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Study of AR-13324 in Patients With Elevated Intraocular Pressure

Primary Purpose

Ocular Hypertension, Open Angle Glaucoma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AR-13324 Ophthalmic Solution 0.01%
AR-13324 Ophthalmic Solution 0.02%
AR-13324 Ophthalmic Solution 0.04%
AR-13324 Ophthalmic Solution Vehicle
Sponsored by
Aerie Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ocular Hypertension focused on measuring Intraocular pressure, visual field, Ocular hypertension or open angle glaucoma

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 18 years of age or greater. 18 years of age or greater.
  2. Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT).
  3. Unmedicated (post-washout, p.r.n.) 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).
  4. Corrected visual acuity in each eye +1.0 logMAR or better by ETDRS in each eye (equivalent to 20/200).
  5. Able and willing to give signed informed consent and follow study instructions.

Exclusion Criteria:

Ophthalmic: 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. Evidence of ocular infection, inflammation, clinically significant blepharitis or conjunctivitis at baseline (Visit 1), or history of herpes simplex keratitis.
  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 (e.g., advanced glaucomatous optic nerve head or visual field loss).
  8. Any abnormality preventing reliable applanation tonometry in either eye. Study eye:
  9. Glaucoma: pseudoexfoliation or pigment dispersion component, history of acute angle-closure glaucoma, or closed or narrow angle upon gonioscopy. Note: Previous laser peripheral iridotomy is NOT acceptable.
  10. Previous glaucoma intraocular surgery or laser procedures such as argon laser trabeculoplasty (ALT), selective laser trabeculoplasty (SLT) or micropulse laser trabeculoplasty ( MLT), as well as refractive procedures such as radio keratotomy (RK), laser eye surgery (LASIK), photorefractive keratectomy (PRK), or collagen cross linking.
  11. Central corneal thickness greater than 600 μm.

    General/Systemic:

  12. Clinically significant abnormalities in laboratory tests at screening, recognizing that subjects are not fasting at the time of drawing blood.
  13. Clinically significant systemic disease (e.g., uncontrolled diabetes, myasthenia gravis, hepatic, renal, cardiovascular or endocrine disorders) which might interfere with the study.
  14. Participation in any investigational study within the past 30 days.
  15. 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.
  16. 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

  • Aesthetic Eye Care Institute
  • Robert Noecker, M.D., M.B.A.
  • Coastal Research Associates, LLC
  • Heart of America Eye Care, P.A.
  • Comprehensive Eye Care
  • Rochester Ophthalmology Group
  • The Eye Institute
  • Wills Eye Hospital
  • Univ Eye Surgeons, Maryville Ctr.
  • Texan Eye
  • Medical Center Ophthalmology Associates

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

AR-13324 Ophthalmic Solution 0.01%

AR-13324 Ophthalmic Solution 0.02%

AR-13324 Ophthalmic Solution 0.04%

AR-13324 Ophthalmic Solution Vehicle

Arm Description

1 drop to study eye once daily

1 drop to study eye once daily

1 drop to study eye once daily

1 drop to study eye once daily

Outcomes

Primary Outcome Measures

Intraocular Pressure (IOP)
The primary efficacy outcome was the mean IOP across subjects within treatment group at each post-treatment timepoint of Day 8. Instillation of study treatment commenced on Day 2 following measurement of IOP. IOP was measured at 0800, 1000, 1200 and 1600 hours on days 2 and 8. IOP was also measured at 0800 hours on Day 4.

Secondary Outcome Measures

Full Information

First Posted
February 5, 2012
Last Updated
March 19, 2018
Sponsor
Aerie Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01528787
Brief Title
Study of AR-13324 in Patients With Elevated Intraocular Pressure
Official Title
A Phase 2, Double-masked, Randomized, Placebo-controlled, Dose-response Study Assessing the Safety and Ocular Hypotensive Efficacy of Three Doses of AR-13324 Ophthalmic Solution in Patients With Elevated Intraocular Pressure
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
March 2012 (undefined)
Primary Completion Date
July 2012 (Actual)
Study Completion Date
July 2012 (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
In this double-masked, vehicle-controlled, dose-response study, subjects will be randomized to receive AR-13324 Ophthalmic Solution 0.01%, 0.02%, and 0.04% or its vehicle (one eye), once daily (QD)in the morning (AM) for 7 days. The first dose and last dose will be administered in the clinic. Ocular safety and ocular hypotensive efficacy will be evaluated in the clinic throughout the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ocular Hypertension, Open Angle Glaucoma
Keywords
Intraocular pressure, visual field, Ocular hypertension or open angle glaucoma

