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Safety and Efficacy of Liposomal Latanoprost in Ocular Hypertension

Primary Purpose

Ocular Hypertension

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Subconjunctival injection of liposomal latanoprost
Sponsored by
Singapore Eye Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ocular Hypertension focused on measuring glaucoma, raised intraocular pressure

Eligibility Criteria

21 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Glaucoma patients who have eyes with raised IOP (baseline IOP >21 mmHg) due to end-stage glaucoma with a poor visual prognosis.

Exclusion criteria:

  1. Active or recent eye infection, endophthalmitis
  2. Known hypersensitivity to latanoprost
  3. Only eye
  4. Previous glaucoma filtration surgeries or trabeculectomy
  5. Intraocular pressure less than 12mmHg.
  6. Inability to give informed consent.
  7. Inability to safely administer a subconjunctival injection
  8. Uncontrolled systemic hypertension, CVA or TIA within the previous month.
  9. Pregnancy -

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Lipolat

    Arm Description

    Subconjunctival injection of Lipolat into the superior bulbar conjunctiva of all enrolled participants

    Outcomes

    Primary Outcome Measures

    Number of participants with serious adverse events

    Secondary Outcome Measures

    intraocular pressure
    Intraocular pressure reduction from baseline pressure reading

    Full Information

    First Posted
    October 30, 2013
    Last Updated
    November 18, 2013
    Sponsor
    Singapore Eye Research Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01987323
    Brief Title
    Safety and Efficacy of Liposomal Latanoprost in Ocular Hypertension
    Official Title
    Safety and Efficacy of Liposomal Latanoprost in Ocular Hypertensive Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2013 (undefined)
    Primary Completion Date
    June 2013 (Actual)
    Study Completion Date
    June 2013 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Singapore Eye Research Institute

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Aim: Evaluation of a single subconjunctival injection of liposomal EggPC formulation of latanoprost in treating glaucoma. Hypothesis: The investigators have already evaluated carrier stability, drug partitioning, in vitro drug release, tolerance, and efficacy of latanoprost-incorporated EggPC liposomes upon subconjunctival administration in both rabbit and monkey eyes. Therefore, the investigators hypothesize that this would be safe and efficacious in humans as well. Methodology: A pilot study to assess a liposome formulation containing latanoprost. The investigators will recruit 6 study subjects with eyes that have raised IOP, for subconjunctival injection of this liposome formulation. The recruited eye will be injected and monitored for inflammation, toxicity and pain as primary end-points. Monitoring of the eye will be for the first 24 hours post-injection, week 2, months 1, 2 and 3 thereafter. Importance: If proven safe, this method of drug delivery could potentially be used for treatment of raised intraocular pressures in blinding conditions such as glaucoma.
    Detailed Description
    The number of recorded adverse events and intolerance to the subconjunctival injection procedure by the participants during the study period was used as a measure of safety.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Ocular Hypertension
    Keywords
    glaucoma, raised intraocular pressure

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    6 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Lipolat
    Arm Type
    Experimental
    Arm Description
    Subconjunctival injection of Lipolat into the superior bulbar conjunctiva of all enrolled participants
    Intervention Type
    Drug
    Intervention Name(s)
    Subconjunctival injection of liposomal latanoprost
    Primary Outcome Measure Information:
    Title
    Number of participants with serious adverse events
    Time Frame
    3 months
    Secondary Outcome Measure Information:
    Title
    intraocular pressure
    Description
    Intraocular pressure reduction from baseline pressure reading
    Time Frame
    3 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    21 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Glaucoma patients who have eyes with raised IOP (baseline IOP >21 mmHg) due to end-stage glaucoma with a poor visual prognosis. Exclusion criteria: Active or recent eye infection, endophthalmitis Known hypersensitivity to latanoprost Only eye Previous glaucoma filtration surgeries or trabeculectomy Intraocular pressure less than 12mmHg. Inability to give informed consent. Inability to safely administer a subconjunctival injection Uncontrolled systemic hypertension, CVA or TIA within the previous month. Pregnancy -
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Tina T Wong, MD, PhD
    Organizational Affiliation
    Singapore National Eye Centre
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Links:
    URL
    https://eservice.hsa.gov.sg/prism/ct_r/enquiry.do?action=getAllTherapeuticArea
    Description
    Related Info

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    Safety and Efficacy of Liposomal Latanoprost in Ocular Hypertension

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