286 0.1%
Arm Type
Experimental
Arm Description
q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.
Arm Title
AR-12286 0.25%
Arm Type
Experimental
Arm Description
q.d. (AM) x 7 days, then q.d. (PM) x 7 days, then b.i.d. x 7 days.
Intervention Type
Drug
Intervention Name(s)
AR-12286
Intervention Description
See arms
Intervention Type
Drug
Intervention Name(s)
AR-12286 vehicle
Intervention Description
See arms
Primary Outcome Measure Information:
Title
The primary efficacy endpoint will be mean diurnal IOP on each day at which diurnal IOP is measured at each timepoint.
Time Frame
3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years of age or greater. Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT). Unmedicated (post-washout, if required) IOP >= 24 mm Hg in one or both eyes at 08:00 hours, >= 21 mm Hg at 10:00, 12:00 and 16:00 hours on post-washout measurement (Visit 1). Corrected visual acuity in each eye +1.0 logMAR (logarithm mininum angle of resolution) or better by ETDRS (Early Treatment Diabetic Retinopathy Study) in each eye (equivalent to 20/200). Able and willing to give signed informed consent and follow study instructions. Exclusion Criteria: Either eye Intraocular pressure > 36 mm Hg Known hypersensitivity to any component of the formulation or to topical anesthetics, (benzalkonium chloride, etc.) Ocular trauma within the past six months, or ocular surgery or laser treatment within the past three months. History or evidence of ocular infection inflammation, or of herpes simplex keratitis, or clinically significant blepharitis or conjunctivitis at baseline (Visit 1).. Contact lens wear within 30 minutes of instillation of study medication. Ocular medication of any kind within 30 days of Visit 2, with the exception of a) ocular hypotensive medications (which must be washed out according to the provided schedule), b) lid scrubs (which may be used prior to, but not after Visit 2) or c) lubricating drops for dry eye (which may be used throughout the study), Clinically significant ocular disease (e.g. corneal edema, uveitis, severe keratoconjunctivitis sicca) which might interfere with the study, including glaucomatous damage so severe that washout of ocular hypotensive medications for one month is not judged safe (i.e., cup-disc ratio > 0.8). Central corneal thickness greater than 600 microns. Any abnormality preventing reliable applanation tonometry. Study eye: Glaucoma: pseudoexfoliation or pigment dispersion component, history of angle closure. Note: Previous laser peripheral iridotomy is acceptable. Previous glaucoma intraocular surgery or laser procedures in study eye(s). Refractive surgery in study eye(s) (e.g., radial keratotomy, PRK (photorefractive keratectomy), LASIK (Laser-Assisted in situ Keratomileusis), etc.). General/Systemic: Clinically significant abnormalities in laboratory tests at screening (See Appendix 1). Clinically significant systemic disease (e.g., uncontrolled diabetes, myasthenia gravis, hepatic, renal, cardiovascular or endocrine disorders) which might interfere with the study. Participation in any investigational study within the past 30 days. Changes of systemic medication during the study that could have a substantial effect on IOP within 30 days prior to screening, or anticipated during the study. Due to status of preclinical safety program, women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control. An adult woman is considered to be of childbearing potential unless she is one year post-menopausal or three months post-surgical sterilization. All females of childbearing potential must have a negative urine pregnancy test result at the screening examination and must not intend to become pregnant during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tom van Haarlem, MD
Organizational Affiliation
Aerie Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Soilsh Practice
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Facility Name
Bacharach practice
City
Petaluma
State/Province
California
ZIP/Postal Code
94954
Country
United States
Facility Name
Hernando Eye Institute
City
Brooksville
State/Province
Florida
ZIP/Postal Code
34613
Country
United States
Facility Name
Taustine Eye Center
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States
Facility Name
Mundorf Practice
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Black Hills Regional Eye Institute
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57701
Country
United States
Facility Name
Texan Eye
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Facility Name
Medical Center Ophthalmology Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21794845
Citation
Williams RD, Novack GD, van Haarlem T, Kopczynski C; AR-12286 Phase 2A Study Group. Ocular hypotensive effect of the Rho kinase inhibitor AR-12286 in patients with glaucoma and ocular hypertension. Am J Ophthalmol. 2011 Nov;152(5):834-41.e1. doi: 10.1016/j.ajo.2011.04.012. Epub 2011 Jul 27.
Results Reference
derived

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A Study of AR-12286 in Patient With Elevated Intraocular Pressure (IOP)

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