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Efficacy and Safety of Travoprost 0.004% Versus Tafluprost 0.0015% in Patients With Primary Open-angle Glaucoma or Ocular Hypertension

Primary Purpose

Glaucoma

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Travoprost 0.004% ophthalmic solution (TRAVATAN)
Tafluprost 0.0015% ophthalmic solution
Sponsored by
Alcon Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glaucoma focused on measuring Glaucoma, IOP, Travoprost

Eligibility Criteria

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

Inclusion Criteria:

  • An EC-reviewed and approved (for use in this study) informed consent form must be read, signed, and dated by the participating patient as well as signed and dated by the individual (Principal Investigator or other site personnel) obtaining the informed consent, before conducting the Screening Visit and prior to initiation of study procedures.
  • Patients must be at least 21 years of age.
  • Must be able to follow instructions and be willing and able to attend required study visits.
  • Must have a clinical diagnosis of ocular hypertension or primary open-angle glaucoma in at least one eye (qualifying eye).
  • Currently treated patients, in the investigator's judgment, should require a change in treatment for reasons of improved efficacy, tolerability or compliance.
  • Must have IOP considered to be safe, in both eyes, in such a way that should assure clinical stability of vision and the optic nerve throughout the trial.
  • Must have an intraocular pressure of > 21 mm Hg in at least one eye at 08:00 and > 19 mm Hg in the same eye at 16:00, and < 35 mm Hg in both eyes at all diurnal time points at Visit 2.
  • Must have best corrected visual acuity of 6/60 (20/200 Snellen) or better in each eye.
  • Other protocol-defined inclusion criteria may apply.

Exclusion Criteria:

  • Presence of other primary or secondary glaucomas not listed in inclusion criterion.
  • Presence of extreme narrow angle with complete or partial closure in either eye, as measured by gonioscopy (occludable angles treated with a patent iridectomy are acceptable).
  • Any abnormality preventing reliable applanation tonometry in qualifying eye(s).
  • Any opacity or patient uncooperativeness that restricts adequate examination of the ocular fundus or anterior chamber of either eye.
  • Concurrent infectious/noninfectious conjunctivitis, keratitis or uveitis in either eye. Blepharitis or non-clinically significant conjunctival injection is allowed.
  • Intraocular conventional surgery or laser surgery in qualifying eye(s) less than three months prior to Visit 1.
  • Risk of visual field or visual acuity worsening as a consequence of participation in the trial, in the investigator's best judgment.
  • Progressive retinal or optic nerve disease from any cause apart from glaucoma.
  • Women of childbearing potential not using reliable means of birth control, or pregnant or lactating females.
  • Any clinically significant, serious, or severe medical or psychiatric condition.
  • A condition, which in the opinion of the investigator, would interfere with optimal participation in the study, or which would present a special risk to the patient.
  • Participation in any other investigational study within 30 days prior to Visit 2.
  • Known medical history of allergy or sensitivity to any components of the preparations to be used in this trial that is deemed clinically significant in the opinion of the investigator.
  • Use of systemic medications known to affect IOP (e.g., oral beta-adrenergic blockers,alpha-agonists and blockers, angiotensin converting enzyme inhibitors and calcium channel blockers), which have not been on a stable course for 7 days prior to Visit 2 or an anticipated change in the dosage during the course of the study.
  • Anticipated use of systemic corticosteroids, by any route except inhaled, for greater than two weeks during the trial.
  • A history of, or at risk for uveitis or cystoid macular edema (CME).
  • History of ocular herpes simplex.
  • Unwillingness to accept the risk of iris, skin, or eyelash changes associated with prostaglandin therapy.
  • Other protocol-defined exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Other

    Other

    Arm Label

    Travoprost-to-tafluprost

    Tafluprost-to-travoprost

    Arm Description

    Travoprost first, with tafluprost second. Each product dosed for six weeks.

    Tafluprost first, with travoprost second. Each product dosed for six weeks.

    Outcomes

    Primary Outcome Measures

    Mean Intraocular Pressure (IOP) at 8:00 PM
    Intraocular pressure was measured by Goldmann applanation tonometry.

    Secondary Outcome Measures

    Mean Intraocular Pressure (IOP) at 8:00 AM
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Mean Intraocular Pressure (IOP) at 10:00 AM
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Mean Intraocular Pressure (IOP) at 12:00 PM
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Mean Intraocular Pressure (IOP) at 2:00 PM
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Mean Intraocular Pressure (IOP) at 4:00 PM
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Mean Intraocular Pressure (IOP) at 6:00 PM
    Intraocular pressure was measured by Goldmann applanation tonometry.

