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A Study Assessing PG286 Ophthalmic Solution, 0.5% Compared to Its Individual Components for 28 Days

Primary Purpose

Open Angle Glaucoma, Ocular Hypertension

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
PG286 Ophthalmic Solution 0.5%
AR-12286 Ophthalmic Solution 0.5%
Travoprost Ophthalmic Solution 0.004%
Sponsored by
Aerie Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Open Angle Glaucoma focused on measuring Glaucoma, Ocular hypertension, AR-12286, Travoprost

Eligibility Criteria

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

Subject inclusion criteria

  1. 18 years of age or greater.
  2. Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT).
  3. Unmedicated (post-washout) IOP ≥ 22 mm Hg at 2 qualification visits (08:00 hr), 2-7 days apart. At second qualification visit, IOP >21 mmHg at 10:00 and 16:00 hrs.
  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.

Subject exclusion criteria

Excluded from the study will be individuals with the following characteristics:

Ophthalmic (in either eye):

  1. Glaucoma: pseudoexfoliation or pigment dispersion component, history of angle closure, or narrow angles. Note: Previous laser peripheral iridotomy is NOT acceptable.
  2. Intraocular pressure > 35 mm Hg, or use of more than two ocular hypotensive medications within 30 days of screening. Note: fixed dose combinations count as two medications.
  3. Known hypersensitivity to any component of the formulation (benzalkonium chloride, zinc, etc.), travoprost, or to topical anesthetics.
  4. Previous glaucoma intraocular surgery or glaucoma laser procedures in study eye(s).
  5. Refractive surgery in study eye(s) (e.g., radial keratotomy, PRK, LASIK, etc.).
  6. Ocular trauma within the six months prior to screening, or ocular surgery or laser treatment within the three months prior to screening.
  7. Evidence of ocular infection, inflammation, clinically significant blepharitis, conjunctivitis, or a history of herpes simplex keratitis at screening.
  8. Ocular medication of any kind within 30 days of screening, 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 screening) or c) lubricating drops for dry eye (which may be used throughout the study).
  9. 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., cup-disc ratio > 0.8).
  10. Central corneal thickness greater than 600 µm.
  11. Any abnormality preventing reliable applanation tonometry of either eye.

    Systemic:

  12. Clinically significant abnormalities (as determined by the investigator) in laboratory tests at screening.
  13. Clinically significant systemic disease (e.g., uncontrolled diabetes, myasthenia gravis, hepatic, renal, endocrine or cardiovascular disorders) which might interfere with the study.
  14. Participation in any investigational study within 30 days prior to screening.
  15. Changes of systemic medication within 30 days prior to screening, or anticipated during the study, that could have a substantial effect on IOP.
  16. 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

  • Kenneth Sall, M.D.
  • United Medical Research Institute
  • Aesthetic Eye Care Institute
  • Bacharach practice
  • Centre For Health Care
  • Clayton Eye Center
  • Coastal Research Associates, LLC
  • Bradley Kwapiszeski, MD
  • Taustine Eye Center
  • Alan L Robin, M.D.
  • Seidenberg Protzko Eye Associates
  • Great Lakes Eye Care
  • Jeffrey Schultz, M.D.
  • Ophthalmic Consultants of Long Island
  • Rochester Ophthalmological Group
  • Charlotte Eye Ear Nose & Throat Associates, P.A.
  • The Eye Institute
  • Texan Eye
  • Medical Center Ophth. Associates
  • Stacy R. Smith, M.D.
  • Virginia Eye Consultants

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

PG286

AR-12286 Ophthalmic Solution 0.5%

Travoprost 0.004%

Arm Description

PG286 Ophthalmic Solution q.d. O.U.

AR-12286 Ophthalmic Solution 0.5% q.d. O.U.

Travoprost 0.004% q.d. O.U.

Outcomes

Primary Outcome Measures

Mean diurnal IOP
The primary efficacy endpoint will be the mean diurnal IOP across subjects within treatment group and time point at Day 28.

Secondary Outcome Measures

IOP
Secondary efficacy endpoints will include: mean IOP across subjects within treatment group at each post-treatment timepoint, mean change from diurnally adjusted baseline IOP at each timepoint, mean percent change from diurnally adjusted baseline IOP at each timepoint, mean diurnal IOP at other visits, and mean change from the baseline mean diurnal IOP at each visits.

Full Information

First Posted
February 9, 2013
Last Updated
February 17, 2014
Sponsor
Aerie Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01789736
Brief Title
A Study Assessing PG286 Ophthalmic Solution, 0.5% Compared to Its Individual Components for 28 Days
Official Title
A Study Assessing the Safety and Ocular Hypotensive Efficacy of PG286 Ophthalmic Solution, 0.5% Compared to Its Individual Components
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Completed
Study Start Date
February 2013 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (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 the double-masked, randomized, multi-center, active-controlled parallel study, patients will be randomized to receive either a fixed dose combination of AR-12286 and travoprost, AR-12286, or travoprost. The hypothesis is that there is no difference between each treatment arm.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Open Angle Glaucoma, Ocular Hypertension
Keywords
Glaucoma, Ocular hypertension, AR-12286, Travoprost