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
AR-13324 Ophthalmic Solution 0.01%
Arm Type
Experimental
Arm Description
1 drop to study eye once daily
Arm Title
AR-13324 Ophthalmic Solution 0.02%
Arm Type
Experimental
Arm Description
1 drop to study eye once daily
Arm Title
AR-13324 Ophthalmic Solution 0.04%
Arm Type
Experimental
Arm Description
1 drop to study eye once daily
Arm Title
AR-13324 Ophthalmic Solution Vehicle
Arm Type
Placebo Comparator
Arm Description
1 drop to study eye once daily
Intervention Type
Drug
Intervention Name(s)
AR-13324 Ophthalmic Solution 0.01%
Intervention Description
Administered to study eye, once daily (QD) in the morning (AM) for 7 days
Intervention Type
Drug
Intervention Name(s)
AR-13324 Ophthalmic Solution 0.02%
Other Intervention Name(s)
Netarsudil
Intervention Description
Administered to study eye, QD AM for 7 days
Intervention Type
Drug
Intervention Name(s)
AR-13324 Ophthalmic Solution 0.04%
Intervention Description
Administered to study eye, QD AM for 7 days
Intervention Type
Other
Intervention Name(s)
AR-13324 Ophthalmic Solution Vehicle
Intervention Description
Administered to study eye, QD AM for 7 days
Primary Outcome Measure Information:
Title
Intraocular Pressure (IOP)
Description
The primary efficacy outcome was the mean IOP across subjects within treatment group at each post-treatment timepoint of Day 8. Instillation of study treatment commenced on Day 2 following measurement of IOP. IOP was measured at 0800, 1000, 1200 and 1600 hours on days 2 and 8. IOP was also measured at 0800 hours on Day 4.
Time Frame
Study treatment was administered for 7 days; starting on Day 2 and ending on Day 8.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years of age or greater. 18 years of age or greater. Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT). Unmedicated (post-washout, p.r.n.) 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 or better by ETDRS in each eye (equivalent to 20/200). Able and willing to give signed informed consent and follow study instructions. Exclusion Criteria: Ophthalmic: 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. Evidence of ocular infection, inflammation, clinically significant blepharitis or conjunctivitis at baseline (Visit 1), or history of herpes simplex keratitis. 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 (e.g., advanced glaucomatous optic nerve head or visual field loss). Any abnormality preventing reliable applanation tonometry in either eye. Study eye: Glaucoma: pseudoexfoliation or pigment dispersion component, history of acute angle-closure glaucoma, or closed or narrow angle upon gonioscopy. Note: Previous laser peripheral iridotomy is NOT acceptable. Previous glaucoma intraocular surgery or laser procedures such as argon laser trabeculoplasty (ALT), selective laser trabeculoplasty (SLT) or micropulse laser trabeculoplasty ( MLT), as well as refractive procedures such as radio keratotomy (RK), laser eye surgery (LASIK), photorefractive keratectomy (PRK), or collagen cross linking. Central corneal thickness greater than 600 μm. General/Systemic: Clinically significant abnormalities in laboratory tests at screening, recognizing that subjects are not fasting at the time of drawing blood. 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
Theresa Heah, MD
Organizational Affiliation
Aerie Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Aesthetic Eye Care Institute
City
Newport Beach
State/Province
California
ZIP/Postal Code
92657
Country
United States
Facility Name
Robert Noecker, M.D., M.B.A.
City
Fairfield
State/Province
Connecticut
ZIP/Postal Code
06824
Country
United States
Facility Name
Coastal Research Associates, LLC
City
Roswell
State/Province
Georgia
ZIP/Postal Code
30076
Country
United States
Facility Name
Heart of America Eye Care, P.A.
City
Shawnee Mission
State/Province
Kansas
ZIP/Postal Code
66204
Country
United States
Facility Name
Comprehensive Eye Care
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63090
Country
United States
Facility Name
Rochester Ophthalmology Group
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
The Eye Institute
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74104
Country
United States
Facility Name
Wills Eye Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Univ Eye Surgeons, Maryville Ctr.
City
Maryville
State/Province
Tennessee
ZIP/Postal Code
37803
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

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Study of AR-13324 in Patients With Elevated Intraocular Pressure

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