    Full Information

    First Posted
    August 26, 2009
    Last Updated
    May 18, 2012
    Sponsor
    Alcon Research
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00966940
    Brief Title
    Efficacy and Safety of Travoprost 0.004% Versus Tafluprost 0.0015% in Patients With Primary Open-angle Glaucoma or Ocular Hypertension
    Official Title
    The Efficacy and Safety of Travoprost, 0.004% Versus Tafluprost, 0.0015% in Primary Open-Angle Glaucoma or Ocular Hypertensive Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2012
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2009 (undefined)
    Primary Completion Date
    March 2010 (Actual)
    Study Completion Date
    March 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Alcon Research

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to assess the safety and efficacy of Travoprost 0.004% and Tafluprost 0.0015% in patients with primary open angle glaucoma or ocular hypertension when both medications are administered in the evening.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Glaucoma
    Keywords
    Glaucoma, IOP, Travoprost

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    51 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Travoprost-to-tafluprost
    Arm Type
    Other
    Arm Description
    Travoprost first, with tafluprost second. Each product dosed for six weeks.
    Arm Title
    Tafluprost-to-travoprost
    Arm Type
    Other
    Arm Description
    Tafluprost first, with travoprost second. Each product dosed for six weeks.
    Intervention Type
    Drug
    Intervention Name(s)
    Travoprost 0.004% ophthalmic solution (TRAVATAN)
    Other Intervention Name(s)
    TRAVATAN
    Intervention Description
    One drop in the qualifying eye(s) each evening at 6:00 PM for 6 weeks, topical administration
    Intervention Type
    Drug
    Intervention Name(s)
    Tafluprost 0.0015% ophthalmic solution
    Intervention Description
    One drop in the qualifying eye(s) each evening at 6:00 PM for 6 weeks, topical administration
    Primary Outcome Measure Information:
    Title
    Mean Intraocular Pressure (IOP) at 8:00 PM
    Description
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Time Frame
    6 weeks
    Secondary Outcome Measure Information:
    Title
    Mean Intraocular Pressure (IOP) at 8:00 AM
    Description
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Time Frame
    6 weeks
    Title
    Mean Intraocular Pressure (IOP) at 10:00 AM
    Description
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Time Frame
    6 weeks
    Title
    Mean Intraocular Pressure (IOP) at 12:00 PM
    Description
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Time Frame
    6 weeks
    Title
    Mean Intraocular Pressure (IOP) at 2:00 PM
    Description
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Time Frame
    6 weeks
    Title
    Mean Intraocular Pressure (IOP) at 4:00 PM
    Description
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Time Frame
    6 weeks
    Title
    Mean Intraocular Pressure (IOP) at 6:00 PM
    Description
    Intraocular pressure was measured by Goldmann applanation tonometry.
    Time Frame
    6 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    21 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: An EC-reviewed and approved (for use in this study) informed consent form must be read, signed, and dated by the participating patient as well as signed and dated by the individual (Principal Investigator or other site personnel) obtaining the informed consent, before conducting the Screening Visit and prior to initiation of study procedures. Patients must be at least 21 years of age. Must be able to follow instructions and be willing and able to attend required study visits. Must have a clinical diagnosis of ocular hypertension or primary open-angle glaucoma in at least one eye (qualifying eye). Currently treated patients, in the investigator's judgment, should require a change in treatment for reasons of improved efficacy, tolerability or compliance. Must have IOP considered to be safe, in both eyes, in such a way that should assure clinical stability of vision and the optic nerve throughout the trial. Must have an intraocular pressure of > 21 mm Hg in at least one eye at 08:00 and > 19 mm Hg in the same eye at 16:00, and < 35 mm Hg in both eyes at all diurnal time points at Visit 2. Must have best corrected visual acuity of 6/60 (20/200 Snellen) or better in each eye. Other protocol-defined inclusion criteria may apply. Exclusion Criteria: Presence of other primary or secondary glaucomas not listed in inclusion criterion. Presence of extreme narrow angle with complete or partial closure in either eye, as measured by gonioscopy (occludable angles treated with a patent iridectomy are acceptable). Any abnormality preventing reliable applanation tonometry in qualifying eye(s). Any opacity or patient uncooperativeness that restricts adequate examination of the ocular fundus or anterior chamber of either eye. Concurrent infectious/noninfectious conjunctivitis, keratitis or uveitis in either eye. Blepharitis or non-clinically significant conjunctival injection is allowed. Intraocular conventional surgery or laser surgery in qualifying eye(s) less than three months prior to Visit 1. Risk of visual field or visual acuity worsening as a consequence of participation in the trial, in the investigator's best judgment. Progressive retinal or optic nerve disease from any cause apart from glaucoma. Women of childbearing potential not using reliable means of birth control, or pregnant or lactating females. Any clinically significant, serious, or severe medical or psychiatric condition. A condition, which in the opinion of the investigator, would interfere with optimal participation in the study, or which would present a special risk to the patient. Participation in any other investigational study within 30 days prior to Visit 2. Known medical history of allergy or sensitivity to any components of the preparations to be used in this trial that is deemed clinically significant in the opinion of the investigator. Use of systemic medications known to affect IOP (e.g., oral beta-adrenergic blockers,alpha-agonists and blockers, angiotensin converting enzyme inhibitors and calcium channel blockers), which have not been on a stable course for 7 days prior to Visit 2 or an anticipated change in the dosage during the course of the study. Anticipated use of systemic corticosteroids, by any route except inhaled, for greater than two weeks during the trial. A history of, or at risk for uveitis or cystoid macular edema (CME). History of ocular herpes simplex. Unwillingness to accept the risk of iris, skin, or eyelash changes associated with prostaglandin therapy. Other protocol-defined exclusion criteria may apply.

    12. IPD Sharing Statement

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