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
PG286
Arm Type
Experimental
Arm Description
PG286 Ophthalmic Solution q.d. O.U.
Arm Title
AR-12286 Ophthalmic Solution 0.5%
Arm Type
Experimental
Arm Description
AR-12286 Ophthalmic Solution 0.5% q.d. O.U.
Arm Title
Travoprost 0.004%
Arm Type
Active Comparator
Arm Description
Travoprost 0.004% q.d. O.U.
Intervention Type
Drug
Intervention Name(s)
PG286 Ophthalmic Solution 0.5%
Intervention Description
PG286 Ophthalmic Solution
Intervention Type
Drug
Intervention Name(s)
AR-12286 Ophthalmic Solution 0.5%
Intervention Description
AR-12286 Ophthalmic Solution 0.5%
Intervention Type
Drug
Intervention Name(s)
Travoprost Ophthalmic Solution 0.004%
Intervention Description
Travoprost Ophthalmic Solution 0.004%
Primary Outcome Measure Information:
Title
Mean diurnal IOP
Description
The primary efficacy endpoint will be the mean diurnal IOP across subjects within treatment group and time point at Day 28.
Time Frame
28 Days
Secondary Outcome Measure Information:
Title
IOP
Description
Secondary efficacy endpoints will include: mean IOP across subjects within treatment group at each post-treatment timepoint, mean change from diurnally adjusted baseline IOP at each timepoint, mean percent change from diurnally adjusted baseline IOP at each timepoint, mean diurnal IOP at other visits, and mean change from the baseline mean diurnal IOP at each visits.
Time Frame
7-28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Subject inclusion criteria 18 years of age or greater. Diagnosis of open angle glaucoma (OAG) or ocular hypertension (OHT). Unmedicated (post-washout) IOP ≥ 22 mm Hg at 2 qualification visits (08:00 hr), 2-7 days apart. At second qualification visit, IOP >21 mmHg at 10:00 and 16:00 hrs. 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. Subject exclusion criteria Excluded from the study will be individuals with the following characteristics: Ophthalmic (in either eye): Glaucoma: pseudoexfoliation or pigment dispersion component, history of angle closure, or narrow angles. Note: Previous laser peripheral iridotomy is NOT acceptable. Intraocular pressure > 35 mm Hg, or use of more than two ocular hypotensive medications within 30 days of screening. Note: fixed dose combinations count as two medications. Known hypersensitivity to any component of the formulation (benzalkonium chloride, zinc, etc.), travoprost, or to topical anesthetics. Previous glaucoma intraocular surgery or glaucoma laser procedures in study eye(s). Refractive surgery in study eye(s) (e.g., radial keratotomy, PRK, LASIK, etc.). Ocular trauma within the six months prior to screening, or ocular surgery or laser treatment within the three months prior to screening. Evidence of ocular infection, inflammation, clinically significant blepharitis, conjunctivitis, or a history of herpes simplex keratitis at screening. Ocular medication of any kind within 30 days of screening, 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 screening) 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., cup-disc ratio > 0.8). Central corneal thickness greater than 600 µm. Any abnormality preventing reliable applanation tonometry of either eye. Systemic: Clinically significant abnormalities (as determined by the investigator) in laboratory tests at screening. Clinically significant systemic disease (e.g., uncontrolled diabetes, myasthenia gravis, hepatic, renal, endocrine or cardiovascular disorders) which might interfere with the study. Participation in any investigational study within 30 days prior to screening. Changes of systemic medication within 30 days prior to screening, or anticipated during the study, that could have a substantial effect on IOP. 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.
Facility Information:
Facility Name
Kenneth Sall, M.D.
City
Artesia
State/Province
California
ZIP/Postal Code
90701
Country
United States
Facility Name
United Medical Research Institute
City
Inglewood
State/Province
California
ZIP/Postal Code
90301
Country
United States
Facility Name
Aesthetic Eye Care Institute
City
Newport Beach
State/Province
California
ZIP/Postal Code
92657
Country
United States
Facility Name
Bacharach practice
City
Petaluma
State/Province
California
ZIP/Postal Code
94954
Country
United States
Facility Name
Centre For Health Care
City
Poway
State/Province
California
ZIP/Postal Code
92064
Country
United States
Facility Name
Clayton Eye Center
City
Morrow
State/Province
Georgia
ZIP/Postal Code
30260
Country
United States
Facility Name
Coastal Research Associates, LLC
City
Roswell
State/Province
Georgia
ZIP/Postal Code
30076
Country
United States
Facility Name
Bradley Kwapiszeski, MD
City
Shawnee Mission
State/Province
Kansas
ZIP/Postal Code
66204
Country
United States
Facility Name
Taustine Eye Center
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States
Facility Name
Alan L Robin, M.D.
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21209
Country
United States
Facility Name
Seidenberg Protzko Eye Associates
City
Havre de Grace
State/Province
Maryland
ZIP/Postal Code
21078
Country
United States
Facility Name
Great Lakes Eye Care
City
St Joseph
State/Province
Michigan
ZIP/Postal Code
49085
Country
United States
Facility Name
Jeffrey Schultz, M.D.
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
Ophthalmic Consultants of Long Island
City
Lynbrook
State/Province
New York
ZIP/Postal Code
11563
Country
United States
Facility Name
Rochester Ophthalmological Group
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
Charlotte Eye Ear Nose & Throat Associates, P.A.
City
Belmont
State/Province
North Carolina
ZIP/Postal Code
28012
Country
United States
Facility Name
The Eye Institute
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74104
Country
United States
Facility Name
Texan Eye
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Facility Name
Medical Center Ophth. Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Facility Name
Stacy R. Smith, M.D.
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84117
Country
United States
Facility Name
Virginia Eye Consultants
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States

12. IPD Sharing Statement

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A Study Assessing PG286 Ophthalmic Solution, 0.5% Compared to Its Individual Components for 28 Days

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